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CTRI Number  CTRI/2023/04/051394 [Registered on: 10/04/2023] Trial Registered Prospectively
Last Modified On: 17/10/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Multicentric clinical trial to treat immune deficiency patients with Manda Koso. 
Scientific Title of Study   A Multicentric, Randomized, Double Blind, Parallel Group, Two Arm, Placebo-Controlled, Phase III Clinical Study to Evaluate the Efficacy, Safety and Tolerability of Manda Koso versus Placebo in patients with immune deficiency. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Protocol ID: MCR/CT/1222/07  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Vaishal Shah 
Designation  Principle Investigator 
Affiliation  Lifeline Multispeciality Hospital 
Address  Lifeline Multispeciality Hospital, Vishal Complex, S.V.Road, Opp. N.L. High School, Malad (West), Mumbai – 400 064.

Mumbai
MAHARASHTRA
400064
India 
Phone  9833803296  
Fax    
Email  vshah8962@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ravindra Mote 
Designation  Director 
Affiliation  Mediclin Clinical Research 
Address  Mediclin Clinical Research, 2nd Floor, Ritu Horizon, Next to Ankur School, Kanakiya Road, Mira Road (E), Thane- 401 107.

Thane
MAHARASHTRA
401107
India 
Phone  8888884024  
Fax    
Email  ravindra.mote@mediclincr.com  
 
Details of Contact Person
Public Query
 
Name  Dr Milind Gharpure 
Designation  General Manager-Natural Product 
Affiliation  ThinQ Pharma-CRO Ltd. 
Address  THINQ House, A-30, Road No. 10, MIDC, Wagle Estate, Thane – 400604.

Thane
MAHARASHTRA
400604
India 
Phone  02225816800  
Fax    
Email  milind@thinqcro.com  
 
Source of Monetary or Material Support  
ThinQ Pharma-CRO Ltd. AND Manda Fermentation Co., Ltd. 
 
Primary Sponsor  
Name  ThinQ Pharma-CRO Ltd. 
Address  THINQ House, A-30, Road No. 10, MIDC, Wagle Estate, Thane – 400604. 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Manda Fermentation Co Ltd  5800-95 Innoshima Shigeicho, Onomichi City, Hiroshima Pref., Japan 722-2192. 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Dnyaneshwar Halnor  Family Care Hospital  PK Road, Opp. Seven Square Academy, Mira Road (E), Maharashtra-401107
Thane
MAHARASHTRA 
7507779219

drhalnordnyaneshwar@gmail.com 
Dr Rakesh Patil  KKasturi Medicare Pvt. Ltd.  Harshniketan, Gaondevi Road, Behind Navrang Hotel, Bhayandar West, Thane – 401101
Thane
MAHARASHTRA 
9867252877

drrakeshpatil07@gmail.com 
Dr Vaishal Shah  Lifeline Multispeciality Hospital  Vishal Complex, S.V.Road, Opp. N.L. High School, Malad (West), Mumbai – 400 064.
Mumbai
MAHARASHTRA 
9833803296

vshah8962@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
Ethicare Ethics Committee  Approved 
Shah Lifeline Hospital And Heart Institute Ethics Committee  Approved 
Shah Lifeline Hospital And Heart Institute Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D849||Immunodeficiency, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Manda Koso  One sachet of Manda Koso twice a day around same time for 90 days 
Comparator Agent  Placeo  One sachet of Placebo twice a day around same time for 90 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Male or female patients aged between 18 and 65 years (both inclusive).
2. Subjects with CD4 count 300 to 700 cells per cubic millimeter.
3. Subjects with (Immune Status Questionnaire) ISQ Score is ≤ 6.
4. Subjects with Non-alcoholic grade -I Cirrhosis OR Latent TB OR Hypothyroidism OR HIV will be included in the study.
OR
Subjects with history of Non-alcoholic grade - I Cirrhosis OR Controlled Type 2 DM OR Latent TB OR Hypothyroidism OR HIV for at least 2 months will be included.
5. Written, signed and dated informed consent obtained from patients before performing any study related procedures.
6. Subjects willing to comply with the protocol requirements. 
 
ExclusionCriteria 
Details  1. Subjects having history of hypersensitivity to any of components of the formulation.
2. Subjects having history of allergy to any of soy, sesame and walnut or other components of the formulation.
3. Subjects with history of uncontrolled diabetes mellitus, unstable angina pectoris, and myocardial infarction (MI).
4. Subjects with HbA1c ≥ 8%.
5. Subjects with AIDS.
6. Subjects taking steroid treatment.
7. Subjects with terminal illness.
8. Women of childbearing potential if pregnant (test positive for pregnancy) at screening visit, breastfeeding, or not in agreement to use adequate birth control methods to prevent pregnancy throughout the study.
9. Subjects participating in any other clinical study or having participated in any other study 3 months prior to screening in the present study.
10. Other conditions, which in the opinion of the investigators makes the patient unsuitable for enrolment or could interfere in adherence to of the study protocol. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Double Blind Double Dummy 
Primary Outcome  
Outcome  TimePoints 
Mean change in CD4, CD8 count, CD4:CD8 ratio from baseline to end of the study visit.  Mean change in CD4, CD8 count, CD4:CD8 ratio from week 1 to week 13. 
 
Secondary Outcome  
Outcome  TimePoints 
1. Mean change in interferons gamma from baseline to end of the study visit.
2. Mean change in Interleukins-12 from baseline to end of the study visit.
3. Mean change in Quality of life (QoL) score from baseline to end of the study visit. 
1. Mean change in interferons gamma from week 1 to week 13.
2. Mean change in Interleukins-12 from week 1 to week 13.
3. Mean change in Quality of life (QoL) score from week 1 to week 13. 
 
Target Sample Size
Modification(s)  
Total Sample Size="78"
Sample Size from India="78" 
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 3 
Date of First Enrollment (India)   13/04/2023 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   Not yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   A Multicentric, Randomized, Double Blind, Parallel Group, Two Arm, Placebo-Controlled, Phase III Clinical Study to Evaluate the Efficacy, Safety and Tolerability of Manda Koso versus Placebo in patients with immune deficiency. 
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