CTRI Number |
CTRI/2021/08/036044 [Registered on: 31/08/2021] Trial Registered Prospectively |
Last Modified On: |
27/05/2024 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Homeopathy |
Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
Public Title of Study
|
Homeopathic medicines in dyspepsia |
Scientific Title of Study
|
Double-blind, randomized, placebo-controlled trial of individualized homeopathic medicines in functional dyspepsia |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Gurudev Choubey |
Designation |
Research Officer(Homeopathy) Scientist 3 |
Affiliation |
Central Council for Research in Homoeopathy |
Address |
Clinical Research Unit for Homeopathy, under CCRH, Research OPD -1
Arabindopally, Siliguri Monoarama Apartment Gokhel Road Arabindopally Siliguri
Darjeeling Darjiling WEST BENGAL 734006 India |
Phone |
9475916907 |
Fax |
|
Email |
gurudev.choubey@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Charanjeet singh |
Designation |
Principal |
Affiliation |
SriGanganagar Homepathic medical college and Research centre |
Address |
Department of Materia Medica, Tantia University Campus
Hanumangarh Road Near RIICO Busstand Sri Ganganagar
Rajasthan Tantia University Campus
Hanumangarh Road Near RIICO Busstand Sri Ganganagar
Rajasthan Ganganagar RAJASTHAN 335002 India |
Phone |
9414225433 |
Fax |
|
Email |
sgnhh@yahoo.com |
|
Details of Contact Person Public Query
|
Name |
Dr Charanjeet singh |
Designation |
Principal |
Affiliation |
SriGanganagar Homepathic medical college and Research centre |
Address |
Department of Materia medica,Tantia University Campus
Hanumangarh Road Near RIICO Busstand Sri Ganganagar
Rajasthan Tantia University Campus
Hanumangarh Road Near RIICO Busstand Sri Ganganagar
Rajasthan Ganganagar RAJASTHAN 335002 India |
Phone |
9414225433 |
Fax |
|
Email |
sgnhh@yahoo.com |
|
Source of Monetary or Material Support
|
|
Primary Sponsor
|
Name |
Gurudev Choubey |
Address |
Monoarama Apartment,Gokhel Road,Arabindopally,Siliguri
Darjeeling |
Type of Sponsor |
Other [Independent Reseacher] |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Gurudev Choubey |
Clinical Research Unit for Homeopathy,Siliguri |
Research OPD -1, Research Division CRU(H) Gokhel road,Arabindopally,Siliguri Darjiling WEST BENGAL |
7908955160
gurudev.choubey@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Institutional Ethics Committee |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: K30||Functional dyspepsia, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Intervention |
Individualised homeopathic medicine |
Dose-Intervention is planned as administering indicated homoeopathic medicines in centesimal potencies, as decided appropriate to the case or condition.
Route of administration and frequency - 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 casesâ€. Patients will be advised to refrain from handling the globules or from eating, drinking, smoking or brushing teeth within 30 minutes of taking the globules and will be asked to suck the globules rather than simply swallowing those. “All medicines will be procured from a Good Manufacturing Practice (GMP)-certified firm.
Duration-5 to 30 days depending on potency |
Comparator Agent |
Placebo |
Dose and frequency-This arm will receive placebo, indistinguishable in appearance from verum.
Route of administration-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 |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
65.00 Year(s) |
Gender |
Both |
Details |
1.Functional dyspepsia (ICD-10-CM Diagnosis Code K30) as per the Rome IV criteria
2.. “Patients already undergoing regular therapy for dyspeptic ailments, provided the medications are stopped completely at least 2 weeks prior study entryâ€
3.. “Literate patients; ability to read Bengali and/or Englishâ€
4. Providing written informed consent
|
|
ExclusionCriteria |
Details |
1. Recent significant GI surgery within last 6 months
2. Patients who are too sick for consultation
3. Diagnosed cases of unstable mental or psychiatric illness or other uncontrolled or life-threatening illness affecting quality of life
4. Pregnancy, puerperium and lactation
5. Substance abuse and/or dependence
6. Self-reported immune-compromised state, and
7. Undergoing homeopathic treatment for any chronic disease within last 6 months.
|
|
Method of Generating Random Sequence
|
Permuted block randomization, variable |
Method of Concealment
|
Pre-numbered or coded identical Containers |
Blinding/Masking
|
Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded |
Primary Outcome
|
Outcome |
TimePoints |
Leeds Dyspepsia Questionnaire - Short Form (LDQ-SF) |
Baseline, every month, up to 3 months |
|
Secondary Outcome
|
Outcome |
TimePoints |
Frequency of use of standard conventional drugs for functional dyspepsia during study period of 3 months |
Baseline, every month, up to 3 months |
|
Target Sample Size
|
Total Sample Size="140" Sample Size from India="140"
Final Enrollment numbers achieved (Total)= "140"
Final Enrollment numbers achieved (India)="140" |
Phase of Trial
|
Phase 3 |
Date of First Enrollment (India)
|
01/09/2021 |
Date of Study Completion (India) |
01/02/2023 |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
Date Missing |
Estimated Duration of Trial
|
Years="0" Months="11" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
Recruitment Status of Trial (India) |
Completed |
Publication Details
Modification(s)
|
None yet; to be published in Good peer-reviewed journal |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
Brief Summary
Modification(s)
|
Functional dyspepsia (FD) is a clinical syndrome characterized by chronic or recurrent upper abdominal pain or discomfort with no identifiable cause. Symptoms should be present for a minimum of 3 months; however, symptoms lasting greater than 6 months are typical. This disorder is not a mono-symptomatic entity; several predominant symptoms may be present, including epigastric pain (22%), abdominal fullness (24%), bloating (15%), vomiting (3%), belching (8%), early satiety (12%), nausea (10%), and heartburn (6%). Individuals with functional dyspepsia suffer significant morbidity and expend significant resources through both direct and indirect costs. The prevalence of FD is estimated to be 11.5-14.7%. A double-blind, randomized, placebo-controlled, two parallel arms clinical trial was conducted on 140 patients (70 in each group) suffering from FD at the outpatient department of Clinical Research Unit (Homoeopathy), Siliguri, under Central Council for Research in Homoeopathy, Ministry of AYUSH, Govt. of India; Gokhel Road, Arabindopally, Siliguri, Pin 734006, West Bengal. Patients were randomized in 1:1 ratio into either individualized homeopathic medicinal products (IHMPs) or identical-looking placebo. Outcome measures (primary – Leeds dyspepsia questionnaire – short form; secondary - frequency of use of standard conventional drugs for functional dyspepsia during study period of 3 months) were recorded at baseline, and every month, up to 3 months. The attrition rate was 9.3%. Group differences favored IHMPs against placebos in all the outcomes (LDQ-SF total: P < 0.001; LDQ-SF symptom frequency: P < 0.001; LDQ-SF symptom severity: P < 0.001, number of participants consuming antacids: P = 0.001; and the number of antacids consumed: P < 0.001), with large effect sizes. Nux vomica (18.6%), Sulphur (15%), Lycopodium clavatum (12.1%), Pulsatilla nigricans (6.4%), and Carbo vegetabilis (5%) were the most frequently prescribed remedies. IHMPs acted significantly better than placebos in the treatment of FD. Independent replications are required to validate the findings. |