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CTRI Number  CTRI/2017/07/008954 [Registered on: 03/07/2017] Trial Registered Prospectively
Last Modified On: 04/07/2017
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Benefit of carica papaya leaf extract in cancer patients  
Scientific Title of Study   A Multi-centric, Double blind, Placebo controlled, Randomized, observational study to evaluate the Efficacy, Safety and tolerability of carica papaya leaf Hydro alcoholic extraction with enriched alkaloids (290 mg) to inhibit Thrombocytopenia induced by Chemotherapy in cancer patients 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Nagabhushan KH 
Designation  Director – Innovation & Implementation 
Affiliation  Katra Phytochem Pvt ltd 
Address  Katra Phytochem Pvt ltd Unit : No. 7, A-1, Attibele Industrial Area, Anekal Taluk, Bengaluru Dist. India

Bangalore
KARNATAKA
562107
India 
Phone  08023086461  
Fax    
Email  nagabhushandr@katraphyto.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nagabhushan KH 
Designation  Director – Innovation & Implementation 
Affiliation  Katra Phytochem Pvt ltd 
Address  Katra Phytochem Pvt ltd Unit : No. 7, A-1, Attibele Industrial Area, Anekal Taluk, Bengaluru Dist. India

Bangalore
KARNATAKA
562107
India 
Phone  08023086461  
Fax    
Email  nagabhushandr@katraphyto.com  
 
Details of Contact Person
Public Query
 
Name  Dr Balakrishna 
Designation  Research Scientist  
Affiliation  Katra Phytochem Pvt ltd 
Address  Katra Phytochem Pvt ltd Unit : No. 7, A-1, Attibele Industrial Area, Anekal Taluk, Bengaluru Dist. India

Bangalore
KARNATAKA
562107
India 
Phone  08023086461  
Fax    
Email  balakrishna@katraphyto.com  
 
Source of Monetary or Material Support  
Katra Phytochem Pvt ltd Plant No. 7, A-1, Attibele Industrial Area, Anekal Taluk, Bangalore District - 562107 Karnataka, India 
 
Primary Sponsor  
Name  Katra Phytochem Pvt ltd 
Address  #1134,1st Floor, 100 ft Road, HAL 2nd Stage, Indiranagar, Bangalore - 560008, Karnataka, India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
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 
DrSatheesh C T  Sri Venkateshwara Hospital  Sri Venkateshwara Hospital No.86, Ground Floor OPD Room No 3 Hosur Main Road, Madivala, Bangalore - 560068, Near Ayyappa Temple
Bangalore
KARNATAKA 
8041508702

drsatheeshct@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri venkateshwara Hospital institutional ethics committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Cancer ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Carica papaya leaf Hydro alcoholic extraction with enriched alkaloids   Dose: 290mg Dosage form : Tablets Frequency: Twice daily Duration: 21 days  
Comparator Agent  Placebo  Dose: 290mg Dosage form : Tablets Frequency: Twice daily Duration: 21 days  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Age between 18-75 years
2. Has, Grade I to Grade III thrombocytopenia as per CTCAE criteria version 4.0 Platelet count
3. Patients undergoing chemotherapy
4. Patients with non-hematological malignancies
5. Willing and able to sign written informed consent
 
 
ExclusionCriteria 
Details  1. Present, or history of, acute pro-myelocytic leukemia (APML), immune thrombocytopenic purpura (ITP), thrombotic thrombocytopenic purpura (TTP), or hemolytic-uremic syndrome (HUS)
2. Recent history of major surgery (within 2 weeks of study entry)
3. Currently taking, or participating in a study involving, platelet substitutes, platelet growth factors, or pharmacologic agents intended to enhance or decrease platelet hemostatic function
4. Received high-dose steroids or IVIG in the 3 weeks prior to the start of the study
5. Current HIV infection or hepatitis B virus or hepatitis C virus infections
6. Severe medical condition (lung, hepatic or renal disorder) other than chronic ITP. Unstable or uncontrolled disease or condition related to or impacting cardiac function (e.g., unstable angina, congestive heart failure, uncontrolled hypertension or cardiac arrhythmia)
7. Female patients who are nursing or pregnant, who may be pregnant, or who contemplate pregnancy during the study period
8. Have a known diagnosis of other autoimmune diseases, established in the medical history and laboratory findings with positive results for the determination of antinuclear antibodies, anti-cardiolipin antibodies, lupus anticoagulant or direct Coombs test 8.Patients who are deemed unsuitable for the study by the investigator
9. Patients with palpable splenomegaly greter than or equal to 16cm below coastal margin
10. Female subjects who are pregnant or breastfeeding. Women of childbearing potential are required to have a BHCG serum or urine pregnancy test performed within 7 days prior to first study drug dose. A female of childbearing potential is a sexually mature woman who:
1) has not undergone a hysterectomy or bilateral oophorectomy; or 2) has not been naturally postmenopausal for at least 12 consecutive months (i.e., has had menses at any time in the preceding 12 consecutive months). Women of child-bearing potential and men must agree to use contraception prior to study entry and for the duration of study
participation.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Double Blind Double Dummy 
Primary Outcome  
Outcome  TimePoints 
To compare the effect of Papaya Leaf Extract relative to the placebo on the platelet counts   21 days
Twice daily  
 
Secondary Outcome  
Outcome  TimePoints 
Percentage increase in WBC,RBC and Neutrophil count
Number of chemotherapy dose reduction 
21 days
Twice daily 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   04/07/2017 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   No 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Carica papayaleaf extract has attracted attentions because of the promising results shown from the various studies conducted in South East Asian countries on the effectiveness of carica papayaleaf extract on increasing the platelet counts in patients with thrombocytopenia 

This trial is designed as Multi-centric, double blind, placebo controlled, Randomized, Prospective study in patients aged 18 years and above and having thrombocytopenia associated with anti cancer chemotherapy

  
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