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CTRI Number  CTRI/2018/10/016046 [Registered on: 16/10/2018] Trial Registered Prospectively
Last Modified On: 27/12/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical trial of a cream to be applied locally for adult subjects with painful growth in the anal region. 
Scientific Title of Study   A Prospective open randomized, parallel group clinical study to evaluate the efficacy and safety of topical treatment in the management of Hemorrhoids in adults. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shivaraj KK 
Designation  Principal Investigator 
Affiliation  Pristine Hospital 
Address  Pristine Hospital No 877, Department of Medicine, Ground Floor, Modi Hospital Road West of Chord 2nd Stage Ext

Bangalore
KARNATAKA
560086
India 
Phone    
Fax    
Email  shivarajkk09@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Deepa Subramanian 
Designation  Chief Executive Officer  
Affiliation  Syncretic Clinical Research Services Pvt Ltd 
Address  Syncretic Clinical Research Services Pvt Ltd, Cheif Executive Officer, No 32, Door No 4 (Old No.38), 5th cross 11th Main Vasanthnagar.

Bangalore
KARNATAKA
560052
India 
Phone    
Fax    
Email  deepa@syncretic.in  
 
Details of Contact Person
Public Query
 
Name  Dr Deepa Subramanian 
Designation  Chief Executive Officer  
Affiliation  Syncretic Clinical Research Services Pvt Ltd 
Address  Syncretic Clinical Research Services Pvt Ltd. Cheif Executive Officer, No 32, Door No 4 (Old No.38), 5th cross 11th Main Vasanthnagar

Bangalore
KARNATAKA
560052
India 
Phone    
Fax    
Email  deepa@syncretic.in  
 
Source of Monetary or Material Support  
Giellepi Spa, Via B, Cellini 37 Lissone (MB) - 20851 Italy  
 
Primary Sponsor  
Name  Giellepi Spa 
Address  Via B, Cellini 37 Lissone (MB) - 20851 Italy 
Type of Sponsor  Other [[Manufacturer, Limited Company] ] 
 
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 Shivaraj KK  Pristine Hospital  Department of Internal Medicine, No 877, Modi Hospital Road West of Chord Road 2nd Stage Extension
Bangalore
KARNATAKA 
9035209089

shivarajkk09@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee Pristine Hospital and Research Centre Pvt Ltd  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K641||Second degree hemorrhoids,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  ALOE BARBADENSIS LEAF JUICE 10X DECOLORIZED OLIO JOJOBA GOLDEN  5gm of the cream to be applied locally 2 times a day in the anal region for 14 days.  
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1.Subjects willing to give written informed consent.
2. Male or female subjects, between 18 years of age and 70 years age with a diagnosis of haemorrhoids (first or
second degree).
3. Except hemorrhoids (first or second degree), the subjects are judged to be in good general health,
based on medical history, physical examination.
4. If female of childbearing age, they should be willing to use an acceptable form of birth control
measure. They should be stable since last 3 months prior to baseline and throughout the study.
5. Subjects accepting to be on controlled and balanced diet (with exclusion of some foods including hot chili, pepper, chocolate, alcoholic drinks, fried foods). Tea and coffee will be restricted to not
more of 2 cups per day.
 
 
ExclusionCriteria 
Details  1.Pregnant and lactating women and women in post-partum period of up to 6 weeks.
2. Subjects with a history of permanent anal prolapse and/or anal fistula
3. Subjects with associated anal fissures and/or infective anal pathology.
4. Subjects with previous history of surgery for anorectal disease (within 5 years) or any other
procedures (including but not limited to injection sclerotherapy, rubber band ligation,
photocoagulation, cryotherapy etc) within 2 years of enrolment into the trial.
5. Subjects who, in the opinion of the investigator, are mentally incapacitated such that informed
consent cannot be obtained.
6. Subjects with clinically significant co-morbid condition that in the opinion of the investigator
could affect the efficacy and safety outcome of the study.
7. Patients under treatment with other topical therapy for haemorrhoidal syndrome.
8. Subjects participating in any other clinical trial currently or if he/she has completed the trial
participation less than 3 months from screening for the current study.
9. Presence of disease states that could affect safety and efficacy evaluation, such as hepatic (e.g.,
cirrhosis with Child-Pugh Class B or C or MELD score > 9), renal (e.g., requiring dialysis), gastrointestinal (e.g., acute or chronic diverticulitis, irritable bowel syndrome with epigastric pain as a predominant symptom or active inflammatory bowel disease), hematologic, neurologic or brain disorders (e.g., strokes, and brain injury), psychiatric (e.g., bipolar disorder, severe active depression, severe active anxiety), or any other significant condition which, in the opinion of the Investigator, could confound or interfere with evaluation of efficacy, safety, or tolerability of the investigational drug, or prevent compliance with the study protocol.
10. Subjects unwilling to sign the inform consent document.
11. Any condition that in the opinion of the investigator does not justify the subjects inclusion for the
study.
12. Known hypersensitivity to, or intolerance of, investigational product or any excipient. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.Change in the following subjective symptoms: pain, tenesmus, pruritus and anal discharge.
2.Improvement of pain during defecation
3.Change in overall assessment of disease as assessed by the subject on a 10 cm Visual Analogue Scale (VAS).
4.Change in the following objective signs: Congestion, oedema, and exudation
5.Overall treatment satisfaction questionnaire.  
Screening, Day 0,7 and 14. 
 
Secondary Outcome  
Outcome  TimePoints 
1.Physical Examination: Examination includes areas such as perianal skin should be assessed.
2.Any reports of adverse or serious adverse events during the treatment period.
3.Significant change in laboratory parameters Any abnormal vital signs.  
Screening, Day 0,7 and 14. 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
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   N/A 
Date of First Enrollment (India)   31/10/2018 
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="2"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Other (Terminated) 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
This clinical study is being planned to assess the efficacy and safety of topical treatment (tube consisting of the cream for topical administration) in subjects with Haemorrhoids with that of subjects who are only on restricted diet. 45 subjects with 1st and 2nd degree haemorrhoids will be included in this study for a period of 14 days. The treatment will check for change in the following subjective symptoms: pain, tenesmus, pruritus and anal discharge as assessed by the subject at day 7 and 14 (categorized as none, mild, moderate and severe). Symptoms will be recorded by each subject daily in a diary distributed at Visit 1. Improvement of pain during defecation (due to lubricant action of the product). Collected by daily questionnaire.Change in overall assessment of disease as assessed by the subject on a 10 cm Visual Analogue Scale (VAS) at day 14; where 0=Best Ever and 10=Worst Ever. Collected by daily questionnaire.Change in the following objective signs: Congestion, oedema, and exudation as assessed by the investigator at day 7 and 14 (categorized as absent or present).

The objective of this study is to evaluate the Efficacy and safety of topical treatment plus restricted diet versus restricted diet alone in subjects with Haemorrhoids.

Type of the study - Prospective open label Randomized controlled for parallel groups.

 
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