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CTRI Number  CTRI/2024/03/063786 [Registered on: 07/03/2024] Trial Registered Prospectively
Last Modified On: 05/07/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   To understand the safety and effects of Ashwagandha in healthy adults with stress 
Scientific Title of Study   A Prospective, Randomized, Double-Blind, Parallel, placebo-controlled Clinical lnterventional Study to Evaluate the Safety and Efficacy of zenroot Ashwagandha 1.5% on Stress, Anxiety and Mood in Subjects with Stress.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Manasvi M 
Designation  Principal Investigator 
Affiliation  Bengaluru Neuro Centre 
Address  Bengaluru Neuro Centre, 1st floor, Psychiatry Department, 10th cross Margosa Road, Malleshwaram, Bangalore, Karnataka - 560003, India

Bangalore
KARNATAKA
560003
India 
Phone  9742672407  
Fax    
Email  manasvi7393@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Channabasavanna G Halasagi 
Designation  Senior Manager Medical Affairs 
Affiliation  Invitro Research Solutions Pvt. Ltd 
Address  Invitro Research Solutions Pvt. Ltd, Clinical Development Department, Medical Monitoring Division, 3rd floor No. 22 & 23, Kodigehalli Main Road, Sahakar Nagar Post, Hebbal, Bangalore 560092, India

Bangalore
KARNATAKA
560092
India 
Phone  6366947473  
Fax    
Email  channa@ivrs.org.in  
 
Details of Contact Person
Public Query
 
Name  T Vijaya Bhaskar  
Designation  Director Clinical Development 
Affiliation  Invitro Research Solutions Pvt. Ltd 
Address  Invitro Research Solutions Pvt. Ltd, Clinical Development Department, Clinical Operations Division, 3rd floor No. 22 & 23, Kodigehalli Main Road, Sahakar Nagar Post, Hebbal, Bangalore 560092, India

Bangalore
KARNATAKA
560092
India 
Phone  6366575282  
Fax    
Email  vijay@ivrs.org.in  
 
Source of Monetary or Material Support  
OmniActive Health Technologies Limited A 10, Road No.1, Wagle Industrial Estate, Thane West - 400604, Maharashtra, India 
 
Primary Sponsor  
Name  OmniActive Health Technologies Limited 
Address  A10, Road No. 1, Wagle Industrial Estate, Thane West 400604, Maharashtra, India 
Type of Sponsor  Other [Nutraceuticals industry - Indian ] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Manasvi M  Bengaluru Neuro Centre  Bengaluru Neuro Centre 10th Cross, Margosa Road, Malleswaram, Bengaluru, psychiatric Department, (Consultation room), 2nd floor, Karnataka 560003 Bangalore KARNATAKA
Bangalore
KARNATAKA 
9742672407

manasvi7393@gmail.com 
Dr Ruchi Gupta  Santosh Hospital  Santosh Hospital 6 1 Promenade Rd behind Coles park Pulkeshi Nagar Pulikeshi Nagar, Bengaluru Karnataka 560005. Pschiatry Depa rtment,(Consultaion Room) Ground Floor, room number11 Bangalore KARNATAKA
Bangalore
KARNATAKA 
9880051351

drruchibrise@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Santosh Hospital IEC (For Bengaluru Neuro Centre)  Approved 
Santosh Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Stressed Individuals  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Zenroot 125 mg Capsules  Subjects will be instructed to consume one capsule every morning after breakfast, at the same time every day, for 84 days (12 weeks).  
Comparator Agent  Microcrystalline Cellulose Placebo Capsules  Subjects will be instructed to consume one capsule every morning after breakfast, at the same time every day, for 84 days (12 weeks).  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  1. Stressed male or female adults aged between 18 to 55 years (both limits inclusive).
2. BMI of 18.5 kg/m2
to 29.9 kg/m2
(both limits inclusive).
3. Subjects with mild to moderate stress as determined by a score ≥7 or ≤26 on the
PSS.
4. Subjects who agree to maintain their usual dietary habits and level of exercise i.e.
maintain their usual lifestyle throughout the trial period.
5. Subjects willing to refrain from taking any medications or preparations for
addressing stress or anxiety or mood (herbal, dietary supplements, homeopathic
preparations, etc.) during the study.
6. Subjects willing to refrain from consuming alcohol 24 hours prior to the test days.
7. Subjects willing to refrain from consuming caffeine and caffeine-containing
products 12 hour prior to test days
8. Subjects willing to refrain from vigorous physical activity 12 hours prior to test
days.
9. Subjects who agree to stay weight stable during the study period.
10. Subjects who agree to have a minimum 7–8-hour sleep before the visit days and
during the study period.
11. Female subjects of child bearing potential practicing an acceptable method of birth
control such as Intrauterine Device in place for at least 3 months prior to the start
of the study and remaining in place during the study period, contraceptive
transdermal, injection or implants, non-hormonal or hormonal, abstinence:
Subjects who shall be practicing abstinence shall agree to have a documented
second acceptable method of birth control should the subject become sexually
active during the course of her study participation for the duration of the study as
judged by the investigator(s)/study physician and agree to follow the same should
be used during treatment.
OR
Postmenopausal for at least 1 year.
OR
Surgically sterile (bilateral tubal ligation/bilateral oophorectomy/hysterectomy
has been performed on the subject).
12. Subjects willing to provide written consent.
13. Subjects shall be willing and able to understand and comply with the requirements
of the study, consume the study IP as instructed, return for the required treatment
period visits, comply with therapy prohibitions, and be able to complete the study.
 
 
ExclusionCriteria 
Details  1.Subjects with a malignant disease or any concomitant end-state organ disease and/or laboratory abnormalities considered by investigators to be risky or that could interfere with data collection.
2. Subjects suffering from a metabolic disorder (uncontrolled diabetes, uncontrolled thyroidal
condition) and/or from severe chronic disease (cancer, renal failure, HIV, immunodeficiency,
hepatic or biliary disorders, arthritis, uncontrolled cardiac disease) or from a disease found to be inconsistent with the conduct of the study by the investigator
3. Subjects with a psychiatric diagnosis including anxiety or depression
4. Subjects with sleep disturbances and/or are taking sleep aid medication
5. Subjects having hypersensitivity or history of allergy to the study product
6. Subjects who are on anxiolytics, anti-depressants, antipsychotics, anticonvulsants, centrally
acting corticosteroids, opioid pain relievers, hypnotics, and/or prescribed sleep medications
7. Subjects with a history of drug and /or alcohol abuse at the time of enrolment
8. Subjects who are pregnant, nursing, or planning a pregnancy within the study participation period
9. Subjects with positive Urine Pregnancy Test prior randomization
10. Subjects who have been treated with any investigational drug or investigational device within a
period of 3 months prior to study entry
11. Subjects with severe stress based on PSS score greater than 26
12. Subjects with uncontrolled hypertension -systolic blood pressure greater 160 mm Hg or diastolic blood
pressure greater 100 mm Hg at screening
13. Excessive habitual caffeine consumption (greater than 300 mg caffeine/day or greater than or equal to 3 cups of caffeinated
coffee/day) throughout the study period
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Mean change from baseline on stress as assessed by Perceived Stress Scale  Baseline and End of Study (Day 84) 
 
Secondary Outcome  
Outcome  TimePoints 
Mean change from baseline on stress biomarkers - serum cortisol levels, and salivary
alpha-amylase
Mean change from baseline on stress as assessed by Mindfield eSense Skin Response
and Mindfield eSense PULSE - Heart Rate Variability
Mean change from baseline on anxiety as assessed by Beck Anxiety Inventory
Mean change from baseline on mood as assessed by Profile of Mood States
Mean change from baseline on overall sleep quality as assessed by Pittsburgh Sleep
Quality Index (PSQI)
Mean change from baseline on safety as evaluated by hematology and biochemistry
measures, adverse events, vital signs
hair cortisol levels 
Baseline and End of Study (Day 84) 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "90"
Final Enrollment numbers achieved (India)="90" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   20/03/2024 
Date of Study Completion (India) 26/07/2024 
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 - NO
Brief Summary   stress is a common problem faced by everyone in day-to-day life from different sources like job, family problems, pollution, noise etc. Stress is a condition arising from external physical or mental overload. It can make a person feel embattled, nervous, anxious, or otherwise less capable of a full and normal response to environmental demands. 
The study is A Prospective, Randomized, Double-Blind, Parallel, Placebo-controlled Clinical Interventional Study to Evaluate the Safety and Efficacy of Zenroot Ashwagandha 1.5% on Stress, Anxiety and Mood in Subjects with Stress.This herb has been studied as adaptogenic, antioxidant, anticancer, anxiolytic, antidepressant, cardioprotective, thyroid modulating, immunomodulating, antibacterial, antifungal, anti-inflammatory, neuroprotective, cognitive enhancing and hematopoietic agent. Ashwagandha contains a range of bioactiveslike withanolides, sitoindosides and other alkaloids that are pharmacologically and medicinally important. These protect the cells from oxidative damage and diseases. 
Considering all the benefits of Ashwagandha cited above, the present study will be conducted to evaluate the efficacy of the Zenroot Ashwagandha 1.5% Capsules its adaptogenic properties to reduce stress and its associated features. Additionally, Zenroot Ashwagandha 1.5% capsules will also be evaluated for its positive impact on anxiety, mood, impaired sleep quality due to stress, cortisol and alpha-amylase lowering property.
 
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