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CTRI Number  CTRI/2025/03/083029 [Registered on: 21/03/2025] Trial Registered Prospectively
Last Modified On: 21/03/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Safety, Efficacy Study]  
Study Design  Other 
Public Title of Study   A clinical study to assess the safety and effectiveness of novel synbiotic (ByRx) in addressing dysbiosis in Paediatric patients prescribed with anti-biotics 
Scientific Title of Study   A prospective, open label, randomized, comparative, proof of science, clinical safety and efficacy study of novel Synbiotic (ByRx) in children having antibiotic associated dysbiosis 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NB240063-IN, Version 1.0 05 Mar 25  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Nayan Patel 
Designation  Principal Investigator 
Affiliation  NovoBliss Research Private Limited 
Address  NovoBliss Research Pvt. Ltd. Office# 313, Silver Radiance-4, Gota, Ahmedabad, Gujarat, India - 382481.

Ahmadabad
GUJARAT
382481
India 
Phone  9909013286  
Fax    
Email  dr.nayan@novobliss.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nayan Patel 
Designation  Principal Investigator 
Affiliation  NovoBliss Research Private Limited 
Address  NovoBliss Research Pvt. Ltd. Office# 313, Silver Radiance-4, Gota, Ahmedabad, Gujarat, India - 382481.

Ahmadabad
GUJARAT
382481
India 
Phone  9909013286  
Fax    
Email  dr.nayan@novobliss.in  
 
Details of Contact Person
Public Query
 
Name  Maheshvari N Patel 
Designation  Director Operations and Strategic Management 
Affiliation  NovoBliss Research Private Limited 
Address  NovoBliss Research Pvt. Ltd. Office# 313, Silver Radiance-4, Gota, Ahmadabad

Ahmadabad
GUJARAT
382421
India 
Phone  9909013236  
Fax    
Email  maheshvari@novobliss.in  
 
Source of Monetary or Material Support  
Inzpera Health science Limited a subsidiary of Tata industries Limited 215-217, Avior Corporate Park, Nirmal Galaxy, LBS Marg, Mulund West, Mumbai-400080  
 
Primary Sponsor  
Name  Inzpera health Science Limited 
Address  Inzpera Health science Limited a subsidiary of Tata industries Limited 215-217, Avior Corporate Park, Nirmal Galaxy, LBS Marg, Mulund West, Mumbai-400080 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  Not Applicable 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Nayan Patel  NovoBliss Research Private Limited  Clinical Trial Department, Office 313, Silver Radiance-4, 3rd Floor, Gota, Ahmedabad, Gujarat, India - 382481
Ahmadabad
GUJARAT 
9909013286

dr.nayan@novobliss.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ACEAS – Independent Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J399||Disease of upper respiratory tract, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Antibiotic   Mode of Usage: Take the required dose of antibiotic as directed by paediatrician Frequency: As directed by paediatrician Duration of study: 14 Days Route of Administration: Oral  
Intervention  Test product A: ByRx powder  Mode of Usage: Oral (Dissolved in 25ml water) Frequency: Once a day on empty stomach. Duration of study: 14 Days Route of Administration: Oral  
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  1) Age: 02 to 12 years (both inclusive) at the time of consent.
2) Sex: male and females.
3) Subjects having symptoms of URTI or gastro infection (dysbiosis) which includes burning sensation, bloating, nausea, altered bowel habit, digestion issues, and high tendency of falling sick, chronic fatigue, constipation, diarrhoea etc.
4) Willing to give written parental informed consent and are willing to come for regular follow-up on the study site.
5) Who commit not to use other probiotics, synbiotic, prebiotics, and anti-biotic for their child other than the test product for the entire duration of the study.
6) Subject who has not participated in a similar investigation in the past three months.
7) Willing to use test product throughout the study period
8) subject having refrigerator at home
 
 
ExclusionCriteria 
Details  1.Subjects with suspected or confirmed organic causes of constipation (e.g., Hirschsprung’s disease, hypothyroidism, structural anal anomalies).
2.Subjects with an allergic response to any prebiotic, probiotic, or synbiotic product.
3.Subjects on chronic medication (e.g., aspirin, anti-inflammatories, antihistamines, corticosteroids) that may affect study outcomes.
4.Subjects with major diseases in cardiovascular, renal, hepatic, gastrointestinal, pulmonary, or endocrine systems.
5.History of alcohol or drug addiction.
6.Subjects with a history of major gastrointestinal complications (e.g., Crohn’s disease, ulcers, cancer, ulcerative colitis).
7.Subjects participating in similar trials within the last four weeks.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate the effectiveness of the test product in terms of change in
1. diversity and richness of gut microbiome
2.faecal output ratio
3.stool based on the Bristol Stool Criteria
4. abbreviated physical examinations
5. ROME III criteria  
On day Day 01, after product administration Day 06 and on day 14 
 
Secondary Outcome  
Outcome  TimePoints 
1.To assess the effectiveness of the test product in terms of subject perception questionnaire from baseline before and after usage of the test product.
2.To assess the effectiveness of the test product in terms of occurrence of the adverse event after usage of the test product.
 
On day Day 01, after product administration Day 06 and on day 14  
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="32" 
Final Enrollment numbers achieved (Total)= "12"
Final Enrollment numbers achieved (India)="12" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/04/2025 
Date of Study Completion (India) 28/07/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="0"
Days="14" 
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  

This is a prospective, open-label, randomized, comparative, proof-of-concept study evaluating the clinical safety and efficacy of a novel synbiotic treatment in children with antibiotic-associated dysbiosis.

The study will be conducted in two cohorts:

·      Cohort 1: A total of 12 patients (6 per arm) will participate. Six patients will receive antibiotics alone, while the other six will receive antibiotics combined with the synbiotic for 5 days. For the synbiotic arm, Days 6 and 7 will involve synbiotic administration only.

·      Cohort 2: If the results from Cohort 1 are satisfactory, an additional up to 32 (16 subjects per arm) will be enrolled.

The subjects will be instructed to visit the facility as per the below visits.

 Visit 01 (Day 01): Screening, ICD, Enrolment, Stool Sample Collection, Antibiotic treatment 5 Days antibiotic period

 Visit 02 (Day 06): Stool Sample Collection, test treatment period

 Visit 03 (Day 11 to Day 14 ): Test Treatment stop, Stool Sample Collection, End of The Study 

 
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