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CTRI Number  CTRI/2025/12/098784 [Registered on: 10/12/2025] Trial Registered Prospectively
Last Modified On: 26/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   Compare the effects of vitamin B9, B12, C, D on Cognitive Function in patients with Parkinson's disease 
Scientific Title of Study   Comparative Efficacy of Selected Vitamins (B9, B12, C, and D) on Cognitive Function in Parkinsons Disease. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  S Safreen Rumana 
Designation  Student 
Affiliation  SRM Institute of Science and Technology, Kattankulathur 
Address  Department of Pharmacy Practice, SRM College of Pharmacy, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu district, Tamil Nadu, India

Kancheepuram
TAMIL NADU
603203
India 
Phone  9488356526  
Fax    
Email  ss8379@srmist.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr M G Rajanandh 
Designation  Professor 
Affiliation  SRM Institute of Science and Technology, Kattankulathur 
Address  Department of Pharmacy Practice, SRM College of Pharmacy, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu district, Tamil Nadu, India

Kancheepuram
TAMIL NADU
603203
India 
Phone  7598464723  
Fax    
Email  mgr@srmist.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr S Robert wilson 
Designation  Professor 
Affiliation  SRM Institute of Science and Technology, Kattankulathur 
Address  Department of Neurology, SRM Medical College Hospital & Research Centre, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu district, Tamil Nadu, India

Kancheepuram
TAMIL NADU
603203
India 
Phone  9952040784  
Fax    
Email  robertws@srmist.edu.in  
 
Source of Monetary or Material Support  
SRM Medical College and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu district- 603203, Tamil nadu, India 
 
Primary Sponsor  
Name  SRM Medical College and Research centre 
Address  SRM Institute of Science and Technology, Kattankulathur, Chengalpattu district- 603203, Tamil nadu, India 
Type of Sponsor  Research institution and hospital 
 
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 S Robert Wilson   SRM Medical College Hospital and Research Centre, Kattankulathur - 603203   Department of Neurology, SRM Institute of Science and Technology, Kattankulathur- 603203
Kancheepuram
TAMIL NADU 
9952040784

robertws@srmist.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional 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  (1) ICD-10 Condition: G20||Parkinsons disease,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Standard Care  Standard Care (Carbidopa 25mg + Levodopa 100mg) thrice daily oral for 6 months 
Intervention  Standard Care + Vitamin B12  Standard Care (Carbidopa 25mg + Levodopa 100mg) thrice daily oral + Vitamin B12 2.4mcg once daily oral for 6 months 
Intervention  Standard Care + Vitamin B9  Standard Care (Carbidopa 25mg + Levodopa 100mg) thrice daily oral + Vitamin B9 400mcg once daily oral for 6 months  
Intervention  Standard Care + Vitamin C  Standard Care (Carbidopa 25mg + Levodopa 100mg) thrice daily oral + Vitamin C 90mg once daily oral for 6 months 
Intervention  Standard Care + Vitamin D   Standard Care (Carbidopa 25mg + Levodopa 100mg) thrice daily oral + Vitamin D 15mcg once daily oral for 6 months  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Cognitive impairment (MoCA score below 24)receving standard PD therapy 
 
ExclusionCriteria 
Details  Patients with Thalassemia
Individual diagnosed with G6PD deficiency or Sickle cell disease
Subject with Hemochromatosis (serum ferritin more than 1000ng/ml & transferrin saturation more than 45 percent
Participants presenting with severe kidney disease or advanced renal/liver impairment (eGFR less than 30 ml/min/1.73m^2 , child pugh class C)
History of gastric ulcers or pernicious anemia (vit B12 less than 150pg/ml)
Case of severe anemia (HB less than 7g/dl)
 
 
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 
The outcome of this study will give a clear understanding of the cognitive enhancing abilities of vitamins (B9,B12,C&D) among Indian population  Biomarker assessment: Beta amyloid 40 & 42 ratio
Baseline , 3rd month, 6th month 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the safety & tolerability of these vitamins by monitoring ADRs
To compare the quality of life between control & treatment groups using scores & scales 
MoCA & Neuro QoL score scale assessment: Baseline, 3rd month & 6th month
 
 
Target Sample Size   Total Sample Size="155"
Sample Size from India="155" 
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/ Phase 4 
Date of First Enrollment (India)   22/12/2025 
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  

Patients with Parkinsons disease are screened for eligibility based on diagnosis cognitive status MoCA less than 24 and medical exclusions including G6PD deficiency thalassemia liver or kidney disease ulcers and anemia Eligible participants provide informed consent and are assigned into five separate groups Group one receives standard care only Group two receives standard care with vitamin B9 Group three receives standard care with vitamin B12 Group four receives standard care with vitamin C Group five receives standard care with vitamin D

Baseline assessments include demographics vitals clinical history laboratory test such as Beta amyloid 40 and 42 ratio biomarker levels MoCA and Neuro QoL score scale Participants are monitored for adherence side effects and use of any additional medicines during the study

Follow up evaluations at baseline month three and month six include amyloid biomarker ratio cognitive function MoCA quality of life Neuro QoL and recording of adverse events After six months a final analysis is done to assess efficacy safety and improvement in quality of life

 
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