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CTRI Number  CTRI/2024/10/075521 [Registered on: 18/10/2024] Trial Registered Prospectively
Last Modified On: 25/09/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A comparison of the therapeutic effects of different methods of vitamin B12 administration—through the nose, muscle injection, and intravenous injection—on blood-related health indicators in individuals with B12 deficiency anemia. 
Scientific Title of Study   comparing the therapeutic effects of intranasal, intramuscular, intravenous B12 administration on haematological parameters in B12 deficiency anaemia 
Trial Acronym  CHAMPION B12 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rahil Arora 
Designation  Clinical Tutor 
Affiliation  Armed Forces Medical College 
Address  Department of Internal Medicine, AFMC, Pune

Pune
MAHARASHTRA
411040
India 
Phone  7986067569  
Fax    
Email  rahilarora1992@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Rahil Arora 
Designation  Clinical Tutor 
Affiliation  Armed Forces Medical College 
Address  Department of Internal Medicine, AFMC, Pune


MAHARASHTRA
411040
India 
Phone  7986067569  
Fax    
Email  rahilarora1992@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Rahil Arora 
Designation  Clinical Tutor 
Affiliation  Armed Forces Medical College 
Address  Department of Internal Medicine, AFMC, Pune


MAHARASHTRA
411040
India 
Phone  7986067569  
Fax    
Email  rahilarora1992@gmail.com  
 
Source of Monetary or Material Support  
Department Of Internal Medicine, Armed Forces Medical College, Pune 
 
Primary Sponsor  
Name  Armed Forces Medical College 
Address  Armed Forces Medical College, Pune-411040 
Type of Sponsor  Research institution and hospital 
 
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 Rahil Arora  Armed Forces Medical College  Room 1, Department of Internal Medicine, Armed Forces Medical College, Pune-411040
Pune
MAHARASHTRA 
7986067569

rahilarora1992@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Armed Forces Medical College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D510||Vitamin B12 deficiency anemia dueto intrinsic factor deficiency, (2) ICD-10 Condition: D511||Vitamin B12 deficiency anemia dueto selective vitamin B12 malabsorption with proteinuria, (3) ICD-10 Condition: D512||Transcobalamin II deficiency, (4) ICD-10 Condition: D518||Other vitamin B12 deficiency anemias, (5) ICD-10 Condition: D519||Vitamin B12 deficiency anemia, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Intramuscular B12  Patients diagnosed with B12 deficiency anaemia (based on WHO criteria) will be administered IM B12 once a day for 07 days followed by weekly dose for 04 weeks 
Comparator Agent  Intravenous B12  Patients diagnosed with B12 deficiency anaemia (based on WHO criteria) will be administered IV B12 once a day for 07 days followed by once a week for 04 weeks 
Intervention  Nasal B12  Patients diagnosed with B12 deficiency anaemia (based on WHO criteria) will be administered nasal B12 250 micrgrams alternate day for 07 doses followed by weekly dose for 04 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  All patients diagnosed with B12 deficiency anaemia. Willingness to give consent 
 
ExclusionCriteria 
Details  1. Pregnant females
2. All other causes of anaemia
3. Requiring blood transfusion at initiation of therapy 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
COMPARE THE CHANGE IN HEMATOLOGICAL PARAMETERS (HAEMOGLOBIN, MEAN CORPUSCULAR VOLUME)   COMPARE THE CHANGE IN HEMATOLOGICAL PARAMETERS (HAEMOGLOBIN, MEAN CORPUSCULAR VOLUME) ON DAY 14 AND DAY 28 IN EACH GROUP (INTRAVENOUS, INTRAMSCULAR AND NASAL B12 TREATMENT AS PER ESTABLISHED GUIDELINES) 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "167"
Final Enrollment numbers achieved (India)="167" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   30/10/2024 
Date of Study Completion (India) 28/10/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   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
Modification(s)  
A total of 100 patients will be enrolled in the study. These 100 patients will be randomised by computer generated random number sequence into three groups. All patients who are diagnosed as B12 deficiency will be administered intravenous, intramuscular and nasal B12 based on treatment protocol. The response in hematological parameters will be assessed on 07th, 14th and 28th day of treatment. 
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