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CTRI Number  CTRI/2016/07/007123 [Registered on: 29/07/2016] Trial Registered Prospectively
Last Modified On: 17/06/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A Clinical Study of a Novel Composition of Boswellia serrata in Comparison With a Commercial Product in Improving Knee Joint Health in Non-Osteoarthritic Subjects. 
Scientific Title of Study   A Randomized Double-Blind Placebo Controlled Clinical Study for Comparative Evaluation of Efficacy and Tolerability of a Novel Composition and a Commercial Extract of Boswellia serrata in Improving Knee Joint Health of Non-Osteoarthritic Subjects. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
LN/JH/LI13019F1/16, Version 02 dated 06-May-2016  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr K Venkateshwarlu 
Designation  Consultant- Ayurvedic & Herbal Clinical Trials 
Affiliation  Anasuya Ayurveda Clinic 
Address  50 feet Main Road, Hanumanthanagar

Bangalore
KARNATAKA
560050
India 
Phone  09945232107  
Fax    
Email  drvenkatesh64@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  A V Krishna Raju 
Designation  Head, Project Management 
Affiliation  Laila Nutraceuticals 
Address  Survey No 181/2, 181/3, 181/4B, JRD TATA Industrial Estate, Kanuru, Vijayawada

Krishna
ANDHRA PRADESH
520007
India 
Phone  08666636666  
Fax  08662546216  
Email  avkr@lailanutra.in  
 
Details of Contact Person
Public Query
 
Name  Shekhar Gupta 
Designation  Chief Executive Officer 
Affiliation  D2L Clinical Solutions Pvt.Ltd. 
Address  1st Floor, Nandi Infotech, Plot no.8, 1st Cross, Sadarmangala Industrial Area, ITPL Whitefield Road

Bangalore
KARNATAKA
560048
India 
Phone  08030850666  
Fax  080-30850667  
Email  shekhar@d2lclinical.com  
 
Source of Monetary or Material Support  
Sponsor (Laila Nutraceuticals) 
 
Primary Sponsor  
Name  Laila Nutraceuticals 
Address  Survey No 181/2, 181/3, 181/4B JRD TATA Industrial Estate, Kanuru,Vijayawada-520007 
Type of Sponsor  Other [Nutraceutical Supplements Manufacturer] 
 
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 Annapoorna Bhat  Sri Venkateshwara Hospital  #86, Hosur Main Road, Madiwala, Bangalore 566068
Bangalore
KARNATAKA 
9886399730

sampoornhealthcare@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Venkateshwara Hospital Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Non Osteoarthritic Knee Joint Pain 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  LI13000   2 capsules twice daily (each capsule contains 250 mg of a commercial extract of Boswellia serrata gum resin) Frequency:BD, Duration:60 Days, Route of administration: Oral 
Intervention  LI13019F1  Dose: 2 Capsule twice daily (each capsule contains 100 mg of novel herbal formulation LI13019F1). Frequency: BD, Duration: 60 Days, Route of Administration: Oral. 
Comparator Agent  Placebo  Dose: 2 Capsules twice daily (each capsule contains excipients QS without LI13019F1 and LI13000 but resembles LI13019F1 and LI13000 capsules in weight and all organoleptic characteristics) Frequency: BD, Duration: 60 Days, Route of Administration: Oral.  
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  • Ambulatory, male and female subjects 30 – 65 years of age with a Body Mass Index (BMI) of approximately 18 to 29.9 kg/m2.
• Only non–osteoarthritic subjects with radio graphic evidence by Kellgren - Lawrence grade 0.
• Female subjects of childbearing potential must be using a medically acceptable form of birth control. Female subjects of non-childbearing potential must be amenorrheic for at least 1 year or had a hysterectomy and/or bilateral oophorectomy.
• Results of screening should be within normal range or considered not clinically significant by the Principal Investigator.
• Subjects having mild-to-moderate pain in knee joint upon completion of 30 sec Chair Stand Test or 80 meter Fast-Paced Walk Test, and otherwise no knee pain at rest.
• Be willing to refrain from taking ibuprofen, aspirin or other NSAIDS (other than paracetamol as rescue medication) or any other pain reliever (OTC or prescription) during the entire trial.
• Willing to sign the informed consent and comply with study procedure. 
 
ExclusionCriteria 
Details  • Subjects with any possible signs/ indications/ history of arthritis, joint disorders including dislocations and quadriceps tendons tear.
• History of underlying inflammatory arthropathy or severe RA or OA.
• Subjects having used any immunosuppressive drugs in the last 6 months (including steroids or biologics) and those with history of immune system and autoimmune disorders.
• Subjects with a history of knee or hip joint replacement surgery, or any hip or back pain which interferes with ambulation.
• Expectation of surgery during the study duration period.
• Female subjects, who are pregnant, breast feeding or planning to become pregnant.
• Subject having known allergy to non-steroidal anti-inflammatory drugs (NSAIDs) (including aspirin) or has a suspected hypersensitivity, allergy or sensitivity to herbal products.
• Subjects who have any physical disability which could interfere with their ability to perform the functional performance measures included in this protocol.
• History of Gout.
• Have taken any corticosteroid, indomethacin, glucosamine+ chondroitin, within 3 months prior to the Treatment Period, Visit 1 or intra-articular treatment / injections with corticosteroid or hyaluronic acid within 6 months preceding the treatment period.
• History of congestive heart failure or any vascular conditions.
• Subjects with HIV Positive status.
• Evidence or history of clinically significant (in the judgment of the Investigator) hematological, renal, endocrine, pulmonary, gastrointestinal, cardiovascular, hepatic or neurologic diseases, or malignancies, hypothyroidism.
• History of Systemic Lupus Erythematous (SLE).
• High alcohol intake (>2 standard drinks per day) or use of recreational drugs (such as cocaine, methamphetamine, marijuana, etc.).
• History of psychiatric disorder that may impair the ability of subjects to provide written informed consent.
• Participation in any other trials involving investigational or marketed products within 30 days prior to the Screening Visit.
• Have taken acetaminophen / paracetamol, ibuprofen, aspirin or other NSAIDS or any other pain reliever (OTC or prescription) or any natural health product, (excluding vitamins), within 7 days prior to the Screening Visit. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Improvement in 80 meter Fast-Paced walk test  Day 1, Day 7, Day 30, Day 60 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement from baseline to end of the trial period in :
• 30 sec Chair Stand Test
• VAS
• WOMAC A (Pain), WOMAC B (Stiffness) and WOMAC C (Physical function) scores
• Primary Knee flexion range of motion.

Endpoints for Safety
• Adverse events (AEs), frequency and severity.
• Proportion of subjects who discontinue study treatment due to adverse events.
• Changes in vital parameters. 
Day 1, Day 7, Day 30, Day 60 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/08/2016 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="5"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Eligible healthy subjects in the age group of 30-65 years of both genders will be randomized into 1:1:1 and will be assigned to either study medication or placebo or comparator. The study medication is a novel herbal formulation with known health benefits and has been used as the Ayurvedic and Herbal remedies in India since long time. The comparator product is a commercial extract of Boswellia serrata. Subjects having mild-to-moderate pain in knee joint will be enrolled into this study after assessing inclusion-exclusion criteria mentioned in the approved study protocol. The purpose of this study is to assess the clinical effectiveness and safety of the novel herbal formulation vs. Placebo vs. comparator in reducing knee joint pain and other associated symptoms in healthy individuals. The total study duration is 60 days comprising five clinical visits including three times blood testing at different intervals. Physical examination and adverse event information will be assessed at each visit. 

 
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