PMID- 23441963 OWN - NLM STAT- MEDLINE DCOM- 20140710 LR - 20140731 IS - 1557-7708 (Electronic) IS - 1075-5535 (Linking) VI - 19 IP - 11 DP - 2013 Nov TI - A randomized, double-blind, parallel-group, placebo-controlled trial of Extract Sceletium tortuosum (Zembrin) in healthy adults. PG - 898-904 LID - 10.1089/acm.2012.0185 [doi] AB - OBJECTIVES: The objective of the study was to evaluate the safety and tolerability of two doses (8 mg and 25 mg once daily) of a 2:1 standardized extract of the South African medicinal plant Sceletium tortuosum (L.) N.E. Br., trademarked Zembrin,((R)) in healthy adult volunteers over a three-month period. DESIGN: This was a randomized, double-blind, parallel-group, placebo-controlled single center study. SETTING: Tiervlei Trial Centre, Karl Bremer Hospital, Bellville, Cape Town, South Africa. PARTICIPANTS: The study took place between February 2 and July 27, 2009. Thirty-seven healthy adults were recruited from the general population. INTERVENTION: Participants were randomized to receive either one of two doses of study medication, or an identical placebo, taken once daily for 3 months. Of the 37 subjects, 12, 12, and 13 subjects received 8 mg extract Sceletium tortuosum (Zembrin), 25 mg extract Sceletium tortuosum (Zembrin), and placebo treatment, respectively. OUTCOME MEASURES: No efficacy variables were assessed. The safety and tolerability variables comprised of vital signs, physical examination, 12-lead electrocardiogram (ECG), laboratory assessments (hematology, biochemistry, and urinalysis), and the recording of adverse events (AEs). RESULTS: There were no apparent differences between the three treatments with regard to vital signs, 12-lead ECG, body weight, and physical examination from screening to the end of the 3-month treatment period. No significant changes were observed in hematology or biochemistry parameters between initial screening and the end of the study. Both doses of extract Sceletium tortuosum (Zembrin) were well-tolerated. The most commonly reported AE was headache, followed by abdominal pain and upper respiratory tract infections, all with greater incidence in the placebo group than in the treatment groups. Unsolicited positive effects on well-being were noted in patient diaries by some participants taking extract Sceletium tortuosum (Zembrin), including improved coping with stress and sleep. CONCLUSION: Both doses of extract Sceletium tortuosum (Zembrin) (8 mg and 25 mg) were well tolerated when used by healthy human subjects once daily for 3 months. FAU - Nell, Haylene AU - Nell H AD - 1 Tiervlei Trial Centre (TTC), Karl Bremer Hospital , Bellville, Cape Town, South Africa . FAU - Siebert, Mirna AU - Siebert M FAU - Chellan, Pashini AU - Chellan P FAU - Gericke, Nigel AU - Gericke N LA - eng PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20130226 PL - United States TA - J Altern Complement Med JT - Journal of alternative and complementary medicine (New York, N.Y.) JID - 9508124 RN - 0 (Plant Extracts) SB - IM MH - Adolescent MH - Adult MH - Body Weight/drug effects MH - Double-Blind Method MH - Electrocardiography/drug effects MH - Female MH - Humans MH - Male MH - Mesembryanthemum/*chemistry MH - Middle Aged MH - Plant Extracts/*administration & dosage/adverse effects MH - Plants, Medicinal/*chemistry MH - Vital Signs/drug effects MH - Young Adult EDAT- 2013/02/28 06:00 MHDA- 2014/07/11 06:00 CRDT- 2013/02/28 06:00 PHST- 2013/02/28 06:00 [entrez] PHST- 2013/02/28 06:00 [pubmed] PHST- 2014/07/11 06:00 [medline] AID - 10.1089/acm.2012.0185 [doi] PST - ppublish SO - J Altern Complement Med. 2013 Nov;19(11):898-904. doi: 10.1089/acm.2012.0185. Epub 2013 Feb 26.