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CTRI Number  CTRI/2022/03/041503 [Registered on: 30/03/2022] Trial Registered Prospectively
Last Modified On: 20/02/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   A clinical Study of Vitamin K2-7 capsules in Subjects with tingling and numbness due to diabetes 
Scientific Title of Study   An Open Label, Single Arm, Study to Assess the Efficacy and Safety of Menaquinone-7 (Vitamin K2-7) in Subjects with Diabetic Peripheral Neuropathy 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
BCR-SYN-002 Version 1.0 Dated 15 Feb 2022  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ashish H Sarwate 
Designation  Principal Investigator 
Affiliation  Shivam Polyclinic 
Address  2nd Floor Pradhan Building, Above Mango Showroom, Gokhale Road, Naupada, Thane- west

Thane
MAHARASHTRA
400602
India 
Phone  9324508128  
Fax    
Email  ashish.sarwate@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neeta Nargundkar 
Designation  Managing Director 
Affiliation  Biosphere Clinical Research Pvt.Ltd 
Address  Office No. 02, 03 & 04, 2nd Floor Highland Corporate Center, Kapurbawdi Junction, Thane west

Thane
MAHARASHTRA
400607
India 
Phone  02241006794  
Fax    
Email  drneeta@biospherecro.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shashank S Jadhav 
Designation  Medical Director 
Affiliation  Synergia Life Sciences Pvt. Ltd 
Address  Universal Majestic, 1503, PL Lokhande Marg, Chembur, Mumbai, Maharashtra 400071, India

Mumbai
MAHARASHTRA
400071
India 
Phone  02262669600  
Fax    
Email  shashank@synergialifesciences.com  
 
Source of Monetary or Material Support  
Synergia Life Sciences Pvt. Ltd. 1503, Universal Majestic, P. L. Lokhande Marg, Ghatkopar - Mankhurd Link Road, Govandi, Mumbai - 400 043, INDIA. 
 
Primary Sponsor  
Name  Synergia Life Sciences Pvt Ltd 
Address  1503, Universal Majestic, P. L. Lokhande Marg, Ghatkopar - Mankhurd Link Road, Govandi, Mumbai - 400 043, 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 
DrAshish H Sarwate  Shivam Polyclinic  2nd Floor Pradhan Building, Above Mango Showroom, Gokhale Road, Naupada, Thane- west,Maharashtra 400602 India
Thane
MAHARASHTRA 
9324508128

ashish.sarwate@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
V Care Independent Ethics Committee,  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E114||Type 2 diabetes mellitus with neurological complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Menaquinone-7 (Vitamin K2-7) Capsules,   One capsule two times per day orally for 8 Weeks 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Male or Female subjects with age 18 to 65 years of age( both inclusive)
2. Subjects with known case of Type 2 Diabetes Mellitus (on regular and stable medication from last 3 months).
3. Subjects presenting with symptoms of impaired peripheral neuropathy defined by bilateral decreased or absent reflexes at the ankles, or bilateral decreased vibration, pinprick, fine touch or temperature perception in the distal lower extremities; and confirmed by nerve conduction velocity (NCV) studies.
4. Subjects with symptomatic diagnosis of peripheral neuropathy with pain severity score of (>4 on VAS score).
5. Subjects who are willing to sign informed consent for participation in 
 
ExclusionCriteria 
Details  1. Subjects with history of diabetic foot ulcers (Wagner Grade ≥1) or lower extremity amputation, diabetic amyotrophy, or non-diabetic cause of lower limb neuropathy
2. Any condition that may lead to confusion of the diagnostic of painful DPN, in particular amputations other than fingers/toes-, not diabetic neurological disorder and skin conditions that may affect sensation at the painful limbs.
3. Subjects who are unable to discontinue prohibited medications or non-drug therapies or procedures throughout the duration of the study
4. Subjects who are on corticosteroids and oral contraceptives within 2 weeks of screening visit 5. Subjects who are on coumarin analogues or Quinine Hydrochloride within 2 weeks of screening visit
6. Subjects with Hepatic impairment defined as Serum Bilirubin, SGOT or SGPT > 2 x upper limit of normal (ULN)
7. Subjects with impaired renal function defined as either serum creatinine level > 2 mg/dL or requiring hemodialysis
8. Subjects with uncontrolled hypertension at screening (sitting systolic >160 mmHg and/or sitting diastolic >90 mmHg
9. Subjects with current diagnosis of active epilepsy or any active seizure disorder requiring chronic therapy with antiepileptic drug(s)
10. Subjects with Congestive heart failure Class III or IV of the New York Heart Association (NYHA) 11. Subjects with serious or unstable coronary heart disease, hepatic, kidney, respiratory, hematological alterations, problems with peripheral vascular disease, or other medical or psychiatric conditions that can put in risk the participation of the subject in the study.
12. Subjects with Glycosylated haemoglobin (HbA1c) greater than (≥) 10 percent at screening
13. Subjects with history of hypersensitivity to the drugs in the study or drugs with similar chemical structures
14. Subjects with arthritis, sciatic, fibromyalgia, restless leg syndrome, non-neuropathic muscle-skeletal pain or back chronic pain
15. Subjects who are Pregnant or Breast feeding. 16. Subjects with history of alcohol. substance abuse or alcoholism, within the previous one year
17. Subjects Participation in clinical trials evaluating investigational pharmaceuticals or biologics within 3 months or devices within 30 days of admission to the study. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Summed change in sensory NCV from baseline of the bilateral sural , proximal and distal median sensory nerves  8 Weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Change in VAS scale as assessed from the baseline to end of the study.  8 Weeks 
Change from baseline in the individual NCVs.  8 Weeks 
Change from baseline in the individual nerve amplitudes.  8 Weeks 
Change from baseline in the individual nerve latency.  8 Weeks 
Change from baseline in the serum Osteocalcin (cOC and ucOC) levels.  8 weeks 
Change from baseline in the serum Vitamin K2-7 levels.  8 weeks 
The assessment of safety of Investigational Product will be based on the frequency of Adverse Events.  8 Weeks 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   05/04/2022 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This Study is an Open Label, Single Arm, Study to Assess the Efficacy and Safety of Menaquinone-7 (Vitamin K2-7) in Subjects with Diabetic Peripheral Neuropathy

The objectives of the study are to evaluate the Efficacy and Safety of Menaquinone-7 (Vitamin K2-7) in patients with Diabetic Peripheral Neuropathy.

Primary Endpoints:
  - Summed change in sensory NCV from baseline of the bilateral sural , proximal and distal median sensory nerves
Secondary Endpoints:
  - Change in VAS scale as assessed from the baseline to end of the study.
  -  Change from baseline in the individual NCVs.
  - Change from baseline in the individual nerve amplitudes.
  - Change from baseline in the individual nerve latency.
  - Change from baseline in the serum Osteocalcin (cOC and ucOC) levels.
  -  Change from baseline in the serum Vitamin K2-7 levels.
Safety End Point:
  - The assessment of safety of Investigational Product will be based on the frequency of Adverse Events
 
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