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CTRI Number  CTRI/2025/06/089903 [Registered on: 30/06/2025] Trial Registered Prospectively
Last Modified On: 28/06/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Multiple Vitamin A and Zinc therapy cycle in Adult Patients Suffering from Vitamin A Deficiency Related Bitots spot 
Scientific Title of Study   Effects of multiple cycle of vitamin-A[ 2 lakhs IU] along with oral zinc [50mg] supplementation on adult Bitots spots disappearance - A comparative study visiting Tertiary Care Hospital, AIIMS Deoghar.” 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sujit Das 
Designation  Associate Professor 
Affiliation  AIIMS Deoghar 
Address  Department of ophthalmology, AIIMS, Deoghar, Jharkhand

Deoghar
JHARKHAND
814152
India 
Phone  8527583337  
Fax    
Email  imdrsujitdas@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sujit Das 
Designation  Associate Professor 
Affiliation  AIIMS Deoghar 
Address  Department of ophthalmology, AIIMS, Deoghar, Jharkhand

Deoghar
JHARKHAND
814152
India 
Phone  8527583337  
Fax    
Email  imdrsujitdas@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sujit Das 
Designation  Associate Professor 
Affiliation  AIIMS Deoghar 
Address  Department of ophthalmology, AIIMS, Deoghar, Jharkhand

Deoghar
JHARKHAND
814152
India 
Phone  8527583337  
Fax    
Email  imdrsujitdas@gmail.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  Sujit Das 
Address  AIIMS Deoghar Jharkhand, department of ophthalmology 
Type of Sponsor  Other [Self] 
 
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 
Sujit Das  AIIMS, Deoghar  Department of ophthalmology, AIIMS, Deoghar, Jharkhand
Deoghar
JHARKHAND 
08527583337

imdrsujitdas@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
All India Institute of Medical Sciences, Deoghar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Male or Female without any acute or chronic illness, especially cardiovascular illness  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Oral Vitamin A and Topical artificial tear  Multiple (minimum 3, maximum 6, depends on disappearance of Bitots spot) cycles of Oral vitamin A (once cycle consists of Dose: Day 1, Day 3, and Day 15, 2 lakhs IU in each day) with 3 weeks interval along with Topical artificial tear (Carboxymethyl cellulose) on eye 1 drop 4 times a day to continue till completion of Oral vitamin A therapy 
Intervention  Oral Vitamin A, Oral Zinc, and Topical artificial tear   Multiple (minimum 3, maximum 6, depends on disappearance of Bitots spot) cycles of Oral vitamin A (once cycle consists of Dose: Day 1, Day 3, and Day 15, 2 lakhs IU in each day) with 3 weeks interval along with Oral Zinc (50 mg twice daily after food) for 3 months and Topical artificial tear (Carboxymethyl cellulose) on eye 1 drop 4 times a day to continue till completion of Oral vitamin A therapy 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  All adult patients presented with Bitot’s spot will be included in the study 
 
ExclusionCriteria 
Details  Patient with malnutrition, liver disease, cardiac disease, gastrointestinal disease and chronic alcoholic will be excluded from the study 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The aim of the study is to see the total disappearance of Bitot’s spot with multiple cycle of vitamin-A [2lakhs IU] supplementation with no recurrence  Baeline, 2 years 
 
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   N/A 
Date of First Enrollment (India)   17/07/2025 
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="3"
Months="0"
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 - YES
  1. What data in particular will be shared?

  2. What additional supporting information will be shared?

  3. Who will be able to view these files?

  4. For what types of analyses will this data be available?

  5. By what mechanism will data be made available?

  6. For how long will this data be available start date provided 02-01-1970 and end date provided 02-01-1970?

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - 
Brief Summary   This comparative interventional study will beconducted at the tertiary care center, AIIMS Deoghar, to evaluate the effects of multiple cycles of high-dose vitamin A and oral zinc supplementation on the disappearance of Bitot’s spots in adults. Patients presenting with clinically diagnosed Bitot’s spots will be recruited after obtaining informed consent. Eligible participants will be randomly assigned to two treatment arms. The control group received the conventional therapy comprising vitamin A supplementation at a dose of 2 lakh IU on day 1, day 3, and day 15, along with topical lubricating eye drops. The intervention group received repeated cycles of the same dose of vitamin A (2 lakh IU, on day 1, day 3, and day 15) every three weeks, for a maximum of six cycles, in addition to daily oral zinc supplementation (50 mg twice daily for 3 monts) and lubricating drops. Clinical assessment for Bitot’s spot resolution and any adverse effects will be performed at each follow-up visit. The primary outcome was the rate of disappearance of Bitot’s spots, and secondary outcomes included time to resolution and recurrence rates. 
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