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CTRI Number  CTRI/2011/10/002089 [Registered on: 24/10/2011] Trial Registered Retrospectively
Last Modified On: 10/09/2012
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Food product]  
Study Design  Randomized, Crossover Trial 
Public Title of Study   An open-label, randomized, crossover, pilot study to assess the efficacy of Nutren diabetes, in maintenance of blood glucose level in patients with type 2 diabetes (T2DM) 
Scientific Title of Study   An open-label, randomized, crossover, pilot study to assess the efficacy of Nutren diabetes, in maintenance of blood glucose level in patients with type 2 diabetes (T2DM) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
10.01.IN.CLI.  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mr Partha Chatterjee 
Designation  Associate Director, Project Management 
Affiliation   
Address  SIRO Clinpharm Pvt. Ltd DIL Premises, 2nd Floor, Off Ghodbunder Road, Opp Tatwagyan Vidyapeeth, Thane West

Thane
MAHARASHTRA
400610
India 
Phone  02225848066  
Fax    
Email  partha.chatterjee@siroclinpharm.com  
 
Details of Contact Person
Scientific Query
 
Name  Mr Partha Chatterjee 
Designation  Associate Director, Project Management 
Affiliation   
Address  SIRO Clinpharm Pvt. Ltd DIL Premises, 2nd Floor, Off Ghodbunder Road, Opp Tatwagyan Vidyapeeth, Thane West

Thane
MAHARASHTRA
400610
India 
Phone  02225848066  
Fax    
Email  partha.chatterjee@siroclinpharm.com  
 
Details of Contact Person
Public Query
 
Name  Mr Partha Chatterjee 
Designation  Associate Director, Project Management 
Affiliation   
Address  SIRO Clinpharm Pvt. Ltd DIL Premises, 2nd Floor, Off Ghodbunder Road, Opp Tatwagyan Vidyapeeth, Thane West

Thane
MAHARASHTRA
400610
India 
Phone  02225848066  
Fax    
Email  partha.chatterjee@siroclinpharm.com  
 
Source of Monetary or Material Support  
Nestle 
 
Primary Sponsor  
Name  Nestle 
Address  Nestle India Limited Nestle House Jacaranda Marg, M Block, DLF City, Phase II, Gurgaon - 122002 (Harayana) 
Type of Sponsor  Other [FMCG] 
 
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 Anoop Misra  Fortis Flt. Lt. Rajan Dhall Hospital  Centre of Excellence in Diabetes, Obesity, Metabolic Diseases and Endocrinology Fortis Flt. Lt. Rajan Dhall Hospital Sector B, Pocket 1 Aruna Asaf Ali Marg Vasant Kunj New Delhi - 110 070 India
South
DELHI 
011-41759672

anoopmisra@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics Committee for research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Type 2 Diabetes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nutren Diabetes  Nutren diabetes; 55 gm in 210 ml of water as a single dose on one occasion via oral administration.  
Comparator Agent  The reference product: Cornflakes and Milk   250 ml of double toned milk with 42 gm of Kelloggs cornflakes. The reference product will deliver 261 kcal of energy. 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. The patient has a known history of diabetes (T2DM) and is currently on antihyperglycemic drugs.
2. The patient has good diabetes control defined as baseline HbA1c levels of 7.0-9.0%
3. The patient is male or female, and is ≥35 and ≤60 years of age
4. The patient is capable of understanding and complying with the protocol requirements
5. The patient signs a written, informed consent form prior to the initiation of any study procedures
6. The patient has a fasting blood glucose less than 180 mg
7. The patient has a stable weight; no loss/gain of a maximum of 10% of their body weight within the past 6 months 
 
ExclusionCriteria 
Details  1. The patient has symptoms of very poor diabetes control defined as HbA1c > 9%.
2. The patient is on insulin therapy for management of diabetes.
3. The patient has serum creatinine levels > 1.3 mg/dL (female) or 1.4 mg/dL (male), nephropathy, evidence of hepatic disease or history of alcohol abuse.
4. The patient has participated in any other investigational study within 30 days prior to initiation of the study.
5. The patient is currently using other diabetic nutritional supplements sharing the same mechanism of action as Nutren Diabetes.
6. The patient is a study site employee, or is an immediate family member (ie, parent, child, and sibling) of a study site employee, involved in conduct of this study.
7. The patient has history of hypersensitivity to any of the ingredients of Nutren.
8. The patient has history of hypersensitivity to any of the ingredients of test meal.
9. If the patient is female, the patient is pregnant or lactating.
10. The patient has any condition or prior therapy, which, in the opinion of the investigator, would make the subject unsuitable for the study.
11. The patient is unable to understand to comply with the instructions.
12. The patient is unable to understand verbal or written English or any other language for which a certified translation of the approved informed consent is available. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The primary efficacy outcome for this study is reduction in postprandial blood glucose level over stipulated time points (30, 60, 90, 120, and 180 minutes) form baseline (0 min). This parameter is considered one of the standards for the determination of blood glucose control.  0, 30, 60, 90, 120, and 180 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
The secondary efficacy outcome for this study is change in insulin level over stipulated time points (30, 60, 90, 120, and 180 minutes) from baseline (0 min) and triglycerides level at 120 min from fasting state as the intake of any food product is directly related the lipid content. Also subjective sensations of hunger, satiety, and other appetite sensations will be assessed for the patients using a VAS questionnaire.  0, 30, 60, 120 and 180 minutes. 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/09/2011 
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="4"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This will be an open-label, randomized, single-center, 2-period, cross over, pilot study in patients with T2DM to determine the efficacy of Nutren diabetes, a nutritional supplement, in maintenance of blood glucose level in patients with T2DM. 

The study will consist of a Pre-Treatment Phase and a Treatment Phase. The Pre-Treatment Phase will consist of Screening Period followed by a Run-in Period.  During the Screening Period (Day -14 to Day -8) the patients will be evaluated to determine if they meet the Inclusion/Exclusion criteria. During the Run-in period (Day -7 to Day -1) the patients will be advised on the diet and exercise to be followed. The Run-in Period is included in this study to ensure that all patients receive the same nutrition counseling and advise in order to bring homogeneity in the study. At the end of Run-in Period the patients will be randomized to one of the study groups.

The Treatment Phase will consist of 2 periods of 1 day each, separated by a washout period of 1 week and a follow up period of 2 days. During each period, the patients will be confined to the clinic and will be administered either the test product or isocaloric diet as per the randomization schedule.  The test product will be given as a meal replacement in the morning after overnight fast; only water will be allowed. Blood samples will be collected for estimation of blood glucose level and triglyceride levels at stipulated time points. The subjects will also be asked to fill a questionnaire on Day 1 and Day 8 for assessing the patient’s sensations of hunger, satiety, and other appetite sensations as per schedule of assessments. Subjects will be released from the clinic on same day after completion of all study related procedures.  The patients will be followed up through telephone for safety assessments at the end of Period 2 for 2 days. 
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