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CTRI Number  CTRI/2020/03/023910 [Registered on: 12/03/2020] Trial Registered Prospectively
Last Modified On: 10/08/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A clinical study to understand the effectiveness of a new product in adult subjects with stomach problem. 
Scientific Title of Study
Modification(s)  
A double blind, single centric, randomized, placebo-controlled study to demonstrate the efficacy and safety of RefluG (Test product) with Placebo in the management of symptoms of Gastroesophageal reflux disease (GERD).  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pendalimari Rajesh 
Designation  Principal Investigator 
Affiliation  Rajalakshmi Hospital 
Address  Rajalakshmi Hospital Department of Gastroenterology Room number-2 Ground Floor Lakshmipura Main Road Vidyaranyapura Post

Bangalore
KARNATAKA
560097
India 
Phone    
Fax    
Email  drrajeshrlh@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Deepa Subramanian  
Designation  CEO 
Affiliation  Syncretic Clinical Research Services Pvt Ltd  
Address  Syncretic Clinical Research Services Pvt Ltd No 32 Door No 4 (Old No.38) 5th cross 11th Main Vasanthnagar.

Bangalore
KARNATAKA
560052
India 
Phone    
Fax    
Email  deepa@syncretic.in  
 
Details of Contact Person
Public Query
 
Name  Dr Deepa Subramanian  
Designation  CEO 
Affiliation  Syncretic Clinical Research Services Pvt Ltd  
Address  Syncretic Clinical Research Services Pvt Ltd No 32 Door No 4 (Old No.38) 5th cross 11th Main Vasanthnagar.

Bangalore
KARNATAKA
560052
India 
Phone    
Fax    
Email  deepa@syncretic.in  
 
Source of Monetary or Material Support  
Giellepi Spa Via B, Cellini 37 Lissone (MB) - 20851 Italy  
 
Primary Sponsor  
Name  Giellepi Spa  
Address  Via B, Cellini 37 Lissone (MB) - 20851 Italy  
Type of Sponsor  Other [[Manufacturer, Limited Company] ] 
 
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 Pendalimari Ramesh  Rajalakshmi Hospital   Department of Gastroenterology, Ground Floor, Room No-2, Lakshmipura Main Road Vidyaranyapura Post
Bangalore
KARNATAKA 
9553252525

drrajeshrlh@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Rajalakshmi 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: K219||Gastro-esophageal reflux disease without esophagitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Fenugreek galactomannans (Trigonella foenum-graecum seed extract) Mallow (Malva sylvestris dry extract)  Sachet containing 10ml oral solution to be administered 3 times a day 
Comparator Agent  Placebo  Sachet containing 10ml oral solution to be adminstered 3 times a day 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1 Patient should be able to give written informed consent.
2 Diagnosis of GERD by endoscopy
3 Males and females 18 -65 years of age (both inclusive).

4 Subjects who should be able to follow controlled diet (coffee and tea must be limited to not more than 2 cups per day, Chocolate, alcoholic beverages and spices should be reduced as much as possible).
5Subjects who are negative for Helicobacter pylori infection
6 Childbearing women using either oral or local contraceptives.
7 Ability to comply with requirements of trial
 
 
ExclusionCriteria 
Details  Subjects with esophagitis and complications of gastroesophageal reflux disease including oesophageal stricture, Barrett’s oesophagus or adenocarcinoma of the oesophagus
Subjects with any significant intestinal maladies (including known gastric and duodenal ulcer, hiatal hernia, infections or inflammatory conditions of the small or large intestine, and obstructions)
Subjects with dyspepsia, Malabsorption, celiac disease, prior gastric surgery, pyloric stenosis, or a history of erosive esophagitis or GERD refractory to 2 months of therapy with either an H2-receptor antagonist (H2RA) or a PPI.
Known history of drug or alcohol abuse
Subjects who, in the opinion of the investigator, are mentally incapacitated such that informed consent cannot be obtained.
Subjects with clinically significant history of co-morbid condition (like, diabetes, immunodeficiency, HIV, HPV), cardiac disease, kidney disease, that in the opinion of the investigator could affect the efficacy and safety outcome of the study.
Patients suffering from any condition which in opinion of the Investigator may interfere with nutrient absorption, distribution, metabolism and excretion e.g. sub-acute obstruction, celiac disease, Crohn’s disease, Small intestine bacterial overgrowth (SIBO), chronic pancreatitis, or cystic fibrosis, lactase deficiency, or lactose intolerance, biliary atresia, parasitic diseases, diseases of the gallbladder, liver, kidney or pancreas etc.
Subject with deteriorating health status at the time of enrolment, rapid weight loss, terminal disease, significant chronic disease (e.g, chronic diarrhoea, gastro-intestinal diseases, irritable bowel syndrome)
9. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) values ≥ 2.5 X Upper Limit of Normal (ULN), Serum creatinine of ≥ 1.5 mg/dL
10. Subjects on Hormone replacement therapy or chemotherapy or radiotherapy.
Subjects participating in any other studies or participated in any clinical trial 3 months prior to start of this trial.
Pregnant women.
Known hypersensitivity to, or intolerance of, study medications or their formulation excipients.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To demonstrate that Investigational product is superior to placebo and is efficacious in symptom remission (30% more symptom remission compared to placebo) in management of GERD.  Screening day, Day 0, 7 and 14 
 
Secondary Outcome  
Outcome  TimePoints 
1Safety will be assessed throughout by AE reporting, laboratory testing, PE, and vital signs.
2Change in symptom frequency and intensity using RDQ
3Change in GERD symptom assessed by VAS
4Change in Quality of life using GERD- HRQL- SF36
5Number of subjects with 50% reduction of symptoms compare to baseline
6Number of days required to achieve 24 hours without heartburn
7Fast action symptoms relief as mentioned in the RDQ
8Change in F.S.S.G
9Change in Heartburn Severity Index
 
Screening day, Day 0, 7 and 14 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   N/A 
Date of First Enrollment (India)
Modification(s)  
06/06/2020 
Date of Study Completion (India) 14/07/2020 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This clinical study was planned to evaluate the safety and efficacy of a novel therapy in subjects diagnosed with Gatroesophageal reflux disease (GERD). 

In this study 60 subjects will recruited who are with GERD for a treatment period of 14 days. The treatment will demonstrate that the investigational product is superior to placebo and is efficacious in symptom remission. 
The treatment will also evaluate for change in symptom frequency and intensity using reflux disease questionnaire, change in GERD symptoms accessed by VAS, change in QOL using HRQL-SF36, Change in frequency scale for symptom questionnaire and change in heartburn severity index from baseline to Day 7 ans 14 and also in between the groups in these visits. This study will also evaluate number of subjects with 50% reduction of symptoms compare to baseline and number of days required to achieve 24 hours without heartburn. 
The objective of the study is to evaluate the efficacy and safety of Reflux (IP) in subjects diagnosed with GERD when compared to placebo. 
Type of the study - Randomized, double blind, placebo controlled. 
 
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