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CTRI Number  CTRI/2019/01/017070 [Registered on: 14/01/2019] Trial Registered Prospectively
Last Modified On: 01/11/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Probiotic 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A Clinical study to understand the effect and safety of new treatment on patients with kidney problem 
Scientific Title of Study   A prospective, double blind,randomized, placebo controlled Interventional study to evaluate the safety and efficacy of Enzobiotics ( Synbiotics and Proteolytic Enzymes )in pre dialysis kidney disease 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 Ilangovan Veerappan  
Designation  Director 
Affiliation  K G Hospital 
Address  K G Hospital No 5 Government Arts College Road, 1st Floor Opposite Court, Gopalapuram, Coimbatore.

Coimbatore
TAMIL NADU
641018
India 
Phone    
Fax    
Email  ilangovanv@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  P Prabhakaran 
Designation  General Manager Sales and Marketing 
Affiliation  Mylin Biotech India Pvt Ltd 
Address  Mylin Biotech India Pvt Ltd No 40/11 1 2nd floor Govindraj Nagar Magadi Road

Bangalore
KARNATAKA
560040
India 
Phone  9008641199  
Fax    
Email  p.prabhakaran@mylinbiotech.com  
 
Details of Contact Person
Public Query
 
Name  P Prabhakaran 
Designation  General Manager Sales and Marketing 
Affiliation  Mylin Biotech India Pvt Ltd 
Address  Mylin Biotech India Pvt Ltd No 40/11 1 2nd floor Govindraj Nagar Magadi Road

Bangalore
KARNATAKA
560040
India 
Phone  9008641199  
Fax    
Email  p.prabhakaran@mylinbiotech.com  
 
Source of Monetary or Material Support  
Myline Biotech India Pvt Ltd 40/11 1 2nd Floor Govindraj nagar Magadi Road Bangalore 560040 Karnataka 
 
Primary Sponsor  
Name  Myline Biotech India Pvt Ltd 
Address  No 40/11 1 2nd floor Govindraj Nagar Magadi Road Bangalore 560040.  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Chakko Korula Jacob  Bangalore Baptist Hospital  Ground Floor No 6 Bellary Road Hebbal Bangalore
Bangalore
KARNATAKA 
9535236019

chakkokorulajacob@gmail.com 
Dr Sanjay Srinivas   Center For Kidney & Diabetes  N0 357/B Ground floor Room No 1 Bangalore Bellary Raoad , Near HDFC bank Yelahanka Town Bangalore 560064
Bangalore
KARNATAKA 
9901996755

drsanjay.nephro@gmail.com 
Dr Ilangovan Veerappan   K G Hospital  No 5 1st Floor, Government Arts College Road Opposite Court Gopalapuram Coimbatore
Coimbatore
TAMIL NADU 
8754025648

ilangovanv@gmail.com 
Dr Anita Saxena  Sanjay Gandhi Post Graduate Institute of Medical Sciences  1st Floor Rae Bareli Road Haibat Mau Mawaiya Lucknow Uttar Pradesh 226014
Lucknow
UTTAR PRADESH 
9453019812

anitimmy@yahoo.com 
Dr Amol Ramesh Mahaldar  Vision Multispeciality Hospital   Duler, Mapusa Goa 403507 Department of Nephrology OPD room No 305 3rd floor
North Goa
GOA 
9404756959

dramolmahaldar@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
Bangalore Baptist Institutional Review Board   Approved 
KG Hospital and Postgraduate Medical Institute  Approved 
Sanjay Gandhi Post Graduate Institute of Medical Sciences  Approved 
Sree Venkateshwara Hospital Ehics commitee  Approved 
Sree Venkateshwara Hospital Ehics commitee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N183||Chronic kidney disease, stage 3 (moderate),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Enzobiotics  550 mg capsule Oral Route 1 capsule to be taken 3 times daily 5 minutes before food for 3 months 
Comparator Agent  Placebo  Maltodextrin 550mg Oral route 1 capsule to be taken 3 times daily 5 minutes before food for 3 months  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1 Subjects aged between 18 and 70yrs
2 Stage 3 4 and 5
3 Patients wanting to delay dialysis.
4 Willing to come for regular follow up visits
5 Able to give written informed consent
 
 
ExclusionCriteria 
Details  1 Pregnant and lactation.
2 Autoimmune disease e g SLE/Vasculities
3 Subjects with hepatic impairement (SGOT or SGPT levels more than 3 times the upper limit)
4 Diabetic foot infection patients
5 Subjects with uncontrolled cardiovascular events.
6 Patients who have been prescribed Synbiotics and Enzymes.
7Subjects with any other severe systemic illness and in the opinion of the investigator would be non compliant with the visit schedule or study procedures.

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
1 Assess the Safety and Efficacy of Enzobiotics in CKD Stage 3 4 and Stage 5 Patients
2 Improvement in eGFR calculated by CKD EPI formula
3 Change in P Cresols and Indoxylsulfhate Protein bound Uremic toxins levels & Quality of life SF 36 regular for CKD patients and SGA scoring
 
0 45 and 90 days 
 
Secondary Outcome  
Outcome  TimePoints 
Change in BUN Creatinine Hemoglobin Phosphorous Potassium Sodium Albumin serum Hs Crp Urea Total Protein Tryglycerides Total cholesterol HDL LDL  0 45 and 90 days 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   20/01/2019 
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="6"
Days="15" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This is a prospective, double blind, randomized, placebo controlled Interventional study to evaluate the safety and efficacy of Enzobiotics in pre dialysis kidney disease patients. The participating group is between the age of 18 to 70 years. A total of 80 patients will be recruited in the study both male and female. Patients with chronic kidney disease with stage 3,4 and 5 are included who are not undergoing dialysis. 

All patients randomized either to active or placebo will have to take 3 capsules daily for 90 days. 

Primary Study assessment is through the improvement in eGFR, P Cresols, Indoxysulfhate, Protein bound Uremic toxins levels, Quality of life SF-36 (regular for CKD patients) and SGA scoring from baseline to day 90.

Secondary study assessment is to understand Change in BUN, Creatinine, Hemoglobin, Phosphorous, Potassium, Sodium , Albumin serum, Hs Crp, Urea , Total Protein, Tryglycerides Total cholesterol, HDL, LDL, body weight, mid arm circumference, Waist : Hip ratio from baseline to day 90.


 
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