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CTRI Number  CTRI/2025/06/089315 [Registered on: 23/06/2025] Trial Registered Prospectively
Last Modified On: 21/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   Effect of Endoxifen in Bipolar Affective disorder(BPAD).  
Scientific Title of Study   Endoxifen monotherapy in patients with Bipolar Affective disorder 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Abhinav Dhankar 
Designation  PG resident 
Affiliation  School of Mdical sciences and research,Sharda Hospital,Gr.Nooida,UP 
Address  Department of Psychiatry,School of medical sciences and research,Sharda Hospital,plot no-32-34 Gr Noioda,201310

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  7827288403  
Fax    
Email  dr.abhinavdhankar77@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Kunal Kumar 
Designation  Professor 
Affiliation  School of Mdical sciences and research,Sharda Hospital,Gr.Nooida,UP 
Address  Department of Psychiatry,School of medical sciences and research,Sharda Hospital,plot no-32-34 Gr Noioda,201310

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  7827288403  
Fax    
Email  kunal.kumar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Abhinav Dhankar 
Designation  PG resident 
Affiliation  School of Mdical sciences and research,Sharda Hospital,Gr.Nooida,UP 
Address  Department of Psychiatry,School of medical sciences and research,Sharda Hospital,plot no-32-34 Gr Noioda,201310

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  7827288403  
Fax    
Email  dr.abhinavdhankar77@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  School of Medical Sciences and Reseearch and Sharda Hospital Greater Noida 
Address  Knowledge Park-III, Greater Noida, Gautam Budh nagar, Uttar Pradesh, 201310 
Type of Sponsor  Private medical college 
 
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 Abhinav dhankar  school of medical sciences & research, Sharda Hopsital  Department of psychiatry, 2-A, Knowledge park-III, Greater Noida,
Gautam Buddha Nagar
UTTAR PRADESH 
7827288403

dr.abhinavdhankar77@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committe  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F31||Bipolar disorder,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Endoxifen monotherapy, NOT APPLICABLE FOR COMPARATOR AGENT  Endoxifen will be given to BPAD patients coming in acute mania phase and then effect will be assessed via Young Mania Rating Scale(YMRS)weekly to assess the severity of mania till 8 weeks. Not applicable for comparator agent. 
Comparator Agent  NIL, NOT APPLICABLE FOR COMPARATOR AGENT  NIL, NOT APPLICABLE FOR COMPARATOR AGENT 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  The study will include male and female patients aged between 18-65 years who have diagnosed with bipolar Affective Disorder. Participants must be willing to provide informed consent and should be accompoanied by atleast one first-degree relative who also consents to participate. Only those patients who have no prior history of any other diagnosed psychiatric illnesses and have received any previous illnesses and have not recieved any previous psychiatric treatment will be included in the study. 
 
ExclusionCriteria 
Details  Patients with comorbid medical conditions, including hepatic, renal, gastroenterological, respiratory, cardiovascular or hematological diseases, as identifies through clinical history and examination will be excluded from the study. Additionally, individuals with comorbid psychiatric illnesses, pregnant or lactating women and patients with deranged glomerular filtration rate (GFR) will also be excluded from participation 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction of YMRS scores   8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
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 3/ Phase 4 
Date of First Enrollment (India)   03/07/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  03/07/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Closed to Recruitment of Participants 
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [dr.abhinavdhankar77@gmail.com].

  6. For how long will this data be available start date provided 25-06-2025 and end date provided 25-06-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

This research study is being conducted at the School of Medical Sciences & Research and Sharda Hospital, Greater Noida. The study focuses on newly admitted patients from the Psychiatry Department’s inpatient unit who meet specific inclusion and exclusion criteria. The primary objective is to evaluate the efficacy of endoxifen 8 mg once daily in managing acute mania among patients diagnosed with bipolar affective disorder. Eligible participants will undergo a detailed clinical evaluation, including a thorough medical and psychiatric history, with particular attention to past episodes of bipolar disorder. Each participant will receive a patient information sheet, and the study procedures will be clearly explained to both the patient and at least one caregiver. Informed consent will be obtained prior to inclusion in the study. At baseline, all patients will be assessed using the Young Mania Rating Scale (YMRS) to determine the severity of mania. They will then be started on endoxifen 8 mg OD and re-evaluated using the YMRS at regular intervals for up to eight weeks to monitor changes in manic symptoms. A total of 60 patients will be included in the study, all of whom will follow the same protocol. The inclusion criteria for participation include male and female patients aged 18 to 65 years, those diagnosed with bipolar affective disorder, individuals willing to provide informed consent along with at least one first-degree relative, and those with no prior psychiatric diagnosis or treatment. The exclusion criteria include patients with medical comorbidities such as hepatic, renal, gastrointestinal, respiratory, cardiovascular, or hematologic disorders based on history and examination, those with comorbid psychiatric illnesses, and pregnant or lactating women. This study is expected to contribute valuable clinical data on the potential role of endoxifen in the treatment of acute manic episodes in bipolar disorder, providing further insights into its efficacy and safety profile.

 
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