| CTRI Number |
CTRI/2020/06/026043 [Registered on: 22/06/2020] Trial Registered Prospectively |
| Last Modified On: |
16/06/2020 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Other (Specify) [Intermittent Fasting ] |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
YOGIC FAST ATHEROSCLEROSIS REGRESS IVUS STUDY |
|
Scientific Title of Study
|
DOES YOGIC PATTERN OF INTERMITTENT FASTING AND YOGIC DIET REGRESS ATHEROSCLEROSIS IN CORONARY ARTERY DISEASE PATIENTS IN ADDITION TO CONVENTIONAL MEDICAL THERAPY : AN OBJECTIVE INTRAVASCULAR ULTRASOUND BASED STUDY :YOGIC FAST ATHEROSCLEROSIS REGRESS IVUS STUDY |
| Trial Acronym |
|
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Rohit Walia |
| Designation |
Assistant Professor Incharge Electrophysiology , Heart Failure Special Clinic |
| Affiliation |
All India Institute of Medical Science , Rishikesh |
| Address |
Room Number 25103 Department of Cardiology All India Institute of Medical Science Rishikesh
Dehradun UTTARANCHAL 249203 India |
| Phone |
8800492549 |
| Fax |
|
| Email |
rwalia7731@yahoo.in |
|
Details of Contact Person Scientific Query
|
| Name |
Rohit Walia |
| Designation |
Assistant Professor Incharge Electrophysiology , Heart Failure Special Clinic |
| Affiliation |
All India Institute of Medical Science , Rishikesh |
| Address |
Room Number 25103 Department of Cardiology All India Institute of Medical Science Rishikesh
Dehradun UTTARANCHAL 249203 India |
| Phone |
8800492549 |
| Fax |
|
| Email |
rwalia7731@yahoo.in |
|
Details of Contact Person Public Query
|
| Name |
Rohit Walia |
| Designation |
Assistant Professor Incharge Electrophysiology , Heart Failure Special Clinic |
| Affiliation |
All India Institute of Medical Science , Rishikesh |
| Address |
Room Number 25103 Department of Cardiology All India Institute of Medical Science Rishikesh
Dehradun UTTARANCHAL 249203 India |
| Phone |
8800492549 |
| Fax |
|
| Email |
rwalia7731@yahoo.in |
|
|
Source of Monetary or Material Support
|
| All India Institute of Medical Science Rishikesh |
|
|
Primary Sponsor
|
| Name |
Rohit Walia |
| Address |
Room number 25103, Department of Cardiology All India Institute of Medical science Rishikesh Uttarakhand |
| Type of Sponsor |
Other [self] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Rohit Walia |
All India Institute of Medical science , Rishikesh |
Room number 25103 , Department of Cardiology Dehradun UTTARANCHAL |
8800492549
rwalia7731@yahoo.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| All India Institute of Medical Science Rishikesh |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
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|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: I251||Atherosclerotic heart disease of native coronary artery, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Adlibium intake no time restriction no fasting |
No time restricted fasting and one a fifteen day fasting as in intervention group |
| Intervention |
Intermittent Fasting |
Intermittent fasting or time restricted eating after sunrise approximately 6 am and between sunset approx 6 pm and daily 12 hours night fasting and one a day in 15 days one meal fast . It has numerous benefits in reducing insulin resistance , inflammation , lipids and obesity. |
|
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Inclusion Criteria
|
| Age From |
40.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
Age 40 to 60 years males
Stable Coronary artery disease patients referred for percutaneous intervention in an artery suitable for intravascular ultrasound pullback
Non diabetic
Non Smokers
Left ventricular ejection fraction greater than 45 percent
Body mass index greater than 25
|
|
| ExclusionCriteria |
| Details |
Left main disease
More than moderate left ventricular systolic dysfunction ( LVEF<45%)
Deranged Renal Function Test
Chronic Liver Disease
Advanced Malignancy
Severe chronic obstructive pulmonary disease
Any addiction
Not willing to give consent
Hypothyroid or hyperthyroid disorders
Body mass index < 25
Infectious diseases
Peptic ulcer
Bleeding disorder
Need for coronary artery bypass grafting
Hemodynamically unstable patients
Gout
Celiac disease
Anemia
Specific Food allergy
Failure to advance IVUS catheter through culprit lesion
Heavily calcified vessels
Previous Percutaneous coronary intervention / Coronary artery bypass grafting
Anorexia nervosa
Bulimia
Pregnancy
Lactation
Athletes , high intensity sports , body building
Any recent hospitalisation in past 3 months
The patient has not routinely participated in caloric restriction (deliberate limitation of caloric intake of <80% than the FDA-recommended daily caloric intake) within the last 2 years, has not participated in extended fasting (>12 hours at a time) for at least a year, and does not deliberately skip meals as a routine dietary practice.
Treatment with immunosuppressive medications, or solid organ transplantation within 1 year.
Diabetes or use of insulin
Migraine
Epilepsy
|
|
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Method of Generating Random Sequence
|
Computer generated randomization |
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Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
Change from baseline in participant plague volume
Change from baseline in participant culprit lesion and in stent restenosis
Change from baseline in participant plague tissue component percentage change at one year : Percentage change in necrotic , fibrotic , lipid and calcific tissue volume
Number of plagues regressed , progressed and new plagues
Difference in cardiac events between both groups
Incidence of new onset diabetes |
1 year |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Change in visceral fat , lipid profile , insulin resistance , CRP , neutrophil/lymphocytr ratio to plague volume and composition
|
1 year |
|
|
Target Sample Size
|
Total Sample Size="80" Sample Size from India="80"
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)
|
20/05/2022 |
| 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="2" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
Nil |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
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Brief Summary
|
Hypothesis : Intermittent fasting facilitates weight loss improves coronary artery disease risk factors like low density lipoproteins , triglycerides , small low density lipoproteins , insulin resistance, inflammation , new onset diabetes. Atherosclerosis is characterised by lipotoxicity , inflammation and intermittent fasting may regress or stabilise the disease by above mentioned mechanism and by inducing autophagy.
Stable overweight non diabetic stable coronary artery disease patients requiring coronary angiography and intravascular ultrasound will be enrolled in Yogic Satvik diet and time restricted intermittent fasting daily ( two times meal between 6 am and 6 pm ) and fast once every eleventh day with one meal of 250 Kcal between 8 am and 2 pm along with conventional recommended medical therapy vs. medical therapy alone for one year. The participants will be analysed long term for coronary atherosclerosis plague reduction and composition using intravascular ultrasound and endocrine , immune , cardiovascular , metabolic effects of long term intermittent fasting.
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