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CTRI Number  CTRI/2022/02/040554 [Registered on: 23/02/2022] Trial Registered Prospectively
Last Modified On: 17/06/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   To evaluate effect of KSM-66 Ashwagandha® Capsule (300 mg) in Management of Frailty in Older Adults 
Scientific Title of Study   A Double Blind, Randomized, Parallel, Single-Center, Two-Arm, Placebo Controlled Clinical Study to Assess the Efficacy and Safety of KSM-66 Ashwagandha® Capsule (300 mg) in Management of Frailty in Older Adults 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr K Sunil Naik 
Designation  Principal Investigator 
Affiliation  Govt. Medical College & Govt. General Hospital (Old RIMSGGH) 
Address  Govt. Medical College & Govt. General Hospital (Old RIMSGGH) Srikakulam-532001, Andhra Pradesh, India

Srikakulam
ANDHRA PRADESH
532001
India 
Phone  9440828299  
Fax    
Email  rimsresearch@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sornaraja Thasma 
Designation  Director Quality Assurance 
Affiliation  ProRelix Services LLP 
Address  102 A/B, 1st Floor, Park Plaza, near State Bank Colony, Karve Nagar, Pune, Maharashtra 411052

Pune
MAHARASHTRA
411052
India 
Phone  8124806366   
Fax    
Email  sthasma@prorelixresearch.com  
 
Details of Contact Person
Public Query
 
Name  Mr Sohal Pendse 
Designation  Director Operations 
Affiliation  ProRelix Services LLP 
Address  102 A/B, 1st Floor, Park Plaza, near State Bank Colony, Karve Nagar, Pune, Maharashtra 411052

Pune
MAHARASHTRA
411052
India 
Phone  9890096725   
Fax    
Email  s.pendse@prorelixresearch.com  
 
Source of Monetary or Material Support  
Ixoreal Biomed, Plot No-1057-F2, PBN Center, Road No. 45, Jubilee Hills Hyderabad, Telangana 500033 India 
 
Primary Sponsor  
Name  Ixoreal Biomed 
Address  Plot No-1057-F2, PBN Center, Road No. 45, Jubilee Hills Hyderabad, Telangana 500033 India 
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 K Sunil Naik  Govt. Medical College & Govt. General Hospital (Old RIMSGGH)   Department of clinical research, Research wing, Govt. Medical College & Govt. General Hospital (Old RIMSGGH)Srikakulam-532001, Andhra Pradesh, India
Srikakulam
ANDHRA PRADESH 
9440828299

rimsresearch@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Govt. Medical College & Govt. General Hospital (Old RIMSGGH)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Frailty 
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugOther than Classical(1) Medicine Name: Placebo (Starch), Reference: NA, Route: Oral, Dosage Form: Capsules, Dose: 300(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 56 Days, anupAna/sahapAna: Yes(details: 1 capsule after breakfast and 1 capsule after dinner), Additional Information: -
2Intervention ArmDrugOther than Classical(1) Medicine Name: KSM-66 Ashwagandha®, Reference: NA, Route: Oral, Dosage Form: Capsules, Dose: 300(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 56 Days, anupAna/sahapAna: Yes(details: 1 capsule after breakfast and 1 capsule after dinner), Additional Information: -
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1.Community-dwelling ≥60 years of age
2.Patient who can and willing to provide written Informed Consent
3.Patient with Frailty score of ≥7 based on FAST with normal cognition
4.Patient with at high risk for mobility disability/ functional limitations as assessed by the investigator
5.Patient able to independently ambulate
6.Patient who has received medical clearance from the investigator
7.Patient having capability of complete compliance and completion of follow-up
8.Patient who agree to take investigational product (IP) till Day 56
9.Patient/ patient’s legally acceptable representative understands and can comply with clinical trial protocol requirements
 
 
ExclusionCriteria 
Details  1. Patient is currently under the inpatient-care of a geriatrician
2. Patient with significant cognitive impairment/Severe mental disorder determined by the investigator
3. Patient receiving palliative/end of life care/ life expectancy ≤6 months
4. Patients with MMSE score ≤ 20 points
5. Patient having a history or presence of clinically significant cardiovascular, renal, metabolic, haematological, neurological, psychiatric, systemic, or infectious disease or malignant tumour.
6. Patients with history of alcoholism or substance abuse.
7. Patient who is not willing to take investigational product.
8.Patient who had recent hospitalization for major illness or elective surgery within 1-year of the start date of study.
9.Patient with any acute illness at the time of enrolment
10.Patient who has participated in any other studies, including macro/micro/any other forms of dietary supplements/multivitamins or disease-specific oral nutrition supplements, 1 month prior to this trial
11.Patient having an history of allergic reactions or anaphylaxis to investigational product components
12.Any other condition which the principal investigator thinks may jeopardize the safety of subjects—patients with uncontrolled, unstable comorbidities
13.Patients who had participated in other clinical trials during previous 3 months


 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the mean change of Frailty Score (FAST- Frailty Assessment and Screening Tool) between active and placebo groups  Baseline and Day 56 
 
Secondary Outcome  
Outcome  TimePoints 
1.Change in 6-MIN walk test between baseline and Day 56
2.Assessment of PSQI (Pittsburgh Sleep Quality Index) between groups
3.change in (CRP, CORTISOL, CREATININE Kinase) levels between groups
4.Assessment of Memory and Cognition level using MMSE questionnaire
5.Assessment of SF 12 (QoL) between the groups.
 
Baseline and Day 56 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "50"
Final Enrollment numbers achieved (India)="50" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   28/02/2022 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 26/11/2022 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not Applicable 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

The current study was planned to evaluate the effectiveness of KSM-66 Ashwagandha® capsule (300 mg) compared to identical Placebo capsule in improving frailty of old adults.

Fifty older frail patients aged will be included in this study. Patients will be enrolled into the study based on Inclusion & Exclusion Criteria, patient history, and safety measures. The duration of each patient’s participation in the study will be of 56 days. There will be total 02 site visits and 01 telephonic interview during the study.

On screening/baseline visit, written informed consent will be obtained from subjects for their participation in the study. Subject’s history will be recorded and her physical examinations will be done. Subject will be recruited in the study if he/she meets all the inclusion criteria. Subjects will undergo general and systemic examinations. At baseline visit and end of treatment visit, subjects will be provided with diary card to record daily symptoms. All subjects will be advised to continue their routine diet and physical activities.

Subjects will be called to the study centre on Baseline & 56 the day from the baseline visit. On every physical visit, subjects will undergo general and systemic examinations and assessment of clinical symptoms will be done.  There will be a telephonic follow-up visit on Day 28 to check IP and Protocol Compliance along with the AE detail collection.

Subjects will be randomized to either one of the two treatment arms. Subjects will be instructed to take the one capsule of study medication to which they are randomized, twice a day after breakfast and dinner, with ambient temperature water for 56 consecutive days at home. All the patients will be closely monitored for any Adverse Events starting from baseline visit till the end of the study visit. After completion of 56 days of study treatment, all the subjects will be asked to stop trial medication and take advice of investigator for further treatment.

 
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