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CTRI Number  CTRI/2021/03/032136 [Registered on: 18/03/2021] Trial Registered Prospectively
Last Modified On: 25/03/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   The study to evaluate the efficacy and safety of DAPAD COMPLEX dietary supplement as an adjuvant therapy in treatment of uncomplicated acute urinary tract infections (UTI)  
Scientific Title of Study   A randomized double blind, two arms, parallel assignment, placebo controlled study to evaluate the efficacy and safety of DAPAD COMPLEX dietary supplement as an adjuvant therapy in treatment of uncomplicated acute urinary tract infections (UTI)  
Trial Acronym  none 
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
BIAG-CSP-046 version 2.0 dated 29June2021  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Urvashi P Bhatara 
Designation  Consultant - gyneacologist 
Affiliation  Rajalakshmi Hospital and Research Center 
Address  Rajalakshmi Hospital and Research center, 21/1, 3rd floor Laxmipura main Road, Vidyaranyapure Post

Bangalore
KARNATAKA
560097
India 
Phone  9448696741  
Fax    
Email  urvashibhatara@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ms Divya Chandradhara 
Designation  CEO 
Affiliation  BioAgile Therapeutics Pvt Ltd 
Address  #2/5, 3rd Floor Dahlia Building, 80ft Road, RMV 2nd Stage,

Bangalore
KARNATAKA
560094
India 
Phone  9538961761   
Fax    
Email  divya@bioagiletherapeutics.com  
 
Details of Contact Person
Public Query
 
Name  Ms Divya Chandradhara 
Designation  CEO 
Affiliation  BioAgile Therapeutics Pvt Ltd 
Address  #2/5, 3rd Floor Dahlia Building, 80ft Road, RMV 2nd Stage,

Bangalore
KARNATAKA
560094
India 
Phone  9538961761  
Fax    
Email  divya@bioagiletherapeutics.com  
 
Source of Monetary or Material Support  
Giellepi S.p.A. HEALTH SCIENCE division, via B. Cellini 37, 20851 Lissone (MB) Italy  
 
Primary Sponsor  
Name  Giellepi SpA 
Address  Health Science division, via B. Cellini 37, 20851 Lissone (MB) Italy  
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Suman   Rajalakshmi Hospital and research center  21/1, Laxmipura Main Road, 3d floor Vidyaranyapura post, Bangalore
Bangalore
KARNATAKA 
9986046906

drsumanraj6@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Rajlakshmi 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:N390||Urinary tract infection, site notspecified. Ayurveda Condition: MUTRAKRUCCRAM,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  DAPAD Complex sachets, dietary supplement containing D-mannose, plant extracts and prebiotic fibres.  2 sachets a day (Morning & Evening) dissolved in a glass of water (150 ml) and mix adequately for 5days 
Comparator Agent  Placebo  2 sachets a day (Morning & Evening) dissolved in a glass of water (150 ml) and mix adequately for 5days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Adult Female Fertile age
Age ≥ 18 years to 45 years
Written informed consent
At least one of four key UTI symptoms that could be attributed to an uncomplicated UTI, and no alternative explanation (i.e. symptoms suggestive of STI or vulvo-vaginitis):
Dysuria
Urgency (including nocturia)
Frequency
Suprapubic tenderness
Urine culture positive for E.Coli ≥105 cfu/mL
 
 
ExclusionCriteria 
Details  1. Male sex
2. Urine culture positive to uropathogens different from E. coli
3. Pregnancy or planned pregnancy
4. Concomitant antimicrobial therapy at the time of screening
5. Use of any antibiotics in the past 7 days
6. Use of dietary supplements (such as cranberry, probiotics, etc) during the month before recruitment
7. Known or suspected hypersensitivity or allergy to any ingredient of Investigational product
8. Active upper UTI (e.g. pyelonephritis, urosepsis: fever > 38.0, flank pain, chills)
9. Symptoms/signs suggestive of vaginitis or sexually transmitted infection
10. Indwelling catheter, nephrostomy, ureter stent or other foreign material
11. Otherwise complicated UTI:
• A history of anatomical or functional abnormalities of the urogenital tract:
• Congenital abnormalities
• Polycystic kidney disease
• Obstruction or stricture of renal pelvis, ureter or urethra
• Kidney stones
• Cystocele
• Cystic diverticulae
• Change of anatomical proportions (e.g. after ureter implantation)
• Chronic vesico-urethral reflux
• Neurogenic bladder
12. Severe chronic renal (creatinine clearance < 30 ml/min) or hepatic dysfunction
13. Diagnosis of diabetes
14. Immunosuppression:
• Untreated infection with the human immunodeficiency virus (HIV)
• Use of high-dose systemic corticosteroids or other immunosuppressive medication
• Chemotherapy
• Treatment with radiation
15. Critical illness requiring intensive care
16. Planned surgery within the next 6 weeks
17. Pelvic or gynecological surgery during the 6 months before recruitment
18. Inability to take oral drugs
19. Participation in another prospective clinical trial
20. Previous enrolment in the proposed study
21. Inability to understand or to follow the study protocol 
 
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 
clinical response at the end of treatment (day 6 ±2 days) and one month after the end of therapy.  (day 6 ±2 days) and one month after the end of therapy. 
 
Secondary Outcome  
Outcome  TimePoints 
bacteriologic response at the end of therapy   day 6 ±2 days and one month after the end of therapy 
 
Target Sample Size
Modification(s)  
Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "70"
Final Enrollment numbers achieved (India)="70" 
Phase of Trial   N/A 
Date of First Enrollment (India)   26/03/2021 
Date of Study Completion (India) 23/10/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   A urinary tract infection (UTI) is a collective term for infections that involve any part of the urinary tract. It is one of the most common infections in local primary care. The incidence of UTIs in adult males aged less than 50 years is low, with adult women being 30 times more likely than men to develop a UTI. Increasing rates of antibiotic resistance and high recurrence rates threaten to greatly enhance the burden that these common infections place on society. Ideally, alternative therapies will be established that will be recalcitrant to the development of resistance. Many promising approaches are being developed, from leveraging what we have learned about the basic biology of UTI pathogenesis to specifically target virulence pathways.  DAPAD COMPLEX  for the treatment of urinary tract infections and improves the urinary tract functions. This trial will help us to evaluate safety and efficacy DAPAD COMPLEX dietary supplement in treatment of uncomplicated acute urinary tract infections (UTI). This can be used as an alternative therapy for treatment of uncomplicated acute urinary tract infections.
 
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