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CTRI Number  CTRI/2024/02/063065 [Registered on: 22/02/2024] Trial Registered Prospectively
Last Modified On: 23/07/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Homeopathy 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effectiveness Homoeopathic Medicines for Pre-diabetes 
Scientific Title of Study   Study to Compare Effectiveness of Potencies Within and Beyond Avogadro Limit of Individualised Homoeopathic Medicine among Pre-Diabetic Adults by Assessing Glycemic Control: An Open-Level Randomized Parallel-Arm Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
U1111-1302-1628  UTN 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Avidipta Hazra 
Designation  Under-graduate Student 
Affiliation  Metropolitan Homoeopathic Medical College and Hospital 
Address  Out-patient Department (Room No. 3) & Emergency Out-patient Department (Room no. 13), Hospital Division, Ramchandrapur, Sodepur

North Twentyfour Parganas
WEST BENGAL
700110
India 
Phone  6295628901  
Fax    
Email  avidipta.kurchi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Debarsi Das 
Designation  Professor & HOD, Dept. of Organon of Medicine 
Affiliation  Metropolitan Homoeopathic Medical College and Hospital 
Address  Dept. of Organon of Medicine, OPD No. 3 & Emergency OPD, Ramchandrapur, Sodepur

North Twentyfour Parganas
WEST BENGAL
700110
India 
Phone  8240821020  
Fax    
Email  drdebarsi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Avidipta Hazra 
Designation  Under-graduate Student 
Affiliation  Metropolitan Homoeopathic Medical College and Hospital 
Address  Out-patient Department (Room No. 3) & Emergency Out-patient Department (Room no. 13), Hospital Division, Ramchandrapur, Sodepur

North Twentyfour Parganas
WEST BENGAL
700110
India 
Phone  6295628901  
Fax    
Email  avidipta.kurchi@gmail.com  
 
Source of Monetary or Material Support  
Metropolitan Homoeopathic Medical College and Hospital 
 
Primary Sponsor  
Name  Metropolitan Homoeopathic Medical College and Hospital 
Address  Arunachal, Ramchandrapur, Sodepur, Kolkata-700110 
Type of Sponsor  Private 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 Debarsi Das  Metropolitan Homoeopathic Medical College & Hospital  Out-patient Department (Room No. 3) & Emergency Out-patient Department (Room No. 13), Hospital Division, Ramchandrapur, Sodepur
North Twentyfour Parganas
WEST BENGAL 
8240821020

drdebarsi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R739||Hyperglycemia, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Individualized homoeopathic medicines with potencies beyond Avogadro limit (potencies beyond 24X in decimal scale and 12CH in centesimal scale)  Arm-2: Intervention is planned as administering indicated homoeopathic medicines according to sign & symptoms of patients beyond 24X potency of decimal scale or 12CH potency of centesimal scale. Each dose shall consist of 6-8 globules (no. 20) of cane sugar, medicated with the indicated medicine (preserved in 90% v/v ethanol); taken orally on clean tongue; repetition depending upon the individual requirement of the cases. All medicines will be procured from a Good Manufacturing Practice (GMP)-certified company. Duration of this therapy: 3 months 
Intervention  Individualized homoeopathic medicines with potencies within Avogadro limit (potencies within 24X in decimal scale and 12CH in centesimal scale)  Arm-1: Intervention is planned as administering indicated homoeopathic medicines according to sign & symptoms of patients within/equal 24X potency of decimal scale or 12CH potency of centesimal scale. Each dose shall consist of 6-8 globules (no. 20) of cane sugar, medicated with the indicated medicine (preserved in 90% v/v ethanol); taken orally on clean tongue; repetition depending upon the individual requirement of the cases. All medicines will be procured from a Good Manufacturing Practice (GMP)-certified company. Duration of this therapy: 3 months 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  79.00 Year(s)
Gender  Both 
Details  1. Patient age within 20-79years, both male and female. 2. Indian Diabetic Risk Score (IDRS) above/equal to 60. 3. Impaired glucose regulation i.e. fasting plasma glucose concentration value 100-125mg/dL and/or two hrs. post 75gm glucose load plasma glucose value 140-199mg/dL. 4. Patients with written consent to participate in this study. 5. Literate patients. 
 
ExclusionCriteria 
Details  1. Patient suffering from uncontrolled systemic illness, life-threatening infections or any vital organ failure/s
2. Patient already undergoing homoeopathic treatment for any chronic disease
3. Patient with self-reported immune-compromised states
4. Pregnant women/lactating mother
5. Patient without consent to take part or Illiterate patient 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Glycosylated hemoglobin (HbA1C)   Baseline, after 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Fasting blood glucose level  Baseline, after 3 months 
Blood glucose level after 2 hours of 75 gm glucose load  Baseline, after 3 months 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "70"
Final Enrollment numbers achieved (India)="70" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   29/02/2024 
Date of Study Completion (India) 23/07/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Statistical Analysis Plan
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [avidipta.kurchi@gmail.com].

  6. For how long will this data be available start date provided 01-12-2024 and end date provided 30-11-2027?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  
Pre-diabetes is an intermediate state of hyperglycemia characterized by elevated blood glucose concentrations, such as impaired fasting glucose (IFG), impaired glucose tolerance (IGT) and elevated glycated haemoglobin A1c (HbA1c). According to the American Diabetes Association (ADA), Pre-diabetic conditions can be detected by Oral Glucose Tolerance Test ranging between 140 and 199 mg/dL and/or Fasting Blood Sugar ranging between 100 and 125 mg/dL and/or glycated haemoglobin(HbA1c) percentages of 5.7 to 6.4%. It is a major contributor to the global diabetes epidemic and is a growing global health concern today. It  Half of pre-diabetic patients has tendency to converted into Type-2 Diabetes Mellitus (T2DM). Avogadro limit is becoming a hot topic to criticise diluted homoeopathic medicine by ignoring its dynamic curing action on real life. This study aims to discard the ongoing surrounding debate about the mechanisms of action in homeopathy by comparing the effectiveness of different potencies within and beyond the Avogadro limit. The results of this trial could shed light on whether potencies beyond the Avogadro limit have any clinically meaningful impact on glycemic control in pre-diabetic adults compared to those within the Avogadro limit.
 
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