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CTRI Number  CTRI/2019/09/021405 [Registered on: 25/09/2019] Trial Registered Prospectively
Last Modified On: 19/05/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Homeopathy 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effectiveness of Homoeopathic Medicines Azadirachta indica-Q and Echinacea angustifolia-Q in Allergy 
Scientific Title of Study   Single Blind Randomized Comparative Study in the Modulation of Serum Immunoglobulin-E levels of Atopic patients treated with Azadirachta indica-Q and Echinacea angustifolia-Q 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nandhagopal S 
Designation  BHMS 
Affiliation  Vinayaka Missions Homoeopathic Medical College and Hospital 
Address  Vinayaka Missions Homoeopathic Medical College and Hospital, NH47, Sankari main Road, Seeragapadi PO, Salem Salem TAMIL NADU 636308 India

Salem
TAMIL NADU
636308
India 
Phone  9445058974  
Fax    
Email  gopalnandhu1998@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr H Venkatesan 
Designation  Associate Professor 
Affiliation  Vinayaka Missions Homoeopathic Medical College and Hospital 
Address  Dept of Practice of Medicine, Vinayaka Missions Homoeopathic Medical College and Hospital, NH47, Sankari main Road, Seeragapadi PO, Salem Salem TAMIL NADU 636308 India

Salem
TAMIL NADU
636308
India 
Phone  9865134561  
Fax    
Email  venkathompath@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr H Venkatesan 
Designation  Associate Professor 
Affiliation  Vinayaka Missions Homoeopathic Medical College and Hospital 
Address  Dept of Practice of Medicine, Vinayaka Missions Homoeopathic Medical College and Hospital, NH47, Sankari main Road, Seeragapadi PO, Salem Salem TAMIL NADU 636308 India

Salem
TAMIL NADU
636308
India 
Phone  09865134561  
Fax    
Email  venkathompath@gmail.com  
 
Source of Monetary or Material Support  
Vinayaka Missions Homoeopathic Medical College and Hospital, NH47, Sankari main Road, Seeragapadi PO, Salem, Tamilnadu - 636308 
 
Primary Sponsor  
Name  Central Council for Research in Homoeopathy 
Address  61-65, Institutional Area, Opp D Block, Janak Puri, New Delhi 110058 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
Vinayaka Missions Homoeopathic Medical College and Hospital  NH47, Sankari main Road, Seeragapadi PO, Salem, Tamilnadu - 636308 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr H Venkatesan  Vinayaka Missions Homoeopathic Medical College and Hospital  Room No : 5 B - Dept of Practice of Medicine, Vinayaka Missions Homoeopathic Medical College and Hospital, NH47, Sankari main Road, Seeragapadi PO, Salem, Tamilnadu - 636308 Salem TAMIL NADU
Salem
TAMIL NADU 
986513456

venkathompath@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R768||Other specified abnormal immunological findings in serum, (2) ICD-10 Condition: D824||Hyperimmunoglobulin E [IgE] syndrome, (3) ICD-10 Condition: L20||Atopic dermatitis, (4) ICD-10 Condition: J45||Asthma, (5) ICD-10 Condition: J30||Vasomotor and allergic rhinitis, (6) ICD-10 Condition: B65-B83||Helminthiases, (7) ICD-10 Condition: L500||Allergic urticaria, (8) ICD-10 Condition: Z910||Allergy status, other than to drugs and biological substances, (9) ICD-10 Condition: T784||Other and unspecified allergy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Azadirachta indica-Q   20 Drops in 10 ml of water per oral route morning and night every day half an hour before food for 90 days  
Comparator Agent  Echinacea angustifolia-Q  20 Drops in 10 ml of water per oral route morning and night every day half an hour before food for 90 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Patients with elevated Serum Immunoglobulin-E (IgE) level with or without any Clinical Manifestation.
2. Elevated IgE level > 158 IU/mL or as per the reference range in other Units / for other laboratory methods.
3. Patients associated with Atopic Symptoms.
 
 
ExclusionCriteria 
Details  1. Patients with Systemic Complications
2. Patients with Autoimmune diseases.
3. Those who are already under chronic medication for elevated IgE levels.
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Reduction in Serum Ig-E Levels  90 Days 
 
Secondary Outcome  
Outcome  TimePoints 
Symptomatic Relief   90 days 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="30" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/11/2019 
Date of Study Completion (India) 30/04/2020 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
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 classic Definition of Immunity is protection from Infectious pathogen & the normal immune response. An important undesirable side effect of immunity is the development, under some conditions, of allergy or other types of Immune Hypersensitivity.

            Hypersensitivity is defined as an exaggerated or inappropriate state of normal immune response with onset of adverse effects on the body. For the induction of Hypersensitive reactions, the host should have had contact with the antigen (allergen). During first contact of host with antigen, sensitisation takes place. Subsequent contact with allergen causes manifestation of Type-1 Hypersensitivity.

            Antibodies (Cytotropic IgE) are fixed on surface of tissue cells in sensitized individuals. These combines with cell fixed antibody, leading to release of pharmacologically active substances which produce the clinical reaction.

            ‘Atopy’ is defined as a personal and/or familial tendency, to become sensitized and produce IgE antibodies in response to ordinary exposure to allergens, usually proteins. Therefore Atopy is an IgE antibody high-responder who may or may not have clinical symptoms. Symptoms of Type-I hyper­sensitivity that begin after a clearly defined environmen­tal exposure should prompt to eliminate future exposure to the suspected allergen. 

The heart of the allergic response lies in the quantity and specificity of IgE production of patients to allergens. The history, aided by a physical examination and objec­tive tests of IgE sensitivity (either skin tests or serum IgE measurements), is often used to diagnose Allergic / Atopic conditions.

Azadirachta indica (Neem) and Echinacea angustifolia (Narrow-leaf coneflower) are found to be effective as immune modulators both in Animal and Human Studies conducted earlier. They are also found to be effective in treating Atopic patients in Homoeopathy too.

These details intended me to do the comparative study of the effectiveness of the two said medicines in controlling serum Ig-E levels of atopic patients.

 
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