| CTRI Number |
CTRI/2025/09/095408 [Registered on: 25/09/2025] Trial Registered Prospectively |
| Last Modified On: |
25/03/2026 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Nutraceutical |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
A Multicentre Clinical Study Comparing Two Nutrient Based Therapies (Glutathione 50 mg Plus Glutamate 500 mg Plus Glutamine 500 mg Plus L Arginine 3 gm vs L Arginine 3 gm Plus Proanthocyanidin 75 mg) for the Management of Intrauterine Growth Restriction (IUGR) |
|
Scientific Title of Study
|
A randomised double arm comparative open label multicentre clinical study to evaluate the safety and efficacy of Glutathione 50 mg plus Glutamate 500 mg plus Glutamine 500 mg plus L Arginine 3 gm vs L Arginine 3 gm plus Proanthocyanidin 75 mg in the management of Intrauterine Growth Restriction (IUGR) |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
DrMadhusmita Nayak |
| Designation |
Advanced Laparoscopic Surgery Infertility Specialist |
| Affiliation |
Aurashree Multispeciality Clinic |
| Address |
Aurashree Multispeciality Clinic, Near Subhadra Apartments, Nandan Vihar, Patia, Bhubaneswar, Odisha-751024, India
Khordha ORISSA 751024 India |
| Phone |
8891383134 |
| Fax |
|
| Email |
drmadhusmitaobg@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
DrSaiprasanna Behera |
| Designation |
Director Research |
| Affiliation |
Indivirtus Global CRO Pvt. Ltd. |
| Address |
Indivirtus Global CRO Pvt. Ltd. 521-522 Top Floor Taj Plaza TDI City Sector-118
Mohali Punjab India 160059
Chandigarh CHANDIGARH 160059 India |
| Phone |
9861252518 |
| Fax |
|
| Email |
director.research@indivirtus.com |
|
Details of Contact Person Public Query
|
| Name |
DrSudeep Kumar Patra |
| Designation |
Chief Operating Officer |
| Affiliation |
Indivirtus Global CRO Pvt. Ltd. |
| Address |
Indivirtus Global CRO Pvt. Ltd. 521-522 Top Floor Taj Plaza TDI City Sector-118
Mohali Punjab India 160059
Chandigarh CHANDIGARH 160059 India |
| Phone |
9861268508 |
| Fax |
|
| Email |
sudeep.coo@indivirtus.com |
|
|
Source of Monetary or Material Support
|
| Aurashree Multispeciality Clinic, Near Subhadra Apartments, Nandan Vihar, Patia, Bhubaneswar, Odisha-751024, India |
|
|
Primary Sponsor
|
| Name |
Indivirtus Global CRO Pvt. Ltd. |
| Address |
521-522 Top Floor Taj Plaza TDI City Sector-118 Mohali Punjab India 160059 |
| Type of Sponsor |
Contract research organization |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Madhusmita Nayak |
Aurashree Multispeciality Clinic |
Near Subhadra Apartments, Nandan Vihar, Patia, Bhubaneswar, Odisha-751024, India Khordha ORISSA |
8891383134
drmadhusmitaobg@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| ECUNCE |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O365||Maternal care for known or suspected poor fetal growth, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Glutathione 50 mg + Glutamate 500 mg + Glutamine 500 mg + L-Arginine 3 gm |
Medicine Name:Glutathione 50 mg + Glutamate 500 mg + Glutamine 500 mg + L-Arginine 3 gm
Route: Oral,
Dosage Form: Granules
Dose:5g,
Frequency: BID,
Time - Morning and Evening after food
Duration: 15 Days |
| Comparator Agent |
L-Arginine 3 gm + Proanthocyanidin 75 mg |
Medicine Name: L-Arginine 3 gm + Proanthocyanidin 75 mg
Route: Oral, Dosage Form: Granules, Dose:5g, Frequency: BID,
Time - Morning and Evening after food,
Duration: 15 Days
|
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
45.00 Year(s) |
| Gender |
Female |
| Details |
Female of childbearing age 18–45 years (inclusive)
Singleton viable pregnancy with gestational age 32–37 weeks
Ultrasound-confirmed IUGR, defined as Estimated Fetal Weight (EFW),10th percentile for gestational age
Hemodynamically stable and not requiring inpatient care at screening
Willing and able to provide written informed consent
Willing to comply with study procedures, visit schedule, and follow-up |
|
| ExclusionCriteria |
| Details |
Multifetal gestation (twins or higher)
Major fetal structural anomaly or known chromosomal abnormality
Severe pre-eclampsia/eclampsia or uncontrolled hypertension (systolic greater than or equal to 160 mmHg or diastolic greater than or equal to 110 mmHg)
Severe maternal systemic disease is likely to affect fetal growth or outcome (e.g., uncontrolled Type 1 diabetes, severe cardiac disease, active systemic lupus with nephritis).
Placental conditions likely responsible for growth restriction are not amenable to medical therapy (e.g., placenta previa with major bleeding, confirmed placental abruption).
Known rhesus isoimmunization with significant fetal anaemia or hydrops.
Evidence of active intrauterine infection (e.g., CMV, Toxoplasma) suspected to cause IUGR.
Any condition placing the mother or fetus at unacceptable risk as judged by the investigator.
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
An Open list of random numbers |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To compare the change in fetal biometric parameters (estimated fetal weight, abdominal circumference) between the two treatment arms. |
V1 Screening/ Baseline (Day 0),
V2 Randomisation (Day 1),
V3 1st Follow-up (Day 7 ± 1),
V4 Last Follow-up (Day 15 ± 1) |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
To compare birth weight and gestational age at delivery
To assess maternal safety and tolerability
To evaluate maternal quality of life using validated pregnancy health questionnaires
|
V1 Screening/ Baseline (Day 0),
V2 Randomisation (Day 1),
V3 1st Follow-up (Day 7 ± 1),
V4 Last Follow-up (Day 15 ± 1) |
|
|
Target Sample Size
|
Total Sample Size="20" Sample Size from India="20"
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" |
|
Phase of Trial
|
Phase 3 |
|
Date of First Enrollment (India)
|
15/10/2025 |
| 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="2" Days="15" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
|
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
|
IUGR
is a major cause of perinatal morbidity and mortality, often linked to poor
uteroplacental perfusion and oxidative stress. This study compares two
regimens: the investigational formulation (Glutathione, Glutamate, Glutamine,
L-Arginine) designed to antioxidant and metabolic support, versus a standard
L-Arginine + Proanthocyanidin regimen. The trial will assess whether adding
glutathione and amino acids offers superior short-term improvements in fetal
biometry parameters in pregnancies with IUGR. |