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CTRI Number  CTRI/2024/12/077984 [Registered on: 12/12/2024] Trial Registered Prospectively
Last Modified On: 10/12/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effectiveness of ashwagandha in stress and anxiety in healthy adults 
Scientific Title of Study   Role of Ashwagandha Root Extract (ARE) in Stress and Anxiety in Healthy Adults: A Prospective, Randomized, Double-Blind, Three-arm, Parallel, Placebo-Controlled Study 
Trial Acronym  NA 
Secondary IDs if Any  
Secondary ID  Identifier 
KSM-1058-2024-01,Version 1; dt. 18thJune 2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrRajesh Yashwant Patil 
Designation  Principle investigator 
Affiliation  Gautami Nursing Home 
Address  Gautami Nursing Home, Ground Floor, OPD no. 1, Jain Mandir Compound, Opp. Mumbra Police Station, Mumbra, Thane

Thane
MAHARASHTRA
400612
India 
Phone  9322241484  
Fax    
Email  dr.rypatil@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrRajesh Yashwant Patil 
Designation  Principle investigator 
Affiliation  Gautami Nursing Home 
Address  Gautami Nursing Home, Ground Floor, OPD no. 1, Jain Mandir Compound, Opp. Mumbra Police Station, Mumbra, Thane


MAHARASHTRA
400612
India 
Phone  9322241484  
Fax    
Email  dr.rypatil@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrRajesh Yashwant Patil 
Designation  Principle investigator 
Affiliation  Gautami Nursing Home 
Address  Gautami Nursing Home,Ground floor, OPD no. 1, Jain Mandir Compound, Opp. Mumbra Police Station, Mumbra, Thane


MAHARASHTRA
400612
India 
Phone  9322241484  
Fax    
Email  dr.rypatil@gmail.com  
 
Source of Monetary or Material Support  
Ixoreal Biomed Private Limited, 5-9-225, Sanali Estate, Abids, Hydrabad-500001, ph: (91)40-23204385/86/87 India 
 
Primary Sponsor  
Name  Ixoreal Biomed Private Limited 
Address  5-9-225, Sanali Estate, Abids, Hydrabad-500001 ph:(91)40-23204385/86/87 India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
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 Rajesh Yashwant Patil  Gautami Nursing Home  Gautami Nursing Home,Ground floor,OPD no.1, Jain Mandir Compound, Opp. Mumbra Police Station, Mumbra, Thane
Thane
MAHARASHTRA 
09322241484

dr.rypatil@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee (IEC) for Biomedical and Health Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Male and female aged between 18 to 65 years 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Ashwagandha root extract (125mg)  Consume Capsule containing Ashwagandha root extract (125mg) orally twice daily after breakfast and dinner (at bedtime, with a glass of water or milk) 
Intervention  Ashwagandha root extract (300mg)  Consume Capsule containing Ashwagandha root extract (300 mg) orally twice daily after breakfast and dinner (at bedtime, with a glass of water or milk) 
Comparator Agent  placebo capsule containing starch (300mg)  Consume placebo capsule containing starch (300mg) orally twice daily after breakfast and dinner (at bedtime, with a glass of water or milk) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Adults (male and female) aged between 18 and 65 years.
2.Experiencing signs and symptoms suggestive of stress (e.g., difficulty, concentrating, physical exhaustion, anxiety, restlessness, insomnia, headache, fatigue, loss of appetite, worry, sweating, mental confusion, etc.).
3.Participants with a Perceived Stress Scale (PSS) score ≥13 and without any other psychiatric conditions.
4.BMI between 20 and 35 kg/m2.
5.No plan to commence new treatments over the study period.
6. Medication-free (any medications are known to affect stress and anxiety) for at least 4 weeks. Use of analgesics (once a week) or contraceptive pills will be permissible.
7.Must have the ability and willingness to sign an informed consent and to comply with all study procedures.
 
 
ExclusionCriteria 
Details  1.Patients receiving any of the medications known to affect stress and anxiety (corticosteroids, antidepressants, antipsychotics, mood stabilizers, and anti-epileptic medications) during 4 weeks prior to screening.
2.Patients currently (or within the past 4 weeks prior to screening) taking any over-the-counter use of herbal extracts such as Ginkgo Biloba, St. John’s Wort, Omega-3, etc.
3.Patients with a depressive episode, suicidal tendency, panic disorder, social phobia, obsessive-compulsory disorder; alcohol dependency; schizophrenia, and mania.
4.Patients with known post-traumatic stress disorder (PTSD) and Generalized Anxiety Disorder (GAD).
5.Patients who have an established practice of meditation and relaxation techniques for three or more months.
6.Patients with known clinically significant acute unstable hepatic, renal, cardiovascular, or respiratory disease that will prevent participation in the study.
7.Patients with a history of alcohol, tobacco dependence, or any substance abuse.
8.Pregnant and lactating women or suspected to be pregnant.
9. Patients with known hypersensitivity to Ashwagandha.
10. Patients who had participated in other clinical trials during the previous 3 months.
11. Patients who have any clinical condition, according to the investigator, do not allow safe fulfilment of clinical trial protocol.
12. Participants having any chronic physical, haematological, hormonal, or psychiatric illness and history of substance dependence.
13.Participant taking any other herbal preparations containing Ginseng, Brahmi, Gingko Biloba or similar herbs will not be considered for participation in this study.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Mean change in score for
Profile of Mood States (POMS, abbreviated version) questionnaire and Patient Reported Outcomes Measurement Information System (PROMIS-29) questionnaire from baseline. 
Baseline, Week 4, Week 8, Week 12 
 
Secondary Outcome  
Outcome  TimePoints 
Mean change in scores for Perceived Stress Scale (PSS) questionnaire from baseline.   Baseline, Week 4, Week 8, Week12 
Mean change in scores for Oxford Happiness Questionnaire (OHQ) questionnaire from baseline.   Baseline, Week 4, Week 8, Week 12 
• Mean change in scores for Pittsburgh Sleep Quality Index (PSQI) questionnaire from baseline.   Baseline, Week 4, Week 8, Week 12 
Mean change in stress hormone (Sr. cortisol) from baseline.   Baseline, Week 12 
Mean change in Liver (serum alanine transaminase, aspartate transaminase, alkaline phosphatase, bilirubin) parameters from baseline.  Baseline, Week 12 
Mean change in Renal (serum creatinine, blood urea nitrogen) parameters from baseline.   Baseline, Week 12 
Number and proportion of Treatment-Emergent Adverse Events (TEAEs) over 8 weeks.   Baseline, Week 4, Week 8, Week 12 
Number and proportion of Treatment-Emergent Serious Adverse Events (TESAE) over 8 weeks  Baseline, Week 4, Week 8, Week 12 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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   N/A 
Date of First Enrollment (India)   21/12/2024 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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  
•All eligible subjects who meet the Inclusion and Exclusion criteria will be part of the study.
•Subjects will be informed about the purpose of the study and signed informed consent will be taken.
•Blood sampling for efficacy and safety parameters will be done at visit 1 (screening visit/ enrolment visit/ baseline visit- day 1) and visit 4 (week 12).
•All subjects will be followed-up during the study period (visit 1 (screening visit/ enrolment visit/ baseline visit- day 1), visit 2 (week 4) ± 4 days, visit 3 (week 8) ± 4 days, and visit 4 (week 12) ± 4 days.
•The Adverse events, either spontaneously reported by the patient, or noticed by the clinician will be recorded during the study.
 
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