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CTRI Number  CTRI/2017/02/007764 [Registered on: 02/02/2017] Trial Registered Prospectively
Last Modified On: 03/07/2018
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   An Open Label, Multicentre, Phase IV Study to Evaluate the Safety and Treatment Effects of Tebokan® forte (Ginkgo Biloba EGb 761®) One Tablet of 120 mg Twice Daily in Adult Patients with Dementia 
Scientific Title of Study   An Open Label, Multicentre, Phase IV Study to Evaluate the Safety and Treatment Effects of Tebokan® forte (Ginkgo Biloba EGb 761®) One Tablet of 120 mg Twice Daily in Adult Patients with Dementia 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name   
Designation   
Affiliation   
Address 




 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query
 
Name  Dr R Valavan 
Designation  Head Scientific Affairs 
Affiliation  Dr. Willmar Schwabe India Pvt Ltd 
Address  A-36, Sector - 60, Phase-III, Noida
A-36, Sector - 60, Phase-III, Noida
Gautam Buddha Nagar
UTTAR PRADESH
201304
India 
Phone  01204016500  
Fax  01204016583  
Email  Dr.valavan@schwabeindia.com  
 
Details of Contact Person
Public Query
 
Name  Ravi Kumar Manchanda 
Designation  Manager Regulatory Affairs 
Affiliation  Dr. Willmar Schwabe India Pvt Ltd 
Address  A-36, Sector - 60, Phase-III, Noida
A-36, Sector - 60, Phase-III, Noida
Gautam Buddha Nagar
UTTAR PRADESH
201304
India 
Phone  01204016500  
Fax  01204016583  
Email  ravi.manchanda@schwabeindia.com  
 
Source of Monetary or Material Support  
Dr Willmar Schwabe India Pvt Ltd A 36 Phase 3 Sector 60 Noida 201304 District Gautam Budh Nagar Uttar Pradesh India 
 
Primary Sponsor  
Name  Dr Willmar Schwabe India Pvt Ltd 
Address  A-36 Phase III Sector 60 Noida  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 13  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Yogesh Kumar Gupta  Ganadhipati Purushottam Shekhawati Hospital & Research Centre  A/2, opposite (Time Square), Central Spine, Vidhyadhar Nagar,Jaipur 302023, Rajasthan, India
Jaipur
RAJASTHAN 
01412232211
01412232194
info@shekhawatihospital.org 
Dr PN Renjan  Indraprastha Apollo Hospitals  Department of Neurology Indraprastha Apollo Hospitals Sarita Vihar Delhi Mathura Road
New Delhi
DELHI 
011-41677024

pnrenjan@rediffmail.com 
Dr Pradip Kumar Saha  Institue of Postgraduate Medical Education and Research  Institute of Post Graduate Medical Education and Research 244, AJC Bose Road Kolkata 700020, West Bengal
Kolkata
WEST BENGAL 
8116439237

info@gmail.com 
Dr Jaykumar Gunjkar  Lifepoint Multispecialty Hospital, Pune  Lifepoint Multispecialty Hospital, 145/1, Mumbai – Bangalore Highway, Near Wakad, Pune - 411057
Pune
MAHARASHTRA 
02066434343
02043434399
gunjkar.jaykumar118@gmail.com 
Dr Ajit Kumar Roy   Manipal Hospital   Department of Neurology, #98, HAL Airport Road, Bangalore-560 017, Karnataka, India.
Bangalore
KARNATAKA 
080-25024631

ajith.kumar@manipalhospitals.com 
Dr Puneet Agarwal  Max Super Specialty Hospital  Max Super Specialty Hospital West Block 1 Press Enclave Road Saket New Delhi
New Delhi
DELHI 
011-66115050

puneet.agarwal@maxhealthcare.com 
Dr Vemireddy Radhika Reddy   Old Govt. General Hospital (associated by Govt. Siddhartha Medical College)   Department Of Psychiatry, Hanumanpet, Two Town, Vijayawada - 520001, Andhra Pradesh, India
Krishna
ANDHRA PRADESH 
08662450391

rrvemireddy@yahoo.com 
Dr Debashish Chowdhury  Postgraduate Medical Education & Research (GIPMER  Department of Neurology GB Pant Institute of Postgraduate Medical Education and Research Jawaharlal Nehru Marg New Delhi 110002
New Delhi
DELHI 
011-23234242

debashishchowdhury@hotmail.com 
Dr S Vijaya Bhaskara Gupta  Rajiv Gandhi Institute of Medical Sciences & RIMS Govt General Hospital  Rajiv Gandhi Institute of Medical Sciences (RIMS) Govt General Hospital Research Wing 2nd Floor Beside FM Ward Srikakulam
Srikakulam
ANDHRA PRADESH 
9440069415

rimsrearch@gmail.com 
Dr Vaishal Vora  Ratandeep Multispecialty Hospital  2nd Floor Nakshatra Complex Above HDFC Bank Maninagar Crossroads Maninagar
Ahmadabad
GUJARAT 
079-22124022

vnvora@gmail.com 
Dr Subarna Telang  Ruby Hall Clinic Grant Medical Foundation  Clinical Research Department Cancer Building 1st Floor Room No 107 Ruby Hall Clinic 40 Sassoon Road Pune 411001 Maharashtra
Pune
MAHARASHTRA 
020-66455628

suparnashri@yahoo.com 
Dr Sangeetha Ravat  Seth GS Medical College KEM Hospital   Ward No 10 2nd Floor Old Building Department of Neurology Seth GSMC & KEM Hospital Parel Mumbai 400012
Mumbai
MAHARASHTRA 
022-24164206

ravatsh@yahoo.com 
Dr Anoop Vincent  Sree Narayana Institute of Medical Sciences  2nd Floor Dept Of Psychiatry Challaka N-Kuthiya Thodu Ernakulam
Ernakulam
KERALA 
0484-2478093

anoop.vincent@yahoo.co.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 13  
Name of Committee  Approval Status 
Ethics Committee of Manipal Hospital, Bangalore  Approved 
Ethics Committee of Siddhartha Medical College and Govt Hospital Vijayawada  Approved 
Ganadhipati Purushottam Shekhawati Hospital & Research Centre Ethics Committee  Approved 
Institutional Ethics Committee - Maulana Azad Medical College, 3rd Floor, Room No 306A, Maulana Azad Medical College, Bahadur Shah Zafar Marg, New Delhi  Approved 
Institutional Ethics Committee Institute of Postgraduate Medical Education and Research  Approved 
Institutional Ethics Committee Rajiv Gandhi Institute of Medical Science and RIMS Government General Hospital  Approved 
Institutional Ethics Committee, Seth GS Medical College KEM Hospital, Parel, Mumbai   Approved 
Institutional IndraprasthaApolloHospitalsSaritaViharDelhiMathuraRoadNewDelhi  Approved 
LPR Ethics Committee, Lifepoint Multispecialty Hospital  Approved 
Max Healthcare Ethics Committee, Max Super Specialty Hospital , 1 Press Enclave Road, Saket, New Delhi   Not Applicable 
RatandeepMultispecialtyHospital  Approved 
RubyHallClinicGrantMedicalFoundation  Approved 
SreeNarayanaInstituteofMedicalSciencesChallaka  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients diagnosed with dementia including Alzheimers disease vascular dementia or mixed dementia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Tebokan® forte (Ginkgo biloba leaves extract (EGb 761®)  Dose 120 mg film coated tab Frequency Twice Daily Route of Administration Oral Total duration of therapy 18 weeks  
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1 Subjects with at least 50 years of age
2 Subjects diagnosed with dementia specifically Major Neurocognitive Disorder due to Alzheimers disease Major Vascular Neurocognitive Disorder or mixed form of both in accordance with DSM 5 criteria cf section 4 1 1
3 MMSE between 12 and 24 inclusive 12 to 18 moderate dementia and 19 to 24 mild dementia
4 Presence of a caregiver
5 Subject LAR ready to give written consent to participate in the trial and ready to follow all study related procedures
6 Post menopausal female subjects or non menopausal female subjects with negative serum pregnancy test and willing to use a reliable means of contraception other than or in addition to hormonal contraceptives eg double barrier method diaphragm plus spermicide condom plus spermicide, etc surgical sterilization or abstinence for the duration of the study.
7 Subjects not participating in any other clinical trial since last 6 months
 
 
ExclusionCriteria 
Details  Subjects diagnosed with dementia except AD VD or mixed dementia
Subjects currently undergoing treatment for depression
Subjects with major depression or other psychiatric disorder hospitalized for depression within one year prior to baseline visit
Use of Ginkgo biloba within 8 weeks prior to baseline visit
Use of cholinesterase inhibitor within 6 months of baseline visit
History of any bleeding abnormalities other than in the context of anti platelet or anti coagulant drugs
Any other type of neurological disorder as per investigator s discretion
Active malignant disease HIV or serious infection as per investigators discretion
Subjects currently on cognitive enhancers cholinergic anti cholinergic or haemorheologically active drugs
Severe or insufficiently controlled cardiovascular renal or hepatic disorder diabetes anaemia or thyroid dysfunction as per investigator s discretion
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Number of presumed adverse drug reactions and percentage of subjects with presumed adverse drug reactions between baseline and week 18
Number of adverse events and percentage of subjects with adverse events between baseline and week 18
Number of serious adverse events and percentage of subjects with serious adverse events between baseline and week 18
Changes in the vital signs physical and laboratory examination between baseline and week 18 
baseline and week 18 
 
Secondary Outcome  
Outcome  TimePoints 
Change from baseline to week 18 in a picture learning test representing attention and memory CERAD constructional praxis and recall of constructional praxis  baseline and week 18 
Change from baseline to week 18 in the Trail Making Test A and B representing speed and executive functioning  baseline and week 18 
Number and percentage of patients with improvement in cognitive functioning from baseline to week 18 for Trail Making Test and CERAD constructional praxis and recall of constructional praxis either or both  baseline and week 18 
Change from baseline to week 18 in the BEHAVE AD  baseline and week 18 
Change in CGI scale from baseline to week 18  baseline and week 18 
Number and percentage of subjects improving or recovering from vertigo and or tinnitus from baseline through week 18 via 11 Point Box Scales for vertigo and tinnitus  baseline and week 18 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
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 4 
Date of First Enrollment (India)   20/03/2017 
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="7"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This is an open label, multicentre, phase IV study to assess the safety and therapeutic effects of Tebokan® forte (Ginkgo biloba dry extract EGb 761®) one tablet of 120 mg  administered twice daily in subjects diagnosed with dementia. In this study subjects with at least 50 years of age and diagnosed with dementia in accordance with DSM-5 criteria will be enrolled. During the study a care giver should always accompany with the subject. 
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