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CTRI Number  CTRI/2022/10/046836 [Registered on: 27/10/2022] Trial Registered Prospectively
Last Modified On: 21/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Diagnostic
Screening 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A clinical trial to study the effect of ayurvedic drug TNF34 tablets in patients with clinical and subclinical hypothyroidism  
Scientific Title of Study   A Double Blind Randomized Placebo Controlled Clinical Study to Evaluate the Efficacy and Safety of TFN34 tablets for Individuals with Subclinical and Clinical Hypothyroidism 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrSNMeenakshi sundariMD 
Designation  Professor Dept of General Medicine 
Affiliation  SRM Medical College Hospital and Research Centre 
Address  SRM Medical College Hospital and Research Centre kattankulathur
SRM Medical College Hospital and Research Centre kattankulathur
Kancheepuram
TAMIL NADU
603203
India 
Phone  9444249933  
Fax    
Email  dr.meenakshisundari@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrSNMeenakshi sundariMD 
Designation  Professor Dept of General Medicine 
Affiliation  SRM Medical College Hospital and Research Centre 
Address  SRM Medical College Hospital and Research Centre kattankulathur
SRM Medical College Hospital and Research Centre kattankulathur
Kancheepuram
TAMIL NADU
603203
India 
Phone  9444249933  
Fax    
Email  dr.meenakshisundari@gmail.com  
 
Details of Contact Person
Public Query
 
Name  BMothishwaran 
Designation  student 
Affiliation  SRM Medical College Hospital and Research Centre 
Address  SRM Medical College Hospital and Research Centre kattankulathur
SRM Medical College Hospital and Research Centre kattankulathur
Kancheepuram
TAMIL NADU
603203
India 
Phone  8825580604  
Fax    
Email  drmothishwaran@gmail.com  
 
Source of Monetary or Material Support  
Apex Laboratories Private Limited Research and Development Centre Apex Laboratories Ltd. Registered Address :3RD Floor, Sidco Garment Complex Guindy Chennai Chennai - 600032 Tamil Nadu - India 
 
Primary Sponsor  
Name  Apex Laboratories Private Limited Research and Development Centre 
Address  B-59 Irrungattukottai SIPCOT Chennai - 602105 
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 S N MEENAKSHI SUNDARI   SRM Medical College Hospital and Research Centre general medicine OPD ayurveda OPD   SRM Medical College Hospital and Research Centre general medicine OPD ayurveda OPD
Kancheepuram
TAMIL NADU 
9444249933

dr.meenakshisundari@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E02||Subclinical iodine-deficiency hypothyroidism,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  placebo   placebo is given for another group as a comparator agent.2 tablets should be taken in the morning and night before food orally for 6 months duration. tablet has no active ingredient( placebo) 
Intervention  TNF34 TABLETS   2 tablets should be taken in the morning and night before food orally for 6 months duration. tablet contains polyherbal formulations 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Subjects with TSH Value greater than or equal to 4.5
ï‚· Individual presenting with at least four of the symptoms like Fatigue, cold
intolerance, Constipation, Dry rough & pale skin, Weight gain, Puffiness of face,
Hoarseness, Muscle weakness, Muscle cramps and frequent muscle aches, Abnormal
menstrual cycle, Dry, coarse thinning of hair, Hair loss, Slowed heart rate,
Depression, Irritability, Impaired memory, Decreased libido.
ï‚· Subjects willing to sign informed consent and follow the study procedure.
ï‚· Has not participated in a similar investigation in the past four weeks.
 
 
ExclusionCriteria 
Details  Subjects currently on levothyroxine, anti-thyroid drugs, amiodarone or lithium.
Subjects with any clinically significant and uncontrolled systemic illnesses
(including Gastrointestinal, Cardiac, Neurological, Respiratory, Immunological or
endocrinological disorder) as judged by the investigator, which can hamper the
participation of subjects in clinical study.
ï‚· Hospitalization for major illnesses/ elective surgery within 4 weeks
Clinical diagnosis of any psychiatric or psychological disorders rendering the subject
not to follow the study procedures.
Pregnant or lactating women or women of child bearing potential not willing to use
the established measures of of contraception. 
 
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 improvement in the overall health as assessed by clinical examination of signs and
symptoms such as Fatigue, cold intolerance, Puffiness of face, Hoarseness, Muscle weakness,
Hair loss, Slowed heart rate, Depression, Irritability, Impaired memory and the points
mentioned in questionnaire.
ï‚· Blood levels of FT3 levels, FT4 levels, TSH, T3 levels, T4 levels 
Clinical improvement in the overall health as assessed by clinical examination of signs and
symptoms in 6 months  
 
Secondary Outcome  
Outcome  TimePoints 
Incidence to identify the AE and compliance to the study  Incidence to identify the AE and compliance to the study in between 6 months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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 
Date of First Enrollment (India)   14/11/2022 
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="1"
Months="1"
Days="15" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This is A Double Blind, Randomized, and Placebo Controlled Clinical Study to Evaluate Efficacy and Safety of TFN34 tablets in Individuals with subclinical & clinical hypothyroidism. 
Subjects who have qualified screening and are willing to participate in the study will be called for the study. 
This will be a double blind placebo controlled study. 
In this study, 60 subjects randomized to two groups in 1:1 ratio, who fulfill the inclusion criteria, will be selected.
 As per computer generated randomization sequence, all the subjects will be advised to take 2 tablets of TFN34 tablets or Placebo twice daily before food for a period of 6 months.
 Allocations will be concealed using sealed envelopes.
 Outcome assessor is not blinded as only investigators and subjects are blinded in a double blind study. 
Dosage: 2 tablets of TFN34 Tablets or similar looking Placebo twice daily before food.
 
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