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Malnourished ChildrenStriatin1NCT06933862

Effects of Channa Striata Extract on Intestinal Inflammation and Nutritional Status in Malnutritional Toddlers After Albendazole Therapy in South Bangka District

A study testing Striatin in people with Malnourished Children, run by Universitas Indonesia at 2 sites in Indonesia.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

The goal of this clinical trial is to learn if intervention with channa striata extract or inbumin forte sachet as a food supplement can improve intestinal damage and nutritional status in malnourished children aged 1.5-5 years. Read more about this study

Who is it for?
Ages 17 to 60 months
Conditions the study is for
Malnourished Children
What is being tested?
Striatin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
122 participants
Where
2 sitesIndonesia
Study dates
15 May 2025to 30 Jun 2026
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 17 to 60 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Malnourished children aged 1.5-5 years (-3SD to < -2 SD)
  • Parents or guardians are willing to participate in the study
  • Parents or guardians can read and fill out the questionnaire

Who cannot join

  • Children with chronic diseases such as tuberculosis, congenital heart disease, diabetes, cancer, epilepsy, HIV Aids, sickle cell anemia, and mental illness.
  • Children with history of snakehead fish allergy
  • Children with physical disabilities that complicate data collection

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Indonesia2 sites
  • IMERI Faculty of Medicine Universitas Indonesia

    Central Jakarta, DKI Jakarta, 10430

  • Indonesian territories

    South Bangka Or Toboali, Bangka–Belitung Islands, 33783

    Dinas Kesehatan, 0717-6242141, dinkes@babelprov.go.id

    6285311980272

Other trials in Indonesia

About this study

The goal of this clinical trial is to learn if intervention with channa striata extract or inbumin forte sachet as a food supplement can improve intestinal damage and nutritional status in malnourished children aged 1.5-5 years. The main questions it aims to answer are:

  • Whether there is a change in calprotectin and AAT levels after administration of snakehead fish extract of inbumin forte sachet?
  • Whether there is a difference in changes in nutritional status after administration of snakehead fish extract or inbumin forte sachet? Researchers will compare snakehead fish extract or inbumin forte sachet to a placebo (a look-alike substance that contains no drug) to see if snakehead fish extract or inbumin forte sachet works to treat children malnutrition.

Participants will take snakehead fish extract or inbumin forte sachet or placebo every day for 3 months. Researchers will visit study participants every month to check their weight and height and monitor vitamin administration through photos, notes and videos sent every day and records complaints or symptoms that may arise and at the end of 3 months, researchers will collect stool and blood samples and check nutritional status.

Read the detailed description

The study participants were malnourished children aged 1.5 to 5 years. Data on malnourished children were obtained from the local health department. Based on this data, participants were selected from several sub-districts with the highest malnutrition cases, including Toboali (Rias and Toboali villages), Payung, Air Gegas, and Batu Betumpang sub-districts. After invitations were sent to the participants, they were registered using their family registration card and assigned a queue number or research code. The study plan and research procedures were then explained to the participants. First, anthropometric measurements were conducted including weight and height, with the results entered into the WHO Anthro calculator (-3 SD to <-2 SD). Baseline blood samples were collected, and labeled stool sample bottles were distributed. Fresh stool samples were collected the next day at a designated location. A 100 mg portion of each stool sample was transferred into a 1.5 ml Eppendorf tube and stored in a -20°C freezer. Each sample was divided into two tubes: one for gut microbiota analysis and the other for AAT and calprotectin testing using ELISA. Additionally, the Kato-Katz method was used to examine fresh stool samples for helminth infections. Following stool sample collection, participants were given albendazole at the appropriate dosage. Blood sample analysis included a complete blood count, amino acid testing using filter paper, serum ferritin using mini Vidas immunology analyzer, serum iron, total iron-binding capacity (TIBC) using Vitros chemistry analyzer and serum retinol levels using ELISA. Two weeks after albendazole administration, stool samples were re-examined using Kato-Katz method to confirm the absence of helminth infection. Then, participants were randomly assigned in a double-blind manner into two groups: one receiving snakehead fish extract (Inbumin Forte) and the other receiving a placebo. Based on sample size calculations, a minimum of 98 participants was required, and accounting for a 20% dropout rate, the total sample size was set at 122 children. Data processing was conducted using SPSS. A univariate analysis was performed to determine data distribution on ratio, nominal, and ordinal scales. Categorical data (nominal and ordinal) were presented as frequencies and percentages. Normality tests for numerical data were conducted using the Kolmogorov-Smirnov test, with a normal distribution determined if p > 0.05. Normally distributed data were presented as mean and standard deviation, while non-normally distributed data were shown as median and range (minimum-maximum).

Bivariate analysis was conducted to determine whether there were significant differences in nutritional status, macronutrient and micronutrient levels, inflammatory markers, intestinal permeability, and gut microbiota between children receiving striatin protein supplementation and those receiving a placebo. A paired t-test was used if the data were normally distributed to analyze mean differences between the two groups. If the data were not normally distributed, a chi-square test or Mann-Whitney test was applied. The effect of striatin protein intake on the studied variables was assessed using linear regression analysis. The hypothesis test results were interpreted at a 95% confidence level (α = 0.05), with the null hypothesis (H₀) being rejected if p < 0.05.

Being tested
Striatin, Placebo
Keywords
snakehead fish extract, malnourished children, Calprotectin, striatin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • StriatinDietary supplement

    striation or placebo given for 90 days assigned to striatin

  • PlaceboDietary supplement

    placebo

Study groups in NCT06933862
Study groupRoleWhat they receive
Malnourished: StriatinExperimentalStriatin or inbumin forte is given in the form of a 5 g dose of powder and 250 mg of curmicin. Striation or inbumin forte powder dissolved in 30 ml of drinking water and given one sachet per day, taken in the morning and evening after meals and given for 90 days
Receives: Dietary Supplement: Striatin
Malnourished: PlaceboPlacebo comparatorplacebo of striatin containing 4.89 g of mannitol was given in powder form and dissolved in 30 ml of drinking water. Placebo of striatin was given one sachet per day, taken in the morning and evening after meals and given for 90 days.
Receives: Dietary Supplement: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Z-score (weight for age)

    Z-score according to WHO antropometry that will be collected is based on weight for age. Body Weight in kg will be measured using a SECA brand weight scale. The differences between placebo and Inbumin Forte will be analysed after 3 months of treatment.

    Measured: three months after intervention

  2. z-score (height for age)

    Z-score according to WHO antropometry that will be collected is based on height for age. Height in cm will be using SECA brand height scale. The differences between placebo and Inbumin Forte will be analysed after 3 months of treatment.

    Measured: three months after intervention

Secondary outcomes (6)
  1. Concentrations of fecal calprotectin

    Calprotectin in stool samples were examined using ELISA (in mcg/g). The differences between placebo and Inbumin will be analysed at the end of 3 months.

    Measured: From enrollment to the end of treatment at 3 months

  2. Concentrations of Alpha 1 Anti Trypsin (AAT) levels in stool

    Alpha 1 Anti Trypsin (AAT) levels in stool samples were examined using ELISA (mcg/g). The differences in the concentrations of AAT levels between placebo and Inbumin Forte groups will be analysed after 3 months of treatment.

    Measured: From enrollment to the end of treatment at 3 months

  3. Concentrations of amino acid in blood samples

    Amino acids levels (µmol/l) in blood samples were examined using LC-MSMS. The differences of amino acid levels between placebo and Inbumin Forte will be analysed at the end of 3 months

    Measured: From enrollment to the end of treatment at 3 months

  4. Complete hematological profiles

    Complete hematological profiles in blood samples were examined using sysmex analyzer. The differences between placebo and Inbumin will be analysed at the end of 3 months.Time Frame: From enrollment to the end of treatment at 3 months

    Measured: From enrollment to the end of treatment at 3 months

  5. Iron status levels

    serum ferritin (ng/ml) were examined using mini vidas immunology analyzer, serum iron (µg/dL), total iron binding capacity (µg/dL) were examined using Vitros Chemistry analyzer. The differences between placebo and Inbumin will be analysed at the end of 3 months.Time Frame: From enrollment to the end of treatment at 3 months

    Measured: From enrollment to the end of treatment at 3 months

  6. Intestinal microbiota profiles

    Intestinal microbiota were examined using PCR technique. The differences between placebo and Inbumin will be analysed at the end of 3 months.Time Frame: From enrollment to the end of treatment at 3 months

    Measured: From enrollment to the end of treatment at 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Apr 2025
  2. Study start15 May 2025 (estimated)
  3. Primary completion30 Mar 2026 (estimated)
  4. Study completion30 Jun 2026 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
The study participants were divided into 2 groups namely group A which received snakehead fish extract or inbumin forte sachet and group B which received a placebo. The study was conducted randomly and double blinded.
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
122 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06933862
Sponsor's protocol ID
MPuspaSari
Acronym
Striatin1
Status last verified
Apr 2025
First submitted
12 Mar 2025
Last updated
18 Apr 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Snakehead Fish (Channa striata) and Its Biochemical Properties for Therapeutics and Health Benefits

  • Potential effect of Striatin (DLBS0333), a bioactive protein fraction isolated from Channa striata for wound treatment

  • Lisowska-Myjak B, Pachecka J, Sokrates O, Brzozowska-Binda A, Torbicka E. Fecal alpha-1-antitrypsin excretion in children with diarrhea. Scand J Gastroenterol. 1998 Mar;33(3):255-9. doi: 10.1080/00365529850170829.

    PubMed 9548618
  • Li F, Ma J, Geng S, Wang J, Liu J, Zhang J, Sheng X. Fecal calprotectin concentrations in healthy children aged 1-18 months. PLoS One. 2015 Mar 5;10(3):e0119574. doi: 10.1371/journal.pone.0119574. eCollection 2015.

    PubMed 25742018
  • Vaz Nery S, Bennett I, Clarke NE, Lin A, Rahman Z, Rahman M, Clements ACA. Characterisation of environmental enteropathy biomarkers and associated risk factors in children in the context of a WASH trial in Timor-Leste. Int J Hyg Environ Health. 2018 Jul;221(6):901-906. doi: 10.1016/j.ijheh.2018.05.012. Epub 2018 Jun 8.

    PubMed 29891218
  • Semba RD, Shardell M, Sakr Ashour FA, Moaddel R, Trehan I, Maleta KM, Ordiz MI, Kraemer K, Khadeer MA, Ferrucci L, Manary MJ. Child Stunting is Associated with Low Circulating Essential Amino Acids. EBioMedicine. 2016 Apr;6:246-252. doi: 10.1016/j.ebiom.2016.02.030. Epub 2016 Feb 19.

    PubMed 27211567
  • Endrinikapoulos A, Afifah DN, Mexitalia M, Andoyo R, Hatimah I, Nuryanto N. Study of the importance of protein needs for catch-up growth in Indonesian stunted children: a narrative review. SAGE Open Med. 2023 Apr 17;11:20503121231165562. doi: 10.1177/20503121231165562. eCollection 2023.

    PubMed 37101818
  • Mrimi EC, Palmeirim MS, Minja EG, Long KZ, Keiser J. Malnutrition, anemia, micronutrient deficiency and parasitic infections among schoolchildren in rural Tanzania. PLoS Negl Trop Dis. 2022 Mar 4;16(3):e0010261. doi: 10.1371/journal.pntd.0010261. eCollection 2022 Mar.

    PubMed 35245314
  • Lahav-Ariel L, Caspi M, Nadar-Ponniah PT, Zelikson N, Hofmann I, Hanson KK, Franke WW, Sklan EH, Avraham KB, Rosin-Arbesfeld R. Striatin is a novel modulator of cell adhesion. FASEB J. 2019 Apr;33(4):4729-4740. doi: 10.1096/fj.201801882R. Epub 2018 Dec 28.

    PubMed 30592649

Questions about this trial

What is this clinical trial studying?

A study testing Striatin in people with Malnourished Children, run by Universitas Indonesia at 2 sites in Indonesia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 18 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Indonesia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Monica Puspa Sari (+62853-1198-0272, monica.puspasari@ukrida.ac.id), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Z-score (weight for age) (time frame: three months after intervention). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06933862, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Apr 2025.

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