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CTRI Number  CTRI/2014/02/004406 [Registered on: 14/02/2014] Trial Registered Retrospectively
Last Modified On: 19/08/2014
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effects of polyherbal formulation on cytochrome P450 enzymes mediated drug metabolism 
Scientific Title of Study   Effects of novel polyherbal formulation on cytochrome P450 enzymes mediated drug metabolism 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mr TM Vijayakumar 
Designation  Senior Research Fellow 
Affiliation  SRM University 
Address  Interdisciplinary School of Indian System of Medicine (ISISM), SRM University, Kattankulathur-603203, Kancheepuram (Dt), Tamil Nadu.

Kancheepuram
TAMIL NADU
603203
India 
Phone  919003400350  
Fax  044-47432342  
Email  vijaypractice@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Melvin George 
Designation  Assistant Professor 
Affiliation  SRM University 
Address  Cardiac Clinical Trials & Research, SRM Medical College Hospital & Research Centre, SRM University, Kattankulathur-603203, Kancheepuram (Dt), Tamil Nadu.

Kancheepuram
TAMIL NADU
603203
India 
Phone  919894133697  
Fax    
Email  melvin.g@ktr.srmuniv.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr K Ilango 
Designation  Dean 
Affiliation  SRM University 
Address  Interdisciplinary School of Indian System of Medicine (ISISM),SRM University, Kattankulathur-603203, Kancheepuram (Dt), Tamil Nadu.

Kancheepuram
TAMIL NADU
603203
India 
Phone  04427455818  
Fax  04427456702  
Email  ilangok67@gmail.com  
 
Source of Monetary or Material Support  
varanasi bioresearch pvt. ltd 
 
Primary Sponsor  
Name  SRM University 
Address  Kattankulathur-603203, Kancheepuram (Dt), Tamil Nadu. 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
Department of Science and Technology  Government of India, New Delhi 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Mr TM Vijayakumar  Metabolic Ward  Clinical Trial and Research Unit, SRM Medical College Hospital and Research Centre, Kattankulathur-603203
Kancheepuram
TAMIL NADU 
919003400350
04447432342
vijaypractice@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM Medical College Hospital and Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy female Volunteers 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Menopause herbal formulation  500mg of Menopause herbal formulation once daily for 7 days + 7.5mg of Midazolam (single dose) on 8th day (one cycle) 
Comparator Agent  Placebo  Placebo tablet once daily for 7 days + 7.5mg of Midazolam (single dose) on 8th day (one cycle) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1. Healthy female volunteers of 18 to 45 years (both years inclusive).
2. Willing to give informed written consent and comply with the study requirements.
3. Subject should be able to communicate effectively.
4. Non-smokers and Non-Alcoholic.
5. Body Mass Index (BMI) between 18.50 and 24.99 Kg/m2.
6. Healthy individuals as evaluated by personal history, medical history and general clinical examination.
7. Vital parameters - BP should be within the range of 100 – 139 mmHg systolic and 60 – 89 mmHg diastolic. Pulse rate should be within the range of 60 – 100 / min. Oral temperature between 97.8 F and 99.0 F. Respiratory rate should be within the range of 14-18/min.
8. Normal biochemical, hematological and urinary parameters.
9. Normal Chest X - ray PA view & ECG in 12 leads
10.Negative for HIV 1 & 2, Hepatitis B, Hepatitis C and Syphilis tests.
 
 
ExclusionCriteria 
Details  1. Subjects incapable of understanding the informed consent.
2. History of any major surgical procedure in the past 3 months.
3. History of diabetes mellitus, tuberculosis and systemic hypertension.
4. Pregnant or lactating women.
5. History suggestive of cardiac, gastrointestinal, respiratory, hepatic, renal, endocrine, neurological, metabolic, psychiatric or hematological systems, judged to be clinically significant.
6. History of dysphagia.
7. History of any medical disorder that is of significance in the investigator’s opinion.
8. Present or past history of drug abuse.
9. History of hypersensitivity to study formulation.
10. History of allergy to vegetables and / or food substances and / or any other manifestations suggestive of hypersensitivity reactions.
11. Present or past history of intake of drugs which potentially modify kinetics / dynamics of study medication or any other medication judged to be clinically significant by the investigator.
12. Consumption of grapefruit / its products within 48 hours prior to the start of study.
13. Subject with clinically significant abnormal values of laboratory parameters.
14. Subject who had participated in any other clinical study during the last 3 months.
15. Subject who had bled in the past 3 months from the date of start of study either for blood donation or for any other reason.
16. History of habituation to coffee, tea or other xanthine containing products and inability to withhold the intake during the - in house - stay 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Cmax, tmax, plasma half life (t1/2) , AUC0-t and AUC0-inf, AUC at steady state, elimination rate constant (Kel), clearance (Cl), volume of distribution (Vd)   0 hour (pre-dose), 0.25, 0.5, 0.75, 1, 1.5, 2, 3, 4, 6, 8, 12 and 24th hour 
 
Secondary Outcome  
Outcome  TimePoints 
Safety (adverse events)  Throughout study period 
 
Target Sample Size   Total Sample Size="12"
Sample Size from India="12" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 1/ Phase 2 
Date of First Enrollment (India)   28/10/2013 
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)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   The study will be published after completion after 6 months 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

A herbal formulation has been developed by interdisciplinary School of Indian System of Medicine (ISISM), SRM University in collaboration with Banaras Hindu University, Varanasi for menopausal syndrome. Polyherbal formulation contains Dioscorea bulbifera, Terminalia arjuna, Bambusa arundinacea and Withania somnifera (Well established) plant extracts. The formulation has been subjected to preclinical experiments to establish safety, efficacy, acute toxicity, sub-acute toxicity and chronic toxicity studies. The effective dose of each plant ingredient was determined based on the results of pre-clinical studies by giving different doses of each plant extract in varying concentrations. The maximum optimum effect in specific dose on various targets/biomarkers involved with clinical condition was noticed and the effective dose was taken for preparation of test formulation. The major safety concern is the potential for interactions of herbal products with prescribed drugs. This issue is especially important with respect to drugs with narrow therapeutic indexes (e.g. warfarin and digoxin). This may lead to adverse reactions that are sometimes life-threatening or lethal. The identification of drugs that interact with herbs has important implications in drug development. It appears that any new drugs that are substrates for CYP3A4 have a potential to cause herb-drug interactions. Thus, caution should be taken when these drugs are co-administered with herbs. Since in vitro drug-drug and drug-CYP interaction studies have been incorporated into drug development, drug-herb and herb-CYP interactions should also be included to identify drugs that interact with herbs in the early stage of drug development. So our purpose of the study is to evaluate the drug-herb interaction of newly developed polyherbal formulation

 
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