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CTRI Number  CTRI/2021/08/036060 [Registered on: 31/08/2021] Trial Registered Prospectively
Last Modified On: 30/10/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A study of nutraceutical product in Patients 
Scientific Title of Study   A Randomized, Open label, Prospective, Three Arm, Parallel, Multicenter study to Evaluate Efficacy and Safety of Metformin with / without Concomitant Administration of Thymoquinone in Patients with Type 2 Diabetes Mellitus 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
0242-21, Version 1.0, Dated 19 Jun 2021  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prashant Modi 
Designation  Sr. General Manager 
Affiliation  Lambda Therapeutic Research Ltd. 
Address  Lambda house, Plot No. 38, Survey no. 388, Near Silver Oak Club, S. G. Highway, Gota

Ahmadabad
GUJARAT
382481
India 
Phone  07940202375  
Fax  07940202021  
Email  prashantmodi@lambda-cro.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Naman Shah 
Designation  Sr. General Manager 
Affiliation  Lambda Therapeutic Research Ltd. 
Address  Lambda house, Plot No. 38, Survey no. 388, Near Silver Oak Club, S. G. Highway, Gota

Ahmadabad
GUJARAT
382481
India 
Phone  07940202389  
Fax  07940202021  
Email  namanshah@lambda-cro.com  
 
Details of Contact Person
Public Query
 
Name  Prashant Modi 
Designation  Sr. General Manager 
Affiliation  Lambda Therapeutic Research Ltd. 
Address  Lambda house, Plot No. 38, Survey no. 388, Near Silver Oak Club, S. G. Highway, Gota

Ahmadabad
GUJARAT
382481
India 
Phone  07940202375  
Fax  07940202021  
Email  prashantmodi@lambda-cro.com  
 
Source of Monetary or Material Support  
Intas Pharmaceuticals Ltd, Corporate House, Nr. Sola Bridge, S.G. Highway, Thaltej, Ahmedabad – 380054, Gujarat, India 
 
Primary Sponsor  
Name  Intas Pharmaceuticals Ltd 
Address  Corporate House, Nr. Sola Bridge, S.G. Highway, Thaltej, Ahmedabad – 380054, Gujarat, India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 9  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Prabhat Ranjan Sinha  Aakash Healthcare Super Speciality Hospital  Department of Clinical Research,Room No.NA,Hospital Plot, Road No 201, Sector 3 Dwarka, New Delhi-110075
New Delhi
DELHI 
9811709628

drprabhatsinha@yahoo.com 
Dr Anupama Behara  All India Institute of Medical Sciences  Dept of General Medicine, Room No.: NA, AIIMS, Sijua, Patrapada, Bhubaneswar
Khordha
ORISSA 
9437800568

anupama6799@gmail.com 
Dr Dhiren Solanki  Amena Khatun multi speciality hospital  Department of Clinical Research, Room No.: NA, Amena Lhatun multi speciality Hospital, Sarkhej Road
Ahmadabad
GUJARAT 
9909917942

dhirensol.1985@gmail.com 
Dr Arunkumar Radhakrishnan  Chettinad Hospital & Research Institute  Department of Clinical Research, Room No.: NA, Rajiv Gandhi Sale, Old Mahabalipunem, Kelambalekem
Chennai
TAMIL NADU 
8589951229

drarunresearch2020@gmail.com 
Dr Abhay Kumar  IMS and SUN Hospital  Department of Clinical Research, Room No.: NA, IMS and sun hospital , K8 Kalinge nagar, Ghatelia, Bhubaneswar
Khordha
ORISSA 
9438534785

drabhay76@gmail.com 
Dr Rajeev Chawla  Maharaja Agrasen Hospotal  Department Of medicine, Room No.: NA, Maharaja Agrasen Hospital, West Panjabi Baug, 110026
New Delhi
DELHI 
9811799666

rajeevaastikchawla@yahoo.com 
Dr Vipul Chavda  Rudraksha Multispeciality hospital  Department of Clinical Research, Room No.: NA, 1st Floor, Rajmandir complex,bareja fly over, Bareja
Ahmadabad
GUJARAT 
9909979236

drvpchavda@gmail.com 
Dr Alpesh Patel  Shree Nidhi Heart and Medical Hospital  Department of Clinical Research, Room No.: NA, Rotary Bhavan Road, Opposite panch mahadev temple, shankar nagar society- 384002
Mahesana
GUJARAT 
9825260157

drapshreenidhi@gmail.com 
Dr Ravindra Thakkar  V. S General Hospital  Department of Clinical Research,Room No. N/A,V. S General Hospital, 2nd Floor Medicine OPD, Ellis bridge, Ahmedabad-380006
Ahmadabad
GUJARAT 
8000496619

ravindrathakkar007@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 9  
Name of Committee  Approval Status 
Akash healthcare Super Speciality Hospital,Dr. Prabhat Ranjan Sinha  Approved 
Amena Khatun Hospital Ethics committee, Dr Dhiren Solanki  Approved 
IEC IMS and sun Hospitals, Dr. Abhay Kumar  Submittted/Under Review 
IHEC Chettinad Academy & Research and Education, Dr. Arunkumar Radhakrishnan  Approved 
Institutional Ethics Committee, Dr. Anupama Behara  Submittted/Under Review 
Institutional Ethics Committee, Dr. Rajiv Chawala  Approved 
Rudraksh Hospital Ethics Committee, Dr. Vipul Chavda  Approved 
Shree nidhi Heart and medical Hospital Ethics committee, Dr.Alpesh Patel  Approved 
Shrey Hospital Institutional Ethics committee,Dr Ravindra Thakkar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E119||Type 2 diabetes mellitus without complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Arm 1 (T1): Tablet Metformin SR 1000 mg and Tablet thymoquinone 12.5 mg  Dose: 1000 mg and 12.5 mg, Route of administration: Oral,Frequency: Once daily, Duration: 90 days  
Intervention  Arm 2 (T2): Tablet Metformin SR 1000 mg and Tablet thymoquinone 25 mg  Dose: 1000 mg and 25 mg, Route of administration: Oral,Frequency: Once daily, Duration: 90 days 
Comparator Agent  Arm 3 (R): Metformin SR 1000 mg tablet  Dose: 1000 mg, Route of administration: Oral,Frequency: Once daily, Duration: 90 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Patients of either gender between 18 and 65 years (both inclusive) of age.
2. Patients with type 2 diabetes mellitus.
3. Body mass index (BMI) between 18 kg/m2 to 30 kg/m2 (both inclusive)
4. Patients who are receiving stable dose of metformin 1000 mg/day for last 3 months

5. Patients with HbA1c greater than or equal to 7.0 percentage and less than or equal to 7.5 percentage.
6. Provides written informed consent in accordance with applicable regulatory requirements.
7. Women of child bearing potential must use an effective method of avoiding pregnancy (including oral, transdermal, or implanted contraceptives (any hormonal method in conjunction with a secondary method), intrauterine device, female condom with spermicide, diaphragm with spermicide, absolute sexual abstinence, use of condom with spermicide by sexual partner or sterile (at least 6 months prior to study drug administration) sexual partner for at least 4 weeks prior to study drug administration, during study and up to 30 days after the last dose of study drug. Male patients must agree to use a male condom throughout the study.
8. Serum pregnancy test at screening and urine pregnancy test at check-in must be negative for women of child bearing potential (WOCBP).
 
 
ExclusionCriteria 
Details  1. Patients taking other oral/injectable antidiabetic agents (e.g. sulfonylurea, insulin) within last 3 months before screening.
2. Patients on drugs (e.g. steroids, hydroxychloroquine etc.) or herbal products or food (including black cumin seeds) affecting blood glucose within last 3 months prior to screening (exception of ongoing statin therapy / beta blockers in recommended doses that is stable for last 3 months).
3. Patients with drug abuse including narcotics, opioids or any other addictive substances.
4. Any major organ system disease, chronic cardiac illness (e.g. ischaemic heart disease, heart failure, cardiac arrythmias), chronic liver disease (e.g. hepatic failure, active hepatitis, liver cirrhosis), renal complications and any other chronic debilitating illness.
5. Women of childbearing potential not agreeing to use an effective form of contraception.
6. Known hypersensitivity to Thymoquinone or metformin or any of its ingredients.

7. Creatinine clearance less than or equal to 60 ml/min or known case of renal impairment.
8. Clinically significant laboratory abnormalities at the time of screening.
9. Patients participated in any type of clinical study within the last 30 days of the screening date.
10. Any other condition which in the opinion of the investigator could jeopardize the safety of the subject or the validity of the study results. Unsuitability for enrollment otherwise as decided by investigator.
11. Patients for whom oral administration of drug is not possible.
12. Treatment with anti-obesity drugs within last 3 months prior to screening or patients who have undergone bariatric surgery.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Percent change in HbA1c from baseline to EOS  On Day 1, Day 30, Day 60 and Day 91 
 
Secondary Outcome  
Outcome  TimePoints 
1. Proportions of patients achieving HbA1c 7 % at EOS
2. Change in fasting blood glucose (FBG) from baseline to EOS
3. Change in post prandial blood glucose (PPBG) from baseline to EOS
4. Change in body weight from baseline to EOS
5. Change in the non-HDL cholesterol levels (total cholesterol – HDL levels) from baseline to EOS

Safety Evaluation
-Number of episodes of hypoglycemia in each arm from baseline to EOS
- Incidence of adverse events and serious adverse events in each arm 
1. On Day 1, 30, 60 and 91
2. & 3. On Day 1, 15, 30, 60 and 91
4. On Day 1, 7, 15, 30, 60 and 91
5. On Day 1, 30, 60 and 91 
 
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)   01/09/2021 
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)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Patients of either gender between 18 and 65 years of age (both inclusive) with primary diagnosis of type 2 diabetes mellitus who are on a stable dose of metformin 1000 mg/ day for last 3 months before screening will be considered eligible for the screening.
Patients will be randomized in 1:1:1 manner in either Arm 1 or Arm 2 or Arm 3.
Patients in Arm 1 will receive 1 tablet of metformin SR 1000 mg once daily and 1 tablet of Thymoquinone 12.5 mg once daily for 90 days.
Patients in Arm 2 will receive 1 tablet of metformin SR 1000 mg once daily and 1 tablet of Thymoquinone 25 mg once daily for 90 days.
Patients in arm 3 will receive 1 tablet of metformin-SR 1000 mg once daily for 90 days.
EOS will be performed on day 91.
IP will be administered after dinner.
 
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