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CTRI Number  CTRI/2026/01/100028 [Registered on: 01/01/2026] Trial Registered Prospectively
Last Modified On: 18/06/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Preventive 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Personalized lifestyle prescription (Exercise and Diet) for Indians with Cardio metabolic Diseases  
Scientific Title of Study   Development and Validation of a Novel, Third-Generation Lifestyle (Exercise and Nutrition) Prescription for Precision Medicine in Indians with cardio metabolic diseases (DEVELOP Study). 
Trial Acronym  DEVELOP Study 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pranathi Racha 
Designation  Assistant Professor 
Affiliation  St. Johns Medical College 
Address  3rd floor, Department of Physiology, Golden Jubilee Block, St. Johns Medical College, Sarjapur Road, Bangalore- 560034, Karnataka.

Bangalore
KARNATAKA
560034
India 
Phone  9620194601  
Fax    
Email  pranathi.r@stjohns.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Denis Xavier 
Designation  Professor and Head 
Affiliation  St. Johns Research Institute 
Address  1st Floor,Department of Pharmacology St Johns Medical College Head, Division of Clinical Research and training St. Johns Research Institute Koramangala Bangalore India

Bangalore
KARNATAKA
560034
India 
Phone  9886126801  
Fax    
Email  denis.xavier@stjohns.in  
 
Details of Contact Person
Public Query
 
Name  Dr Pranathi Racha 
Designation  Assistant Professor 
Affiliation  St. Johns Medical College 
Address  3rd floor, Department of Physiology, Golden Jubilee Block, St. Johns Medical College, Sarjapur Road, Bangalore- 560034, Karnataka

Bangalore
KARNATAKA
560034
India 
Phone  9620194601  
Fax    
Email  pranathi.r@stjohns.in  
 
Source of Monetary or Material Support  
ICMR Small Assistance Grant 
 
Primary Sponsor  
Name  ICMR 
Address  V. Ramalingaswami Bhawan, Post Office Box No. 4911 Ansari Nagar, New Delhi - 110029, India. 
Type of Sponsor  Government funding agency 
 
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 Pranathi Racha  St. Johns Medical College Hospital  Sarjapur Road, Koramangala, Bengaluru, Karnataka 560034.
Bangalore
KARNATAKA 
9620194601

pranathi.r@stjohns.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
St Johns Medical College Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  No risk factors for cardio metabolic diseases. 
Patients  (1) ICD-10 Condition: E889||Metabolic disorder, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Healthy volunteers and Cardio Metabolic patients (stages 0-4) (table 1) (2), aged 18-60 years, sedentary to moderately active (PAL 2) 34, willing to adapt to exercise and provide informed consent.  
 
ExclusionCriteria 
Details  Contraindications to structured exercise (e.g., uncontrolled
hypertension, unstable angina), inability to exercise due to conditions like osteoarthritis, or non-compliance risks (e.g., distant residence, cognitive impairment) 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Development and validation of a third- generation precision lifestyle prescription (TGPLP) in improving adherence to optimal physical activity and diet compared to standard of care  Baseline and 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Cost-effectiveness, acceptability, and scalability of third generation precision lifestyle prescription for a larger randomized controlled trial.  24- 36 months 
 
Target Sample Size   Total Sample Size="2250"
Sample Size from India="2250" 
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)   22/01/2026 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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
Modification(s)  
Cardiometabolic diseases (CMDs) such as hypertension, dyslipidaemia, and type 2 diabetes significantly increase cardio- and cerebrovascular risk. Conventional manually written first-generation lifestyle prescriptions show sub- optimal adherence, while second-generation electronic prescriptions without artificial intelligence (AI) are limited in India. Third-generation lifestyle prescriptions integrate wearable, clinical and physiological parameters, genetic information, and evidence-based guidelines using AI/machine-learning (ML) tools to generate precise, individualised recommendations, an approach unexplored in India. This study proposes the development of a culturally relevant Third-Generation Precision Lifestyle Prescription (TGPLP) that can be customised by treating physicians. Objective 1 is to develop TGPLP using detailed prospective data from 2,000 participants across CMD stages, integrating genetic, wearable, clinical, and lifestyle datasets through AI/ML. Objective 2 is to evaluate the preliminary efficacy of TGPLP on adherence to physical activity and diet over 12 weeks through a pilot randomised controlled trial in 200 particpants. Objective 3 is to assess cost, acceptability, and scalability to inform a future multi-centre RCT. We will Assess physical activity using IPAQ questionnaire instead of SJRI developed PAQ for its wider international acceptance, standardized scoring system, and ease of administration in large clinical studies. 
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