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CTRI Number  CTRI/2025/12/098814 [Registered on: 10/12/2025] Trial Registered Prospectively
Last Modified On: 10/12/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of Shigru (Moringa oleifera) Leaf Powder as an Add-on to Standard of Care in Metabolic Syndrome 
Scientific Title of Study   Open-Label, Randomized Controlled Trial Protocol to Evaluate the Efficacy and Safety of Shigru (Moringa oleifera) Leaf Powder as an Add-on to Standard of Care for Glyeemic Control in Patients with Metabolic Syndrome at AIIMS Bhopal 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Danish Javed 
Designation  Senior Medical Officer (Ayush) 
Affiliation  All India Institute of Medical Sciences Bhopal 
Address  Department of Ayush, AIIMS, Saket nagar, Bhopal,Madhya Pradesh, India

Bhopal
MADHYA PRADESH
462020
India 
Phone  9654978285  
Fax    
Email  danish.ayush@aiimsbhopal.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Danish Javed 
Designation  Senior Medical Officer (Ayush) 
Affiliation  All India Institute of Medical Sciences Bhopal 
Address  Department of Ayush, AIIMS, Saket nagar, Bhopal,Madhya Pradesh, India


MADHYA PRADESH
462020
India 
Phone  9654978285  
Fax    
Email  danish.ayush@aiimsbhopal.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Danish Javed 
Designation  Senior Medical Officer (Ayush) 
Affiliation  All India Institute of Medical Sciences Bhopal 
Address  Department of Ayush, AIIMS, Saket nagar, Bhopal,Madhya Pradesh, India


MADHYA PRADESH
462020
India 
Phone  9654978285  
Fax    
Email  danish.ayush@aiimsbhopal.edu.in  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences, Saket Nagar, Bhopal, Madhya Pradesh 
 
Primary Sponsor  
Name  All India Institute of Medical Sciences Bhopal 
Address  All India Institute of Medical Sciences, Saket Nagar, Bhopal, Madhya Pradesh 
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 Danish Javed  All India Institute of Medical Sciences Bhopal  Department of Ayush, AIIMS, Saket nagar, Bhopal,Madhya Pradesh, India
Bhopal
MADHYA PRADESH 
9654978285

danish.ayush@aiimsbhopal.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee, AIIMS Bhopal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E889||Metabolic disorder, unspecified. Ayurveda Condition: MEDOVAHASROTODUSHTIH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugOther than Classical(1) Medicine Name: Moringa oleifera leaf powder, Reference: NA, Route: Oral, Dosage Form: Churna/ Powder, Dose: 12(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 3 Months, anupAna/sahapAna: Yes(details: Luke warm water), Additional Information: Add on to with standard of care (Oral Hypoglycemic agents: Metformin 500 mg and Glimepiride 1 mg, twice a day)
2Comparator Arm (Non Ayurveda)-standard of care Oral Hypoglycemic agents Metformin 500 mg and Glimepiride 1 mg, twice a day, for 3 months
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Adults aged 30 to 65 years visiting outpatient department of AIIMS Bhopal
Diagnosed with metabolic syndrome and having HbA1C between 6.5 to 8.0.
Patients maintaining stable health conditions and not requiring any acute or long term medication for hypertension, dyslipidemia or obesity management.
Willing to comply with protocol and follow up
Provide informed written consent 
 
ExclusionCriteria 
Details  Patients receiving oral hypoglycemic medications other than glimepiride or metformin
Patients receiving any medications such as antihypertensive, obesity, and hyperlipidemia
drugs.
Severe Cardiac or hepatic or renal disease
Acute cases with Diabetic complications such as ketoacidosis
Any malignancy
Pregnant or lactating women
Allergic to herbal supplements
Already using Moringa or any similar herbal interventions
Living outside Bhopal  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Mean change in Glycemic Markers (HbA1c)   From baseline (day 0) to
12 weeks  
 
Secondary Outcome  
Outcome  TimePoints 
Fasting Blood Glucose  From baseline (day 0) to
12 weeks  
Postprandial Blood
Glucose 
From baseline (day 0) to
12 weeks 
Serum Insulin (HOMA-IR)  From baseline (day 0) to
12 weeks  
C-peptide  From baseline (day 0) to
12 weeks  
Weight  From baseline (day 0) to
12 weeks  
Waist-Hip Ratio  From baseline (day 0) to
12 weeks  
Systolic and diastolic Blood Pressure  From baseline (day 0) to
12 weeks 
Lipid Profile  From baseline (day 0) to
12 weeks 
High-sensitivity C-reactive Protein (hs-CRP)  From baseline (day 0) to
12 weeks 
Liver
Function Tests 
From baseline (day 0) to
12 weeks 
Renal Function Tests  From baseline (day 0) to
12 weeks  
 
Target Sample Size   Total Sample Size="110"
Sample Size from India="110" 
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 2/ Phase 3 
Date of First Enrollment (India)   29/12/2025 
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="1"
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  
Metabolic Syndrome is a common health condition where several problems such as high blood sugar, high blood pressure, obesity, and abnormal cholesterol levels occur together. In India, nearly one out of every three people suffers from this condition. It greatly increases the risk of heart disease, stroke, kidney problems, and even early death. Usual treatment includes medicines like metformin and glimepiride (for blood sugar), statins (for cholesterol), and various blood pressure medicines. Although these treatments are effective, many patients still struggle to control their blood sugar and face side effects or long term risks. This makes it important to explore safe and affordable additional options. Moringa oleifera, commonly known as Shigru or the drumstick tree, is a plant widely used in Ayurveda. It is rich in nutrients and has been shown in several studies to help in diabetes, cholesterol problems, and high blood pressure. According to Ayurveda, Shigru is known to reduce Kapha and fat-related disorders, which are closely linked with lifestyle diseases. Modern research suggests that Moringa helps control blood sugar and cholesterol through multiple actions in the body, such as improving insulin sensitivity and reducing inflammation. This study will test whether adding Moringa leaf powder to standard diabetes treatment gives better results compared to standard treatment alone in patients with metabolic syndrome. The study will be conducted at AIIMS Bhopal. A total of 110 patients between 30–65 years of age, diagnosed with metabolic syndrome, will be randomly divided into two groups. Group A (Intervention group) Will receive 12 grams of Moringa leaf powder daily (6 g twice a day) along with standard medicines (Metformin and Glimepiride). Group B (Control group) Will receive only the standard medicines. Both groups will also receive diet and lifestyle counselling, including advice on walking, proper sleep, and avoiding alcohol or tobacco. The study will last for 12 weeks, with check ups at 4, 8, and 12 weeks. 
The main measure of success will be improvement in blood sugar control (HbA1c levels). Other outcomes like weight, waist size, blood pressure, cholesterol, liver and kidney health, and any side effects will also be checked. 
If Moringa proves effective and safe, it could become a low cost, natural supplement to routine treatment, improving patient outcomes and reducing long-term risks. This may provide a bridge between modern medicine and Ayurveda, offering holistic benefits for people with metabolic syndrome. 
 
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