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CTRI Number  CTRI/2025/03/081628 [Registered on: 04/03/2025] Trial Registered Prospectively
Last Modified On: 25/02/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To Study The Effect of Papaya Leaf On Platelet Count In Ovarian Cancer Patients Given Chemotherapy 
Scientific Title of Study   Evaluation the Therapeutic and Molecular Effect of Carica Papaya aqueous Leaf Extract On Platelet Count in Chemotherapy -induced Thrombocytopenia in Ovarian Cancer Patients  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Anurag Srivastava 
Designation  Director Oncology 
Affiliation  Professor and Director oncology Department 
Address  Swami Vivekananda Subharti University NH-58 Delhi Haridwar Bypass Road Subhartipuram, Meerut
same as address 1
Meerut
UTTAR PRADESH
250005
India 
Phone  09868397729  
Fax    
Email  dr.anuragsrivastava@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  ANURAG SRIVASTAVA 
Designation  Director Oncology 
Affiliation  Professor and Director oncology Department 
Address  Swami Vivekananda Subharti University NH-58 Delhi Haridwar Bypass Road Subhartipuram, Meerut
same as address 1
Meerut
UTTAR PRADESH
250005
India 
Phone  09868397729  
Fax    
Email  dr.anuragsrivastava@gmail.com  
 
Details of Contact Person
Public Query
 
Name  ANURAG SRIVASTAVA 
Designation  Director Oncology 
Affiliation  Professor and Director oncology Department 
Address  Swami Vivekananda Subharti University NH-58 Delhi Haridwar Bypass Road Subhartipuram, Meerut
same as address 1
Meerut
UTTAR PRADESH
250005
India 
Phone  09868397729  
Fax    
Email  dr.anuragsrivastava@gmail.com  
 
Source of Monetary or Material Support  
Swami Vivekananda Subharti University NH-58 Delhi Haridwar Bypass Road Subhartipuram, Meerut, 250005, Uttar Pradesh, India 
 
Primary Sponsor  
Name  Ministry of Ayush 
Address  CCRAS New Delhi 
Type of Sponsor  Research institution 
 
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 Anurag Srivastava  subharti medical college  oncology ward, general opd oncology Dept., Subharti Medical college, Meerut
Meerut
UTTAR PRADESH 
9868397729

dr.anuragsrivastava@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
UNIVERSITY ETHICS COMMITTEE MEDICAL  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D696||Thrombocytopenia, unspecified, (2) ICD-10 Condition:N838||Other noninflammatory disorders ofovary, fallopian tube and broad ligament. Ayurveda Condition: ARBUDAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugOther than Classical(1) Medicine Name: Caripill, Reference: NA, Route: Oral, Dosage Form: Capsules, Dose: 1100(mg), Frequency: tds, Bhaishajya Kal: Adhobhakta, Duration: 7 Days, anupAna/sahapAna: No, Additional Information: 1100 mg , 3 times a DAY WOULD BE GIVEN FOR 7 DAYS
2Comparator Arm (Non Ayurveda)-controlwithout any intervention
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Female 
Details  Patients with platelet count 30000-1.5 lakhs 
 
ExclusionCriteria 
Details  Pregnant and lactating female
liver and kidney dysfunction 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Rise in platelet count will be observed  7th and 16th day post chemotherapy 
 
Secondary Outcome  
Outcome  TimePoints 
Rise in RBC & WBC will be observed  7th & 16th day post chemotherapy 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   12/03/2025 
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  

Background:

Chemotherapy-induced thrombocytopenia (CIT) is one of the commonest side effects of cancer chemotherapy. A number of drugs have been tried, but all of them are associated with adverse effects. Studies show that Carica papaya leaf extracts (CPLE) over expresses arachidonate 12-lipoxygenase (ALOX-12) and platelet-activating factor receptor gene which stimulates the megakaryopoiesis.

Aims and Objectives: To evaluate the efficacy and safety of CPLE in CIT in cancer patients.

Materials and Methods:

Drug administration:

A total of  80 patients diagnosed to have CIT after cancer chemotherapy will be randomized into two groups of  40 subjects each. Interventional group will receive CPLE 1100 mg TID for 7 days post chemotherapy day 7-14 and the non-interventional group will be control group, without any intervention.

Complete hemogram will be done at post chemotherapy day7±4 and 16±4.

Patients will be followed up for 15 days for appearance of any adverse effects.

Statistical analysis will be done to achieve a conclusion.

Molecular Testing:

EDTA Blood collection, plasma isolation and qPCR analysis and in-silico studies will be done for arachidonate 12-lipoxygenase (ALOX 12) and platelet-activating factor receptor (PTAFR) genes. It will be done on 10 cases from the both arm, interventional and non-interventional group.

 

Expected outcome: Safety and efficacy of the drug will be observed, which will be validated by gene expression in plasma. 

 
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