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CTRI Number  CTRI/2018/01/011144 [Registered on: 04/01/2018] Trial Registered Retrospectively
Last Modified On: 03/01/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   clinical trial on Papaya leaf extract in cancer patients for increasing platelet let counts  
Scientific Title of Study   A Prospective, Placebo Controlled Study on Caripill Tablet in Management of Chemotherapy induced Thrombocytopenia in solid tumors 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrManjula S 
Designation  Vice president -Medical services 
Affiliation  Micro labs Ltd 
Address  No 27 Race course Road Bangalore Karnataka India No 27 Race course Road Bangalore Karnataka India Bangalore KARNATAKA 560001 India

Bangalore
KARNATAKA
560001
India 
Phone    
Fax    
Email  drmanjula@microlabs.in  
 
Details of Contact Person
Scientific Query
 
Name  DrManjula S 
Designation  Vice president -Medical services 
Affiliation  Micro labs Ltd 
Address  No 27 Race course Road Bangalore Karnataka India No 27 Race course Road Bangalore Karnataka India Bangalore KARNATAKA 560001 India


KARNATAKA
560001
India 
Phone    
Fax    
Email  drmanjula@microlabs.in  
 
Details of Contact Person
Public Query
 
Name  DrKrishna kumar 
Designation  Manager-Medical services 
Affiliation  Micro labs Ltd 
Address  No 27 Race course Road Bangalore Karnataka India No 27 Race course Road Bangalore Karnataka India Bangalore KARNATAKA 560001 India

Bangalore
KARNATAKA
560001
India 
Phone  9916043259  
Fax    
Email  krishna@microlabs.in  
 
Source of Monetary or Material Support  
Micro Labs Limited No 27 Race course road Bangalore, Karnataka -560001 
 
Primary Sponsor  
Name  Micro Labs Ltd 
Address  No 27 Race course road Bangalore, Karnataka, 560001 
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 
Dr Radheshyam Naik  Healthcare Global Enterprises Limited  #8, HCG Towers, Tower IV, 5th Floor, P.Kalinga Rao Road, Sampangi Ram Nagar, Bangalore - 560 027 Bangalore KARNATAKA
Bangalore
KARNATAKA 
8033466171

radheshyam_n@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
HCG – Central Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Thrombocytopenia in solid tumors,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  caripill (Papaya leaf extract 1100 mg) tablet   through out chemotherapy cycle 
Comparator Agent  Placebo (starch 1100mg)  Through out chemotherapy cycle  
 
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
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
Patients who are deemed unsuitable for the study by the investigator
9. Patients with palpable splenomegaly greter than or equalto 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:
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.
11. Previously enrolled in this study
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Double Blind Double Dummy 
Primary Outcome  
Outcome  TimePoints 
primary objective of this study is to evaluate the efficacy of CARIPILL
Tablet in adult patients with grade I to grade III chemotherapy induced
thrombocytopenia (CIT) in solid tumors by assessing the response of platelet
count relative to the placebo group. 
Through out chemotherapy cycle 
 
Secondary Outcome  
Outcome  TimePoints 
to evaluate WBS and RBC count  Through out chemotherapy cycle 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
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)   19/09/2016 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
The primary objective of this study is to evaluate the efficacy of CARIPILL Tablet in adult patients with grade I to grade III chemotherapy induced thrombocytopenia (CIT) in solid tumors by assessing the response of platelet count relative to the placebo group

Thrombocytopenia is a common problem in patients with cancer. It can result from chemotherapy or radiation or from underlying disease. Thrombocytopenia creates number of problems in the care of a cancer patients like increased spontaneous bleeding, surgical procedure might be complicated by bleeding, reduction of the dose and intensity of chemotherapy or radiation may be required, effective regimens might be avoided due to the fear of worsening of thrombocytopenia and sometimes treatment might be even be precluded.

The phytochemical analysis of the papaya leaves has shown that they contain saponins, cardiac glycosides, and alkaloids. C. papaya Leaves are a rich source of mineral elements such as Ca, Mg, Na, K, Fe, and Mn.
The therapeutic effects of aqueous extract of papaya (Carica papaya) leaves are presumed to be due to several active components such as papain, chymopapain, cystatin, L-tocopherol, ascorbic acid, flavonoids, cyanogenic glucosides and glucosinolates. These are antioxidants that reduce lipid peroxidation, exhibit antitumor activity and immune modulatory effects


 
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