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CTRI/2026/XX/SYN002SyntheticActivePhase 3Metabolic & Endocrine

Nishamalaki and lifestyle intervention in Madhumeha (type 2 diabetes mellitus)

A randomised controlled trial evaluating Nishamalaki Churna with structured Pathya-Apathya counselling versus counselling alone in early type 2 diabetes mellitus (Madhumeha)

Sponsor
All India Institute of Ayurveda (intramural)
Principal investigator
Dr. S. Venkatesan · Additional Professor, Kayachikitsa
Condition studied
Type 2 diabetes mellitus (Madhumeha)
Design
Randomised, parallel group, assessor blinded
Intervention
Nishamalaki Churna 3 g twice daily + Pathya counselling, 24 weeks
Comparator
Pathya-Apathya counselling alone

Study lifecycle

Protocol through close-out. Completed stages are filled, the current stage pulses.

Protocol

16 Jul 2025

EC Approval

23 Aug 2025

CTRI Registration

30 Sept 2025

Site Activation

07 Nov 2025

Screening

15 Dec 2025

6

Enrolment

22 Jan 2026

current
7

Follow-up

—

8

Close-out

—

Enrolment against target

12 of 40 participants (30%)

Enrolment lag

Screening funnel

Screened through to follow-up completion

Site-wise enrolment

Real institutes from the NPvCC network

SiteTierHFR idEnrolledShare
All India Institute of Ayurveda, New DelhiNew Delhi · AyurvedaNPvCCIN07100001236
Institute of Teaching and Research in Ayurveda (ITRA)Jamnagar · AyurvedaIPvCIN24100003182
National Institute of AyurvedaJaipur · AyurvedaIPvCIN08100002414

Consent tracking

Versioned, specific and withdrawable — the DPDP requirement

Participants consented

12

Current consent version

v1.4

Re-consent required

0

Withdrawn

1

Protocol deviations

0 open of 2 recorded

Documentation

Source note for Visit 3 filed without investigator counter-signature

DEV-MAD-01 · 21 Jun 2026

MinorClosed

Procedure

Shodhana procedure sequence altered on clinical grounds, not pre-documented

DEV-MAD-02 · 16 Jul 2026

MajorClosed

Data queries

14 open · 6 answered · 21 closed

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-MAD-DEL-006

Open21d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-MAD-DEL-001

Open32d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-MAD-JAI-008

Open27d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-MAD-DEL-001

Open25d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-MAD-DEL-007

Open21d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-MAD-DEL-004

Open14d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-MAD-DEL-007

Open19d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-MAD-JAI-008

Open16d

Birth date inconsistent with the age recorded at screening — please confirm.

Demographics · BRTHDTC · AIIA-MAD-DEL-011

Open26d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-MAD-DEL-002

Open28d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-MAD-JAI-003

Open29d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-MAD-JAI-005

Open10d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-MAD-JAI-010

Open28d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-MAD-JAI-003

Open9d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-MAD-JAM-012

Answered103d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-MAD-DEL-007

Answered90d

Concomitant medicine entered as a brand name — please give the generic.

Concomitant meds · CMTRT · AIIA-MAD-DEL-011

Answered74d

AE onset date precedes the first dose date. Please verify.

Adverse events · AESTDTC · AIIA-MAD-DEL-002

Answered120d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-MAD-DEL-001

Answered100d

Concomitant medicine entered as a brand name — please give the generic.

Concomitant meds · CMTRT · AIIA-MAD-JAM-012

Answered113d

AE onset date precedes the first dose date. Please verify.

Adverse events · AESTDTC · AIIA-MAD-DEL-001

Closed74d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-MAD-DEL-002

Closed109d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-MAD-JAM-009

Closed28d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-MAD-DEL-007

Closed85d

Concomitant medicine entered as a brand name — please give the generic.

Concomitant meds · CMTRT · AIIA-MAD-DEL-007

Closed44d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-MAD-JAI-010

Closed20d

AE onset date precedes the first dose date. Please verify.

Adverse events · AESTDTC · AIIA-MAD-DEL-007

Closed36d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-MAD-JAI-005

Closed115d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-MAD-DEL-004

Closed48d

Birth date inconsistent with the age recorded at screening — please confirm.

Demographics · BRTHDTC · AIIA-MAD-DEL-011

Closed112d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-MAD-DEL-004

Closed31d

Concomitant medicine entered as a brand name — please give the generic.

Concomitant meds · CMTRT · AIIA-MAD-DEL-006

Closed57d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-MAD-DEL-006

Closed104d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-MAD-DEL-001

Closed14d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-MAD-DEL-006

Closed10d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-MAD-JAI-008

Closed41d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-MAD-JAI-005

Closed45d

Birth date inconsistent with the age recorded at screening — please confirm.

Demographics · BRTHDTC · AIIA-MAD-DEL-011

Closed36d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-MAD-JAI-008

Closed26d

Concomitant medicine entered as a brand name — please give the generic.

Concomitant meds · CMTRT · AIIA-MAD-JAI-005

Closed48d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-MAD-JAI-003

Closed72d

Enrolled participants

De-identified by construction — identifier, sex and age only. No name, address or contact data exists in this system.

12 participants
USUBJIDSiteStatusSexAgePlanned armConsent (RFICDTC)Ref. start (RFSTDTC)Visits
AIIA-MAD-DEL-001DELon-studyF65Comparator arm2026-07-182026-07-244/8
AIIA-MAD-DEL-002DELon-study-interventionF44Interventional arm2026-06-082026-06-143/8
AIIA-MAD-JAI-003JAIon-study-interventionF32Comparator arm2026-05-232026-05-243/8
AIIA-MAD-DEL-004DELfollow-upM31Interventional arm2026-03-202026-03-243/8
AIIA-MAD-JAI-005JAIon-study-interventionF60Comparator arm2026-08-102026-08-148/8
AIIA-MAD-DEL-006DELon-study-interventionF57Interventional arm2026-05-252026-05-303/8
AIIA-MAD-DEL-007DELon-study-interventionM41Comparator arm2026-04-262026-05-017/8
AIIA-MAD-JAI-008JAIon-studyM54Interventional arm2026-07-222026-07-255/8
AIIA-MAD-JAM-009JAMon-studyM31Comparator arm2026-03-182026-03-228/8
AIIA-MAD-JAI-010JAIfollow-upM35Interventional arm2026-06-112026-06-167/8
AIIA-MAD-DEL-011DELfollow-upF36Comparator arm2026-06-282026-07-032/8
AIIA-MAD-JAM-012JAMon-study-interventionM24Interventional arm2026-08-112026-08-178/8

4 adverse events recorded on this study · 1 serious — open in Pharmacovigilance