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CTRI Number  CTRI/2026/03/105399 [Registered on: 05/03/2026] Trial Registered Prospectively
Last Modified On: 03/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda
Nutraceutical 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Exploring the effects of neem leaves on individuals with iron deficiency anemia 
Scientific Title of Study   Evaluation of the effect of neem leaves(Azadirachta indica) in patients with iron deficiency anemia 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anushree R Havale 
Designation  UG Student 
Affiliation  Navodaya Medical College Hospital and Research center 
Address  Navodaya Medical College, Hospital and Research Center, Raichur, Karnataka 584103

Raichur
KARNATAKA
584103
India 
Phone  6360079823  
Fax    
Email  ansuhreehavale@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anand A S 
Designation  Prof and Head, Dept of Pathology, Navodaya Medical College Hospital and Research Center 
Affiliation  Navodaya Medical College Hospital and Research center 
Address  Navodaya Medical College Hospital and Research Center Mantralayam Road Raichur5 84103

Raichur
KARNATAKA
584103
India 
Phone  9880765836  
Fax    
Email  asanand27@gmail.com   
 
Details of Contact Person
Public Query
 
Name  Dr Raghavendra Havale 
Designation  Prof and Head, Dept of Pedodontics, AMES Dental College, Raichur 
Affiliation  AMES Dental College and Hospital , Raichur 
Address  AMES Dental College and Hospital Bijengera Road Raichur 584103

Raichur
KARNATAKA
584103
India 
Phone  9448407300  
Fax    
Email  raghavendrahavale@gmail.com  
 
Source of Monetary or Material Support  
Navodaya Medical College , Hospital and Research Center, Mantralayam Road, Raichur,Karnataka , India - 584103 
 
Primary Sponsor  
Name  Rajiv Gandhi University of Health Sciences 
Address  Advance Research Department, Rajiv Gandhi University of Health Sciences, 4th T block, Jayanagar, Banglore-560041,Karnatake,India 
Type of Sponsor  Government funding agency 
 
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 
Anushree R Havale   Navodaya Medical College, Hospital and Research Center  Department of Pathology, Room no:38, 2nd floor, Hospital building
Raichur
KARNATAKA 
6360079823

ansuhreehavale@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee (IHEC), Navodaya Medical College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D509||Iron deficiency anemia, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Neem Leaf Therapy (Azadirachta indica) for patients with Iron Deficiency Anaemia   Each participant in the intervention group will be provided with fifteen fresh neem leaves. Participants will be instructed to chew and consume one fresh neem leaf daily on an empty stomach in the morning. The intervention will be continued for a total duration of 15 consecutive days.  
Comparator Agent  Oral ferrous Sulphate supplementation for patients with Iron Deficiency Anaemia  Participants in the comparator group will receive oral Ferrous sulphate supplementation, once daily for a total duration of 15 consecutive days. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1)The subjects suspected with iron deficiency anaemia with less than 10 gm% of hemoglobin concentration.
2)The subjects who are in the age group of 18-45 years
 
 
ExclusionCriteria 
Details  1)Patients who have taken iron supplements within the last six months will be excluded from the study.

2)Patients with comorbid conditions or any other hematological abnormalities will also be excluded from the study. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the efficacy of neem leaves in increasing haemoglobin concentration (Hb%), mean corpuscular volume (MCV), mean corpuscular haemoglobin (MCH), and mean corpuscular haemoglobin concentration (MCHC) in patients with iron deficiency anaemia.  30 days 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="30" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   15/03/2026 
Date of Study Completion (India) 20/04/2026 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="0"
Days="30" 
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  
Iron deficiency anaemia is one of the most common nutritional disorders in India, affecting a significant proportion of adults, especially women. Although oral iron supplementation is the standard treatment, it is commonly associated with gastrointestinal side effects leading to poor compliance. Neem (Azadirachta indica) leaves have demonstrated hematinic potential in animal and in-vitro studies.
This interventional study aims to evaluate the effect of daily consumption of fresh neem leaves on haemoglobin levels and other haematological parameters in patients with iron deficiency anaemia. Thirty participants aged 18–45 years with haemoglobin less than 10 g/dL will be enrolled and divided into two groups. The study group will receive one fresh neem leaf daily on an empty stomach for 15 days, while the comparator group will receive oral ferrous sulphate supplementation for the same duration.
Haematological parameters including haemoglobin percentage, RBC count, hematocrit, MCV, MCH, MCHC, RDW, and peripheral smear findings will be assessed before and after the intervention. The study intends to determine whether neem leaves can serve as a potential alternative or adjunct therapy in the management of iron deficiency anaemia.
 
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