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CTRI Number  CTRI/2024/05/067749 [Registered on: 21/05/2024] Trial Registered Prospectively
Last Modified On: 08/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Homeopathy 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Ruta graveolens,a Homoeopathic medicine in the treatment of Colorectal cancer 
Scientific Title of Study   Phytochemical screening of ruta graveolens mother tincture and clinical effectiveness of ruta graveolens 30c in comparison with individualized homoeopathic medicine on colorectal cancer patients in respect to carcinoembryonic antigen:an open label non randomised clinical trial  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rashmi Rekha Naik 
Designation  Post graduate trainee 
Affiliation  National Institute of Homoeopathy 
Address  National Institute of Homoeopathy, Block GE, Sector 3, Salt lake, Kolkata,West Bengal, Pin 700106 North Twentyfour Parganas West Bengal 700106 India

North Twentyfour Parganas
WEST BENGAL
7000106
India 
Phone  8917552130  
Fax    
Email  rashmirekha270@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Gitasri Pal 
Designation  Professor 
Affiliation  National Institute Of Homoeopathy 
Address  Department of Homoeopathic Pharmacy, OPD number 19, National Institute of Homoeopathy, Block GE, Sector 3, Salt lake, Kolkata North Twentyfour Parganas West Bengal Pin 700106 India

Kolkata
WEST BENGAL
700106
India 
Phone  8910624248  
Fax    
Email  drgitasripal@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Gitasri Pal 
Designation  Professor 
Affiliation  National Institute Of Homoeopathy 
Address  Department of Homoeopathic Pharmacy, OPD number 19, National Institute of Homoeopathy, Block GE, Sector 3, Salt lake, Kolkata North Twentyfour Parganas West Bengal Pin 700106 India

Kolkata
WEST BENGAL
700106
India 
Phone  8910624248  
Fax    
Email  drgitasripal@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Homoeopathy, Block GE, Sector 3, Salt lake, Kolkata North Twentyfour Parganas West Bengal Pin 700106 India 
 
Primary Sponsor  
Name  National Institute Of Homoeopathy 
Address  National Institute Of Homoeopathy, Block GE ,Sector 3, Salt lake, Kolkata North Twentyfour Parganas Pin 700106 West Bengal ,India 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rashmi Rekha Naik  National Institute of Homoeopathy  Department of Homoeopathic Pharmacy, OPD number 19, Block GE, Sector 3, Salt lake, Kolkata
North Twentyfour Parganas
WEST BENGAL 
8917552130

rashmirekha270@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
National Institute Of Homoeopathy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C20||Malignant neoplasm of rectum,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Individualized Homoeopathic medicine  Individualized Homoeopathic medicine will be selected as per the totality of symptom and administered in centesimal potency, Follow up will be done on regular basis (and as per need of the patients mainly at baseline, three months and six months) for at least sixth months to ascertain the improvement 
Intervention  Ruta graveolens 30C in one arm and Individualised Homoeopathic medicine in another arm  Ruta graveolens 30C,a Homoeopathic medicine will be prescribed as per the homoeopathic principles, if 50% of symptoms corresponds as given in appendix and dose will be selected according to susceptibility of patients and route of administration is oral Follow up will be done on regular basis (and as per need of the patients especially at baseline, three months and six months) for at least sixth months to ascertain the improvement On each occasion, single Individualised Homoeopathic medicine is prescribed considering symptom totality, clinical history details, constitutional traits, miasmatic features and repertorization as and when required Subsequent prescription is produced in accord with Kents observations and Herings law of cure  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Patients of all genders, different religions and socioeconomic groups.
Age between 18-80 years.
Histologically confirmed Colorectal cancer patients.
In case the medicine does not provide relief or aggravate the patients condition and the
disease progresses further, immediate care will be taken by providing the proper dose of medicine
Patients having Colorectal Malignancy of any histological type at any stage except
those mentioned under exclusion.
Patients who are otherwise untreated and have opted for homoeopathic treatment.
Patients who have already had Surgery, Radiotherapy or Chemotherapy but now intend
to undergo homoeopathic treatment.
Patient willing to give written consent for participating in the study and complete
follow-up during study.  
 
ExclusionCriteria 
Details  Patients who continue to be under Chemotherapy or Radiotherapy.
Pregnant and Lactating women.
Patients not willing to undergo any investigation, even after advised.
Individuals unwilling to get solely homoeopathic treatment.
Patients in the terminal stage of illness.
Diagnosed cases of unstable mental or psychiatric illness.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Tumor biomarker CEA will be evaluated
 
At baseline, after 3 months and 6 months of treatment 
 
Secondary Outcome  
Outcome  TimePoints 
The response of the patients will be observed and improvement in Quality of Life will be
assessed with EORTC QLQ-CR29 scale 
at baseline,
after 3 months & 6 months of treatment 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   30/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Following preliminary and detailed screening using specified selection (inclusion and exclusion) criteria, eligible patients will be recruited for the trial. 
Each case will be studied properly through analysis and evaluation of symptoms and the symptoms will be matched against the symptoms of Ruta graveolens and if at least 50% symptoms would be present then it will be included in the study group 1 and if not then it will be included under study group 2. 
Evaluation of symptoms as per homoeopathic literature and practice. 
Selection of medicine in consultation with homoeopathic Materia Medica and therapeutics on the basis of instructions given by Dr. C. F. S. Hahnemann in the Organon of Medicine for individualized group. 
Tumor biomarker CEA will be evaluated at baseline, 3 months and 6 months of post intervention therapy and will be compared in the both groups of patients .  Scoring of Quality of Life of colorectal malignancy patient will be evaluated using EORTC QLQ –CR29 scoring system. 
The response will be duly graded as per the EORTC QLQ- CR29 scoring system. 
Observing the response of the patient through signs and symptoms and improvement in Quality of Life by EORTC QLQ- CR29 scoring system and reviewing of homoeopathic prescription on the basis of response of the patient. 
Relevant clinical examination.
Relevant investigative procedures will be done as per need of the case. 
Follow up will be done on regular basis (and as per need of the patients) for at least sixth months to ascertain the improvement. 
The assessment of changes in value of Tumor Biomarker CEA will be done at baseline, after 3 months & 6 months of treatment. 
The response of the patients will be observed and improvement in Quality of Life will be assessed with EORTC QLQ-CR29 scale at baseline, after 3 months and 6 months of treatment.
Group differences (independent observations) will be tested at baseline (to check compatibility), after 3 months and after 6 months (to check effectiveness). After the completion of the study dependent observations of continuous outcomes at baseline and at different points of time will also be compared using appropriate statistical tests
 
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