ClinicalTrials.gg
Not yet recruitingNCT07789366Updated Aug 27, 2026

Berberol P for Mild-to-Moderate Hypercholesterolaemia

An interventional study of Berberol® P (manufacturer: PharmExtracta S.p.A.) and Berberol® K (manufacturer: PharmExtracta S.p.A.) in Hypercholesterolemia, sponsored by Liaquat University of Medical & Health Sciences. Not yet recruiting at 4 sites in Italy. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-08-27.

Sponsored by Liaquat University of Medical & Health Sciences · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
255
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

This randomized, controlled, multicentre clinical trial will evaluate the efficacy and safety of Berberol® P compared with Berberol® K in adults with mild-to-moderate hypercholesterolaemia.

A total of 255 participants will be randomized in a 1:1:1 ratio to receive Berberol® P 1 tablet daily, Berberol® P 2 tablets daily, or Berberol® K 1 tablet daily for 12 weeks. The study will primarily assess whether Berberol® P is non-inferior to Berberol® K in reducing low-density lipoprotein cholesterol (LDL-C). Changes in other lipid parameters, glucose metabolism, anthropometric measures, blood pressure, and safety will also be evaluated.

Read the detailed description

Hypercholesterolaemia is an important modifiable cardiovascular risk factor. Nutraceutical approaches may provide an option for individuals with mild-to-moderate hypercholesterolaemia, particularly when lifestyle measures alone are insufficient.

This is a randomized, controlled, multicentre, three-arm clinical trial evaluating two daily doses of Berberol® P compared with Berberol® K. Eligible participants will be randomized in a 1:1:1 ratio to one of three treatment groups: Berberol® P 1 tablet daily, Berberol® P 2 tablets daily, or Berberol® K 1 tablet daily. Treatment will continue for 12 weeks.

The primary objective is to evaluate the non-inferiority of Berberol® P compared with Berberol® K with respect to the change in LDL-C after 12 weeks of treatment. The study will also evaluate effects on the lipid profile, glucose metabolism, anthropometric parameters and blood pressure, as well as the safety and tolerability of the interventions.

A total of 255 participants are planned to be enrolled across multiple study centres.

02

Conditions studied

  • Hypercholesterolemia
03

In context

Hypercholesterolemia

1,175 studies on the registry are indexed under Hypercholesterolemia; 93 are open to participants now.

This study's planned enrollment of 255 is above the median of 110 across 975 interventional studies indexed under Hypercholesterolemia.

Browse Hypercholesterolemia studies →

Lead sponsor

Liaquat University of Medical & Health Sciences is the lead sponsor of 55 studies on the registry; 17 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
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

  • Age 18-70 years
  • Male or female
  • LDL-C 115-190 mg/dL and/or total cholesterol 200-260 mg/dL
  • Triglycerides \<400 mg/dL
  • Willingness to maintain stable diet and physical activity
  • Written for study participation obtained prior to the start of the study

Exclusion criteria

Exclusion Criteria:

  • Use of statins, ezetimibe, fibrates, PCSK9 inhibitors, or lipid-lowering nutraceuticals within 30 days prior to enrollment
  • Uncontrolled diabetes
  • Significant liver or kidney disease
  • Pregnancy or breastfeeding
  • Known intolerance to any component of the study products
  • Recent cardiovascular events
  • Alcohol or drug abuse
  • Participation in another clinical trial within 30 days prior to enrollment
  • Lack of written
Terms in these criteria, in plain language(1)

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.

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
255 participants (estimated)

Study arms

  • Experimental
    Berberol® P - 1 Tablet Daily

    Participants will receive Berberol® P 1 tablet once daily after dinner for 12 weeks.

    Dietary Supplement: Berberol® P (manufacturer: PharmExtracta S.p.A.)

  • Experimental
    Berberol P® - 2 Tablets Daily

    Participants will receive Berberol® P 2 tablets daily, with 1 tablet after breakfast and 1 tablet after dinner, for 12 weeks.

    Dietary Supplement: Berberol® P (manufacturer: PharmExtracta S.p.A.)

  • Active comparator
    Berberol K® - 1 Tablet Daily

    Participants will receive Berberol® K 1 tablet once daily after dinner for 12 weeks.

    Dietary Supplement: Berberol® K (manufacturer: PharmExtracta S.p.A.)

Interventions

  • Dietary supplementBerberol® P (manufacturer: PharmExtracta S.p.A.)

    Dietary supplement containing Berberine Phytosome® and Pycrinil®. Participants receive either 1 tablet daily after dinner or 2 tablets daily (1 after breakfast and 1 after dinner) for 12 weeks, according to the assigned treatment arm.

  • Dietary supplementBerberol® K (manufacturer: PharmExtracta S.p.A.)

    Dietary supplement containing Berberine Phytosome® and monacolins from fermented red yeast rice. Participants receive 1 tablet daily after dinner for 12 weeks.

06

What researchers measure

Primary outcomes

  1. Change in Low-Density Lipoprotein Cholesterol (LDL-C) From Baseline

    Change in serum LDL-C concentration from baseline to the end of treatment. The primary analysis will assess the non-inferiority of Berberol® P compared with Berberol® K in reducing LDL-C.

    Time frame: Baseline to Week 12

Secondary outcomes

  1. Change in Total Cholesterol From Baseline

    Change in serum total cholesterol concentration from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  2. Change in High-Density Lipoprotein Cholesterol (HDL-C) From Baseline

    Change in serum HDL-C concentration from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  3. Change in Triglycerides From Baseline

    Change in serum triglyceride concentration from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  4. Change in Fasting Blood Glucose From Baseline

    Change in fasting blood glucose concentration (mg/dL) from baseline to the end of treatment.

    Time frame: Baseline to Week 12

  5. Change in Glycated Hemoglobin (HbA1c) From Baseline

    Change in HbA1c (%) from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  6. Change in Fasting Insulin From Baseline

    Change in fasting serum insulin concentration from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  7. Change in Systolic Blood Pressure From Baseline

    Change in systolic blood pressure (mmHg) from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  8. Change in Diastolic Blood Pressure From Baseline

    Change in diastolic blood pressure (mmHg) from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  9. Change in Heart Rate From Baseline

    Change in heart rate (beats per minute) from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  10. Incidence of Adverse Events

    Number and proportion of participants experiencing adverse events during the 12-week treatment period.

    Time frame: Baseline to Week 12

  11. Change in Safety Laboratory Parameters From Baseline

    Change from baseline to Week 12 in safety laboratory parameters, including aspartate aminotransferase (AST), alanine aminotransferase (ALT), creatine phosphokinase (CPK), C-reactive protein (CRP), and creatinine.

    Time frame: Baseline to Week 12

  12. Change in Body Weight From Baseline

    Change in body weight (kg) from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  13. Change in Waist Circumference From Baseline

    Change in waist circumference (cm) from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  14. Change in Non-HDL Cholesterol From Baseline

    Change in calculated non-HDL cholesterol concentration from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  15. Change in Very-Low-Density Lipoprotein (VLDL) Cholesterol From Baseline

    Change in calculated VLDL cholesterol concentration (mg/dL) from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  16. Change in Total Cholesterol to HDL Cholesterol Ratio (TC/HDL) From Baseline

    Change in calculated total cholesterol to HDL cholesterol ratio (TC/HDL) from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  17. Change in LDL Cholesterol to HDL Cholesterol Ratio (LDL/HDL) From Baseline

    Change in calculated LDL cholesterol to HDL cholesterol ratio (LDL/HDL) from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  18. Change in Triglyceride to HDL Cholesterol Ratio (TG/HDL) From Baseline

    Change in calculated triglyceride to HDL cholesterol ratio (TG/HDL) from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  19. Change in Remnant Cholesterol From Baseline

    Change in calculated remnant cholesterol concentration from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  20. Change in Apolipoprotein A1 (Apo A1) From Baseline

    Change in Apo A1 concentration from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  21. Change in Apolipoprotein B (ApoB) From Baseline

    Change in ApoB concentration (mg/dL) from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  22. Change in Apolipoprotein B to Apolipoprotein A1 Ratio (ApoB/Apo A1) From Baseline

    Change in the calculated ApoB/Apo A1 ratio from baseline to the end of the 12-week treatment period.

    Time frame: Baseline to Week 12

  23. Severity of Undesirable Symptoms

    Severity of undesirable symptoms during treatment, including myalgias, cramps, nausea, diarrhea, constipation, abdominal pain, asthenia, and headache, assessed by participants on a 0 to 10 scale, where 0 indicates "no problem" and 10 indicates "very severe problem," based on symptoms experienced during the previous 7 days.

    Time frame: Baseline to Week 12

  24. Frequency of Undesirable Symptoms

    Frequency of undesirable symptoms, including myalgias, cramps, nausea, diarrhea, constipation, abdominal pain, asthenia, and headache. For each symptom present, participants will report its frequency as occasional, intermittent, or daily.

    Time frame: Baseline to Week 12

  25. Participant-Reported Treatment Tolerability Score on a 0-10 Scale

    Treatment tolerability will be assessed by participants at Week 12 using the protocol-defined 0-10 numerical rating scale and recorded in the case report form (CRF).

    Time frame: Week 12

  26. Participant-Reported Treatment Adherence Percentage

    Treatment adherence will be assessed at Week 12 using the protocol-defined 0-100% adherence scale recorded in the CRF.

    Time frame: Week 12

  27. Treatment Adherence Based on Returned Unused Tablets

    Treatment adherence will be assessed at Week 12 based on the number of unused study tablets returned by participants at the end of the treatment period.

    Time frame: Week 12

07

Study locations

4 sites
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Jul 2027, 10 months later.

Of 133 non-industry interventional studies with no phase under Hypercholesterolemia, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 36. This study's planned 10 months is below that.

Counting every sponsor, half of 151 studies reached it within 15 months; a quarter within 6 and three quarters within 35.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 22, 2026
First posted
Aug 27, 2026
StartEst.
Sep 7, 2026
Primary completionEst.
Jul 30, 2027
CompletionEst.
Jul 30, 2027
Last update
Aug 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07789366
Lead sponsor
Liaquat University of Medical & Health Sciences
Collaborators
University of Urbino "Carlo Bo"
Responsible party
Dr. Amjad Khan (Professor of Clinical Biochemistry and Experimental Medicine, Liaquat University of Medical & Health Sciences) — Principal investigator
First posted
Aug 27, 2026
Start date
Sep 7, 2026 (estimated)
Primary completion
Jul 30, 2027 (estimated)
Completion
Jul 30, 2027 (estimated)
Last update
Aug 27, 2026

Study contacts

Prof. Davide Sisti, PhD
Contact
davide.sisti@uniurb.it
+39 0722 303301

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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