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CompletedNCT03471910Updated Jun 20, 2018

Clinical Non-inferiority Study Between Diosmin 600mg & Diosmin + Hesperidin in Symptomatic Chronic Venous Insufficiency

A Phase 4 interventional study of Diosmin and Diosmin / Hesperidin in Venous Insufficiency, sponsored by Fundação Educacional Serra dos Órgãos. Completed at 1 site in Brazil. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-06-20.

Sponsored by Fundação Educacional Serra dos Órgãos · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 8 months after the study started (first participant enrolled Jun 2017, registered Feb 2018).
Phase
Phase 4
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Clinical non-inferiority study between Diosmin 600 mg tablets and Diosmin 900 mg + Hesperidin 100 mg tablets in symptomatic chronic venous insufficiency after 6 months of treatment. Prospective, single-blind, randomized study in parallel groups (total patient population 120, 60 subjects per treatment group), with a total of 4 clinical assessment at months 0, 2, 4, and 6 of treatment.

Read the detailed description

The primary study objective is to demonstrate the clinical non inferiority of efficacy between Diosmin 600 mg tablets versus combination Diosmin 900 mg + Hesperidin 100 mg tablets in improving lower limb symptoms assessed by a 100 mm visual analogue scale (VAS) over 6 months among adult patients presenting chronic venous insufficiency of the lower limbs.

The secondary study objectives are to compare between Diosmin 600 mg tablets and combination Diosmin 900 mg + Hesperidin 100 mg tablets in terms of:

  • The oral acceptability,
  • The tolerability,
  • The global patient's satisfaction,
  • The global physician's satisfaction.

Clinical assessments will take place at the study center during the study visits at M0, M2, M4 and M6 including:

  • Efficacy on venous symptoms : The VAS of 100 mm is rated by the patient from "0" = Absence of venous symptoms up to "100" = Maximal intensity of the venous symptoms. The VAS is completed by the patient at the investigator's office. This VAS globally assesses the venous symptomatology of the most symptomatic leg : Heavy legs, Painful legs, Tired legs, Sensation of swelling and/or tension in the legs).
  • Acceptability : Easiness to swallow assessed by a VAS of 100 mm rated by the patient from "0" = Very easy to swallow, up to "10" = Very difficult to swallow
  • Patient's global satisfaction related to the treatment efficacy : Four levels scale rated as following : bad, acceptable, good, and very good
  • Investigator's global satisfaction related to the treatment efficacy : Four levels scale rated as following : bad, acceptable, good, and very good
  • Tolerability (related adverse events)
  • Compliance : Accountability of treatments returned by the patient

The primary endpoint will be the change between the VAS symptoms scores at M0 and M6 / end of study visit (early withdrawal). Secondary endpoints include assessments of efficacy, oral acceptability of study drug, and tolerance.

02

Conditions studied

  • Venous Insufficiency

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Keywords

  • Chronic venous insufficiency
  • Diosmin
  • Hesperidin
03

In context

Venous Insufficiency

162 studies on the registry are indexed under Venous Insufficiency; 14 are open to participants now.

This study's enrollment of 120 is above the median of 60 across 127 interventional studies indexed under Venous Insufficiency.

Browse Venous Insufficiency studies →

Lead sponsor

Fundação Educacional Serra dos Órgãos is the lead sponsor of 10 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients of both genders >18 years old
  • Patient presenting a C0 to C3 venous disease grade of the lower limbs, according to the clinical component of the CEAP classification,
  • Clinical symptoms of chronic venous insufficiency of the lower limbs as defined by a VAS of 100 mm rated by the patient between 20 mm and 60 mm on the most symptomatic leg. The VAS is a global evaluation of the following symptoms: Heavy legs, Painful legs, Tired legs, Sensation of swelling and / or tension in the legs.
  • Premenopausal female subjects not pregnant or breastfeeding, in use of reliable
  • Subject has read, understood, dated and signed the form

Exclusion criteria

Exclusion Criteria:

  • Treatment by compression stocking within the 2 months before inclusion
  • Treatment by venotonics within the 2 months before inclusion
  • Premenopausal women who are pregnant, breastfeeding or who do not wish to use during the study period
  • Known allergy or to any component of the study drug
  • Known laboratory alterations
  • CEAP levels 4, 5 \& 6
  • Patient with venous disease requiring surgery / chemical endovenous sclerotherapy
  • Patient suffering from a painful pathology other than the venous pain in the lower limbs
  • Patient with history of venous thrombosis or thromboembolic disease within the 6 months before inclusion
  • Patient with alteration of general condition incompatible with his / her participation in the trial
  • Patient wishing to be pregnant in the 6 following months
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Care provider, Investigator, Outcomes assessor)
Enrollment
120 participants (actual)

Study arms

  • Experimental
    Diosmin

    Diosmin 600mg, one tablet once daily

    Drug: Diosmin

  • Active comparator
    Diosmin + Hesperidin

    Diosmin 900mg + Hesperidin 100mg, one tablet once daily

    Drug: Diosmin / Hesperidin

Interventions

  • Diosmin 600mg tablet, once daily

  • DrugDiosmin / Hesperidin

    Drug pages: Diosmin · Hesperidin

    Diosmin 900 mg / Hesperidin 100mg tablet, once daily

06

What researchers measure

Primary outcomes

  1. Change in VAS symptom scores

    Change between the 100mm visual analog scale (VAS) symptoms (from 0mm \[absence of venous symptoms\] to 100mm \[maximal intensity of venous symptoms\] scores at month 0 (pretreatment) and month 6 / end of study visit (early withdrawal).

    Time frame: From pretreatment (month 0) until month 6 of the 6-month treatment period

Secondary outcomes

  1. Efficacy: Evolution of VAS score at each visit

    Evolution of the 100mm VAS symptoms (from 0mm \[absence of venous symptoms\] to 100mm \[maximal intensity of venous symptoms\]) at each visit

    Time frame: From pretreatment (month 0) until month 6 of the 6-month treatment period

  2. Efficacy: Patient global satisfaction at each visit

    Evaluation of the patient's global satisfaction at each visit on a four level scale of "bad", "acceptable", "good", and "very good"

    Time frame: From pretreatment (month 0) until month 6 of the 6-month treatment period

  3. Oral acceptability

    Evaluation of the oral acceptability on a 100mm VAS (from 0mm - very easy to swallow to 100mm - very difficult to swallow) of the treatment at each visit

    Time frame: From pretreatment (month 0) until month 6 of the 6-month treatment period

  4. Tolerance: Number of related adverse events during the study

    Number of related adverse events during the study

    Time frame: Throughout the 6-month treatment period

  5. Efficacy: Investigator's global satisfaction at each visit

    Evaluation of the investigator's global satisfaction at each visit on a four level scale of "bad", "acceptable", "good", and "very good"

    Time frame: From pretreatment (month 0) until month 6 of the 6-month treatment period

07

Study locations

1 site
  • Centro Universitário Serra dos Órgãos - UNIFESO
    Teresópolis, RJ 25964004, Brazil
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 20, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03471910
Lead sponsor
Fundação Educacional Serra dos Órgãos
Responsible party
Carlos Pereira Nunes (Professor of Internal Medicine, Fundação Educacional Serra dos Órgãos) — Principal investigator
First posted
Mar 21, 2018
Start date
Jun 20, 2017
Primary completion
Mar 20, 2018
Completion
Apr 30, 2018
Last update
Jun 20, 2018

Study contacts

Marcio Steinbruch, MD
principal investigator · Hospital Albert Einstein
Renato Kaufman, MD
principal investigator · Universidade Estadual do Rio de Janeiro

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2018. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Diosmin

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