A total of 170 patients male or female who are carrying SS or Sbeta0 versions of the beta globin gene will be included in the study. The subjects will be assigned with 1:1:1 ratio of either NUV001 Immediate release IR or NUV001 Gastro resistant GR or Placebo. The treatment duration of the study will be 90 days which has in total 5 visits. The primary end point of this study is to check the safety and tolerance of the orally administered nutraceutical supplement. This endpoint will be checked by assessing the Adverse events, Vital signs of the subject and the Change in hematological parameters from Baseline to Final visit.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
DOUBLE
Enrollment
168
Daily supplementation with 1000 mg of NUV001 (in two administration orally) immediate release gel capsule formulation for 90 days in total
Daily supplementation with 1000 mg of NUV001 (in two administration orally) gastro resistant gel capsule formulation for 90 days in total
Placebo containing starch Powder (1000 mg, daily in two administration orally for 90 days)
Aman Hospital and Research Center
Vadodara, Gujarat, India
Kingsway Hospital
Nagpur, Maharashtra, India
Sai Krupa Hospital & Research Centre
Ahmedabad, India
Thalassemia & Sickle Cell Society
Hyderabad, India
Index Medical College
Indore, India
NRSMC Hospital
Kolkata, India
Arihant Hospital
Nagpur, India
Shalinitai Meghe Hospital & Research Centre
Nagpur, India
Safety as measured by subject incident of treatment-emergent adverse events
Subject incidence of treatment-emergent adverse events
Time frame: between Day 0 and Day 30
Safety as measured by subject incident of treatment-emergent adverse events
Subject incidence of treatment-emergent adverse events
Time frame: between Day 0 and Day 60
Safety as measured by subject incident of treatment-emergent adverse events
Subject incidence of treatment-emergent adverse events
Time frame: between Day 0 and Day 90
Safety as measured by subject incident of treatment-emergent clinically significant changes in clinical laboratory safety tests
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Complete Blood Count (absolute counts and %), Random blood glucose concentration and Serum concentrations in Calcium, Electrolytes, Protein, Albumin, Alkaline Phosphatase, Bilirubin, Blood urea nitrogen, Creatinine, Aspartate Aminotransferase, Alanine Aminotransferase)
Time frame: between Day 0 and Day 30
Safety as measured by subject incident of treatment-emergent clinically significant changes in clinical laboratory safety tests
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Complete Blood Count (absolute counts and %), Random blood glucose concentration and Serum concentrations in Calcium, Electrolytes, Protein, Albumin, Alkaline Phosphatase, Bilirubin, Blood urea nitrogen, Creatinine, Aspartate Aminotransferase, Alanine Aminotransferase)
Time frame: between Day 0 and Day 60
Safety as measured by subject incident of treatment-emergent clinically significant changes in clinical laboratory safety tests
Subject incidence of treatment-emergent clinically significant changes in clinical laboratory safety tests (Complete Blood Count (absolute counts and %), Random blood glucose concentration and Serum concentrations in Calcium, Electrolytes, Protein, Albumin, Alkaline Phosphatase, Bilirubin, Blood urea nitrogen, Creatinine, Aspartate Aminotransferase, Alanine Aminotransferase)
Time frame: between Day 0 and Day 90
Safety as measured by subject incident of treatment-emergent clinically significant changes in vital signs
Subject incidence of treatment-emergent clinically significant changes in vital signs (Systolic and Diastolic Blood Pressure in millimeters of mercury (mmHg), Pulse Rate in beats per minute (bpm), Respiration Rate in number of breaths per minute and Body temperature in Celsius)
Time frame: between Day 0 and Day 30
Safety as measured by subject incident of treatment-emergent clinically significant changes in vital signs
Subject incidence of treatment-emergent clinically significant changes in vital signs (Systolic and Diastolic Blood Pressure in millimeters of mercury (mmHg), Pulse Rate in beats per minute (bpm), Respiration Rate in number of breaths per minute and Body temperature in Celsius)
Time frame: between Day 0 and Day 60
Safety as measured by subject incident of treatment-emergent clinically significant changes in vital signs
Subject incidence of treatment-emergent clinically significant changes in vital signs (Systolic and Diastolic Blood Pressure in millimeters of mercury (mmHg), Pulse Rate in beats per minute (bpm), Respiration Rate in number of breaths per minute and Body temperature in Celsius)
Time frame: between Day 0 and Day 90
Change in the % of F-hemoglobin positive cells
Time frame: Day 0, Day 30, Day 60, Day 90
Change in F-Hb content in RBCs
% of total hemoglobin measured by HP-LC
Time frame: Day 0, Day 30, Day 60, Day 90
Change in RBC sickling
% of circulating irreversibly sickled cells
Time frame: Day 0, Day 30, Day 60, Day 90
Change in hematocrit
% of RBC in blood
Time frame: Day 0, Day 30, Day 60, Day 90
Change in indirect bilirubin level
Indirect bilirubin level expressed in mg/dL
Time frame: Day 0, Day 30, Day 60, Day 90
Change in reticulocyte level
reticulocytes count expressed in percentage of red blood cells
Time frame: Day 0, Day 30, Day 60, Day 90
Change in serum lactate dehydrogenase level
Serum lactate dehydrogenase expressed in international units per liter (IU/L)
Time frame: Day 0, Day 30, Day 60, Day 90
ASCQ-Me Questionnaire (Adult Sickle Cell Quality of Life Measurement Information System)
Questionnaire on acute and/or chronic pain, energy level, usage of pain medications and activity levels
Time frame: Day 0, Day 30, Day 60, Day 90
Change in pain perception
Evaluation of pain intensity for each body location (using a numeric pain rating scale from 0, no pain to 10 worst possible pain)
Time frame: Day 0, Day 30, Day 60, Day 90
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Pain relief assessment
Evaluation and evaluation of pain relief (pain relief scale in percent from 0%, no relief to 100% complete relief)
Time frame: Day 0, Day 30, Day 60, Day 90