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CTRI Number  CTRI/2017/07/009139 [Registered on: 27/07/2017] Trial Registered Retrospectively
Last Modified On: 10/07/2017
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Is Papaya leaf extract useful in treating Dengue patients? 
Scientific Title of Study   Effectiveness of Carica Papaya leaf extract in increasing the platelet count in cases of dengue fever with thrombocytopenia” – A double blind placebo randomised controlled trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Gift Norman  
Designation  HOD Community Health Division 
Affiliation  Bangalore Baptist Hospital 
Address  Community Health Division Bangalore Baptist Hospital Bellary road Hebbal
Bangalore Baptist Hospital Bellary road Hebbal
Bangalore
KARNATAKA
560024
India 
Phone  9591761106  
Fax    
Email  normangift@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Carolin Elizabeth George 
Designation  Consulant 
Affiliation  Bangalore Baptist Hospital 
Address  Community Health Division Bangalore Baptist Hospital Bellary road Hebbal

Bangalore
KARNATAKA
560024
India 
Phone  9972156838  
Fax    
Email  carolinelizabethj@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Carolin Elizabeth George 
Designation  Consulant 
Affiliation  Bangalore Baptist Hospital 
Address  Community Health Division Bangalore Baptist Hospital Bellary road Hebbal

Bangalore
KARNATAKA
560024
India 
Phone  9972156838  
Fax    
Email  carolinelizabethj@gmail.com  
 
Source of Monetary or Material Support  
Bangalore baptist hospital 
 
Primary Sponsor  
Name  Bangalore Baptist Hospital 
Address  Bangalore Baptist Hospital Bellary road Hebbal 
Type of Sponsor  Private hospital/clinic 
 
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 Gift Norman  Bangalore Baptist Hospital  Department of Medicine Bangalore Baptist Hospital Bellary road Hebbal
Bangalore
KARNATAKA 
9591761106

normangift@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Bangalore Baptist Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients with dengue fever,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  C.papaya capsule (Caripil)   Caripil 1100 mg three times daily for 5 days, along with the standard regimen.  
Comparator Agent  Placebo  The other group will receive placebo three times daily for 5 days, along with the standard regimen 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details 
Inclusion criteria
a. Age 15-70 years and
b. Dengue Ag/Ab OR both Ag, Ab positive
c. Inpatients
d. Platelet count less than 1,00,000 and
e. Patients willing to participate in study and given informed consent
 
 
ExclusionCriteria 
Details  • Pregnant or lactating women
• Patients with Dengue hemorrhagic fever grade III and IV,
• Patients with platelet count less than 10000/micro liter
• Patients with thrombocytopenia presenting with active bleeding
• Patients who have received blood or blood products transfusion during the current illness or during past one week,
• Patients with thrombocytopenia Purpura (ITP), Leukemia, Hemophilia or bleeding diathesis
• Patients with history of papaya leaf extract consumption prior to admission.
• Participation in another trial with another investigational drug within 1 month prior to informed consent.
• The presence of any other condition that leads the investigator to conclude that the patient is inappropriate for inclusion in the clinical study

 
 
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 
Mean platelet count  Day 1, 2, 3,4 and 5 
 
Secondary Outcome  
Outcome  TimePoints 
Morbidity profile
WBC count
RBC count 
Days 1, 2, 3, 4 and 5 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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 2/ Phase 3 
Date of First Enrollment (India)   01/03/2016 
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)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

 Title  - “Effectiveness of Carica Papaya leaf extract in increasing the platelet count in cases of dengue fever with thrombocytopenia” – A double blind randomized placebo controlled trial

Introduction -Dengue is a tropical infection that is highly prevalent in rainy season in tropical countries like India. This mosquito borne viral infection is known to cause thrombocytopenia which is associated with higher morbidity and mortality.Currently there are no specific antiviral agents effective for Dengue infection. In the recent years, there are few reports showing clinical usefulness of papaya leaf extract for dengue.

Objectives   1.      To determine the effectiveness of papaya leaf extract in increasing platelet count in patients with Dengue fever

2.      To compare the morbidity profile of patients with Dengue fever who were given papaya leaf extract and  the controls

Primary outcome variable: mean platelet count 

Method  - Double blind randomized placebo controlled trial.A total of 100 subjects (n=100) diagnosed as dengue cases by NS 1 Ag &Ab (IgG/IgM) to be enrolled in this study. Inclusion and exclusion criteria will be followed. Informed consent shall be taken. The patients will be randomized to be in either of the groups. One group will receive Caripil 1100 mg three times daily for 5 days. The other group will receive placebo three times daily for 5 days. All the patients will be advised not to take any formulation containing papaya extract.

      Blood samples will be checked twice a day for platelets and once a day for hematocrit in the clinical hospital laboratory during hospitalization period. During the course of study, if the platelet count falls below the critical value of less than 10,000 or if the patient presents with bleeding manifestation requiring platelet transfusion shall be treated accordingly and will be excluded from the study.

 
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