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CTRI Number  CTRI/2019/08/020711 [Registered on: 14/08/2019] Trial Registered Prospectively
Last Modified On: 04/11/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda
Behavioral 
Study Design  Single Arm Study 
Public Title of Study   A clinical trial to test the safety and effectiveness of Neuralzhein in management of memory loss related to age.  
Scientific Title of Study   A Prospective, Open label, multi-center Clinical Study to evaluate the efficacy and safety of Neuralzhein in management of Mild to Moderate age onset Dementia. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sreedhara KC 
Designation  Managing Director 
Affiliation  Deepashri Hospital 
Address  DNo.86, 2nd Main, 16th D Cross, Nagarbhavi, Bangalore - Near Malagala Inner Ring Road Under Pass

Bangalore
KARNATAKA
560072
India 
Phone  9481574797  
Fax    
Email  deepashrihospitalcr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vasanth Samaga 
Designation  Director 
Affiliation  BioMylz Pvt.Ltd 
Address  #21-D, 2nd Phase, Peenya Industrial Area.

Bangalore
KARNATAKA
560058
India 
Phone  9686204660  
Fax    
Email  vasanthsamaga@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mr Subham Dutta 
Designation  Director 
Affiliation  Syncorp Clincare Technologies Pvt.Ltd 
Address  187/2,Tapaswiji Arcade,2nd Floor. BTM Layout,1st Stage. Hosur Main Road.

Bangalore
KARNATAKA
560068
India 
Phone  8050072226  
Fax    
Email  subham@syncorp.in  
 
Source of Monetary or Material Support  
BioMylz Pvt. Ltd Building NO:1, #21-D, 2ndPhase, Peenya Industrial Area, Bengaluru, Karnataka 560058 
 
Primary Sponsor  
Name  Lexxus Laboratories DBA OPUS PHARMA 
Address  225 Lincoln Highway, Suite 187, Fairless Hills, PA 19030, USA  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
BioMylz Pvt Ltd  #21-D, 2nd Phase, Peenya Industrial Area 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
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 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ashraya Medinova Private Limited Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F54||Psychological and behavioral factors associated with disorders or diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NA  NA 
Intervention  Neuralzein   Neuralzein(powder form)is a herbal product developed using combination of several natural ingredients and have been proved to be effective in cognitive functions (memory loss , short and long term loss, visual perception and auditory recognition capacity ,etc and symptoms associated with dementia having multifactorial therapeutic benefits like helps in healthy functions , improves cardiovascular health by maintaining cholesterol level and helps in condition of insulin resistance of Type II Diabetes condition. 5 gms of Neuralzhein sachet (powder form of peach color) to be taken orally before breakfast and before dinner by dissolving the Neuralzhein in 50 ml of water / 20 ml of virgin coconut oil. 
 
Inclusion Criteria  
Age From  55.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1.Subject should be able to give written consent for participation on their own or through their legally acceptable representative/Caregiver.
2.Adult males or females aged between 55 years to 75 years with the diagnosis of any type of age onset Mixed Dementia Insulin resistance associated Diabetes Mellitus, Thyroid disorders, Vitamin B12 deficiency, Vitamin D deficiency.
3.Subjects with following conditions will be recruited:
4.Memory impairment (short term and long term), particularly recent events.
5.Spatial arrangement recalls skills
6. Mood swings
7.Irritability, Inattentiveness, difficulty in focusing and apathy
8.Speech impairment
9. Reading and learning inability
10. Sleep cycle changes
11.Personality changes
12.Inability to perform daily activities
13. Disorientation and reduced eye movement.
14. Visual perception & auditory recognition capacity.
15. Subjects with Mini-Mental State Examination (MMSE) score of 13 to 24
16. Subjects with Modified Hachinski Ischemic Scale (MHIS) score of ¬¬¬¬ 4 or less.
17. The subjects having an identified, reliable, study partner (care giver) who is able to read, write and understand the study procedures and can attend study appointments. The caregiver should have the ability to answer questions about the subject’s behavior, activity of daily living, quality of life, and their own level of stress. The compliance card has to be filled by the caregiver.
18. Subjects newly diagnosed with dementia who are willing to participate into the study, subjects who have not shown any improvement with other medications or subjects who are ready to quit the ongoing treatment and ready to start IP.
19. Subjects must have gradual and progressive change in memory function for >6 months.
20. Subjects who are willing to undergo MRI if required.
21. Subjects should have adequate visual and auditory acuity to allow neuropsychological testing.
22.Subjects who will be able to travel to the research site without being non-compliant with the visits and procedures.
 
 
ExclusionCriteria 
Details  1. Presence of non-neurological medical conditions interfering with cognition.
2. Subject having any contraindications or inability to tolerate brain magnetic resonance imaging (MRI) and Positron emission tomography (PET scans)
3. Subject with history of myocardial infarction, unstable angina, stroke, transient ischemic attack or required intervention for any of these conditions within 6 months of Screening.
4. Subject having history of seizures.
5. Subjects having significant neurological disease affecting the nervous system, other than dementia, that affects cognition or may affect completion of the study.
6. Subjects having history of cancer within the last 5 years
7. Subjects having serious risk for suicide.
8. Subjects having history of drug or alcohol use disorder within the last 2 years.
9. Subjects mustn’t be immunocompromised, or have Hepatitis B or C.
Clinically significant uncontrolled medical or psychiatric illness Renal or liver impairment.
10. Terminal illness (i.e., life expectancy < 1 year)
11. Participation in another research study that could potentially confound current study (e.g., medication or behavioral intervention)
12. History of head trauma associated with injury-onset cognitive complaints or loss of consciousness for 10 minutes or longer.
13. Women with Child bearing capabilities.
14. Subjects taking sedative, antidepressants or antipsychotics
15. Any surgical procedure in the recent time.
16. Any autoimmune disorders.
17. Febrile patients.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Change in the scores of ACE (R) from baseline to last visit.
2. Change in the scores of MHIS from baseline to last visit.
 
3 months
 
 
Secondary Outcome  
Outcome  TimePoints 
1. To know the occurrence of the safety part in case of Adverse Drug Reactions,Adverse Events or Serious Adverse Events.
2. To measure the quality of life of patients with the help of QOL questionnaire from the baseline till the last visit.  
3 Months 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   17/08/2019 
Date of Study Completion (India) 06/02/2020 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
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  

The study is indicated for the management of symptoms in patients with age-onset dementia induced disease progression involving Mixed Dementia impairing cognitive traits like Memory loss, short term & long term loss, visual perception & auditory recognition capacity, mood swing, speech impairment, reading and learning inability, sleep cycle changes, irritability, inattentiveness and difficulty in focusing, spatial arrangement recall skill and reduced eye movement.

 
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