| CTRI Number |
CTRI/2024/10/076062 [Registered on: 29/10/2024] Trial Registered Prospectively |
| Last Modified On: |
28/10/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Homeopathy |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
Homeopathy as an add-on to standard treatment of pulmonary tuberculosis |
|
Scientific Title of Study
|
Effectiveness of Individualized homeopathy as an add on to standard treatment of Pulmonary tuberculosis- a randomized parallel arm double blind, placebo-controlled study (HAPT Trial) |
| Trial Acronym |
HAPT – trial |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Debadatta Nayak |
| Designation |
Research Officer/Scientist-3 |
| Affiliation |
Central Council for Research in Homoeopathy |
| Address |
Department of Epidemic Cell, Room 303, 61-65, Institutional Area, Opp. D Block, Janak Puri
South West DELHI 110058 India |
| Phone |
9873404012 |
| Fax |
|
| Email |
ccrh.coll2022@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Siddharth Agarwal |
| Designation |
Associate Professor |
| Affiliation |
Autonomous State Medical College |
| Address |
Department of Medicine, OPD Block, Room 7, Dolatpura, Jalesar Rd, Firozabad
Firozabad UTTAR PRADESH 283203 India |
| Phone |
9359934663 |
| Fax |
|
| Email |
sidaga21@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr. Saurabh |
| Designation |
Assistant Professor |
| Affiliation |
Autonomous State Medical College |
| Address |
Department of TB and Chest, Room no. 1, Dolatpura, Jalesar Rd, Firozabad
Firozabad UTTAR PRADESH 283203 India |
| Phone |
9873314546 |
| Fax |
|
| Email |
drsyadav03@gmail.com |
|
|
Source of Monetary or Material Support
|
| Central Council for Research in Homoeopathy, 61-65, Institutional Area, Opposite D block, Janakpuri, New Delhi 110058 |
|
|
Primary Sponsor
|
| Name |
Central Council for Research in Homoeopathy |
| Address |
61-65, Institutional Area, Opposite D Block Janakpuri, New Delhi 110058 |
| Type of Sponsor |
Government funding agency |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Siddharth Agarwal |
Autonomous State Medical College and Hospital |
Department of Medicine, OPD Block, Room 7, Dolatpura, Jalesar Rd, Firozabad, Uttar Pradesh - 283203 Firozabad UTTAR PRADESH |
9359934663
sidaga21@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
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: A159||Respiratory tuberculosis unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Homoeopathic medicine along with standard care |
Homoeopathic medicines will be given to this group patients as an add-on to standard treatmet. Following Individualization medicines will be selected keeping in view pathological aspect of disease. Dose and potency will be according to the frequency, intensity and duration of signs and symptoms. Repetitions will vary from cae to case basis cosidering disease state and vitality of patient. Range of potency from 30, 200, 1M etc will be used. |
| Comparator Agent |
Placebo along with standard care |
Placebo group patients will receive identical placebo (globules moistened with dispensing alcohol) as an add on to standard protocol treatment. Dose repetition will be a in similar pattern to medicine group. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
Pulmonary tuberculosis patients with positive sputum culture.
Patients with controlled Diabetes mellites and hypertension with medication.
Patients who are willing to give written informed consent
|
|
| ExclusionCriteria |
| Details |
Participation in another clinical trial.
Female patients in lactation period, pregnancy or planning to get pregnant during the trial.
Known patients with severe primary diseases such as cancer, cardiovascular system, digestive system, kidney, and hematopoietic system diseases.
Patients co-infected with HIV.
Patients with mental illness.
Subjects considered to be unable to complete the study, or not suitable for the study by researchers. |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Clinical recovery of patient, termed as cure as per WHO criteria (Cure). |
At 2nd, 3rd, 4th, 5th, 6th, 12th & 18th month |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Time to resolution of all pulmonary tuberculosis symptoms.
|
At 2nd, 3rd, 4th, 5th, 6th, 12th & 18th month |
| Change in severity of symptoms/resolution as per clinical syndromes associated with Pulmonary tuberculosis at every month. |
every month |
| Time to sputum conversion. |
At 2nd, 3rd, 4th, 5th, 6th, 12th & 18th month |
| Resolution of chest X-ray changes of lungs |
At 2nd, 6th, & 12th month |
| Change in Erythrocyte Sedimentation Rate |
At 2nd, 6th, & 12th month. |
| Change in C-reactive protein. |
At 2nd, 6th, & 12th month |
| Relapse in patients after 1 year of completion of treatment |
at 12 month |
| Adverse events throughout the study. |
every month |
| Compare Quality of Life (WHOQOL-Bref) in patients. |
at 2nd, 6th, 12th & 18th month |
|
|
Target Sample Size
|
Total Sample Size="296" Sample Size from India="296"
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)
|
18/11/2024 |
| 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="3" Months="0" 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
|
Tuberculosis
is one of the top ten leading causes of death worldwide owing to 1.5 million TB
related deaths in 2018. About 44% of global TB cases in 2018 were reported from
South-East Asia and India reported 27% cases, the highest in SEAR region.1
India has second highest burden of MDR-TB in the world with an estimated 99,000
new cases per year. TB continues to have a significant impact on healthcare in
India. This study is undertaken utilizing homoeopathic medicine as an
adjuvant to the standard treatment in TB Patients with ADRs were more
susceptible to develop unfavorable results of anti-TB treatment which
emphasizes on the importance of developing strategies to control ADRs both to
improve the quality of life and to treat TB safely. The study focuses on
Integrative homoeopathic treatment in improving the treatment outcome, decrease
ADR and improve the quality of life leading to improved medication
compliance. This shall be a randomized, parallel arm, double blind,
placebo, controlled trial of 3 years duration. The primary objective of the study
is to compare the effectiveness of individualized homoeopathic
treatment as an add-on to the standard treatment in curing Pulmonary
Tuberculosis. |