Brahmi (Bacopa Monnieri Linn) in the treatment of dementia

ISRCTN ISRCTN18407424
DOI https://doi.org/10.1186/ISRCTN18407424
Secondary identifying numbers P01/2015
Submission date
04/09/2016
Registration date
08/09/2016
Last edited
05/10/2016
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Mental and Behavioural Disorders
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
People are living longer than ever before and the incidence of Alzheimer’s disease (AD) and other age-related dementias continues to increase worldwide; no treatment is available to reverse or even at least to halt satisfactorily the underlying pathology of established AD. The objective/aim of the study was to determine whether an extract of Brahmi (Bacopa monnieri Linn) could be useful in different types of dementia. Brahmi (Bacopa monnieri Linn) is a herb used traditionally in India as a memory-enhancer. We studied its effect on human memory and forgetfulness in dementia of various grades - from mild to severe. There are reports of its efficacy in various publications: Many relate to its effect in animals, some to its effect in human beings too. One such study showed that it decreased the rate of forgetting newly acquired information in humans while the rate of learning remained unaffected. None of the reports specifically mentions its effect in dementias. We decided to conduct a pilot study, thus laying the framework for definitive studies.

Who can participate?
Patients with dementia over the age of 18.

What does the study involve?
All participants are given Brahmi (Himalaya) 250 mg to take twice a day for three months. Before starting treatment and then after three months, participants complete a number of questionnaires in order to find out how bad their AD is, and if they have experienced any falls.

What are the possible benefits and risks of participating?
Participants may benefit from an improvement to their cognitive function, especially their memory. There is a small risk of experiencing bloating after taking Brahmi, but this is very mild.

Where is the study run from?
Ambalike Clinic (India)

When is study starting and how long is it expected to run for?
June 2015 to May 2016

Who is funding the study?
Ambalike Clinic (India)

Who is the main contact?
1. Professor Mohan Mishra (scientific)
ambalikeclinic@gmail.com
2. Dr Ajay Kumar Mishra (public)
drakm1969@gmail.com

Contact information

Prof Mohan Mishra
Scientific

Ambalike Clinic
Bengali Tola
Laheriasarai
Darbhanga
846001
India

ORCiD logoORCID ID 0000-0001-6764-2938
Phone +919431286913
Email ambalikeclinic@gmail.com
Dr Ajay Kumar Mishra
Public

Ambalike Clinic
Bengali Tola
Laheriasarai
Darbhanga
846001
India

Phone +919431857475
Email drakm1969@gmail.com

Study information

Study designInterventional single-centre non-randomised single arm open-label trial
Primary study designInterventional
Secondary study designNon randomised study
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleA pilot study on the effect of Brahmi (Bacopa Monnieri Linn) in various types and grades of dementia by comparing the effect of the drug on the participants using the Global Deterioration Scale
Study acronymBITOD
Study objectivesPrimary hypothesis:
Brahmi is useful in the treatment of dementias and helps reduce Global Deterioration Scale (GDS) score within three months

Secondary hypothesis
Treatment with Brahmi will lead to a reduction in age-related falls.
Ethics approval(s)Ambalike Clinic Institutional Ethics committee, 15/04/2015, ref: 01/2015
Health condition(s) or problem(s) studiedDementia
InterventionEvery patient is administered the extract of Brahmi (Himalaya) in the dose of 250 mg capsules twice daily orally for three months. The GDS was determined before the start of the treatment and again after three months. After the final evaluation at the end of three months no further follow ups are planned.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Brahmi (Bacopa Monnieri Linn)
Primary outcome measureAlzheimer's progression is measured using the Global Deterioration Scale (GDS) at baseline and 3 months.
Secondary outcome measuresAge-related falls are measured through self-reporting by patients and/or their attendants at baseline, 1 and 3 months.
Overall study start date01/06/2015
Completion date31/05/2016

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants12
Key inclusion criteria1. Aged 18 years and over
2. Diagnosis of dementia
Key exclusion criteria1. History of Intolerance or allergy to Brahmi
2. Type 1 Diabetes Mellitus
3. Pregnancy
Date of first enrolment01/06/2015
Date of final enrolment10/02/2016

Locations

Countries of recruitment

  • India

Study participating centre

Ambalike Clinic
Bengali Tola, Laheriasarai
Darbhanga
846001
India

Sponsor information

Ambalike Clinic
Not defined

Bengali Tol
Laheriasarai
Darbhanga
846001
India

Funders

Funder type

Hospital/treatment centre

Ambalike Clinic

No information available

Results and Publications

Intention to publish date31/07/2017
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot expected to be made available
Publication and dissemination planPlanned publication of study results in a reputable journal by the end of 2016.
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Basic results 26/09/2016 05/10/2016 No No

Additional files

ISRCTN18407424_BasicResults_26Sep16.docx
Uploaded 05/10/2016

Editorial Notes

05/10/2016: Results summary uploaded.