CTRI Number |
CTRI/2023/04/051942 [Registered on: 25/04/2023] Trial Registered Prospectively |
Last Modified On: |
02/07/2023 |
Post Graduate Thesis |
No |
Type of Trial |
Interventional |
Type of Study
|
Drug Ayurveda |
Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
Public Title of Study
|
Safety and Efficacy of Trikatu, an Ayurvedic Formulation, as an Add-On to Standard Care for Dyslipidemia |
Scientific Title of Study
|
Efficacy and safety of Ayurveda Formulation ‘Trikatu’ as add-on to standard care in Dyslipidemia- A Randomized Controlled Trial |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
DR SUCHANDA SAHU |
Designation |
Additional Professor |
Affiliation |
AIIMS, Bhubaneswar |
Address |
Department of Biochemistry,
AIIMS, Sijua, Bhubaneswar
Khordha ORISSA 751019 India |
Phone |
9438884031 |
Fax |
|
Email |
biochem_suchanda@aiimsbhubaneswar.edu.in |
|
Details of Contact Person Scientific Query
|
Name |
DR SUCHANDA SAHU |
Designation |
Additional Professor |
Affiliation |
AIIMS, Bhubaneswar |
Address |
Department of Biochemistry,
AIIMS, Sijua, Bhubaneswar
Khordha ORISSA 751019 India |
Phone |
9438884031 |
Fax |
|
Email |
biochem_suchanda@aiimsbhubaneswar.edu.in |
|
Details of Contact Person Public Query
|
Name |
DR KSHIROD KUMAR RATHA |
Designation |
Research Officer (Ayurveda) |
Affiliation |
Central Ayurveda Research Institute,CCRAS, Bhubaneswar |
Address |
Central Ayurveda Research Institute, Bhubaneswar, Odisha
Khordha ORISSA 751029 India |
Phone |
9874612213 |
Fax |
|
Email |
drkkratha@gmail.com |
|
Source of Monetary or Material Support
|
Central Council for Research in Ayurvedic Sciences, Ministry of Ayush, Govt. of India, New Delhi |
|
Primary Sponsor
|
Name |
Central Council for Research in Ayurvedic Sciences Ministry of Ayush Govt of India |
Address |
Central Council for Research in Ayurvedic Sciences, Ministry of Ayush, Govt. of India,
61-65, Institutional Area, Opposite “D†Block,
Janakpuri, New Delhi - 110058
|
Type of Sponsor |
Government funding agency |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
DR SUCHANDA SAHU |
AIIMS, BHUBANESWAR |
Room No. 135
Department of Biochemistry, Academic Block,
AIIMS, Sijua, Bhubaneswar
Khordha ORISSA |
9438884031
biochem_suchanda@aiimsbhubaneswar.edu.in |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
INSTITUTIONAL ETHICAL COMMITTEE,AIIMS, BHUBANESWAR |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition:E784||Other hyperlipidemia. Ayurveda Condition: MEDOROGAH, |
|
Intervention / Comparator Agent
|
sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | 1 | Comparator Arm | Drug | Other than Classical | | (1) Medicine Name: PLACEBO OF TRIKATU, Reference: NA, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/Tablets, Dose: 1000(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 12 Weeks, anupAna/sahapAna: Yes(details: -WATER), Additional Information: - TO BE TAKEN ONE HOUR AFTER FOOD | 2 | Intervention Arm | Drug | Classical | | (1) Medicine Name: TRIKATU, Reference: The Ayurvedic Pharmacopoeia of India, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 1000(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 12 Weeks, anupAna/sahapAna: Yes(details: -WATER), Additional Information: -TO BE TAKEN 1 HR AFTER MEAL |
|
|
Inclusion Criteria
|
Age From |
25.00 Year(s) |
Age To |
60.00 Year(s) |
Gender |
Both |
Details |
1. Diagnosis of moderate and high ASCVD risk dyslipidemia based on the ACC/AHA Guidelines, 2019 on the Primary Prevention of Cardiovascular Disease and indicated for statin therapy
2.Body Mass Index (BMI) ≥ 18.5 and < 34.9 kg/m².
3. Written informed consent provided prior to screening, after receiving and understanding the subject information.
4. Willingness to adhere to the treatment for a period of 12 weeks
|
|
ExclusionCriteria |
Details |
1. Subjects on any lipid altering drug therapy other than statins
2. Patients of dyslipidemia with low ASCVD risk as per the ACC/AHA guidelines, 2019 and not indicated for statin therapy
3. Subject using or were using the following medications: systemic corticosteroids, cyclical or non-continuous hormone therapy (estrogen or testosterone). within 6 weeks prior to screening
4. Pregnant, lactating mother, Smoker, alcoholic
5. Severe liver and kidney disease, Myopathies
6. Any other condition, that as per the PI would jeopardize the study/ study outcomes
|
|
Method of Generating Random Sequence
|
Permuted block randomization, fixed |
Method of Concealment
|
Pre-numbered or coded identical Containers |
Blinding/Masking
|
Participant and Investigator Blinded |
Primary Outcome
|
Outcome |
TimePoints |
Change in fasting serum LDL cholesterol |
[ Time Frame: 0, 12 weeks ] |
|
Secondary Outcome
|
Outcome |
TimePoints |
• Change in fasting Total cholesterol
• Changes in the Gut microbiota profile
• Change in fasting HDL-cholesterol
• Change in fasting Triglycerides
• Change in fasting glucose, Insulin & HbA1C |
[ Time Frame: 0, 12 weeks ] |
• Change in Adiponectin, ghrelin, apolipoprotein A1 and apolipoprotein B levels
• Change in Hs-CRP, tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6)
• Change in Resting blood pressure (measured in triplicate)
|
[ Time Frame: 0, 6, 12 weeks ] |
• Improvement in homeostatic model assessment to quantify insulin resistance (HOMA-IR) |
[ Time Frame: 0, 12 weeks ] |
• Proportion of participants in the normal reference range (less than 200 mg/dl) for fasting T. cholesterol |
[ Time Frame: 0, 12 weeks ] |
|
Target Sample Size
|
Total Sample Size="170" Sample Size from India="170"
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/ Phase 3 |
Date of First Enrollment (India)
|
28/04/2023 |
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="2" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Open to Recruitment |
Recruitment Status of Trial (India) |
Open to Recruitment |
Publication Details
|
None yet |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
Brief Summary
|
Dyslipidemia, a common disorder characterized by abnormal levels of cholesterol, triglycerides, or both, and its association with cardiovascular risk and overall health. Dyslipidemia is an active area of research, and recent studies provide insight into its molecular basis and genetic origins, role in the development of atherosclerosis, and ability of pharmacological agents to ameliorate cardiovascular disease risk. In India, dyslipidemia is prevalent, and the focus on dyslipidemia management is urgently required to halt the rising tide of coronary heart disease. Lifestyle interventions and pharmacological therapy are the mainstay of management, but dietary interventions and Ayurvedic formulations like Trikatu can also help manage dyslipidemia. This study aims to assess the efficacy and safety of Trikatu for improving lipid parameters and regulating gut dysbiosis, which is now considered a marker of impaired metabolism. The study will be conducted by AIIMS, Bhubaneswar, and Central Ayurveda Research Institute, Bhubaneswar, with investigations carried out at Biochemistry Department and Central laboratory, AIIMS, Bhubaneswar. |