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CTRI Number  CTRI/2021/02/031442 [Registered on: 22/02/2021] Trial Registered Prospectively
Last Modified On: 22/02/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Homeopathy 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Homeopathy in ringworm 
Scientific Title of Study   Evaluating feasibility of a double-blind, randomized, placebo-controlled trial of individualized homeopathic medicines in tinea corporis 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
U1111-1264-6240  UTN 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prof Dr Subhasish Ganguly 
Designation  Professor and Head, Dept. of Organon of Medicine and Homoeopathic Philosophy 
Affiliation  D. N. De Homoeopathic Medical College and Hospital 
Address  Research OPD, Room no 12, 12, Gobinda Khatick Road, Tangra, Kolkata

Kolkata
WEST BENGAL
700046
India 
Phone  9007263548  
Fax    
Email  ganguly.subhasish@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Dr Shyamal Kumar Mukherjee 
Designation  Principal and Administrator 
Affiliation  D. N. De Homoeopathic Medical College and Hospital 
Address  Principals Chamber, Administrative Division, 12, Gobinda Khatick Road, Kolkata

Kolkata
WEST BENGAL
700046
India 
Phone  9831113383  
Fax    
Email  shyamalmukhergee@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Dr Shyamal Kumar Mukherjee 
Designation  Principal and Administrator 
Affiliation  D. N. De Homoeopathic Medical College and Hospital 
Address  Principals Chamber, Administrative Division, 12, Gobinda Khatick Road, Kolkata

Kolkata
WEST BENGAL
700046
India 
Phone  9831113383  
Fax    
Email  shyamalmukhergee@gmail.com  
 
Source of Monetary or Material Support  
12, Gobinda Khatick Road, Tangra, Kolkata, West Bengal 700046 
 
Primary Sponsor  
Name  D N De Homoeopathic Medical College and Hospital 
Address  12, Gobinda Khatick Road, Tangra, Kolkata, West Bengal 700046 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
Nil  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Prof Dr Subhasish Ganguly  D. N. De Homoeopathic Medical College and Hospital  Research OPD, Room no 12, 12, Gobinda Khatick Road, Tangra, Kolkata, West Bengal 700046
Kolkata
WEST BENGAL 
9007263548

ganguly.subhasish@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B354||Tinea corporis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Individualised homeopathic medicines  It is planned as administering indicated homeopathic remedies in centesimal potencies, as decided appropriate to the case or condition. In centesimal scale, each dose shall consist of 4 globules (no. 30) of cane sugar, medicated with the indicated medicine (preserved in 90% v/v ethanol), to be taken orally on clean tongue with empty stomach; dosage and repetition depending upon the individual requirement of the cases. All medicines will be procured from a Good Manufacturing Practice (GMP)-certified firm. Route of administration of medicine: Oral. All the patients will be given general advices on external application of olive oil twice a day. Duration of therapy: 2 months 
Comparator Agent  Placebo  Placebo, identical in appearance with and indistinguishable from the medicine. Each dose of placebo shall consist of 4 globules (no.30) of cane sugar, moistened with rectified spirit, to be taken orally on clean tongue with empty stomach; dosage and repetition depending upon the individual requirement of the cases. All sundry items will be procured from a Good Manufacturing Practice (GMP)-certified firm. Route of administration: Oral. All the patients will be given general advices on external application of olive oil twice a day. Duration of therapy: 2 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Patients suffering from tinea corporis (2020 ICD-10-CM diagnosis code B35.4) since last 3 months
2. Age 18-65 years
3. Patients of either sex
4. Patient using topical agents for tinea lesions will be included after a washout period of two weeks
5. Patients who are literate and capable of filling the questionnaire and providing
written informed consent 
 
ExclusionCriteria 
Details  1. Cases with complication like lichenification and eczematisation
2. Similar looking skin conditions; e.g. seborrhic dermatitis, pityriasis rosea and psoriasis
3. Patients who are too sick for consultation
4. Diagnosed cases of unstable mental or psychiatric illness or other uncontrolled
or life-threatening illness affecting quality of life or any organ failure
5. Pregnant and puerperial women and lactating mothers
6. Substance abuse and/or dependence
7. Self-reported immune-compromised state, and
8. Already undergoing homeopathic treatment for chronic disease within last 6 months. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Number of patients in each group showing complete disappearance of the
skin lesions 
At baseline and after 2 months 
 
Secondary Outcome  
Outcome  TimePoints 
Intensity of pruritus measured by 0-10 numeric rating scales  At baseline and after 2 months 
Skindex-29 scores  At baseline and after 2 months 
 
Target Sample Size   Total Sample Size="34"
Sample Size from India="34" 
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)   24/02/2021 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   None yet, to be published 
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 - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    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 www.dndeofficial.org/).

  6. For how long will this data be available start date provided 01-12-2021 and end date provided 30-11-2026?
    Response - Beginning 3 months and ending 5 years following article publication.

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

The prevalence of superficial mycotic infection worldwide is 20-25% of which dermatophytes are the most common agents. Due to the lack of updated national or international guidelines on the management of tinea corporis, cruris, and pedis, treatment with systemic antifungals is often empirical. Although there is sufficient evidence to demonstrate the efficacy of topical antifungals in limited disease yet, there is scarce data on the frequency of relapse once topical monotherapy is discontinued. Though homeopathy is a popular choice among the patients, but peer-reviewed researches in tinea infection has remained seriously compromised. In this double-blind, randomized, placebo-controlled trial at D. N. De Homoeopathic Medical College and Hospital, 34 patients suffering from tinea corporis will be randomized to receive either individualized homoeopathic medicines (verum; n=17) or identical-looking placebo (control; n=17). We aim to address the feasibility issues of conducting a definitive efficacy trial of individualized homoeopathy and to investigate whether there are any differences in outcomes between these two groups over 2 months of intervention. Number of patients in each group showing complete disappearance of the skin lesion, intensity of pruritus measured by 0-10 numeric rating scales (NRS) and Skindex-29 scores will be used as the primary and secondary outcome measures. Feasibility issues will be checked and comparative analysis will be carried out to examine group differences, if any. Results will be published in scientific journals.

 
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