| CTRI Number |
CTRI/2025/06/089415 [Registered on: 24/06/2025] Trial Registered Prospectively |
| Last Modified On: |
26/06/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
To find out the safety and effectiveness of Chlordiazepoxide in Alcohol withdrawl syndrome patients |
|
Scientific Title of Study
|
Prospective, multi-center, open-label study to evaluate the effectiveness
and safety of chlordiazepoxide in mild to moderate Alcohol withdrawal
syndrome patients using CIWA-Ar scale in Deaddiction centers |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| AMD/P/25/001 Version 1.0, Dated 07.05.2025 |
Protocol Number |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Amar Shinde |
| Designation |
Principal Investigator |
| Affiliation |
Jagruti Rehabilitation Centre |
| Address |
Room number 1 ground floor Jagruti Rehabilitation Centre Siddhi Vinayak Plot no 37 Taloja Phase 1 Rd Petali Taloja Panchanand Sector 5 Taloja Navi Mumbai Maharashtra
Mumbai MAHARASHTRA 410208 India |
| Phone |
9822207717 |
| Fax |
|
| Email |
dramar79@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Amar Shinde |
| Designation |
Principal Investigator |
| Affiliation |
Jagruti Rehabilitation Centre |
| Address |
Room no 1 ground floor Jagruti Rehabilitation Centre Siddhi Vinayak Plot no 37 Taloja Phase 1 Rd Petali Taloja Panchanand Sector 5 Taloja Navi Mumbai Maharashtra
Mumbai MAHARASHTRA 410208 India |
| Phone |
9822207717 |
| Fax |
|
| Email |
dramar79@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Jawahar Nidamboor |
| Designation |
Assistant Vice President |
| Affiliation |
Alpha MD Pvt Ltd |
| Address |
1st Floor 315 Balgovind Wadi opp. Prabhadevi Mandir Prabhadevi Mumbai Maharashtra
Mumbai MAHARASHTRA 400025 India |
| Phone |
9769796370 |
| Fax |
|
| Email |
jawahar.nidmboor@alphamd.com |
|
|
Source of Monetary or Material Support
|
|
Primary Sponsor
Modification(s)
|
| Name |
Abbott Healthcare Pvt Ltd |
| Address |
Abbott Healthcare Pvt Ltd Floor 16 Godrej BKC Plot No C 68 BKC Near MCA Club Bandra (E) Mumbai 400 051 |
| Type of Sponsor |
Pharmaceutical industry-Indian |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 5 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr D Vijayanand |
Jagruti Rehabilitation Center |
Jagruti Rehabilitation Centre 944 17th Main road Thirumoolar colony Anna Nagar Chennai 600038 Chennai TAMIL NADU |
9176091896
vijayanandsanatana1711981@gmail.com |
| Dr Aanchal Miglani |
Jagruti Rehabilitation Center |
Jagruti Rehabilitation Centre B-17 Sector 30
Noida Uttar Pradesh 201301 Gautam Buddha Nagar UTTAR PRADESH |
9910005996
aanchalmiglani2703@gmail.com |
| Dr Amar Shinde |
Jagruti Rehabilitation Center |
Jagruti Rehabilitation Centre
Siddhi Vinayak Plot no 37 Taloja Phase 1 Rd Petali Taloja Panchanand Sector 5 Taloja Navi Mumbai Maharashtra 410208 Mumbai MAHARASHTRA |
9822207717
dramar79@gmail.com |
| Dr Mahendra Mane |
Jagruti Rehabilitation Center |
Jagruti Rehabilitation Centre Zhagade Wasti Near Loni Toll Naka Farm Solapur Pune Hwy Manjri Hadapsar Pune Maharashtra 412307 India Pune MAHARASHTRA |
9423279025
dr.mahendramane@gmail.com |
| Dr Suman Rajpara |
Jagruti Rehabilitation Center |
Jagruti Rehabilitation Centre B24 Greenwood Garden City Sardar Patel Ring Road Vibhag 1 OGNAJ Ahmedabad Gujarat 380060 Ahmadabad GUJARAT |
7874217483
suman.patel4995@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 5 |
| Name of Committee |
Approval Status |
| ACEAS Independent Ethics Committee |
Approved |
| Central Independent Ethics Committee-CIEC |
Approved |
| Ethicare Ethics Committee |
Approved |
| Saarthak Ethical Research Independent Ethics Committee |
Approved |
| Universal Independent Ethics Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: F102||Alcohol dependence, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Chlordiazepoxide tablets |
Chlordiazepoxide daily for 12 days Oral tablets |
| Comparator Agent |
NA |
NA |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
Males and females of more than 18 to less than 60 years
Patients should be admitted in deaddiction centers after 6 hours of last alcohol use with Day 0
CIWA Ar score
Patients meet criteria for mild to moderate AWS (DSM V) by the investigator
Patient admitted in the deaddiction centers should be willing to give consent to participate into the trial
Liver Parameters- AST or ALT less than 2 times ULN |
|
| ExclusionCriteria |
| Details |
Dependent on any substance other than alcohol except nicotine
History of severe alcohol withdrawal complications (alcohol withdrawal seizures, epilepsy or
delirium tremens)
History of hepatic encephalopathy less than 1 year & other liver disease less than 6 months
Received medications that may alter AWS presentation such as Antipsychotics other
benzodiazepines (except rescue doses))
Known contraindications to chlordiazepoxide
Pregnant or nursing females
Patients with the inability or unwillingness to comply with the study protocol |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
Percentage reduction in AWS symptoms based on daily CIWA Ar
score from baseline to day 12 |
Day 0 baseline to day 12 |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
LFT parameter before and at end of the study period
Number of days required for reduction of agitation and tremors
Number of minimum symptoms days
Incidence of rebound symptoms (smooth withdrawal)
Dropout rate
Percentage of Delirium Tremens patients
Outcome in mild liver dysfunction patients |
Day 0 baseline to day 12 |
|
|
Target Sample Size
|
Total Sample Size="300" Sample Size from India="300"
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)
|
10/07/2025 |
| 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="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
|
Alcohol abuse is the biggest problem here: India has an estimated 160 million users of alcohol. This adds up to 14.6% of the Indian population. About 5.2% of the Indian population needs treatment for alcohol dependence. Alcohol withdrawal syndrome (AWS) occurs when patients stop drinking or significantly decrease their alcohol intake after long-term dependence. The clinical presentation varies from mild to severe, and the onset of symptoms typically occurs a few hours after the last alcohol intake. Benzodiazepines have the largest and the best evidence base in the treatment of alcohol withdrawal. Long-acting BZD are preferred and are considered as the gold standard. Chlordiazepoxide is a long-acting benzodiazepine, that is used in patients with AWS. The starting dose of Chlordiazepoxide in AWS patients usually ranges from 100-150mg/day, which is subsequently down-titrated over a period of 10-15 days and gradually withdrawn. Currently, there are limited Indian studies on safety and effectiveness of chlordiazepoxide in AWS patients. |