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CTRI Number  CTRI/2024/12/078143 [Registered on: 16/12/2024] Trial Registered Prospectively
Last Modified On: 05/12/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Clinical study on Vitamin B12 supplementation in adults. 
Scientific Title of Study   A double-blind, placebo-controlled clinical trial to evaluate the effect Vitamin B12 supplementation in adults with marginal Vitamin B12 Deficiency 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
MHC/CT/24-25/046 Ver. 1.00 Dated 12/11/2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ramshyam Agarwal 
Designation  Principal Investigator 
Affiliation  Lokmanya Medical Research Centre and Hospital 
Address  Fourth floor OPD 401 314 B Telco Road Chinchwad

Pune
MAHARASHTRA
411033
India 
Phone  8087282022  
Fax  -  
Email  ramshyam.research@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vaishnavi Patil 
Designation  Project Coordinator 
Affiliation  Life Synergy 
Address  Office no 503, Orbisoul 46 Downtown, Pashan-Sus road, Mohan nagar, Baner

Pune
MAHARASHTRA
411045
India 
Phone  9834585994  
Fax  -  
Email  vaishnavilifesynergy@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vaishnavi Patil 
Designation  Project Coordinator 
Affiliation  Life Synergy 
Address  Office no 503, Orbisoul 46 Downtown, Pashan-Sus road, Mohan nagar, Baner


MAHARASHTRA
411045
India 
Phone  9834585994  
Fax  -  
Email  vaishnavilifesynergy@gmail.com  
 
Source of Monetary or Material Support  
Life Synergy office no 503, Orbisoul 46 Downtown, Pashan-Sus road, Mohan nagar, Baner, Pune 411045, Maharashtra 
 
Primary Sponsor  
Name  Life Synergy 
Address  office no 503, Orbisoul 46 Downtown, Pashan-Sus road, Mohan nagar, Baner, Pune 411045, Maharashtra 
Type of Sponsor  Other [Nutraceutical product promoter] 
 
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 Ramshyam Agarwal  Lokmanya Medical Research Centre and Hospital  Fourth floor OPD 401 314 B Telco Road Chinchwad
Pune
MAHARASHTRA 
8087282022
-
ramshyam.research@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Lokmanya Medical Research centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy Human Volunteers 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  LS/24-25/Vit001  One capsule twice a day after main meal for 90 days. 
Comparator Agent  Placebo  One capsule twice a day after main meal for 90 days. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1. Men and women aged 18 years or older who follow a vegetarian, vegan diet 2. Present serum vitamin B12 levels of 148 to 221 pmol per L [201 to 300 pg per mL]) and with or without symptoms associated with vitamin B12 deficiency 3. Sign the informed consent. 
 
ExclusionCriteria 
Details  1. Present diagnosed diseases that may interfere with vitamin B12 markers, including gastrointestinal diseases (such as inflammatory bowel disease, celiac disease, ileal resection, Crohns disease, constipation or atrophic gastritis), pancreatic diseases, kidney diseases, liver diseases, diabetes, cardiovascular diseases, pernicious anemia and cancer
2. Medical history of abdominal surgery that may influence the absorption of vitamin B12 (such as bariatric surgery)
3. Being on hemodialysis treatment
4. Present values of body mass index less than or equal to 18.5 kg per meter square or greater than or equal to 35 kg per meter square
5. Having consumed or consuming vitamin B12 or folate supplements for more than 2 months before inclusion in the study
6. Have taken medications that affect the absorption and therapeutic response of vitamin B12 (such as methotrexate, metformin, proton pump inhibitors, H2 receptor antagonists, histamine, nitrous oxide, colchicine, neomycin, biguanides, cholestyramine, aminosalicylic acid, chloramphenicol and other bone marrow depressants) one month before inclusion in the study
7. Participants with known systemic and metabolic diseases in the investigators discretion not proving fit for trial
8. Known hypersensitivity to investigational products
9. Participants currently taking any of the following supplements for health maintenance or benefits: multivitamin mineral (MVM), B vitamins, fish oil, Ayurvedic or herbal supplements, nutraceutical supplements, fiber supplements, glucosamine or chondroitin probiotics, iron supplements, or protein powders
10. Pregnant or lactating women, as well as women of childbearing potential who are not using contraception or intending to conceive during the study
11. Any prescribed medication except for oral contraceptives (not acceptable if oral contraceptives are used to disrupt normal or monthly menstrual cycle) includes recent antibiotic and or oral corticosteroid use
12. Donated blood within two months before study entry, and must not donate blood during the study duration
13. Serious illness or any other condition that, in the opinion of the investigator, may compromise the safety or compliance of the patient or preclude the successful completion of the study
14. Have participated in any investigational therapeutic trial within the past 1 year that the investigator feels would influence or affect the outcome of the study. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Changes in vitamin B12 levels
2. Changes in State-Trait Anxiety Inventory score
3. Changes in Fatigue severity scale score
4. Assessment of energy audit diary
5. Changes in Health Organization Quality of Life (WHOQOL BREF) questionnaire score 
1. Screening, day 30, day 60 and day 90
2. Screening, day 30, day 60 and day 90
3. Screening, day 30, day 60 and day 90
4. Day 1, day 30, day 60 and day 90
5. Screening and day 90 
 
Secondary Outcome  
Outcome  TimePoints 
1. Adverse events profile
2. Compliance and tolerability of the investigational product  
1. Baseline, day 30, day 60 and day 90
2. Screening, day 30, day 60 and day 90  
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   18/12/2024 
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="0"
Months="5"
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   Vitamin B12 supplementation in adults with marginal deficiency can improve various physiological and neurological outcomes. Marginal B12 deficiency, often caused by dietary inadequacies or malabsorption, may lead to symptoms like fatigue, mild cognitive impairment, and mood disturbances. Studies suggest that supplementation (via oral or intramuscular routes) effectively increases serum B12 levels and improves related biomarkers, such as homocysteine and methylmalonic acid, which are associated with cardiovascular and neurological health. Additionally, supplementation may alleviate symptoms like low energy and memory issues, though the extent of benefit varies. Early intervention is key to preventing progression to more severe deficiencies and irreversible complications. 
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