CTRI Number |
CTRI/2023/09/057282 [Registered on: 06/09/2023] Trial Registered Prospectively |
Last Modified On: |
24/04/2025 |
Post Graduate Thesis |
No |
Type of Trial |
Interventional |
Type of Study
|
Ayurveda |
Study Design |
Randomized, Parallel Group, Active Controlled Trial |
Public Title of Study
|
Effect of Herbal medicine, Allopathic medicine and lifestyle modification on newly diagnosed diabetes. |
Scientific Title of Study
|
A Randomized, Open-Labelled, active controlled, prospective clinical study to evaluate the Anti-Diabetic activity of a Standardized Ayurvedic Herbal Formulation (CTE Capsule) as compared to Standard Oral Hypoglycemic Therapy (with Metformin and Vildagliptin) in Newly Diagnosed type-2 Diabetic Patients. |
Trial Acronym |
NIL |
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Milind Nikumbh |
Designation |
Pro-vice chancellor, MUHS,Nashik |
Affiliation |
MUHS,Nashik |
Address |
Maharashtra university of Health Sciences, Vani-Dindori road, Nashik.
Nashik MAHARASHTRA 422004 India |
Phone |
9890000503 |
Fax |
6659130 |
Email |
provc@muhs.ac.in |
|
Details of Contact Person Scientific Query
|
Name |
Dr Milind Nikumbh |
Designation |
Pro-vice chancellor, MUHS,Nashik |
Affiliation |
MUHS,Nashik |
Address |
Maharashtra university of Health Sciences, Vani-Dindori road, Nashik.
Nashik MAHARASHTRA 422004 India |
Phone |
9890000503 |
Fax |
6659130 |
Email |
provc@muhs.ac.in |
|
Details of Contact Person Public Query
|
Name |
Dr Milind Nikumbh |
Designation |
Pro-vice chancellor, MUHS,Nashik |
Affiliation |
MUHS,Nashik |
Address |
Maharashtra university of Health Sciences, Vani-Dindori road, Nashik.
Nashik MAHARASHTRA 422004 India |
Phone |
9890000503 |
Fax |
6659130 |
Email |
provc@muhs.ac.in |
|
Source of Monetary or Material Support
|
Maharashtra university of health Sciences |
|
Primary Sponsor
|
Name |
Maharashtra University of health sciences Nashik |
Address |
Vani Dindori road Nashik 422004 |
Type of Sponsor |
Research institution and hospital |
|
Details of Secondary Sponsor
|
Name |
Address |
Chellaram Diabetes InstitutePune |
Pune , 411021 |
|
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 Shishir Pande |
Arogyashala Rugnalaya |
OPD NO. 9 Research OPD Nashik MAHARASHTRA |
9420830818
shishir.nsk@gmail.com |
Dr A G Unnikrishnan |
Chellaram Diabetes Institute |
Room No.118, Clinical Research Department Pune MAHARASHTRA |
9689287337
uagcdi@cdi.org.in |
Dr Shweta TelangChaudhari |
SMBT Institute of Medical Sciences and Research Centre |
Ground Floor, OPD No. 17, Clinical Research Department, SMBT Institute of Medical Sciences and Research Centre Dhamangaon, Igatpuri, Nashik Nashik MAHARASHTRA |
08600300834
drshwetachaudhari85@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
No of Ethics Committees= 4 |
Name of Committee |
Approval Status |
Chellaram Diabetes Institute, Institutional Ethics Committee |
Approved |
Government Ayurveda College, Nanded |
Approved |
Institutional Ethics Committee Ayurved Seva Sangh Ayurved Mahavidyalaya Nashik |
Not Applicable |
SMBT Institute of Medical Sciences and Research Centre |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition:E119||Type 2 diabetes mellitus without complications. Ayurveda Condition: PRAMEHAH, |
|
Intervention / Comparator Agent
|
sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | 1 | Intervention Arm | Drug | Other than Classical | | (1) Medicine Name: CTE Capsule, Reference: NA, Route: Oral, Dosage Form: Capsules, Dose: 1000(mg), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 180 Days, anupAna/sahapAna: Yes(details: lukewarm water), Additional Information: along with ayurveda dietary advice | 2 | Comparator Arm (Non Ayurveda) | | - | Tab Metformin 500 mg, Tab Gliptin 50 mg, Ayurveda Herbal Standardized Formulation | Before meals for 180 days along with Ayurveda Dietary Advice | 3 | Comparator Arm (Non Ayurveda) | | - | Tab Metformin 500 mg and Tab Gliptin 50 mg | for 180 days with water along with Ayurveda Dietary Advice
| 4 | Comparator Arm (Non Ayurveda) | | - | Tab Metformin 500 mg and Tab Gliptin 50 mg | with water before meals For 180 days along with Standard Dietary Advice |
|
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
60.00 Year(s) |
Gender |
Both |
Details |
1. Newly diagnosed T2DM with any symptom of Polyuria, Polydipsia, Polyphagia,
Bodyache, Giddiness, Polyneuritis, Fatigue,
Matted hair / entangled hair,
Sweet taste in mouth,
Numbness of Hands & Legs,
Burning sensation of hands & legs,
Dryness of mouth,
Dryness of palate,
Dryness of throat,
Polydipsia,
Increased bodily wastes,
Stickiness/excessive excreta at body orifices,
Burning sensation of body,
Numbness of body parts,
Tingling sensation,
Urine afflicted with symptoms as in urinary diseases,
Foul smell of body,
Always feeling sleepy,
Always feeling drowsy,
2. HbA1c 6.5 to 8.5
3. BMI More than 23 Upto 40
4. Not taking any OHA
5. Subjects of either sex, 18-60 years
6. Subjects who agree to participate in the study and submit a written informed consent
form
|
|
ExclusionCriteria |
Details |
1.Known Cases of type I DM
2. Patients of gestational diabetes
3. Any unstable Heart disease
4. Pregnant / Lactating women.
5. Alcoholics and/or drug abusers
6. Patients with evidence of malignancy
7. Patients suffering from major systemic illness necessitating long term drug treatment
(Rheumatoid arthritis, Psycho-Neuro, endocrinal disorders, etc.)
8. Patients who have completed participation in any other clinical trial during the past
one (01) month.
9. Any other condition which the Investigator thinks may jeopardize the study.
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Open Label |
Primary Outcome
|
Outcome |
TimePoints |
Reduction in HbA1c from baseline
|
180 days
|
|
Secondary Outcome
|
Outcome |
TimePoints |
Improvement in Signs & Symptoms of DM & Prameha
2. Reduction in BSL, Serum Insulin from baseline.
3. Reduction in Lipid profile from baseline
4. Reduction in BMI & waist circumference from baseline
5. Reduction in Diabetes Symptoms Questionnaire (DSQ) score from base line
|
180 days |
|
Target Sample Size
|
Total Sample Size="120" Sample Size from India="120"
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 |
Date of First Enrollment (India)
|
15/09/2023 |
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)
|
Not Applicable |
Recruitment Status of Trial (India) |
Not Yet Recruiting |
Publication Details
|
N/A |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
Brief Summary
|
Diabetes is a multi factorial disease with complex multi-organ-multi-target crosstalk in the body. Currently, the theoretical assumptions framing the diabetes management strategies are reductionist and largely focus on reducing hyperglycemia through targeted molecular drugs. While they effectively reduce hyperglycemia, they may not be adequate to address the multifactorial etiopathology, chronicity and systemic complications of diabetes. Therefore, a holistic and systemic approach is essential for its successful management.i Ayurveda has potential in tackling diabetes, through diet and lifestyle, pharmacotherapy, or an appropriate combination of both We hypothesize that an integrative diabetes management strategy, combining holistic principles of Ayurveda, the Indian system of medicine, can play a pivotal role in this context. A personalized treatment approach for patients with diabetes may be possible through Ayurveda. Acceptability and compliance may be better on account of the socio-cultural acceptance of Ayurveda. Synergistic approach of modern medicine and Ayurveda could lead to better outcomes for patients of diabetes as opposed to treatment with either of the two. Integrative approach of medicinal management can give a better answer to prevent the comorbidities of diabetes as well as obesity. Ayurved has clinically classified the management of diabetes as Thin Diabetic and Obese diabetics. This is a very unique approach of Ayurved to treat diabetes differently in obese and thin individuals. Advanced studies also suggest the difference in the pathophysiology and management of Obese and thin diabetic.. Assessment will be done as follows : Intervention: a) Group A: Standard OHA Regimen + Standard Dietary Advice b) Group B: Standard OHA Regimen + Ayurveda Dietary Advice c) Group C: Standardized Ayurveda Herbal Formulation (CTE Capsules) + Ayurveda Dietary Advice d) Group D: Standard OHA Regimen + Ayurveda Herbal Standardized Formulation (CTE Capsules) + Ayurveda Dietary Advice Assessment : at baseline, 30 days, 60 days, 90 days, 120 days, 150 days and at the end of 180 days. Study will be conducted on total of 144 subjects for 180 days .The study will be Multicentric. |