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CTRI Number  CTRI/2008/091/000089 [Registered on: 19/06/2008]
Last Modified On:
Post Graduate Thesis   
Type of Trial   
Type of Study    
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   “To study the Immunomodulatory effects of Withania somnifera (ASHWAGANDHA) in patients of pulmonary tuberculosis” 
Scientific Title of Study   A proof of concept prospective, randomized parallel open clinical study to evaluate the effect of PHP-TB in patients of Pulmonary Tuberculosis.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
PHP/GMC-IIIM/2007  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Vandana Razdan 
Designation   
Affiliation   
Address  Post Graduate Department of Pharmacology and Therapeutics
Govt. Medical College
Jammu
JAMMU & KASHMIR
180 001
India 
Phone  09419185207  
Fax  0191-2569333  
Email  vandanarazdan@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr.Vipender S. Chopra 
Designation   
Affiliation  Professor& Head, Post graduate department of Pharmacology and Therapeutics 
Address  Professor& Head, Post graduate department of Pharmacology and Therapeutics
Govt. Medical College
Jammu
JAMMU & KASHMIR
180 001
India 
Phone  09419213602  
Fax  0191-2543689  
Email  vipen1956@hotmail.com, vipen.chopra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Inshad Ali Khan 
Designation   
Affiliation   
Address  Scientist, Indian Institute of Integrative Medicine
Canal Road
Jammu
JAMMU & KASHMIR
180001
India 
Phone  09419134373  
Fax  0191-2569333  
Email  inshad@yahoo.com  
 
Source of Monetary or Material Support  
Government Medical College, Jammu and Council of Scientific & Industrial Research 
 
Primary Sponsor  
Name  Government Medical College, Jammu 
Address   
Type of Sponsor   
 
Details of Secondary Sponsor  
Name  Address 
Indian Institute of Integrative Medicine, Jammu   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. Vijay Khajuria  CD Hospital, Government Medical College, Jammu  Assistant Professor, Post graduate department of Pharmacology and Therapeutics,Govt. Medical College-180001
Jammu
JAMMU & KASHMIR 
0191-2451935
0191-2543689
vijaykhaj@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Govt. Medical College, Jammu  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Pulmonary Tuberculosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Capsule PHP-TB containing hydro-alcoholic extracts of Withania somnifera 300mg   Will receive a combipack containing Tab. Isoniazid(H) 600mg +Cap. Rifampicin (R) 450mg + Tab. Pyrazinamide (Z ) 1500mg + Tab. Ethambutol (E) 1200mg thrice a week + Cap.Withania somnifera 300mg once a day for Initial 2 months followed by Tab. Isoniazid (H) 600mg +Cap. Rifampicin (R) 450mg thrice a week + Cap. Withania somnifera 300mg once a day for next 4 months. 
Comparator Agent  Capsule Placebo  Will receive a combipack containing Tab. Isoniazid (H) 600mg +Cap. Rifampicin (R) 450mg + Tab. Pyrazinamide (Z) 1500mg +Tab. Ethambutol (E) 1200mg thrice a week + Cap.Placebo once a day for Initial 2 months followed by Tab. Isoniazid (H) 600mg + Cap.Rifampicin(R) 450mg thrice a week +Cap. Placebo once a day for next 4 months.  
 
Inclusion Criteria  
Age From   
Age To   
Gender   
Details  1. Patients between 25-50 yrs. of age of either sex, 2. Newly diagnosed untreated patients of pulmonary tuberculosis.  
 
ExclusionCriteria 
Details  1. Extra pulmonary cases of tuberculosis. 2. History of chronic alcohol intake or smoking. 3. HIV Positivity, diabetes mellitus, autoimmune disease, Hepatitis B. 4. Pregnancy and lactation. 5. Has participated in any investigational study 4 weeks prior to the enrollment in this study. 6. Known history of hypersensitivity reactions. 7. Confirmed or suspected immunosuppressive or immune deficient condition. 8. Family h/o congenital or hereditary immunodeficiency 9. Chronic administration of immunosuppressants or other immune modifying agents 6 months prior to the study. 10. Administration of immunoglobulins 3 months preceding the enrollment in the study. 11. Patients with impaired hepatic functions. 12. Patients with impaired renal functions. 13. Seizure disorder 14. Patients with known symptoms of cardiac disease like Coronary artery disease, arrhythmias.  
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The patients will be evaluated for various parameters like weight gain, improved QOL , sputum for AFB , X-ray chest ,Elisa for TNF - α and IL-1β and flow cytometry for various immune parameters like IFN-Ύ, IL-2, CD3+, CD4+, CD8+.  8 weeks onwards 
 
Secondary Outcome  
Outcome  TimePoints 
Not Applicable  Not Applicable 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="" 
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)   Date Missing 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  01/05/2008 
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)   Open to Recruitment 
Recruitment Status of Trial (India)   
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The present prospective open randomized parallel study will be conducted in the post graduate department of pharmacology and therapeutics in collaboration with the department of chest diseases, Govt. Medical College Jammu and Indian Institute of Integrative Medicine (CSIR), Jammu The study will be done to evaluate the effect of PHP-TB i.e. formulation containing hydro-alcoholic extracts of the roots of Withania somnifera (300mg) in comparison with Placebo (300mg) in patients of Pulmonary Tuberculosis. Newly diagnosed 60 patients of pulmonary tuberculosis will be given anti-tubercular treatment for 6 months – Group I. Likewise, newly diagnosed 60 patients of pulmonary tuberculosis will be given anti-tubercular treatment along with Withania somnifera (PHP-TB) cap.for 6 months –Group II. 60 normal healthy individuals from similar population will be taken as a control group – Group III. The primary outcome measures will be 10% improvement in biochemical and immunological parameters over and above that obtained in the group receiving placebo and less than 10% difference in adverse events between placebo and active treatment groups. Both the groups will be evaluated for parameters like weight, LFT, sputum, X-ray chest and Elisa and flow cytometry for immune parameters.  
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