| CTRI Number |
CTRI/2024/06/068931 [Registered on: 14/06/2024] Trial Registered Prospectively |
| Last Modified On: |
31/03/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Nutraceutical |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
A study to assess the effect of Doctor’s Biome Medical Food (DBMF) in individuals with Clostridium difficile infection (CDI) |
|
Scientific Title of Study
|
A randomized, double-blind, placebo-controlled, pilot clinical study to assess the effect of Doctor’s Biome Medical Food (DBMF) in individuals with Clostridium difficile infection (CDI) |
| Trial Acronym |
Nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| DB/230904/DBMF/CDI Version 1.0 Date 13th March, 2024 |
Protocol Number |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Shalini Srivastava |
| Designation |
Director – Clinical Development & Strategy |
| Affiliation |
Vedic Lifesciences Pvt. Ltd. |
| Address |
Vedic Lifesciences Pvt Ltd 118 B Morya House off New Link Road
Andheri West Mumbai Mumbai (Suburban) MAHARASHTRA 400053
India Mumbai MAHARASHTRA 400053
Mumbai
MAHARASHTRA
400053
India
Mumbai MAHARASHTRA 400053 India |
| Phone |
9920789140 |
| Fax |
|
| Email |
shalini.s@vediclifesciences.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Shalini Srivastava |
| Designation |
Director – Clinical Development & Strategy |
| Affiliation |
Vedic Lifesciences Pvt. Ltd. |
| Address |
Vedic Lifesciences Pvt Ltd 118 B Morya House off New Link Road
Andheri West Mumbai Mumbai (Suburban) MAHARASHTRA 400053
India Mumbai MAHARASHTRA 400053
Mumbai
MAHARASHTRA
400053
India
Mumbai MAHARASHTRA 400053 India |
| Phone |
9920789140 |
| Fax |
|
| Email |
shalini.s@vediclifesciences.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Shubhangi Mote |
| Designation |
Project Lead. |
| Affiliation |
Vedic Lifesciences Pvt. Ltd. |
| Address |
Vedic Lifesciences Pvt Ltd 118 B Morya House off New Link Road
Andheri West Mumbai Mumbai (Suburban) MAHARASHTRA 400053
India Mumbai MAHARASHTRA 400053
Mumbai
MAHARASHTRA
400053
India
Mumbai MAHARASHTRA 400053 India |
| Phone |
8655448527 |
| Fax |
|
| Email |
shubhangi.m@vediclifesciences.com |
|
|
Source of Monetary or Material Support
|
| Vedic Lifesciences Pvt. Ltd. 118-B, Morya House, off New Link Road, Andheri West Mumbai –400053, Maharashtra, India |
|
|
Primary Sponsor
|
| Name |
Vedic Lifesciences Pvt. Ltd |
| Address |
Vedic Lifesciences Pvt Ltd 118 B Morya House off New Link Road
Andheri West Mumbai Mumbai (Suburban) MAHARASHTRA 400053
India |
| Type of Sponsor |
Contract research organization |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 4 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Sandeep Kadian |
AIIMS Hospital |
0PD NO.1 Department of Medicines P/72, Milap Nagar, MIDC, Dombivali East, India Mumbai MAHARASHTRA |
9870364574
drsandeepkadian@rediffmail.com |
| Dr Ramesh Dargad |
Dr Ramesh Dargad Clinic |
G-1/A Bldg, Mukund Nagar CHS, Andheri - Kurla Rd, behind IDBI Bank, Vijay Nagar Colony, J B Nagar, Andheri East, Mumbai, Maharashtra 400059, India Mumbai MAHARASHTRA |
9820152828
rohitdargad@outlook.com |
| Dr G S Sameer Kumar |
Gleneagles Hospital |
Department GCRS 5th Floor, GCRS Room, 6-1-1040/1 to 4, Lakdikapul, Hyderabad, Telangana 500004, India Hyderabad TELANGANA |
8860031692
sameerzidane@gmail.com |
| Dr Pramod Katare |
Noble Hospital |
Department of gastroenterologist Room NO:ops-21 Ground Floor 153, Magarpatta city road, Hadapsar, Pune 411013, Maharashtra, India. Pune MAHARASHTRA |
8830793201
drkatareps@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 4 |
| Name of Committee |
Approval Status |
| Altezza Institutional Ethics Committee |
Approved |
| Institutional Ethics Committee Gleneagles Global Hospitals |
Submittted/Under Review |
| Noble Hospital Institutional Ethics Committee |
Submittted/Under Review |
| Suraksha Ethics Committee |
Submittted/Under Review |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: K928||Other specified diseases of the digestive system, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Doctor’s Biome Medical Food |
One 2fl oz bottle (60 billion CFUs)
Once a day daily 30 minutes before lunch Duration 56 day |
| Comparator Agent |
Placebo |
Once a day daily 30 minutes before lunch Duration 56 day |
|
|
Inclusion Criteria
|
| Age From |
30.00 Year(s) |
| Age To |
75.00 Year(s) |
| Gender |
Both |
| Details |
1.Males and females of 30 – 75 years of age
2.A qualifying episode of CDI as defined by
a.more than equal to 3 abnormal stools as assessed by BSFS score of 6 & 7 in the last 24 hours
b.A positive C. difficile stool toxin assay as assessed by C. difficile toxins A & B – CARD.
3.Individuals willing to give voluntary, written informed consent to participate in the study.
4.Individuals without/with antibiotic-associated diarrhea (indicated by use of antibiotics any time in last one week) will also be considered for the testing of C. difficile toxins |
|
| ExclusionCriteria |
| Details |
1) History or presence of terminal/end-stage renal, hepatic, endocrine, biliary, gastrointestinal, pancreatic or neurologic disorders (which might confound the interpretation of the study results, or put the individual at undue risk).
2) History of peptic ulcer.
3) History of abdominal surgery within the previous 3 months.
4) Presence of colostomy, gastric-tube, or naso-gastric-tube
5) Individuals requiring any gastrointestinal surgery planned during the next 3 months.
6) HIV, AIDS, primarily immunodeficiency, cancer
7) Individuals with a very recent ( less than 1 year) solid organ or bone marrow transplant.
8) Individuals requiring blood transfusion or renal dialysis planned during the next 3 months.
9) Unwilling to abstain using kombucha, sauerkraut, pickles and kimchi.
10) Individuals with the following food intolerance - gluten, lactose, and/or histamine.
11) Heavy alcohol drinkers are defined as follows: For men, consuming more than 4 drinks on any day or more than 14 drinks/week. For women, consuming more than 3 drinks on any day or more than 7 drinks/week.
12) Smokers.
13) Females who are pregnant/planning to be pregnant/lactating or taking any oral contraceptives. 14) Individuals who have participated in another clinical study(ies) with an investigational product within 90 days before screening, or who plan to participate in another study during the study period.
15) Use of any supplements (may include probiotics, post-biotics, herbal supplements, synbiotics, enzyme supplementation the last 30 days. |
|
|
Method of Generating Random Sequence
|
Stratified block randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To evaluate the effect of DBMF on the duration of Clostridium difficile diarrhea in comparison to placebo. |
day 0, day 28, day 56 |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| To assess the impact of the IP compared to baseline and placebo on: Number of CDI diarrhea episodes (presence of Clostridium difficile in stool samples as assessed by C. difficile toxins A & B - CARD) as compared to placebo |
day 28 and day 56 |
| To assess the impact of the IP compared to baseline and placebo on: Change in the frequency of watery stool from Bristol Stool Form Scale (BSFS) score type 7 as compared to placebo. |
throughout the study during diarrhea episodes |
| To assess the impact of the IP compared to baseline and placebo on:Number of non-CDI diarrhea episodes as compared to placebo |
day 28 & day 56 |
| To assess the impact of the IP compared to baseline and placebo on: Number of Standard of Care (SOC) medication consumed (antibiotics therapy) throughout the intervention period as compared to placebo |
throughout the study during diarrhea episodes |
| To assess the impact of the IP compared to baseline and placebo on: Average number of days of consumption of SOC (antibiotics therapy) as compared to placebo. |
throughout the study during diarrhea episodes |
|
|
Target Sample Size
|
Total Sample Size="20" Sample Size from India="20"
Final Enrollment numbers achieved (Total)= "100"
Final Enrollment numbers achieved (India)="100" |
|
Phase of Trial
|
Phase 2 |
|
Date of First Enrollment (India)
|
20/08/2024 |
| Date of Study Completion (India) |
19/03/2025 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
19/03/2025 |
|
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
|
The present study is a randomized, double-blind, placebo-controlled, pilot study. 192 participants will be screened, and considering a screening failure rate of 87%, approximately 28 participants will be randomized in a ratio of 1:1 to receive either DBMF or placebo and will be assigned a unique randomization code. Each group will have at least 10 completed participants after accounting for a dropout/withdrawal rate of 30%. The intervention duration for all the study participants is 56 days. |