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CTRI Number  CTRI/2020/12/030020 [Registered on: 24/12/2020] Trial Registered Prospectively
Last Modified On: 23/12/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   DEKSEL Nano Syrup [Vitamin D 6000IU/5mL] in patients with Major Depressive Disorder 
Scientific Title of Study   A Double Blind Study to Assess Efficacy of Add-on Vitamin D over Escitalopram in Major Depressive Disorder  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr G Prasad Rao 
Designation  DIRECTOR 
Affiliation  ASHA HOSPITAL 
Address  Department of psychiatry, room no: 115, 1st floor, ASHA HOSPITAL, ROAD NO.14, BANJARA HILLS, HYDERABAD

Hyderabad
TELANGANA
500034
India 
Phone  9121106683  
Fax    
Email  prasad40@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr G Prasad Rao 
Designation  DIRECTOR 
Affiliation  ASHA HOSPITAL 
Address  Department of psychiatry, room no:115, 1st floor, ASHA HOSPITAL, ROAD NO.14, BANJARA HILLS, HYDERABAD

Hyderabad
TELANGANA
500034
India 
Phone  9121106683  
Fax    
Email  prasad40@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr G Prasad Rao 
Designation  DIRECTOR 
Affiliation  ASHA HOSPITAL 
Address  Department of psychiatry, room no:115, 1st floor, ASHA HOSPITAL, ROAD NO.14, BANJARA HILLS, HYDERABAD

Hyderabad
TELANGANA
500034
India 
Phone  9121106683  
Fax    
Email  prasad40@gmail.com  
 
Source of Monetary or Material Support  
Dr.Harsh Chaturvedi, Pulse Pharmaceuticals Pvt. Ltd Plot No. 18/1, Sector-III, HUDA Techno Enclave, HITEC City, Hyderabad, Telangana 500081  
 
Primary Sponsor  
Name  Pulse Pharmaceuticals Pvt Ltd 
Address  Plot No. 18/1, Sector-III, HUDA Techno Enclave, HITEC City, Hyderabad, Telangana  
Type of Sponsor  Pharmaceutical industry-Indian 
 
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 G Prasad Rao  Asha Hospital  Department of psychiatry, room no 115
Hyderabad
TELANGANA 
9121106683

prasad40@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ETHICS COMMITTEE ASHA HOSPITAL  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F330||Major depressive disorder, recurrent, mild,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  DEKSEL  Cholicalciferol OR VITAMIN-D3 60000IU/5ml 
Comparator Agent  PLACEBO  Plain syrup OF 5ml 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Patients suffering from mild to severe depression.
2.18–65 Years of age, of either gender.
3.Willing to give signed Informed Consent.
 
 
ExclusionCriteria 
Details  1.Patients suffering from bipolar affective disorder, any form of schizophrenia, tuberculosis, and sarcoidosis.
2.Pregnant or lactating women.
3.Intake of more than 10 μg vitamin D daily.
4.Known allergy, intolerance or contraindication to study medication.
5.Women of childbearing potential not willing to utilize effective contraception. A negative human chorionic gonadotropin (HCG) pregnancy test is required.
6. Patients were excluded if they at baseline had: serum 25(OH)D <10 nmol/L or >100 nmol/L, serum calcium (ionized)>1.40 mmol/L, estimated glomerular filtration rate (eGFR) <60 mL/min/1.72 m2, serum phosphate <1.50 mmol/L (females) and <1.60 mmol/L (males aged between 18-49 years) or <1.35 mmol/L (males >49 years), or serum parathyroid hormone (PTH) >9.2 pmol/L. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
The primary outcome will be assessed using HAM-D17 and MADRS  At baseline, 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1.Clinicians Global Impressions (CGI) Score
2.Incidence of adverse events.
 
90 DAYS 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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   Phase 2/ Phase 3 
Date of First Enrollment (India)   25/12/2020 
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="3"
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)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Data are available indefinitely at (Link to be included ctri.nic.in).

  6. For how long will this data be available start date provided 21-03-2021 and end date provided 21-12-2024?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

Participants were randomly assigned to receive either Vitamin D or placebo. Participants will be provided with 12 weeks of study medication. Vitamin D will be given as DEKEL Nano Syrup once a day for 10-days. Apart from Vitamin D, both groups will receive treatment as usual including prescription of Escitalopram 10 mg or 20 mg, along with Clonazepam and a proton pump inhibitor (PPI). Both groups will also undergo psychiatric examination with diagnostic interview, cognitive behavior therapy, psycho-education and any other medication according to the treatment guidelines.

Randomization and Blinding


The participants will be randomized into two groups, intervention (Vitamin D with Standard Treatment) or control (Standard Treatment only) using blocks of four. The randomization procedure will be computer-generated and conducted in a labelling procedure concealed from the staff and investigators. Both the active drug and the placebo will be identical in size, smell, and taste.

Outcome Measures

·         Primary Outcome:

1. Sum of the Hamilton Rating Scale for Depression (17-items) (HAM-D17).

2. Score in Montgomery-Asberg Depression Rating Scale (MADRS).

Secondary Outcome:

1.Clinicians Global Impressions (CGI) Score

2. Incidence of adverse events.

Study Assessments:


Depression level and mental health will be assessed and diagnosed by an experienced Psychiatrist. The primary outcome will be assessed using HAM-D17 and MADRS whereas the secondary outcomes are assessed using CGI and the incidence of adverse events. All outcomes will be assessed at baseline and at the end of 3 months. Socio-demographic factors will be assessed at baseline. Known side effects of vitamin D supplementation, and severe adverse events, use of dietary supplements and a full medication list are recorded at baseline and follow-up.

Treatment adherence will be assessed by counting the number of bottles returned by the patients at 12 weeks.

25(OH) D, phosphate, calcium, PTH, HbA1c, TSH, T3 and T4 will be estimated, at baseline and then at the end of three months.










 
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