Abstract

This study sought to investigate the antihyperuricemia efficacy and safety of DKB114 (a mixture of Chrysanthemum indicum Linn flower extract and Cinnamomum cassia extract) to evaluate its potential as a dietary supplement ingredient. This clinical trial was a randomized, 12-week, double-blind, placebo-controlled study. A total of 80 subjects (40 subjects with an intake of DKB114 and 40 subjects with that of placebo) who had asymptomatic hyperuricemia (7.0–9.0 mg/dL with serum uric acid) was randomly assigned. No significant difference between the DKB114 and placebo groups was observed in the amount of uric acid in serum after six weeks of intake. However, after 12 weeks of intake, the uric acid level in serum of subjects in the DKB114 group decreased by 0.58 ± 0.86 mg/dL and was 7.37 ± 0.92 mg/dL, whereas that in the placebo group decreased by 0.02 ± 0.93 mg/dL and was 7.67 ± 0.89 mg/dL, a significant difference (p = 0.0229). In the analysis of C-reactive protein (CRP) change, after 12 weeks of administration, the DKB114 group showed an increase of 0.05 ± 0.27 mg/dL (p = 0.3187), while the placebo group showed an increase of 0.10 ± 0.21 mg/dL (p = 0.0324), a statistically significant difference (p = 0.0443). In the analysis of amount of change in apoprotein B, after 12 weeks of administration, the DKB114 group decreased by 4.75 ± 16.69 mg/dL (p = 0.1175), and the placebo group increased by 3.13 ± 12.64 mg/dL (p = 0.2187), a statistically significant difference between the administration groups (p = 0.0189). In the clinical pathology test, vital signs and weight measurement, and electrocardiogram test conducted for safety evaluation, no clinically significant difference was found between the ingestion groups, confirming the safety of DKB114. Therefore, it may have potential as a treatment for hyperuricemia and gout. We suggest that DKB114 as a beneficial and safe food ingredient for individuals with high serum uric acid. Trial registration (CRIS.NIH. go. Kr): KCT0002840.

Highlights

  • Hyperuricemia is a condition characterized by an abnormally elevated level of serum uric acid [1,2].Uric acid is the final oxidation product of purine metabolism in humans in the absence of the hepaticNutrients 2020, 12, 3794; doi:10.3390/nu12123794 www.mdpi.com/journal/nutrientsNutrients 2020, 12, 3794 enzyme uricase

  • Hyperuricemia is diagnosed when serum uric acid level exceeds the limit of solubility (7.0 mg/dL) and increases the risk of monosodium urate or uric acid crystal deposition, which could result in acute gouty arthritis, gouty arthropathy, chronic tophaceous gout, uric acid urolithiasis, or gouty nephropathy [3,4,5,6]

  • The present study evaluated the efficacy and safety of DKB114 intake in asymptomatic hyperuricemia on blood uric acid reduction compared to Placebo [23]

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Summary

Introduction

Hyperuricemia is a condition characterized by an abnormally elevated level of serum uric acid [1,2].Uric acid is the final oxidation product of purine metabolism in humans in the absence of the hepaticNutrients 2020, 12, 3794; doi:10.3390/nu12123794 www.mdpi.com/journal/nutrientsNutrients 2020, 12, 3794 enzyme uricase. Increased production and/or decreased uric acid excretion elevate serum uric acid level The former is caused by an excessively purine-rich diet and purine metabolism overactivation, whereas the latter is caused by renal impairment and certain drugs. Clinical management of serum uric acid level often includes using a xanthine oxidase inhibitor (allopurinol) and uricosurics (probenecid and benzbromarone), which facilitate urinary excretion. Their use can induce several adverse reactions, such as fever, skin rash, worsened renal function, and Stevens–Johnson syndrome [7,12,13,14,15,16,17,18]

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