PMID- 28579756 OWN - NLM STAT- MEDLINE DCOM- 20180417 LR - 20220331 IS - 1177-8881 (Electronic) IS - 1177-8881 (Linking) VI - 11 DP - 2017 TI - Effect of a food supplement containing berberine, monacolin K, hydroxytyrosol and coenzyme Q(10) on lipid levels: a randomized, double-blind, placebo controlled study. PG - 1585-1592 LID - 10.2147/DDDT.S128623 [doi] AB - PURPOSE: To evaluate the ability of the new food supplement, Body Lipid (BL), containing red yeast rice, berberine, coenzyme Q(10) and hydroxytyrosol, to lower the LDL-C in patients with mild-to-moderate hypercholesterolemia and to assess the overall safety profile of the product. METHODS: In this multicenter, randomized, double-blind, placebo and active comparator (the marketed Armolipid Plus((R)) [AM]) controlled study, 158 hypercholesterolemic patients were randomized following a 4-week dietary run-in period. After 4 weeks of treatment with a daily oral dose of the new food supplement BL, AM or placebo, plus diet, the main outcome was the decrease of LDL-C, total cholesterol (TC), and triglyceride levels. FINDINGS: The absolute changes of LDL-C and TC levels from baseline, at week 4 were: -39.1 mg/dL +/-17.76 and -45.9 mg/dL +/-21.54, respectively in the BL group; 5.7 mg/dL +/-14.98 and 2.4 mg/dL +/-18.43, respectively in the placebo group. Results were statistically significant. In terms of mean percentage, BL was shown to be more effective in lowering LDL-C levels as compared to placebo and the active comparator (AM), with a reduction of -26.3%, +4.2%, -18.3%, respectively. Five adverse events (AEs) were reported by five patients after the initiation of the study treatment: two in the BL group (influence and insomnia), two in the AM group (ear pain and rash), and one in the placebo group (back pain). All AEs were mild in intensity, except for back pain (severe). The case of insomnia in the BL group and the case of rash in the AM group were judged as treatment related. The safety review of the laboratory (blood and urine) analyses, vital signs and physical findings did not show any clinical effect of the study products on any of the parameters. IMPLICATIONS: BL showed a good efficacy and safety profile and, for this reason, it can be considered an alternative to pharmacological treatment, for patients with mild-to-moderate hypercholesterolemia. FAU - D'Addato, Sergio AU - D'Addato S AD - Medical and Surgical Science Department, S. Orsola Malpighi Hospital, University of Bologna, Bologna, Italy. FAU - Scandiani, Luciana AU - Scandiani L AD - Department of Internal Medicine, Azienda Ospedaliera-Polo Universitario Ospedale Luigi Sacco, Milan, Italy. FAU - Mombelli, Giuliana AU - Mombelli G AD - Dyslipidemia Center, Hospital Niguarda Ca' Granda, Milan, Italy. FAU - Focanti, Francesca AU - Focanti F AD - ACRAF S.p.A. Angelini Research Center RR&D, Ancona, Italy. FAU - Pelacchi, Federica AU - Pelacchi F AD - ACRAF S.p.A. Angelini Research Center RR&D, Ancona, Italy. FAU - Salvatori, Enrica AU - Salvatori E AD - ACRAF S.p.A. Angelini Research Center RR&D, Ancona, Italy. FAU - Di Loreto, Giorgio AU - Di Loreto G AD - ACRAF S.p.A. Angelini Research Center RR&D, Ancona, Italy. FAU - Comandini, Alessandro AU - Comandini A AD - ACRAF S.p.A. Angelini Research Center RR&D, Ancona, Italy. FAU - Maffioli, Pamela AU - Maffioli P AD - Center of Diabetes and Metabolic Diseases, Department of Internal Medicine and Therapeutics, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy. FAU - Derosa, Giuseppe AU - Derosa G AD - Center of Diabetes and Metabolic Diseases, Department of Internal Medicine and Therapeutics, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy. LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20170523 PL - New Zealand TA - Drug Des Devel Ther JT - Drug design, development and therapy JID - 101475745 RN - 0 (Anticholesteremic Agents) RN - 0 (Biomarkers) RN - 0 (Cholesterol, LDL) SB - IM MH - Adult MH - Aged MH - Anticholesteremic Agents/adverse effects/*therapeutic use MH - Biomarkers/blood MH - Cholesterol, LDL/*blood MH - *Dietary Supplements/adverse effects MH - Double-Blind Method MH - Down-Regulation MH - Female MH - Humans MH - Hypercholesterolemia/blood/diagnosis/*drug therapy MH - Italy MH - Male MH - Middle Aged MH - Time Factors MH - Treatment Outcome PMC - PMC5447697 OTO - NOTNLM OT - berberine OT - coenzyme Q10 OT - hydroxytyrosol OT - lipid profile OT - red yeast rice COIS- Disclosure F Focanti, F Pelacchi, E Salvatori, G Di Loreto, and A Comandini are employed by ACRAF S.p.A. Angelini Research Center RR&D. The authors report no other conflicts of interest in this work. EDAT- 2017/06/06 06:00 MHDA- 2018/04/18 06:00 PMCR- 2017/05/23 CRDT- 2017/06/06 06:00 PHST- 2017/06/06 06:00 [entrez] PHST- 2017/06/06 06:00 [pubmed] PHST- 2018/04/18 06:00 [medline] PHST- 2017/05/23 00:00 [pmc-release] AID - dddt-11-1585 [pii] AID - 10.2147/DDDT.S128623 [doi] PST - epublish SO - Drug Des Devel Ther. 2017 May 23;11:1585-1592. doi: 10.2147/DDDT.S128623. eCollection 2017.