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CTRI Number  CTRI/2025/11/097865 [Registered on: 21/11/2025] Trial Registered Prospectively
Last Modified On: 14/11/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Single Arm Study 
Public Title of Study   A Prospective Observational Cohort Study on Integration of Wearable Derived Stress and sleep metrics through stool characteristics via MH Sense device to characterize Psychosomatic Health Profiling 
Scientific Title of Study   Integration of Wearable Derived Stress and Sleep Metrics and Stool Characteristics to Characterize Psychosomatic Health A Prospective Observational Cohort 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
MHW/2025-01  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pavan Reddy Thondapu  
Designation  MBBS, MD, DM (Gastro) 
Affiliation  Arete Hospitals 
Address  Gastroenterology Arete Hospitals Hyderabad
Madhura Nagar Colony Gachibowli Telangana, 500081
Hyderabad
TELANGANA
500072
India 
Phone  7022252220  
Fax    
Email  pavanreddy.1857@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Varun Aggarwala 
Designation  Assistant Professor & Researcher 
Affiliation  Microheal Wellness Private Limited 
Address  Jio Institute Navi Mumbai
Science City Ahmedabad Pin 380060
Mumbai
MAHARASHTRA
410206
India 
Phone  9625666850  
Fax    
Email  varun.aggarwala@jioinstitute.edu.in  
 
Details of Contact Person
Public Query
 
Name  Shashank Mishra 
Designation  CEO 
Affiliation  Microheal Wellness Private Limited 
Address  House 18 Silver spring bungalows 21 living Divine road Science City Ahmedabad
House 18 Silver spring bungalows 21 living Divine road Science City Ahmedabad Pin: 380060
Ahmadabad
GUJARAT
380060
India 
Phone  7376113646  
Fax    
Email  shashank@microheal.in  
 
Source of Monetary or Material Support  
MicroHeal Wellness Pvt. Ltd SILVER SPRING BUNGLOWS 21 LIVING BUNGALOW NO 18 DIVINE ROAD SCIENCE CITY AHMEDABAD 380060 
 
Primary Sponsor  
Name  Shashank Mishra 
Address  MicroHeal Wellness Private Limited House-18 Silver spring bungalows 21 living, Divine road Science City Ahmedabad Pin: 380060 House-18 Silver spring bungalows 21 living, Divine road Science City Ahmedabad Pin: 380060 
Type of Sponsor  Other [Healthcare] 
 
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 Pavan Reddy Thondapu  Arete Hospitals  Gastroenterology Department Madhura Nagar Colony Gachibowli Hyderabad
Hyderabad
TELANGANA 
7022252220

Pavanreddy.1857@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
S2J Independant Ethics Committee Holistic Care and Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K928||Other specified diseases of the digestive system, (2) ICD-10 Condition: K928||Other specified diseases of the digestive system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nitto SELF Wearable wrist watch device and MicroHeal Stool tracking Device   A wrist worn watch(Nitto and reference wearable device) that continuously streams real time heart rate heart rate variability and pulse pressure data via a secure encrypted API. MicroHeal Stool Tracking Device A toilet-mounted device that captures (a) Stool Images For AI-driven classification according to the Bristol Stool Chart (Types 1-7). (b) Audio Data Records grunting flush and effort sounds to assess bowel strain and confirm event integrity.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Adults aged 18-65 years.
2. Confirmed clinical diagnosis of IBS (according to Rome IV criteria) or a documented history of irregular stool patterns.
3. Willingness and ability to use the MicroHeal toilet sensor and Nitto SELF wearable daily.
4. Access to a home Wi-Fi network.
5. Ability to provide written informed consent. 
 
ExclusionCriteria 
Details  1. Patients who are active and having uncontrolled IBD like crohns disease and ulcerative colitis
2. Use of medications known to significantly alter gut motility or autonomic function unless on a stable dose for more than three months prior to enrollment
3. Physical or cognitive impairement preventing the use of the study devices
4. Participation in a concurrent clinical trial involving investigational drugs or devices. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. To investigate how fluctuations in physiological stress markers correlate with bowel behavior (stool form, defecation effort) in people living with irritable bowel syndrome (IBS).
2. To quantify the association between short term fluctuations in wearable derived autonomic stress markers (HRV, resting HR) and contemporaneous changes in stool form/frequency and DASS21 scores. 
DAY 0- Baseline visit, Device dispensing, Training, Clinical History, Demographic information, Consent

 
 
Secondary Outcome  
Outcome  TimePoints 
1. To Validate the technical integration and data integrity with the technologies into a single invasive system
2. To develop and validate AI model that uses stress linked gut motility patterns to predict IBS
3. To access the system ability to provide objective data that may help clinicians to differentiate IBS from IBD
4. To evaluate user adherance and platform acceptability and the impact of life intervention on patient quality of life and symptom awareness
5. Access fessibility and user acceptability of continuous digital monitoring over 28 days 
Day 1 to 27 Daily wearable watch and stool tracking device, stool/image logging, Meal logging, app-based reporting, weekly adherence alerts. 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   01/12/2025 
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  

This is a prospective, single-arm, observational cohort study aiming to objectively characterize the complex relationship between physiological stress, sleep, and gut function in adults with Irritable Bowel Syndrome (IBS) or irregular stool patterns.

  • Problem: Functional gut disorders like IBS affect over 700 million people, and current diagnosis and management often rely on subjective patient-reported outcomes. The gut-brain-microbiome axis is central to these psychosomatic disorders.

  • Need: Objective, non-invasive, continuous monitoring tools are needed to understand the temporal link between physiological states (stress/sleep) and gut function.

  • Solution: Integrate consumer-grade wearable data (Heart Rate Variability - HRV, sleep) with AI-powered toilet sensor data (stool form, defecation effort) and serial stool microbiome analysis.

  • Goal: Generate clinical evidence for stress-linked motility patterns, predict IBS flare-ups, and help differentiate IBS from Inflammatory Bowel Disease (IBD).

Study Design and Methodology

  • Participants: 50 adults (40 with Rome IV-confirmed IBS, 10 without IBS) aged 18-65, recruited from gastroenterology clinics and digital campaigns in India.

  • Exclusions: Active, uncontrolled IBD or use of medications significantly altering gut motility/autonomic function (unless stable for months).

  • Duration: 4 weeks (28 days) of continuous monitoring.

  • Technology

  • Nitto SELF Wearable: Wrist-worn device for streaming HR, HRV, and sleep metrics.

  • MicroHeal Stool Tracking Device: Toilet-mounted device for capturing stool data and defecation effort.

  • Custom Mobile App: For daily logging of the Bristol Stool Form Scale (BSFS) and self-reported mental health scales (DASS-21, PHQ-9, GAD-7).

 
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