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CTRI Number  CTRI/2025/10/096623 [Registered on: 29/10/2025] Trial Registered Prospectively
Last Modified On: 30/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A Study to See if a Herbal Medicine Can Help People with Pre-Diabetes and Diabetes Manage Their Blood Sugar 
Scientific Title of Study   An Open-label, Multi-arm, Single-center Clinical Study to Evaluate the Safety and Efficacy of Polyherbal Extract as an Adjuvant Therapy in Subjects with Pre-diabetic, Moderately-diabetic, and Severely-diabetic Conditions. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
CTSRS/2511 Version No 1.0 Dated 01 Jun 2025  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr G M Prasad 
Designation  Principal Investigator 
Affiliation  Pranav Diabetes Center 
Address  Ground Floor, Consultation Room No.1, 57/1, Nanda Complex Ramamurthynagar Main Road Banaswadi,

Bangalore
KARNATAKA
560043
India 
Phone  09731911630  
Fax    
Email  drgmprasad@gmail.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Ms Sathyavathi LM 
Designation  HOD-Clinical Operations 
Affiliation  Samahitha Research Solutions 
Address  Clinical Research Unit, No.1204, "Ashva", 2nd Floor, 26th Main, Jayanagar 9th Block, Bangalore

Bangalore
KARNATAKA
560069
India 
Phone  09739001749  
Fax    
Email  satyalm@samahitha.com  
 
Details of Contact Person
Public Query
 
Name  Ms Arpita Malgi 
Designation  Team Lead - Clinical Operations 
Affiliation  Samahitha Research Solutions 
Address  Clinical Research Unit, No.1204, "Ashva", 2nd Floor, 26th Main, Jayanagar 9th Block, Bangalore

Bangalore
KARNATAKA
560069
India 
Phone  06364898825  
Fax    
Email  arpita@samahitha.com  
 
Source of Monetary or Material Support  
Navyug Global Ventures Pvt. Ltd. Door No. 961, 1st Floor, Sugal Building, Poonamallee High Rd, Purasaiwakkam, Chennai, Tamil Nadu - 600084. 
 
Primary Sponsor  
Name  Navyug Global Ventures Pvt. Ltd. 
Address  Door No. 961, 1st Floor, Sugal Building, Poonamallee High Rd, Purasaiwakkam, Chennai, Tamil Nadu - 600084. 
Type of Sponsor  Pharmaceutical industry-Indian 
 
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 G M Prasad  Pranav Diabetes Center  Ground Floor, Consultation oom No.1, 57/1, Nanda Complex Ramamurthynagar Main Road Banaswadi,
Bangalore
KARNATAKA 
09731911630

drgmprasad@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Pranav Diabetes Center Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:R730||Abnormal glucose. Ayurveda Condition: MADHUMEHAH/KSHAUDRAMEHAH, (2) ICD-10 Condition:E119||Type 2 diabetes mellitus without complications. Ayurveda Condition: MADHUMEHAH/KSHAUDRAMEHAH, (3) ICD-10 Condition:E11||Type 2 diabetes mellitus. Ayurveda Condition: MADHUMEHAH/KSHAUDRAMEHAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugOther than Classical(1) Medicine Name: Polyherbal + Standard of Care, Reference: NA, Route: Oral, Dosage Form: Churna/ Powder, Dose: 2(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 3 Months, anupAna/sahapAna: Yes(details: -Water), Additional Information: -Arm- A (Prediabetic) Polyherbal Extract (Powder) 2 g orally twice daily (morning after breakfast, evening before dinner) with water for 90 days, combined with Standard of Care (Metformin ± diet). Sachets dispensed monthly.
2Intervention ArmDrugOther than Classical(1) Medicine Name: Polyherbal + Standard of Care, Reference: NA, Route: Oral, Dosage Form: Churna/ Powder, Dose: 2(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 3 Months, anupAna/sahapAna: Yes(details: -Water), Additional Information: -Arm- C (Severely Diabetic) Polyherbal Extract (Powder) 2 g orally twice daily (morning after breakfast, evening before dinner) with water for 90 days, combined with SOC (Metformin ± insulin/other antidiabetic drugs as per physician). Sachets dispensed monthly.
3Intervention ArmDrugOther than Classical(1) Medicine Name: Polyherbal Extract + Standard of Care, Reference: NA, Route: Oral, Dosage Form: Churna/ Powder, Dose: 2(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 3 Months, anupAna/sahapAna: Yes(details: -Water), Additional Information: -Arm- B (Moderately Diabetic) Polyherbal Extract (Powder) 2 g orally twice daily (morning after breakfast, evening before dinner) with water for 90 days, combined with SOC (Metformin ± diet). Sachets dispensed monthly.
4Comparator Arm (Non Ayurveda)-Standard of careMetformin - commonly prescribed for both moderate and severe diabetes 500 mg to 1000 mg BID, Sulfonylureas orally twice daily for 90 days.
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Age between thirty and seventy-five years, of either gender.
2. Able and willing to provide written informed consent. For subjects aged sixty years and above, audio-visual consent is mandatory as per regulatory requirements.
3. Diagnosed as:
3.1 Prediabetic (HbA1c between five point seven percent and six point four percent)
3.2 Moderately diabetic (HbA1c greater than or equal to six point five percent)
3.3 Severely diabetic (HbA1c greater than or equal to eight point zero percent)
4. Stable on current diabetes medication for the past four weeks, if applicable.
5. Willing to comply with study procedures and visit schedule. 
 
ExclusionCriteria 
Details  1. Diagnosis of any major systemic illness, including:
1.1 Malignancies
1.2 Chronic obstructive pulmonary disease (COPD)
1.3 Hepatobiliary disease
1.4 Severe cardiovascular disorders
1.5 Blood disorders
2. Known hyperlipidemia, hepatic dysfunction, renal dysfunction, or uncontrolled pulmonary dysfunction.
3. Poorly controlled hypertension.
4. Participation in any other clinical trial within the last three months.
5. Pregnant or lactating women.
6. Known allergy or intolerance to any component of the investigational product.
7. Unwillingness or inability to comply with study procedures or to sign informed consent.
8. Any condition that, in the investigator’s opinion, would interfere with study compliance or data interpretation. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. Change in Glycosylated Hemoglobin (HbA1c)
o Measured from baseline (Visit 4) to Day 90 (Visit 7)
o Assesses long-term glycemic control over the 3-month treatment period
2. Change in Random Blood Sugar (RBS)
- Evaluated from baseline to the end of the study using both:
- Laboratory-based RBS measurements (Visits 1, 2, 3)
- Weekly glucometer readings (pre- and post-breakfast) recorded in subject diaries
Statistical Methods:
- Within-group comparisons: Paired t-test or Wilcoxon signed-rank test
- Between-group comparisons: ANOVA (parametric) or Kruskal-Wallis test (nonparametric),
followed by post hoc tests if significant.
- Effect Size: Mean ± SD, 95% confidence intervals. 
Screening Day -3,
Day -2 and Day -1
Randomization/Baseline Day 0
Day 30±2 Days,
Day 60±2 Days,
Day 90±2 Days,
Day 105±2 Days. 
 
Secondary Outcome  
Outcome  TimePoints 
1. Change in SF-36 Quality of Life scores
2. Descriptive analysis of improvement in physical and mental health domains
3. Compliance Rate (% sachets taken out of total dispensed) 
Screening Day -3,
Day -2 and Day -1
Randomization/Baseline Day 0
Day 30±2 Days,
Day 60±2 Days,
Day 90±2 Days,
Day 105±2 Days. 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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 3 
Date of First Enrollment (India)   09/11/2025 
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="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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  

Brief Summary and Purpose of the Study

This is an open-label, multi-arm, single-center clinical trial designed to evaluate the efficacy and safety of a Polyherbal Extract as an adjuvant therapy in subjects with prediabetes, moderate diabetes, and severe diabetes. A total of 80 subjects will be enrolled and assigned to one of four study arms based on their glycemic status:

  • Arms A, B, and C: Polyherbal Extract + Standard of Care (SOC)

  • Arm D (Control): SOC only

The Polyherbal Extract is administered orally at 2 grams twice daily for 90 days alongside standard antidiabetic treatment (Metformin ± diet or insulin/other drugs as per physician).

The study aims to:

  1. Primary objectives:

    • Evaluate the effect of the Polyherbal Extract on glycemic control by measuring HbA1c and Random Blood Sugar (RBS) from baseline to Day 90.

  2. Secondary objectives:

    • Assess improvement in quality of life using the SF-36 questionnaire.

    • Monitor safety and tolerability, including adverse events, vital signs, and liver/renal function tests.

This study addresses the limitations of conventional diabetes treatments by exploring a plant-based, integrative approach, leveraging traditional herbal medicine in combination with standard care. The findings may provide evidence for a safe and effective adjunct therapy for glycemic management in the Indian population.


 
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