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CTRI Number  CTRI/2021/03/031940 [Registered on: 12/03/2021] Trial Registered Prospectively
Last Modified On: 03/12/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Clinical trial for TADIOS as supplemental therapy in mild to moderate COVID-19 
Scientific Title of Study   Multicenter, double-blind, placebo-controlled, maximum 10 days administration study to evaluate the efficacy and safety of TADIOS as an adjuvant therapy in patients diagnosed with mild to moderate COVID-19 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
21PR0041-008 (Dated 25.2.2021 Version 1.0)   Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rajkumar Nikalje 
Designation  Director & Consultant Chest Physician 
Affiliation  Oxycare Multispecialty Hospital 
Address  Department of Respiratory Medicine, Oxycare Multispecialty Hospital, Sr. No 84, Lakshmi nagar, Neal Bhalke Colony, Walhekarwad, Chinchwad

Pune
MAHARASHTRA
411033
India 
Phone  9028560535  
Fax    
Email  nikalje.rajkumar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Deepak Gowda 
Designation  President and QA head  
Affiliation  Syncorp Health Private Limited 
Address  Building # 06, 3rd floor, 2nd Main Rd, opposite to British Biologicals, Sarvobhogam Nagar, Arekere

Bangalore
KARNATAKA
560076
India 
Phone  9972434444  
Fax    
Email  deepak.gowda@syncorphealth.com  
 
Details of Contact Person
Public Query
 
Name  Deepak Gowda 
Designation  President and QA head  
Affiliation  Syncorp Health Private Limited 
Address  Building # 06, 3rd floor, 2nd Main Rd, opposite to British Biologicals, Sarvobhogam Nagar, Arekere

Bangalore
KARNATAKA
560076
India 
Phone  9972434444  
Fax    
Email  deepak.gowda@syncorphealth.com  
 
Source of Monetary or Material Support  
Helixmith Co., Ltd. 21, Magokjungang 8-ro 7-gil, Gangseo-gu, Seoul 07794, Korea 
 
Primary Sponsor  
Name  Helixmith Co Ltd 
Address  21, Magokjungang 8-ro 7-gil, Gangseo-gu, Seoul 07794, Korea 
Type of Sponsor  Other [Bio products ​ Natural Bionutricals​] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Madhu N  Chaitanya Hospital  Court Side Road, North Paravur, Kochi, Kerala-683573
Ernakulam
KERALA 
04842441428

drnmadhu17@gmail.com 
Dr Ramshyam C Agarwal  Gunjkar Multispeciality Hospital  Gunjkar Multispeciality Hospital, Shivtej Nagar, Chikhali, Pimpri Chinchwad, Pune-19
Pune
MAHARASHTRA 
8087282022

ramshyamagarwal20@gmail.com 
Dr Shyam Mukundan  Lakshmi Nursing Home  Palace Road, Aluva-683101, Kerala, India
Ernakulam
KERALA 
8943967475

drshyammukundan@gmail.com 
Dr Rajkumar Nikalje  Oxycare Multispecialty Hospital  Oxycare Multispecialty Hospital, Sr. No 84, Lakshmi nagar, Neal Bhalke Colony, Walhekarwad, Chinchwad, Pune -33
Bangalore
KARNATAKA 
9028560535

nikalje.rajkumar@gmail.com 
Dr John Paul M  Sparsh Super Speciality Hospital  Sparsh Super Speciality Hospital, 4/1, Tumkur Rd, Yeshwanthpur Industrial Area, Phase 1, Yeswanthpur, Bengaluru, Karnataka 560022
Bangalore
KARNATAKA 
9606197707

sparshclinical@gmail.com 
Dr Meghana Murthy  Vagus Super Speciality Hospital  Vagus Super Speciality Hospital 4th Main Rd, Malleshwaram, Bengaluru, Karnataka 560003
Bangalore
KARNATAKA 
7259214727

meggydoc@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Institutional Ethics Committee Madonna Hospital & Research Centre  Approved 
Institutional Ethics Committee Sai Sneh Hospital & Diagnostic Centre   Approved 
Institutional Ethics Committee-Sai Sneha Hospital & Diagnostic centre   Approved 
Madonna Hospital an Research Centre  Approved 
Sparsh Hospital Institutional Ethics Committee  Approved 
Vagus Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:B972||Coronavirus as the cause of diseases classified elsewhere. Ayurveda Condition: Janapadoddhwansa,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Standard of care treatment plus placebo  Placebo Dose: 2400 mg/day (4 tablets of 300 mg placebo twice a day) for maximum 10 days along with standard of care treatment. Route of administration: Orally with water  
Intervention  Tadios along with standard of care treatment  Test Product: TADIOS Dose: 2400 mg/day (4 tablets of 300 mg active ingredient twice a day) for maximum 10 days along with standard of care treatment. Route of administration: Orally with water  
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Male or Female, aged between 18 to 65 years (both inclusive)
2. Confirmed Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) first infection by a reverse transcription polymerase chain reaction (RT-PCR) assay in nasal swab or oropharyngeal swab samples.
3. Patients who are hospitalized into designated hospital for COVID 19 treatment
4. Patients who can be treated within 24 hours after confirmed diagnosis with COVID-19
5. Patients with mild COVID-19 or moderate COVID-19 according to clinical management guideline of Government of India.
a) Mild Illness: Patients with uncomplicated upper respiratory tract viral infection, may have non-specific symptoms such as fever, cough, sore throat, nasal congestion, malaise, and headache. The elderly may present with atypical symptoms. These patients do not have any signs of dehydration, sepsis or shortness of breath.
b) Moderate Illness: Patient with pneumonia and no signs of severe pneumonia (Chest X-ray will be performed to rule out pneumonia in the suspected subjects).
6. Patients who have signed the written informed consent form approved by Ethics Committee to participate after understanding explanations regarding the study
7. Those who can comply with the requirements and processes in the clinical study
8. Women of childbearing age must be negative to urine pregnancy test during screening
 
 
ExclusionCriteria 
Details  1. Patients with severe COVID-19
2. Self-reported history of meaningful circulatory, renal, gastrointestinal, liver, endocrinal, hematological, or mental disease, or other serious diseases or alcohol or drug addiction that may cause safety issues or confusion in the interpretation of clinical research results by the principal investigator’s judgment
3. Female patients who are pregnant (confirmed through urine pregnancy test) or breastfeeding
4. Patients with cardiovascular, liver, and kidney disease
5. Self-reported patients being a recipient of immunosuppressive therapy
6. Self-reported patients who are allergic to this dietary supplements
7. Patients taking a health functional food or medicine that may affect the body’s antioxidant, anti-inflammatory activity, and lungs within 6 weeks of the first visit
8. Patients who participated in another clinical trial within 1 month before screening
9. Patients have any condition that in the judgement of investigator make the subject inappropriate for entry into this study
10. Patients consuming any herbal medicine
11. Self-reported patients with cases of surgical menopause (hysterectomy, oophorectomy of both ovaries) or sterilization procedures (tubal ligation or tubectomy of both fallopian tubes). Menopause refers to 1 year of no menstruation.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment    
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
(1) Antioxidative and inflammatory biomarkers: TNF-α, CRP, IL-6, IL-1ra, Hb, and Ferritin
(2) Clinical measurements-
a) 8-point ordinal scale for clinical improvement
b) Time to clinical recovery in clinical symptom scale
c) Proportion of clinical improvement in clinical in symptom scale
(3) Quality of life
a) WHOQOL-WHO 5 wellbeing scale
b) Fatigueness assessment through fatigue severity scale
(4) Hospitalization
a) Duration of hospitalization
b) Time to discharge
 
Day 0, Day 10 or discharge or early termination, and Day 14.
clinical symptom scale daily till discharge 
 
Secondary Outcome  
Outcome  TimePoints 
(1) Adverse event
(2) Hematological test, general chemical test, and urine test
(3) Vital signs
 
(1) Adverse events: Day 2, 4, 7 and 10/discharge/early termination
(2) Hematological test, general chemical test, and urine test: screening, Day 10/discharge/early termination and Day 14
(3) Vital signs: screening, Day 0, 2, 4, 7, 10/discharge/early termination and Day 14
 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   16/03/2021 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   none yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
100 patients diagnosed with COVID-19 by RT-PCR will be randomized in a ratio of 1:1 into TADIOS group and placebo group to evaluate efficacy and safety after intake over 10 days. 
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