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CTRI Number  CTRI/2025/07/090540 [Registered on: 09/07/2025] Trial Registered Prospectively
Last Modified On: 08/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Understanding the mechanism of how complementary yoga therapy is helping in Depression 
Scientific Title of Study   Neurophysiological basis of yoga as an adjunct therapy in Major Depressive Disorder 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Kaviraja Udupa 
Designation  Professor 
Affiliation  National Institute of Mental Health and Neuro Sciences 
Address  Department of Neurophysiology NIMHANS

Bangalore
KARNATAKA
560029
India 
Phone  8026995914  
Fax    
Email  kaviudupa@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Balakrishnan K 
Designation  PhD Scholar 
Affiliation  National Institute of Mental Health and Neuro Sciences 
Address  Department of Neurophysiology NIMHANS

Bangalore
KARNATAKA
560029
India 
Phone  7373997077  
Fax    
Email  krish.balakannan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Balakrishnan K 
Designation  PhD Scholar 
Affiliation  National Institute of Mental Health and Neuro Sciences 
Address  Department of Neurophysiology NIMHANS


KARNATAKA
560029
India 
Phone  7373997077  
Fax    
Email  krish.balakannan@gmail.com  
 
Source of Monetary or Material Support  
Department of Science and Technology SATYAM (Science and Technology for Yoga and Meditation) 
 
Primary Sponsor  
Name  DST SATYAM (Science and Technology for Yoga and Meditation) 
Address  Department of Science and Technology Technology Bhavan New Mehrauli Road New Delhi 110 016  
Type of Sponsor  Government funding agency 
 
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 Kaviraja Udupa  National Institute of Mental Health and Neurosciences  Room No: 1010, Special OPD Block, CNN Laboratory, Department of Neurophysiology, NIMHANS Bengaluru India 560029 Bangalore KARNATAKA
Bangalore
KARNATAKA 
08026995614

kaviudupa@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee NIMHANS   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F330||Major depressive disorder, recurrent, mild, (2) ICD-10 Condition: F331||Major depressive disorder, recurrent, moderate, (3) ICD-10 Condition: F320||Major depressive disorder, singleepisode, mild, (4) ICD-10 Condition: F321||Major depressive disorder, singleepisode, moderate,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  control Group  Group will receive treatment as usual, pharmacotherapy and/or psychotherapy.  
Intervention  Yoga Therapy  8 weeks of yoga therapy. YOGA THERAPY MODULE FOR DEPRESSION (ONE HOUR DURATION). The below mentioned yoga practices are not meant for self-learning. These yoga practices are to be performed under the guidance of a trained yoga therapist only. I. PREPARATORY PRACTICES a) Sukshma & Sthulavyayama (Loosening practices) 05 min b) Suryanamaskar (Sun salutation): (3 Rounds) 10 min c) Shavasana - 1- Relaxation 1-2 min II. ASANAS AND MUDRAS Standing series of asanas 2 min a) Ardhachakrasana Sitting series of asanas 4 min (2 min each) a) Ushtrasana b) Paschimatanasana Prone series of asanas 2 minutes a) Bhujangasana b) Shavasana -2 - Yogic abdominal breathing 2 min Supine series of asanas 6 min (2 min each) a) Pavanamuktasana b) Viparitakarani mudra c) Setubandhasana d) Shavasana -3 - Yoga nidra 4 minutes III. KRIYA a) Kapalabhati 2 minutes IV. PRANAYAMA 6 min (2 min each) a) Suryanulomaviloma b) Bhastrika c) Ujjayi V. PRANAVA JAPA (AUM CHANTING) 5 min a) A-9 times b) U-9 times c) M-9 times d) AUM-9 times  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients of Major Depressive Disorder as per ICD-10: moderate depression and HDRS (14-23): Mild to Moderate Depression
Patients willing to participate in the study and give informed written consent  
 
ExclusionCriteria 
Details  Patients suffering from any other known cardio respiratory, neurological or endocrinological, systemic disorders as assessed by history and detailed clinical examination
Patients suffering from other psychiatric disorders: alcohol/substance abuse, psychotic features, suicidal tendency
Female patients who are pregnant or lactating
Patients with contraindications for TMS: Major head injury, epilepsy, metallic implants in head and neck areas
Patients who have completed participation in any other clinical trial during the past six (06) months and any other condition which the Investigators think may jeopardize the study 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To understand the role of Brain dynamic changes as biomarker for treatment response in MDD using EEG   Baseline
1st month
2nd month  
 
Secondary Outcome  
Outcome  TimePoints 
To understand the role of Brain dynamic changes as biomarker for treatment response in MDD using TMS and HRV  Baseline
1st month
2nd month  
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
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)   21/07/2025 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
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  

Major Depressive Disorder (MDD) is a pervasive mental health condition that affects millions of individuals worldwide, contributing to a significant global burden of disease. While traditional treatments like psychotherapy and pharmacotherapy have demonstrated efficacy, a growing body of research suggests that complementary therapies, such as yoga, may offer additional benefits in managing the symptoms of MDD. This study aims to understand the neurophysiological basis of treatment response using complementary yoga therapy using neuroplasticity, specifically focusing on cortical plasticity measures, to explore how yoga as a complementary therapy may influence the brain’s adaptive capacity in individuals with MDD

 
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