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CTRI Number  CTRI/2020/02/023321 [Registered on: 13/02/2020] Trial Registered Prospectively
Last Modified On: 24/02/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   This study will be conducted in healthy adults with stress and anxiety, the effect as well as safety of Ashwagandha will be assessed in improving their quality of life. 
Scientific Title of Study   A study to evaluate efficacy and safety of Ashwagandha in improving quality of life in healthy adults with stress & anxiety. 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
CPL/83/ASH_STRS/I/AUG/19,V3.0,05-FEB-21  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Vikneswaran G 
Designation  Clinical Research Consultant 
Affiliation  Narayana Health 
Address  Room No. 258/A, Hosur Road, Bommasandra Industrial Area, Anekal Taluk, Bangalore.

Bangalore
KARNATAKA
560099
India 
Phone  09787649182  
Fax    
Email  vikneswaran.g.dr@narayanahealth.org  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kalpesh Shah 
Designation  Senior Vice President 
Affiliation  ClinWorld Private Limited 
Address  19/1 & 19/2, I Main, II Phase, Peenya Industrial Area, Bangalore.

Bangalore
KARNATAKA
560058
India 
Phone  08028397973  
Fax    
Email  kalpesh@clinworld.org  
 
Details of Contact Person
Public Query
 
Name  Dr Kalpesh Shah 
Designation  Senior Vice President 
Affiliation  ClinWorld Private Limited 
Address  19/1 & 19/2, I Main, II Phase, Peenya Industrial Area, Bangalore.

Bangalore
KARNATAKA
560058
India 
Phone  08028397973  
Fax    
Email  kalpesh@clinworld.org  
 
Source of Monetary or Material Support  
Sami Labs Limited. 19/1 & 19/2,I Main,II Phase,Peenya Industrial Area,Bangalore, Karnataka. 560058. 
 
Primary Sponsor  
Name  Sami Labs Limited 
Address  19/1 & 19/2,I Main,II Phase, Peenya Industrial Area, Bangalore,Karnataka.560058. 
Type of Sponsor  Other [Manufactures and markets phutonutrients, standardized herbal extracts and nutritional supplements.] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vikneswaran G  Narayana Health  Room No. 258/A, Hosur Road, Bommasandra Industrial Area, Anekal Taluk, Bangalore.560099.
Bangalore
KARNATAKA 
09787649182

vikneswaran.g.dr@narayanahealth.org 
Dr S V Krishna Reddy  Vijaya Super Speciality Hospital  DRoom No. 2, Department of Urology, Raghava Cine Complex road, Pogathota, SPSR-Nellore, Andhra Pradesh.524 001.
Nellore
ANDHRA PRADESH 
09849048222

svkkrishnareddy.vijaya@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Narayana Health Medical Ethics Committee  Approved 
Vijaya Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  With chronic fatigue, stress and anxiety 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Placebo (Microcrystalline cellulose)  One capsule once a day before bedtime for 60 days.  
Intervention  Shagandha  One capsule once a day before bedtime for 60 days. 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  54.00 Year(s)
Gender  Both 
Details  1 Male and female healthy adults 21 to 54 years old.
2 Body Mass Index (BMI) in the range of 18 to 32 kg/m2.
3 Subjects free of any psychological or psychiatric conditions except stress & anxiety.
4 Adults with perceived stress scale score less than 25 and more than 14.
5 Adults complaining with anxiety,fatigue,loss of appetite,Insomnia and loss of concentration.
6 Subject must be willing and able to adhere to the assessments,visit schedules,
prohibitions and restrictions,as described in this protocol.
7 Willing to sign informed consent.  
 
ExclusionCriteria 
Details  1 Pregnant and lactating female or female having the intention to be pregnant within next
three months.
2 Education level below 8th grade of schooling.
3 Unable to read or understand English or having no working knowledge of English.
4 History of alcohol abuse, excessive smoking with more than 5 cigarettes a day.
5 Established/ diagnosed neurological or psychiatric disorders.
6 With chronic gastrointestinal diseases, severe immune deficiency.
7 Lipid profile, haematological parameters, Glycaemic parameters above normal limits.
8 History of intake of ANY Ayurvedic/herbal/homeopathic/ dietary supplements
(including Vitamin E) or any alternative therapies in the last one month.
9 History of bone marrow disorders.
10 Acute medical/surgical complications which require hospitalization.
11 Subjects with history of clinically significant thyroid disorder (hypo or hyper),
cardiovascular, haematological,hepatic (SGOT or SGPT levels>2 Upper Limit of
Normal),renal (serum creatinine≥1.3 mg/dl), respiratory,or genitourinary
abnormalities or diseases.
12 A history of significant multiple and/or severe allergies or anaphylactic reactions.
13 Subjects with known history of hypersensitivity to the investigational product.
14. Subject has participated in any clinical trial within last 3 months.
15. Any other condition which the Principal Investigator thinks may jeopardize 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 
1 Change in CANTAB score
2 Change in PSS scale
3 Change in WHOQOL-BREF 
1 CANTAB score(Day0 & Day60)
2 PSS scale(Screening,Day30 & Day60)
3 WHOQOL-BREF(Day0 & Day60) 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
1 Change in Generalized Anxiety Disorder - 7 item scale.
2 Change in Salivary cortisol.
3 Change in Urine Serotonin and Dopamine.
4 Change in Anti oxidant stress biomarkers - Nitric oxide,Glutathione and Malondialdehyde.
5 Change in Laboratory parameters.
6 Safety of IP determined upon occurrence of Adverse events. 
1 Generalized Anxiety Disorder - 7 item scale (Screening,Day30 & Day60).
2 Salivary cortisol(Day0 & Day60).
3 Urine Serotonin and Dopamine (Day0 & Day60).
4 Anti oxidant stress biomarkers(Day0 & Day60).
5 Laboratory parameters(Screening, Day30 & Day60).
6 Adverse events(Day30,Day60 & telephonic follow up after 15 days). 
 
Target Sample Size   Total Sample Size="54"
Sample Size from India="54" 
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   N/A 
Date of First Enrollment (India)   18/02/2020 
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="0"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   Not published yet. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

The purpose of this study is to assess the efficacy and safety of Ashwagandha in adults with chronic fatigue, stress and anxiety.

After obtaining informed consent in the language best understood by the patient, they will be screened as per the inclusion criteria and those fulfilling the criteria will be enrolled in the study. Subject’s would be randomized into two groups, one group will receive Shagandha 500 mg once a day before bedtime for 60 days, while the other group will receive Placebo  500 mg once a day before bedtime for 60 days.

The primary endpoints would be change in CABTAB score, PSS Score and Quality of Life from Baseline to Final visit. The secondary endpoints would be change in Generalized anxiety disorder - 7 item scale, Salivary cortisol, Urine Serotonin and dopamine, antioxidant stress markers and laboratory parameters. Adverse events would be assessed throughout the study.

Appropriate statistical analysis would be applied to the data outcomes and discussion and conclusion will be made accordingly.

 
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