| CTRI Number |
CTRI/2024/04/065888 [Registered on: 18/04/2024] Trial Registered Prospectively |
| Last Modified On: |
13/11/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Homeopathy |
| Study Design |
Randomized, Parallel Group, Multiple Arm Trial |
|
Public Title of Study
|
Homoeopathic management of Hypothyroidism |
|
Scientific Title of Study
|
Efficacy of individualized homoeopathic medicines as standalone or as an add on to standard of care on symptom profile of hypothyroidism – an open label feasibility cohort multiple randomized controlled trial. |
| 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 LIPIPUSHPA DEBATA |
| Designation |
RESEARCH OFFICER SCIENTIST 3 |
| Affiliation |
Under Central Council for Research in Homoeopathy Ministry of Ayush Govt of India |
| Address |
CENTRAL RESEARCH INSTITUTE (HOMOEOPATHY) SECTOR 2 JANKIPURAM EXTENSION Room no 219 2nd Floor
Lucknow UTTAR PRADESH 226031 India |
| Phone |
7755014040 |
| Fax |
|
| Email |
drlipi08@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
VARANASI ROJA |
| Designation |
RESEARCH OFFICER SCIENTIST 3 |
| Affiliation |
CENTRAL COUNCIL FOR RESEARCH IN HOMOEOPATHY Ministry of Ayush Govt of India |
| Address |
61 65 INSTITUTIONAL AREA JANAKPURI NEW DELHI
3rd Floor
West DELHI 110058 India |
| Phone |
9999454036 |
| Fax |
|
| Email |
varanasiroja@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
LIPIPUSHPA DEBATA |
| Designation |
RESEARCH OFFICER SCIENTIST 3 |
| Affiliation |
Under Central Council for Research in Homoeopathy Ministry of Ayush Govt of India |
| Address |
CENTRAL RESEARCH INSTITUTE (HOMOEOPATHY) SECTOR 2 JANKIPURAM EXTENSION
2nd Floor Room no 219
Lucknow UTTAR PRADESH 226031 India |
| Phone |
07755014040 |
| Fax |
|
| Email |
drlipi08@gmail.com |
|
|
Source of Monetary or Material Support
|
| Central Council for Research in Homoeopathy
JAWAHARLAL BHARTIYA CHIKITSA AVUM HOMOEOPATHY ANUSANDHAN BHAWAN
61 65 INSTITUTIONAL AREA
OPPOSITE D BLOCK JANAKPURI
NEW DELHI 110058 |
|
|
Primary Sponsor
|
| Name |
CCRH |
| Address |
Jawaharlal Bhartiya Chikitsa avum Homoeopathy anusandhan Bhawan. 61-65, Institutional area, Opp D-Block, janakpuri, New Delhi- 110058 |
| Type of Sponsor |
Research institution |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 5 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| DR LIPIPUSHPA DEBATA |
CENTRAL RESEARCH INSTITUTE (HOMOEOPATHY) |
Room no. 219, 2nd Floor,
HC/NH, SECTOR-2, JANKIPURAM EXTENSION, LUCKNOW- 226031 Lucknow UTTAR PRADESH |
7755014040
drlipi08@gmail.com |
| DR GURUDEV CHOUBEY |
DR ANJALI CHATTERJEE REGIONAL RESEARCH INSTITUTE FOR HOMOEOPATHY |
Room no. 4, 50, RAJENDRA CHATTERJEE ROAD KOLKATA 700035 Kolkata WEST BENGAL |
7908955160
gurudev.choubey@gmail.com |
| DR HARPREET KAUR |
DR D P RASTOGI CENTRAL RESEARCH INSTITUTE FOR HOMOEOPATHY |
Room no. 224, A-1/1, SECTOR 24 OPPOSITE HCL, NOIDA UTTAR PRADESH- 201301 Gautam Buddha Nagar UTTAR PRADESH |
9810863650
drharpreetmd@gmail.com |
| DR R S KRISHNESWARI |
NATIONAL HOMOEOPATHY RESEARCH INSTITUTE IN MENTAL HEALTH |
Room no. 1, SACHIVOTHAMAPURAM PO- KOTTAYAM DISTRICT KERALA- 686532 Kottayam KERALA |
8903255833
krishneswarirs@gmail.com |
| DR LIYI KARSO |
REGIONAL RESEARCH INSTITUTE FOR HOMOEOPATHY |
Room no. 101, GROUND FLOOR CARI OLD BUILDING BORSOJAI PO- BELTOLA GUWAHATI -781028 Kamrup ASSAM |
7628990495
liyikarso@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 6 |
| Name of Committee |
Approval Status |
| CENTRAL COUNCIL FOR RESEARCH IN HOMOEOPATHY CENTRAL ETHICS COMMITTEE |
Approved |
| CENTRAL RESEARCH INSTITUTE (HOMOEOPATHY) LUCKNOW INSTITUTIONAL ETHICAL COMMITTEE |
Approved |
| DR D P RASTOGI CENTRAL RESEARCH INSTITUTE OF HOMOEOPATHY NOIDA INSTITUTIONAL ETHICAL COMMITTEE |
Approved |
| INSTITUTIONAL ETHICS COMMITTEE |
Approved |
| NATIONAL HOMOEOPATHY RESEARCH INSTITUTE IN MENTAL HEALTH KOTTAYAM INSTITUTIONAL ETHICAL COMMITTEE |
Approved |
| REGIONAL RESEARCH INSTITUTE FOR HOMOEOPATHY GUWAHATI INSTITUTIONAL ETHICAL COMMITTEE |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: E039||Hypothyroidism, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Individualised Homoeopathic medicines and Standard treatment (Levothyroxine) |
Homoeopathic medicines will be administered orally and repeated as per need of case till one year.
Levothyroxine will be administered orally empty stomach daily for one year |
| Intervention |
Individualised homoeopathic medicines standalone |
Patient will be administered only homoeopathic medicines orally till one year |
| Comparator Agent |
Placebo |
Placebo will be given orally twice daily for one year |
| Comparator Agent |
Standard treatment (Levothyroxine) |
Levothyroxine will be administered to patients- one tablet daily in empty stomach till one year |
|
|
Inclusion Criteria
|
| Age From |
15.00 Year(s) |
| Age To |
50.00 Year(s) |
| Gender |
Both |
| Details |
i. Patients suffering from hypothyroidism (serum TSH within normal range or ≤ 20 μIU/ml) for at least last 3 months and undergoing standard therapy, i.e. Levothyroxine sodium in personalized dosage as decided by the conventionally trained endocrinologists.
ii. Fresh cases of hypothyroidism (undergoing no treatment) with Serum TSH within 10- 20 μIU/ml.
iii. Age: 15- 50 years.
iv. Literate and illiterate patients; ability to understand Hindi.
v. Patients giving written consent to participate.
|
|
| ExclusionCriteria |
| Details |
i) TSH above 20 μIU/ml
ii) Patients suffering from congenital hypothyroidism
iii) Patients with psychiatric diseases
iv) Pregnancy and lactation
v) Cases suffering from any other uncontrolled systemic illness or life-threatening infections or any vital organ failure
vi) Cases already undergoing homoeopathic treatment for any chronic diseases
vii) Substance abuse and/or dependence
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Centralized |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Changes in symptom profile related to hypothyroidism and Quality of life in patients at of 12 months (Zulewski’s clinical score at every month, Thyroid symptom questionnaire and SF-8 Questionnaire for QOL at every follow up). |
12 months |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
To evaluate
a) Changes in TSH level at every 4 weeks.
b) Changes in Blood thyroid profile at 3rd, 6th, 9th, and 12th month.
c) Reduction in dosage of LT-4 intake in add on group during a period of 12 month.
d) Number of patients requiring LT-4 by 12 months in standalone group.
e) Adverse events if any.
|
3rd- 12th month |
|
|
Target Sample Size
|
Total Sample Size="200" Sample Size from India="200"
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)
|
01/05/2024 |
| 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="3" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
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
|
| Title | Efficacy of individualized homoeopathic medicines as standalone or as an add on to standard of care on symptom profile of Hypothyroidism – an open label feasibility cohort multiple randomized controlled trial | | Short Title/ Public title | Homoeopathic treatment of Hypothyroid Cases | | Methodology | Cohort multiple RCT | | Study Duration | 30 M0NTHS + 6 months Extension= 3 years | | Principal Investigator (PI) | Dr. Lipipushpa Debata | | Study sites | Co- investigators at the site | | CRIH, Lucknow, | Dr. Lipipushpa Debata, R. O. (H), S-3 | | DDPR CRI, Noida | Dr. Harpreet Kaur, R. O. (H), S-1 | | DACRRI, Kolkata | Dr. Gurudev Choubey, R. O. (H), S-3 | | NHRIMH, Kottayam | Dr. K. C. Muraleedharan, A.D (H), Dr. R.S. Krishneswari, Asst. Prof. | | RRI (H), Guwahati | Dr. Liyi Karso, R. O. (H), S-2 | | Co-ordinator at Hqr | Dr. Varanasi Roja, R. O. (H), S-3 | | Objectives | Primary Objectives: i) To evaluate the efficacy of individualized homoeopathic medicines as standalone or as add on to standard of care on symptom profile and quality of life of patients suffering from hypothyroidism. | | Number of Subject | Convenient sample of 200 patients (40 patients in each Centre) | | Main Inclusion Criteria | i) Patients suffering from hypothyroidism and under LT4 with TSH within normal range or <20 μIU/ml. ii) Fresh cases of Hypothyroidism with TSH between 10-20 μIU/ml iii) Age: 15-50 years iv) Literate and illiterate patients able to understand hindi. v) Patients giving written consent to participate. | | Study Product | Individualised Homoeopathic medicines according to symptom similarity. Potency and dose will be given as per homoeopathic principles. | | Duration of administration | 12 months | | Statistical methodology | All analyses shall be conducted using SPSS version 20.0. The normality of the data distribution shall be assessed before undertaking any inferential statistics. For categorical and ordinal data nonparametric test will be applied. For metric or continuous data, parametric tests shall be applied. | |