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A clinical study to evaluate the effect of Methylcobalamine nasal spray in patients with subclinical cobalamin deficiency.

A prospective, randomized, open label, clinical study to evaluate safety and effectiveness of novel methylcobalamin nasal spray compared to oral methylcobalamin in the treatment of subjects with SubClinical Cobalamin (Vitamin B12) Deficiency (S.C.C.D.)

Status
Active, not recruiting
Phases
Phase 4
Study type
Observational
Source
CTRI
Registry ID
CTRI/2020/10/028370
Enrollment
100
Registered
2020-10-13
Start date
Unknown
Completion date
Unknown
Last updated
2022-10-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: D618- Other specified aplastic anemias and other bone marrow failure syndromes

Interventions

Intervention1: Methylcobalamin 1500 microgram oral tablet: This study will have simple random sampling procedure to randomize the subjects to Group-A and B. Based on randomization procedure, Group-A w

Sponsors

Dr Sudhir Kumar
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1) Vitamin B12 level [200 pg/mL ââ?¬â?? 399pg/mL ( 148pmol/L ââ?¬â?? 295pmol/L)] 2) Above the age of 18 years 3) Willing & able to comply with study requirements, e.g. usage of medicines as per protocol, willing to adhere with study visit schedule and willing to fill Patient Diary, as indicated by written informed consent provided by the patient. 4) Study population will be EITHER any of the following in either gender: a) General Population b) Patients who are on Metformin (ââ?°Â¥1000mg/day) therapy for ââ?°Â¥ 4 months c) Anaemic patients having hemoglobin level of d) Chronic Alcoholic Patients as per DSM V criteria e) Patients on PPI therapy for ââ?°Â¥ 6 months f) Patients who have undergone Bariatric Surgery (e.g. RYGB surgery/ Mini gastric bypass surgery/ Sleeve Gastrectomy/ Sleeve Gastroplasty etc) OR Gastric Surgery for any indication. OR Study population will be any of the following in female population: g) Women on Oral Contraceptive Pills h) Women with Poly Cystic Ovarian Disease(PCOD) on Metformin 5) If women of childbearing potential are recruited they must be non-pregnant (supported by negative urine pregnancy test at screening), and be willing to maintain reliable birth control throughout the study.

Exclusion criteria

Exclusion criteria: 1) Lactating Women 2) Patients with known hypersensitivity or allergies to cobalt and/or vitamin B12 or any component of the study medication. 3) Patients with any significant nasal pathology, or having chronic nasal symptoms or nasal allergies or upper respiratory tract infections. 4) Patient using any other nasal medication/device. 5) Patients having a known diagnosis of severe renal impairment or renal failure. Patients on treatment with drugs which interfere with vitamin B12 assay. 6) Participated in any clinical trial within last 30 days at the time of screening. 7) Any disorder or condition that in the opinion of investigator would prohibit study participation or affect study outcome.

Design outcomes

Primary

MeasureTime frame
To evaluate the safety and efficacy of Vitamin B12 in comparison of changes in Vitamin B12 levels post 30 days(i.e, 08 doses for Group-A and 30 doses for Group-B)Timepoint: To evaluate the safety and efficacy of Vitamin B12 in comparison of changes in Vitamin B12 levels post 30 days(i.e, 08 doses for Group-A and 30 doses for Group-B)

Secondary

MeasureTime frame
1) Proportion of subjects achieving Vitamin B12 levels (300 pg/ml) on day 31 (Group-B) and (Group-A) 2) Proportion of subjects achieving Vitamin B12 levels (200-399 pg/ml) on day 31 (Group-B) and (Group-A)Timepoint: end of the study

Countries

India

Contacts

Public ContactDr Sudhir Kumar

Apollo Hospitals

drsudhirkumar@yahoo.com9866193953

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026