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CTRI Number  CTRI/2022/09/045812 [Registered on: 23/09/2022] Trial Registered Prospectively
Last Modified On: 26/08/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Probiotic 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Trial on pro-biotic health supplement for high altitude areas 
Scientific Title of Study   Study of human microbiome and probiotic supplementation under extreme environmental conditions. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Lilly Ganju 
Designation  Scientist G and Associate Director 
Affiliation  Defence Institute of Physiology and Allied Sciences 
Address  Room No 108, Division of Immunomodulation, Simulation Chamber Block, DIPAS, Lucknow Road, Timarpur, Delhi
HOD, Division of Immunomodulation, DIPAS, Lucknow Road, Timarpur, Delhi, 54
North
DELHI
110054
India 
Phone    
Fax    
Email  lganju@rediffmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ramesh Chand Meena 
Designation  Scientist E and Co-PI 
Affiliation  Defence Institute of Physiology and Allied Sciences 
Address  Room No 112, Department of Molecular Biology, Simulation Chamber Block, DIPAS, Lucknow Road, Timarpur, Delhi
Department of Molecular Biology, DIPAS, Lucknow Road, Timarpur, Delhi, 54
North
DELHI
110054
India 
Phone    
Fax    
Email  rcmeena.dipas@gov.in  
 
Details of Contact Person
Public Query
 
Name  Dr Dipti Prasad 
Designation  Scientist F and Head Tech Coord 
Affiliation  Defence Institute of Physiology and Allied Sciences 
Address  Room No 110, Main Building, DIPAS, Lucknow Road, Timarpur, Delhi
Room No 110, Main Building, DIPAS, Lucknow Road, Timarpur, Delhi
North
DELHI
110054
India 
Phone    
Fax  01123932896  
Email  dnprasad.dipas@gov.in  
 
Source of Monetary or Material Support  
Defence Research and Development Organization, Rajaji Marg, New Delhi 110011 
 
Primary Sponsor  
Name  Defence Institute of Physiology and Allied Sciences 
Address  Lucknow Road, Timarpur, Delhi, 54 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
Defence Institute of High Altitude Research  Leh, Ladakh, 901205 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Som Nath Singh  Defence Institute of Physiology and Allied Sciences  Lucknow Road, Timarpur, Delhi-110054
North West
DELHI 
011-23883112
9811664006
techcoord.dipas@gov.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee (IHEC), DIPAS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Digestion and Homeostasis of gut and oral microbiota at high altitude 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Placebo formulation  Sorbitol, Xylitol, Maltodextrine powder without microbial consortium and with similar visual and dissolving properties in water. 1 gm daily p.o. for 60 days. 
Intervention  Probiotic composition  Sorbitol, Xylitol, Maltodextrine, Lactobacillus acidophilus, Lactobacillus rhamnosus, Bifidobacterium longum, Saccharomyces boulardii, Bacillus coagulans at a dose of 1gm daily p.o. as health supplement for 60 days. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Male 
Details  BMI: 18-27
No antibiotic treatment in last 3 months
No history of gastro-intestinal disease
Maintenance of oral hygiene 
 
ExclusionCriteria 
Details  Subjects with pre-existing clinically identified digestive and GI tract disease including Chrones.
History of Bariatric surgery or intestinal injury  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Homeostasis of gut and oral microbiota ascertained through sequencing analysis  Baseline at o months and monthly follow up for 06 months 
 
Secondary Outcome  
Outcome  TimePoints 
Effect on physiological and biochemical parameters that are reported previously to be influenced by gut microbiota in scientific literature. Viz., Immunological: Cytokine, Chemokine, Immunoglobulin and complement factor profiling, Metabolic: Glucose, Hb1 Ac, Cortisol, Lipid Profile, Vitamin Profile.  Same as primary outcome 
 
Target Sample Size   Total Sample Size="1000"
Sample Size from India="1000" 
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 3 
Date of First Enrollment (India)   15/02/2023 
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="3"
Months="0"
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

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) -  either through email to director.dipas@gov.in or through published findings

  6. For how long will this data be available start date provided 31-07-2023 and end date provided 31-12-2026?
    Response - Immediately following publication. No end date.

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

The trial on probiotic health supplement is to evaluate its efficacy in maintaining homeostasis of gut and oral microbiota in hypobaric hypoxia and cold conditions prevalent in high altitude areas. Considering the burgeoning literature on effect of gut and oral microbiota on immunity and metabolism in human body, the study will also evaluate the effect of the supplementation of the probiotic on these related parameters.

Study Design: Randomized double blind longitudinal interventional study will be conducted. The study will comprise of Placebo and Probiotic intervention group and will be conducted in the high altitude conditions of Ladakh. Baseline data will be acquired prior to administration of FSSAI approved probiotic supplement and follow up data will be acquired at intervals of 01 month for a total duration of 06 months.

Study parameters:

Microbial Profiling: DNA sequencing for microbial composition from stool and saliva samples

General Physiology viz., Blood Pressure, BMI, HRV

Biochemical Parameters: Lipid, Glucose, Vitamin, Stress Hormone profile from blood samples.

Immunological Parameters: Cytokine, Chemokine, Immunoglobulin and complement factor profiling

 
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