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CTRI Number  CTRI/2019/09/021110 [Registered on: 06/09/2019] Trial Registered Prospectively
Last Modified On: 11/02/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda
Behavioral 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   To determine the effects of investigational product for the treatment of ADHD in children and teens. 
Scientific Title of Study   Effects of a standardized extract from Bacopa monnieri on the treatment of attention deficit & hyperactivity disorder in children and adolescents (ADHD) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NR-HB-01.19 version 1. Dated 18 jan 2019  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr H Chandrashekar 
Designation  Professor and Head 
Affiliation  Victoria Hospital, Bangalore Medical College and Research Institute 
Address  Department of Psychiatry, Victoria Hospital, Bangalore Medical College and Research Institute, KR Road, Bangalore

Bangalore
KARNATAKA
560002
India 
Phone  9845105373  
Fax    
Email  chanag61@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bharathi B 
Designation  Research Officer 
Affiliation  Natural Remedies Pvt. Ltd. 
Address  Plot No. 5B, Veerasandra Indl. Area, 19th K.M. Stone, Hosur Road, Electronic City Post, Bangalore

Bangalore
KARNATAKA
560 100
India 
Phone  7338274337  
Fax    
Email  bharathi.b@naturalremedy.com  
 
Details of Contact Person
Public Query
 
Name  Subham Dutta 
Designation  Director 
Affiliation  Syncorp Clincare Technologies Pvt. Ltd.  
Address  186/2 Tapaswiji Arcade, 2nd floor, BTM Layout 1st Stage, Hosur Main Road, Bangalore

Bangalore
KARNATAKA
560 068
India 
Phone  8049788118  
Fax    
Email  subham@syncorp.in  
 
Source of Monetary or Material Support  
Natural Remedies Private Limited 
 
Primary Sponsor  
Name  Natural Remedies Private Limited 
Address  Plot No. 5B, Veerasandra Indl. Area, 19th K.M. Stone, Hosur Road, Electronic City Post, Bangalore – 560 100, India  
Type of Sponsor  Other [Herbal Healthcare company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 4  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr H Chandrashekar  Bangalore Medical College and Research Institute  Department of Psychiatry, Victoria Hospital, Bangalore Medical College and Research Institute KR road.
Bangalore
KARNATAKA 
9845105373

chanag61@gmail.com 
Dr Sreedhara KC  Deepashri Hospital (Rehab/ Deaddiction/ Old age)  No.86, 2nd Main, 16th D Cross, Nagarbhavi, Bangalore - 560072, Near Malagala Inner Ring Road Under Pass
Bangalore
KARNATAKA 
9481574797

deepashrihospitalcr@gmail.com 
Dr Ruchi Gupta  Santosh Hospital  6/1, Promenade Road, Near Coles Park, Pulikeshi Nagar, Bengaluru, Karnataka 560005
Bangalore
KARNATAKA 
9880051351

drruchibrise@gmail.com 
Dr Johnson Pradeep R  St. Johns Hospital and Research Institute  Department of Psychiatry, Sarjapura Road, Near Koramangala Water Tank.
Bangalore
KARNATAKA 
9632175933

drjohnsonpradeep@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
Ashraya Medinove Pvt. Ltd. Institutional Ethics Committee  Submittted/Under Review 
Ethics Committee Bangalore Medical College and Research Institute.  Submittted/Under Review 
Institutional Ethics Committee,St.Johns Medical College and Hospital   Approved 
Santosh Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F900||Attention-deficit hyperactivity disorder, predominantly inattentive type,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Cognitus/Bacomind  Bacopa monnieri (Brahmi) is a plant traditionally used in Ayurvedic medicine to treat anxiety and memory impairment. Considering that Bacopa monnieri shows positive effects in improving attention, this plant may be an appropriate treatment for young patients with Attention deficit & hyperactivity disorder. Duration of administration: 28 weeks. Route of administration: oral Dose: 225 mg  
Comparator Agent  Placebo  The placebo product contains225 mg of pharmaceutical grade excipients per capsule. 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  16.00 Year(s)
Gender  Both 
Details  1. Children/ adolescent of both sexes between 6 years to 16 years old who exhibit mild to moderate ADHD with predominantly inattentive or combined presentation according to DSM V criteria.
2.Inattentive subset and hyperactivity subset of not greater than 23 on SNAP IV scale.
3. Voluntary assent to participate in the study from all whose are more then 7 years of age.
4. Informed Consent signed by legal guardian/research participant when possible.
5. Results of lab tests(chemistry, blood count and urine), physical examination and vital parameters with no clinically significant changes.
 
 
ExclusionCriteria 
Details  1. WISC-IV-SF, subjects whose score are less than 80.
2.Research participants with known hypersensitivity to the other medication. History of alcohol or drug abuse by research participant.
3. Where the immediate concern is around another primary psychiatric diagnosis other than ADHD.
4. Diagnosis of psychiatric comorbidities, except for simple phobia, adjustment disorders, learning disorders, oppositional defiant disorder and sleep disorders.
5. History of seizures(except for mild febrile seizures) within 2 years from the time of recruitment.
6. Diagnosis of Tourette Syndrome and chronic tics.
7. Research participants who are making use of drugs for the treatment of ADHD in last three months.
8. Research participants who are making use of anticonvulsants, antidepressants and anti psychotics upto 6 weeks prior to study entry.
9. Positive beta HCG test for girls who have attained menarchy.
10. Patient at identified risk of suicide through clinical interview.
11. Children/ adolescents with ADHD predominantly hyperactive/impulsive.
12. Other conditions considered by the investigator as reasonable for the disqualification of the subject,s participation in the study. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
ADHD symptoms as measured by the SNAP-IV and CGI-I Scale scores.   6 months 
 
Secondary Outcome  
Outcome  TimePoints 
1. Computer-based Continuous Performance Test scores and Rey Auditory Verbal Learning Test (RAVLT) scores.
2. Safety  
1. on week 0, 14 and 28
2. on week 0 and 28 
 
Target Sample Size   Total Sample Size="136"
Sample Size from India="136" 
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 2 
Date of First Enrollment (India)   14/09/2019 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None Yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   The study aimed to prove the superiority and tolerability of the investigational product, Cognitus/ Bacomind, compared to placebo in terms of efficacy in the treatment of Attention Deficit & Hyperactivity Disorder (ADHD) in children and adolescents.
 
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