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CTRI Number  CTRI/2022/02/040158 [Registered on: 10/02/2022] Trial Registered Prospectively
Last Modified On: 20/04/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Probiotic
Nutraceutical 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   A clinical study to determine the safety, a combined effect of probiotics and Senna combined the Test product, ‘M Sip LaxTM’ Straw in Healthy Human Subjects Affected By Functional Constipation 
Scientific Title of Study   A Synergy, Safety and Efficacy Study of ‘M Sip LaxTM’ Straw in Healthy Human Subjects Affected By Functional Constipation 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NB220003-IH, Version No. 01 (Final) 27 January 2022  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Nayan Patel 
Designation  Medical Director Principal Investigator 
Affiliation  NovoBliss Research Private Limited 
Address  Office A 206, 2nd Floor, Shaligram Lakeview Business complex, Near Vaishnodevi Circle, Khoraj, Gandhinagar - 382421

Gandhinagar
GUJARAT
382421
India 
Phone  91-79-48983895  
Fax    
Email  dr.nayan@novobliss.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nayan Patel 
Designation  Medical Director Principal Investigator 
Affiliation  NovoBliss Research Private Limited 
Address  Office A 206, 2nd Floor, Shaligram Lakeview Business complex, Near Vaishnodevi Circle, Khoraj, Gandhinagar - 382421

Gandhinagar
GUJARAT
382421
India 
Phone  91-79-48983895  
Fax    
Email  dr.nayan@novobliss.in  
 
Details of Contact Person
Public Query
 
Name  Maheshvari Patel 
Designation  Director Operations and Strategic Management 
Affiliation  NovoBliss Research Private Limited 
Address  Office A 206, 2nd Floor, Shaligram Lakeview Business complex, Near Vaishnodevi Circle, Khoraj, Gandhinagar - 382421

Gandhinagar
GUJARAT
382421
India 
Phone  91-79-48983895  
Fax    
Email  maheshvari@novobliss.in  
 
Source of Monetary or Material Support  
NovoBliss Research Private Limited Office A 206, 2nd Floor, Shaligram Lakeview Business complex, Near Vaishnodevi Circle, Khoraj, Gandhinagar - 382421, Gujarat, India 
 
Primary Sponsor  
Name  Inzpera Healthsciences Limited 
Address  215-217, Avior Corporate Park, Nirmal Galaxy, LBS Marg. Mulund west, Mumbai - 400080 
Type of Sponsor  Other [Develops, manufactures, and markets pharmaceuticals] 
 
Details of Secondary Sponsor  
Name  Address 
Not Applicable  Not Applicable 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Maheshvari Patel  NovoBliss Research Private Limited  Office A 206, 2nd Floor, Shaligram Lakeview Business Complex, Near Vaishnodevi Circle, Khoraj, Gandhinagar - 382421
Gandhinagar
GUJARAT 
9909013236

maheshvari@novobliss.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ACEAS - Indepedent Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy Human Subjects Affected By Functional Constipation 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  M Sip Lax straw   Containing both Bacillus coagulans (1 Billion CFU) and Senna leaf extract (7.5mg), 1 straw for child and 2 straw for adult a day preferably at night during bedtime for 3 consecutive days 
Comparator Agent  Straw with Bacillus coagulans (1 Billion CFU)  Straw with Bacillus coagulans (1 Billion CFU), 1 straw for child and 2 straws for adult a day preferably at night during bedtime for 3 consecutive days 
Comparator Agent  Straw with Senna leaf extract (7.5mg)  Straw with Senna leaf extract (7.5mg), 1 straw for child and 2 straws for adult a day preferably at night during bedtime for 3 consecutive days 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1) Age: For children: 5 to 12 years (both inclusive) at the time of parental consent and For
Adults: 18 to 65 years (both inclusive) at the time of consent.
2) Sex: Healthy children (male or female) and adults (males and non-pregnant/non-lactating
females) affected by functional constipation.
3) Diagnosis of functional constipation according to the Rome III criteria as having at least
two of these symptoms:
- Less than three bowel movements per week
- Manual maneuvers are necessary to facilitate defecation more than 25% of the time.
- Hard or lumpy stools more than 25% of the time
- Sensation of incomplete evacuation more than 25% of the time
- Sensation of anorectal obstruction more than 25%of the time
- Straining with defecation more than 25% of the time
4) Females of childbearing potential have a self-reported negative urine pregnancy test at
the time of screening visit, agree to follow an accepted method of birth control for the
duration of the study such as condoms, foams, jellies, diaphragm, intrauterine device etc.
5) Subjects (adults and children) are generally in good general health as determined from a
recent medical history, except for functional constipation.
6) Ability of subject to sip and suck the straw.
7) Subjects who agree to discontinue the use of probiotic supplements including foods
supplemented with probiotics or fiber supplements including foods labelled
as supplemented with fiber.
8) Subjects who agree to discontinue use of over-the-counter laxative medications
throughout the trial.
9) Subjects who are willing to complete all study procedures including study-related
questionnaires and comply with study requirements.
10) Subject’s and child’s legal parent/guardian must read, sign, and receive a copy of Informed
Consent/Parental Informed Consent prior to initiate of study procedures. 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess the effect of test treatment A or Treatment B or Treatment C in terms of improvement in bowel movement symptoms   From baseline on Day 0 before dosing Vs. Day 3 after three doses, on Day 6 after discontinuation of the treatment using Rome III criteria assessed by the Investigator 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the effect of test treatment A or Treatment B or Treatment C in terms of change in stool consistency  From baseline on Day 0 before dosing Vs. Day 3 after three-dose, on Day 6 after discontinuation of the treatment using Bristol stool grading assessed by the Investigator 
To assess the effect of test treatment A or Treatment B or Treatment C in terms of improvement in constipation and associated symptoms such as abdominal pain, bloating, cramps, nausea etc.   From baseline on Day 0 before dosing Vs. Day 3 after three-dose, on Day 6 after discontinuation of the treatment using Visual Analogue Scale (VAS) 
To assess adult subject’s/child’s experienced on overall clinical condition by Quality of Life
(QoL) subjective self-assessment quetionniaires for adults & parental/guardian questionnaires
in terms of product perception 
on Day 3 after three dose of test product and on Day 6 after discontinuation of test product. 
 
Target Sample Size   Total Sample Size="16"
Sample Size from India="16" 
Final Enrollment numbers achieved (Total)= "10"
Final Enrollment numbers achieved (India)="16" 
Phase of Trial   N/A 
Date of First Enrollment (India)   18/02/2022 
Date of Study Completion (India) 19/03/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="0"
Days="10" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Nil 
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, three-arm, single-center, synergy, safety and efficacy clinical study of ‘M Sip Lax’ straw in Healthy Human Subjects affected by functional constipation.


A sufficient number (maximum of 16) of male and female adults/children subjects will be recruited to ensure a total 15 subjects complete the study. Qualifying siblings and family members within the same household are permitted on the study. Functional constipation will be diagnosed according to the Rome III criteria as having at least two of

these symptoms: < 3 defecations per week; history of excessive stool retention and painful or hard bowel movements; fecal incontinence >2 times/week; withholding of stool; the presence of a large fecal mass in the rectum; history of large-diameter stools. Children with suspected or proved organic causes of constipation, such as Hirschsprung’s disease,

hypothyroidism, or structural anomalies of the anal canal, sensitivity to study medication, those with any type of infection or fever of with type I diabetes, will be excluded from the study. Before entering the facility, at security check-point, the subject and/or the subject’s with legal parent/legal guardian will be asked for a pre-entry inquiry check for COVID-19 exposure and symptoms. The potential subjects will be screened as per the inclusion and exclusion criteria only after obtaining written informed consent from the subjects and the subject’s legal parent/legal

guardian. The adult subject and child’s legal parent/legal guardian will be instructed to visit the facility with their child as per the below visits:

-> Visit 01 (Day 00): Screening Visit and Enrolment

-> Visit 02 (Day 3+1): After Three-Day Treatment

-> Visit 03 (Day 6+1): After discontinuation of Treatment [Can be Telephonic Follow-Up]

The subjects and parents of the enrolled children will be instructed to insert one test treatment (A/B/C) per randomization code in approximately 100 mL of water and make the child/subject suck

the contents through the straw completely each night for three consecutive nights. The clinician will ensure that the adult subjects and legal parents/guardians understood the methodology for

taking sennoside with probiotic straw. Assessment of efficacy parameters will be done at all three visits during the study: Visit 1 (Day 0), Visit 2 (Day 3+1), and Visit 3 (Day 6 or 7) to evaluate patients at screening and enrollment, after three days of treatment, and at the sixth or seventh day of treatment discontinuation to assess the long-term effect of the drug, respectively.

 
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