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CTRI Number  CTRI/2024/06/068371 [Registered on: 05/06/2024] Trial Registered Prospectively
Last Modified On: 05/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical trial to study the effects of Modified Atkins diet in patients with drug refractory epilepsy on standard medical therapy 
Scientific Title of Study   Efficacy and tolerability of Modified Atkins diet in drug refractory epilepsy among adolescents and adults  
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 Victo Varghese 
Designation  Senior resident 
Affiliation  PGIMER, Chandigarh 
Address  Room no 11, Department of Neurology, Block A, Ground floor, Nehru building, PGIMER, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  09074523882  
Fax    
Email  victo11421@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Parampreet S Kharbanda 
Designation  Professor 
Affiliation  PGIMER, Chandigarh 
Address  Room no 11, Department of Neurology, Ground floor, Block A, Nehru Building, PGIMER, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone    
Fax    
Email  neuroparam@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Parampreet S Kharbanda 
Designation  Professor 
Affiliation  PGIMER, Chandigarh 
Address  Room no 11, Department of Neurology, Ground floor, Block A, Nehru Building, PGIMER, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone    
Fax    
Email  neuroparam@hotmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Dr Victo Varghese 
Address  Room no 11, Department of Neurology, Block A, Ground floor, Nehru building, PGIMER, Chandigarh 160012 
Type of Sponsor  Other [Self] 
 
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 Victo Varghese  Postgraduate Institute of Medical Education and Research  Room no 11, Department of Neurology, Block A, Ground floor, Nehru building
Chandigarh
CHANDIGARH 
09074523882

victo11421@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
PGIMER,Chandigarh, Institutional Ethics Comittee(intramural)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G409||Epilepsy, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Modified Atkins diet, Standard medical therapy  3 months duration, Frequency of dietary intervention - All meals patient take during study period, Total carbohydrate content of 15-20 grams is allowed per day. Required total calories is calculated as per body weight and given as 20 grams of carbohydrate/day, rest as fats and proteins. No water restriction is applied.  
Comparator Agent  Standard medical therapy  3 months duration  
 
Inclusion Criteria  
Age From  13.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  Patients with Drug refractory epilepsy (as per ILAE definition)
Patients who agree for regular follow up and ready to maintain seizure diary 
 
ExclusionCriteria 
Details  Previous dietary intervention
Medical illness incompatible with intervention
Pregnant or lactating woman
Patients being evaluated for epilepsy surgery
Clinical suspicion of inborn errors of metabolism
Patients who defer consent 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Seizure frequency
Adverse effects of diet
 
3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Quality Of Life In Epilepsy - Problems (QOLIE 10 P) Index  3 months 
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
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 4 
Date of First Enrollment (India)   17/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  17/06/2024 
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 Yet Recruiting 
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   This is a randomized, open labelled, parallel group, single center trial comparing the efficacy and tolerability of Modified Atkins diet combined with standard medical therapy versus standard medical therapy for 3 months among 62 (31+31)adolescents and adults with drug refractory epilepsy. Primary outcome is measured in terms of seizure frequency, Side effects of dietary therapy, Quality of life in epilepsy-problems(QOLIE-P) Index at 3 months.   
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