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Safety and Tolerability of an Antimalarial Herbal Remedy in Healthy Volunteers: An Open-Label, Single-Arm, Dose-Escalation Study on <i>Maytenus senegalensis</i> in Tanzania
oleh: Kamaka Kassimu, Florence Milando, Justin Omolo, Abel Mdemu, Gloria Nyaulingo, Hussein Mbarak, Latipha Mohamed, Ramla Rashid, Saumu Ahmed, Mohammed Rashid, Hania Msami, David Damiano, Beatus Simon, Thabit Mbaga, Fatuma Issa, Omar Lweno, Neema Balige, Omary Hassan, Bakari Mwalimu, Ali Hamad, Ally Olotu, Andreas MĂĄrtensson, Francis Machumi, Said Jongo, Billy Ngasala, Salim Abdulla
Format: | Article |
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Diterbitkan: | MDPI AG 2022-11-01 |
Deskripsi
Background: Though <i>Maytenus senegalensis</i> is one of the medicinal plants widely used in traditional medicine to treat infectious and inflammatory diseases in Africa, there is a lack of safety data regarding its use. Therefore, the study aimed to asselss the safety and tolerability of the antimalarial herbal remedy <i>M. senegalensis</i>. Material and Methods: The study design was an open-label, single-arm, dose-escalation. Twelve eligible male healthy Tanzanians aged 18 to 45 years were enrolled in four study dose groups. Volunteers’ safety and tolerability post-investigational-product administration were monitored on days 0 to 7,14, and 56. Results: There were no deaths or serious adverse events in any of the study groups, nor any adverse events that resulted in premature discontinuation. The significant mean changes observed in WBC (<i>p</i> = 0.003), Neutrophils (<i>p</i> = 0.02), Lymphocytes (<i>p</i> = 0.001), Eosinophils (<i>p</i> = 0.009), Alanine aminotransferase (<i>p</i> = 0.002), Creatinine (<i>p</i> = 0.03) and Total bilirubin (<i>p</i> = 0.004) laboratory parameters were not associated with any signs of toxicity or clinical symptoms. Conclusions: <i>M. senegalensis</i> was demonstrated to be safe and tolerable when administered at a dose of 800 mg every eight hours a day for four days. This study design may be adapted to evaluate other herbal remedies.