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CTRI Number  CTRI/2017/11/010403 [Registered on: 07/11/2017] Trial Registered Retrospectively
Last Modified On: 04/11/2017
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Post-Menopausal Status and Memory Loss 
Scientific Title of Study   Comparative Assessment of Methylcobalamin and Ascorbic acid on Cognitive Function in Post-Menopausal Women - A Randomized, Double-blind 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 Vijayakumar TM 
Designation  Assistant Professor 
Affiliation  SRM University 
Address  Department of Pharmacy Practice, SRM College of Pharmacy, SRM University, SRM Nagar, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  919003400350  
Fax  914427455734  
Email  vijaypractice@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Logaraj M 
Designation  Professor and Head 
Affiliation  SRM University 
Address  Department of Community Medicine, SRM Medical College Hospital and Research Centre, SRM University, SRM Nagar, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  919443185347  
Fax    
Email  mlogaraj@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Lakshmi KS 
Designation  Dean 
Affiliation  SRM University 
Address  SRM College of Pharmacy, SRM University, SRM Nagar, Kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  914427453160  
Fax  914427455734  
Email  kslakshmi13@gmail.com  
 
Source of Monetary or Material Support  
College of Pharmacy, SRM University,SRM Nagar, Kattankulathur-603 203, Kancheepuram (Dt), Tamil Nadu 
 
Primary Sponsor  
Name  SRM University 
Address  SRM Nagar, Kattankulathur, Kancheepuram (Dt) Tamil Nadu 
Type of Sponsor  Private 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 
Dr KS Pavitra  SRM Medical College Hospital and Research Centre   Room No: 21,(URBAN HEALTH TRAINING CENTRE), Maraimalai Nagar, Kattankulathur, Kancheepuram (Dt)
Kancheepuram
TAMIL NADU 
919962938971

kspavitra786@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee, SRM Medical College Hospital and Research Centre   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Post Menopausal Women with Impaired Cognitive Function,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Ascorbic Acid (Vitamin C)  500 mg once daily for 12 Weeks (Oral) 
Intervention  Methylcobalamin (Vitamin B12)  500 mcg once daily for 12 Weeks (Oral) 
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  75.00 Year(s)
Gender  Female 
Details  1. MMSE Score 21-24
2. Menopausal women (taken as complete cessation of menstruation for at least 1 year/12 cycles) who had attained menopause for a period extending over 4 – 10 years at the time of inclusion into the study.
 
 
ExclusionCriteria 
Details  1. MMSE Score 25-30
2. History of recent or current Estrogen or hormonal replacement therapy
3. Known hypertensive, diabetic, renal disease, endocrine disorders, overt nutritional deficiency states, anemia, liver disease or those having history of psychiatric illness.
4. History of Women having estrogen secreting ovarian tumors, for e.g., granulosa and theca cell tumors, tumors of the adrenal gland.
5. Known history of neurological disorders including CVA, space occupying lesions, epilepsy and developmental anomalies.
6. Women, who are physically unable to hear, read or understand written or explained instructions properly, or may have a motor deficit that affects writing and drawing skills.
7. Women, who are already in any of the antioxidant or dietary supplement therapy.
 
 
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 
Vitamin B12 and Vitamin C Effects on Cognitive Function will be studied  Baseline, 45 days, 90 days 
 
Secondary Outcome  
Outcome  TimePoints 
Relation between estrogen and cognitive function will be studied  Baseline, 45 days, 90 days 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "53"
Final Enrollment numbers achieved (India)="53" 
Phase of Trial   Post Marketing Surveillance 
Date of First Enrollment (India)   28/12/2015 
Date of Study Completion (India) 30/04/2016 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   T.M.Vijayakumar, K.Pavitra, Logaraj M. Comparative assessment of methylcobalamin and ascorbic acid on cognitive function in post-menopausal women - A randomized, double-blind trial. Contemporary Clinical Trials Communications, 2017; 8: 175-180. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

The present study was designed to compare the effect of Methylcobalamin and ascorbic acid on cognitive function in post-menopausal women. An assessment of cognitive function was conducted using MMSE tests and serum β-amyloid42 levels. The MMSE is a modified screening tool used to evaluate cognitive deficits and assessments are simple and can be applied in primary health care with low cost. 

No significant differences were observed between ascorbic acid and methylcobalamin groups in a number of reported adverse events, and no subjects were removed from the study for a treatment-related adverse event.

In Summary, the present study provides evidence that ascorbic acid showed improvement in cognitive function among post-menopausal women when compared to methylcobalamin supplement. It is our hope that this preliminary data will be utilized to design large-scale longer-term trials with similar objectives in post-menopausal women. 

 

 
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