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CTRI Number  CTRI/2024/09/074281 [Registered on: 24/09/2024] Trial Registered Prospectively
Last Modified On: 23/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A study to assess the memory enhancing ability of pioglitazone  
Scientific Title of Study   Efficacy and safety of pioglitazone in improving cognitive function among patients with impaired cognition as an add on therapy- a double blind randomized controlled study  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ian Osoro Nyakina 
Designation  Research Scholar 
Affiliation  SRM Institute of Science and Technology, Kattankulathur 
Address  Department of Pharmacy Practice, SRM College of Pharmacy, SRM Institute of Science and Technology, Kattankulathur

Chennai
TAMIL NADU
603203
India 
Phone    
Fax    
Email  in4453@srmist.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Muhasaparur Ganesan Rajanandh 
Designation  Professor 
Affiliation  SRM Institute of Science and Technology, Kattankulathur 
Address  Department of Pharmacy Practice, SRM College of Pharmacy, SRM Institute of Science and Technology, Kattankulathur

Chennai
TAMIL NADU
603203
India 
Phone  7598464723  
Fax    
Email  mgr@srmist.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr S Robert Wilson 
Designation  Associate Professor 
Affiliation  SRM Medical College Hospital and Research Centre, Kattankulathur – 603203, Tamil Nadu, India 
Address  Department of Neurology, SRM Medical College Hospital and Research Centre, Kattankulathur

Chennai
TAMIL NADU
603203
India 
Phone  9952040784  
Fax    
Email  jasonrobby09@gmail.com  
 
Source of Monetary or Material Support  
SRM Medical College Hospital And Research Centre, SRM Nagar, Potheri, Chengalpattu, Tamil Nadu 603203, India 
 
Primary Sponsor  
Name  None 
Address  None 
Type of Sponsor  Other [None] 
 
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 
D r S Robert Wilson  SRM Medical College Hospital and Research Centre  Room No: C4 15, Fourth Floor, Department of Neurology, SRM MCH Department of Neurology
Chennai
TAMIL NADU 
9952040784

jasonrobby09@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, SRM Medical College Hospital and Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F028||Dementia in other diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Pioglitazone  15mg Once daily for 6 months 
Comparator Agent  Placebo  Placebo once daily for 6 months 
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Patients with cognitive impairment (MoCA scale below 26)
Individuals willing to participate in the study
Patients on standard therapy managing their neurological conditions
 
 
ExclusionCriteria 
Details  Patients on insulin medication
Uncontrolled hypertension (SBP above150/90 mm/Hg)
Patients with bladder cancer, kidney, liver and heart complications
Osteoporosis patients or those at high risk of fractures
• Contraindicated medication usage
• The participant has a known history of hypersensitivity to pioglitazone
• Has a history or current diagnosis of macular edema or macular degeneration
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
The primary outcome measures will be changes in MoCA Score and amyloid beta 42 40 ratio before and after the treatment.   Time points will be the 2nd month, 4th month, 6th month and at 12th month 
 
Secondary Outcome  
Outcome  TimePoints 
The secondary outcome will be change in EEG-P300 wave, assessment of adverse drug reactions (ADRs), quality of life and medication adherence after every 2 months   Time points will be the 2nd month, 4th month, 6th month and at 12th month 
 
Target Sample Size   Total Sample Size="330"
Sample Size from India="330" 
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 2 
Date of First Enrollment (India)   07/10/2024 
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="2"
Months="11"
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  

This study is a randomized, double blind, parallel group, assessing the safety and efficacy of 15mg pioglitazone daily for 6 months in 330 patients with type 2 diabetes and having cognitive decline. It will be conducted in a single center in India. The primary outcome measures will be changes in MoCA Score and Amyloid beta 42 40 ratio at the time points: 2nd month, 4th month, 6th month and 12th month. The secondary outcome will be change in EEG-P300 wave, assessment of adverse drug reactions (ADRs), quality of life and medication adherence using the same time points as stated in primary end point  

 
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