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CTRI Number  CTRI/2025/06/088418 [Registered on: 06/06/2025] Trial Registered Prospectively
Last Modified On: 29/04/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Research on Taurine and L-Carnitine supplements for relief of muscle cramps in patients with liver cirrhosis  
Scientific Title of Study   A double-blind Randomized control trial to study the efficacy of combination of Taurine and L-Carnitine in alleviating muscle cramps in patients with liver cirrhosis. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Aabha Nagral 
Designation  Consultant Gastroenterology 
Affiliation  Jaslok Hospital and Research Centre 
Address  Department of Gastroenterology Jaslok Hospital and Research Centre 15 Pedder Rd IT Colony Tardeo Mumbai

Mumbai
MAHARASHTRA
400026
India 
Phone  9820156834  
Fax    
Email  aabhanagral@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aabha Nagral 
Designation  Consultant Gastroenterology 
Affiliation  Jaslok Hospital and Research Centre 
Address  Department of Gastroenterology Jaslok Hospital and Research Centre 15 Pedder Rd IT Colony Tardeo Mumbai


MAHARASHTRA
400026
India 
Phone  9820156834  
Fax    
Email  aabhanagral@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sukhada Thorat  
Designation  clinical coordinator 
Affiliation  Jaslok Hospital and Research Centre 
Address  Department of Gastroenterology Jaslok Hospital and Research Centre 15 Pedder Rd IT Colony Tardeo Mumbai

Mumbai
MAHARASHTRA
400026
India 
Phone  9422352635  
Fax    
Email  thorat.sukhada1978@gmail.com  
 
Source of Monetary or Material Support  
Saimirra Innopharm Pvt Ltd 288 & 299 SIDCO Estate, Ambattur, Chennai-600098 Tamil nadu India 
 
Primary Sponsor  
Name  Saimirra Innopharm Pvt ltd 
Address  Telephone exchange shed.288 and 299 SIDCO Estate Ambatur Chennai 600098 Tamil Nadu India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
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 Aabhanagral  Jaslok Hospital and Research Centre  Department of Gastroenterology Jaslok Hospital and Research Centre 15 Pedder Rd IT Colony Tardeo Mumbai
Mumbai
MAHARASHTRA 
09820156834

aabhanagral@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee Jaslok Hospital and Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K745||Biliary cirrhosis, unspecified, (2) ICD-10 Condition: K746||Other and unspecified cirrhosis ofliver, (3) ICD-10 Condition: K743||Primary biliary cirrhosis, (4) ICD-10 Condition: K744||Secondary biliary cirrhosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Placebo  Each 535mg Placebo contains Mannitol 290mg, Sucralose 100mg, Butylated Hydroxyanisole 25mg, Butylated hydroxy toluene 5mg, Colloidal anhydrous silica 75mg and Capsil orange flavor 50mg 
Intervention  Taurine and L-Carnitine   Each sachet contains 3g Taurine and 1.465 g L-Carnitine Tartrate equivalent to 1g L-Carnitine 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Cirrhotic patients with muscle cramps frequency more than or equal to 3 times a week at rest or during sleep.
Willing to provide informed consent and comply with study procedures.
 
 
ExclusionCriteria 
Details  Patients with known allergies to taurine or L-carnitine.
No alcohol or IV drug use for the last 3 months.
Blood glucose level more than 270mg/dl at the time of enrolment.
Patients currently taking muscle relaxants or other supplements that might interfere with the study results.
Pregnant or breastfeeding women.
Patients with CKD.
Patients with uncontrolled hepatic encephalopathy
History of Peripheral neuropathy, Thyroid disease, Pulmonary hypertension, Cardiac disease
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
The objective of this study is to evaluate the efficacy of L-Carnitine and Taurine supplementation in reducing the frequency, severity, and duration of muscle cramps in patients with liver cirrhosis.  Each patient from each of the 3 groups shall be followed up a total of 3 times:
At 1st month: Via video consultation
At 2nd month: Via video consultation
At 3rd month: By physical consultation in OPD
 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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 4 
Date of First Enrollment (India)   09/06/2025 
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 Yet Recruiting 
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  

This study is a double-blind, randomized, placebo-controlled clinical trial designed to evaluate the efficacy of a combination of L-Carnitine (1g) and Taurine (3g) in alleviating muscle cramps in patients with liver cirrhosis. Muscle cramps are a common yet often overlooked complication in liver cirrhosis, significantly impacting patients’ quality of life.

Objectives: Primary Objective: To assess the effectiveness of L-Carnitine and Taurine in reducing the frequency, severity, and duration of muscle cramps in cirrhotic patients.

Study Design:

Population: 70 participants (35 in each group) aged 18–75 years with liver cirrhosis and experiencing at least 3 muscle cramps per week.

Randomization: Participants will be randomly assigned to two groups:

Group A: Receives L-Carnitine and Taurine combination as a sachet mixed with water daily for 3 months.

Group B: Receives a placebo sachet daily for 3 months.

Blinding: Double-blind design, ensuring both participants and investigators are unaware of group assignments.

Key Measurements:

Participants will maintain a symptom diary to record the frequency and duration of muscle cramps.

The severity of cramps will be assessed using the Visual Analogue Scale (VAS).

Follow-ups will be conducted monthly (via video and in-person consultations).

Inclusion and Exclusion Criteria:

Inclusion: Adults with liver cirrhosis experiencing frequent muscle cramps and willing to comply with study procedures.

Exclusion: Patients with allergies to the study drugs, alcohol use in the past 3 months, or conditions like uncontrolled hepatic encephalopathy or chronic kidney disease.

Expected Outcomes:

This trial aims to demonstrate that the combination of L-Carnitine and Taurine is effective and safe for reducing muscle cramps in cirrhotic patients, potentially improving their overall well-being and quality of life.

 
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