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CTRI Number  CTRI/2025/07/090034 [Registered on: 02/07/2025] Trial Registered Prospectively
Last Modified On: 23/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A study to see if adding ondansetron to fluoxetine helps reduce symptoms of obsessive-compulsive disorder (OCD).  
Scientific Title of Study   Evaluating The Efficacy And Safety Of Ondansetron As Augmentation Of Fluoxetine In Obsessive-Compulsive Disorder: A Comparative Study  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nidhi Kulhar  
Designation  PG Student 
Affiliation  SN Medical College Agra 
Address  Psychiatry Department SN Medical College Agra

Agra
UTTAR PRADESH
282003
India 
Phone  9929550855  
Fax    
Email  nidhikulhar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Ashutosh Kumar 
Designation  Associate Prof. 
Affiliation  SN Medical College Agra 
Address  Psychiatry Department SN Medical College Agra

Agra
UTTAR PRADESH
282003
India 
Phone  9837092520  
Fax    
Email  drashutoshkg@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Nidhi Kulhar 
Designation  PG Student 
Affiliation  SN Medical College Agra 
Address  Psychiatry Department SN Medical College Agra

Agra
UTTAR PRADESH
282003
India 
Phone  9929550855  
Fax    
Email  nidhikulhar@gmail.com  
 
Source of Monetary or Material Support  
SN Medical College, Agra, Uttar Pradesh, India- 282003 
 
Primary Sponsor  
Name  SN Medical College  
Address  Department of Psychiatry S N Medical College Agra, 282003  
Type of Sponsor  Government 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 
Nidhi Kulhar  SN Medical College, Agra  Psychiatry Department SN Medical College Agra
Agra
UTTAR PRADESH 
09929550855

nidhikulhar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE SN MEDICAL COLLEGE, AGRA   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F422||Mixed obsessional thoughts and acts,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Tab Fluoxetine  only standard treatment for OCD will be given(Tab Fluoxetine 20 mg to 80 mg will be given orally in single or divided dose for 8 weeks) 
Intervention  Tab Ondansetron  tab ondansetron 4mg-8mg will be given orally in 2 divided dose for 8 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patient willing to participate in the study and has given written informed consent.
2.Age group 18-60 years.
3.Patients diagnosed with Obsessive-Compulsive Disorder according to DSM-5 TR.(12)
4.Currently naïve or off any psychotropic medication for at least 6 weeks.
 
 
ExclusionCriteria 
Details  1.Treatment resistant OCD (2 adequate SSRI trial for 12 weeks)
2.History of non response to prior trial of fluoxetine with ondansetron.
3.Patient having severe psychiatric or medical comorbidities except depression.
4.Substance use disorder except nicotine and caffeine.
5.Pregnancy or lactation.
6.Patients with history of adverse reaction to study medications.
7.Inability to provide informed consent.
8.Patient with psychotic symptoms due to other organic illness.


 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Improvement in YBOCS,MADRS,CGI-I, HAM-A ,UKU Scales
 
Improvement in YBOCS,MADRS,CGI-I, HAM-A ,UKU Scales
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL   
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   20/07/2026 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   Potential participants will be screened for eligibility based on the inclusion and exclusion criteria.Participants will undergo baseline assessments to collect demographic information, medical history, psychiatric history, and baseline clinical variables will be measuresd YBOCS Scale And Symptoms Checklist, MADRS, HAM-A and CGI-I Scale.Participants will be randomized to either the ondansetron augmentation group (Group A) or the no augmentation group (group B). Fluoxetine therapy will be given in both the groups. Benzodiazepines (Lorazepam) upto 3 mg/day and beta-blocker (Propranolol) at a dose of 20-80 mg/day can be used as concomitant medication, if required.Participants will undergo regular follow-up assessments at 4 week and 8 week, Outcome measures including severity of OCD , depression and overall improvement will be assessed using standardized Scales 
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