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The goal of this clinical trial is to study the impact of VL-NL-02 in improving sleep quality, restorative sleep complaints, quality of life, stress levels, and sleep stages.
48 participants are expected to be randomized in a ratio of 1:1 to receive either VL-NL-02 or placebo and will be assigned a unique randomization code. Each group will have at least 20 completed participants after accounting for a dropout/withdrawal rate of 17%. The intervention duration for all the study participants is 21 days.
Participants will be asked to fill multiple questionnaires to assess sleep quality and mood imbalance.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| VL-NL-02 | Active Comparator | Two capsules to be taken 45±10 mins before sleep (after dinner) for 21 days. |
|
| Placebo | Placebo Comparator | Two capsules to be taken 45±10 mins before sleep (after dinner) for 21 days. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VL-NL-02 | Dietary Supplement | Two capsules to be taken 45±10 mins before sleep (after dinner) for 21 days |
|
| Measure | Description | Time Frame |
|---|---|---|
| To assess the efficacy of Vl-NL-02 on sleep quality using the Insomnia Severity Index (ISI). | The Insomnia Severity Index has seven questions that indicates insomnia without clinical significance. The scores of 0-7 determines no clinically significant insomnia, 8-14 determines sub threshold insomnia, 15-21 has moderate severity which determines clinical insomnia and lastly 22-28 has severe insomnia. For each question, participant will be asked to circle or mark the number that best correlates with their sleep quality in the past two weeks. An increase in score will determine the severity of the insomnia. | Day 1 of intervention |
| To assess the efficacy of Vl-NL-02 on sleep quality using the Insomnia Severity Index (ISI). | The Insomnia Severity Index has seven questions that indicates insomnia without clinical significance. The scores of 0-7 determines no clinically significant insomnia, 8-14 determines sub threshold insomnia, 15-21 has moderate severity which determines clinical insomnia and lastly 22-28 has severe insomnia. For each question, participant will be asked to circle or mark the number that best correlates with their sleep quality in the past two weeks. An increase in score will determine the severity of the insomnia. | Day 11 of intervention |
| To assess the efficacy of Vl-NL-02 on sleep quality using the Insomnia Severity Index (ISI). | The Insomnia Severity Index has seven questions that indicates insomnia without clinical significance. The scores of 0-7 determines no clinically significant insomnia, 8-14 determines sub threshold insomnia, 15-21 has moderate severity which determines clinical insomnia and lastly 22-28 has severe insomnia. For each question, participant will be asked to circle or mark the number that best correlates with their sleep quality in the past two weeks. An increase in score will determine the severity of the insomnia. | Day 22 of intervention |
| Measure | Description | Time Frame |
|---|---|---|
| To assess impact of VL-NL-02 on Mood using Brief Mood Introspection Scale (BMIS) | It is a mood scale consisting of 16 mood adjectives to which a person responds. Four sub scores can be computed from the BMIS: Pleasant-Unpleasant, Arousal-Calm, Positive-Tired and Negative-Relaxed Mood. | Day 1, 11 and 22 of intervention |
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Inclusion Criteria:
Exclusion Criteria:
FBG > 125 mg/dl
Individuals diagnosed with hypertension.
Individuals having a systolic blood pressure ≥140 mm Hg and diastolic blood pressure ≥ 90 mm Hg.
Individuals diagnosed with Type I and Type II Diabetes Mellitus.
Sleep disorder is secondary to another health problem such as restless leg syndrome, post-operative state etc.
Individuals diagnosed with insomnia.
Consumption of hypnotic drugs (<3 months before inclusion)
Individuals taking any other sleep promoting supplements and are unwilling to stop taking those supplements for the duration of the study period
Individuals with history of sleepwalk
Individuals who have bad dreams 2 or more times a week.
Individuals who are inclined to the lifestyle factors - such as jet lag, night workers and rotational shift work.
Individuals who currently, or in the past 6 months suffered from any mental-health disorder
Individuals who were taking psychotropic medication, herbal preparation, antidepressants, steroids, antihistamines, narcotics or any other illicit drugs in the last three months.
Individuals diagnosed with chronic medical conditions - such as heart problems, Gastro-intestinal, hepatic, respiratory, psychiatric, kidney, or cardiovascular disorder (<3 months before inclusion), and chronic pain since last 6 months.
Recent (within 3 months before inclusion) change in lifestyle (food, sport and drug).
Individuals who are regular smokers and/or consume any form of tobacco.
Addiction, history of addiction, and/or substance abuse (tobacco, nicotine etc.).
Heavy drinkers as defined by:
Exaggerated consumption of tea (≥500 mL per day), coffee (≥400 mL per day), or energy drink (≥250 mL per day),
Individuals on dietary supplements
Pregnant or lactating woman,
Lifestyle habits which would modify the wake-sleep rhythm or which was expected to be modified during the study period (e.g., night work)
Known allergy to mushroom.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| BAJ RR Hospital | Dombivali | Maharashtra | 421203 | India | ||
| Surya Multispeciality Hospital |
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| ID | Term |
|---|---|
| D007319 | Sleep Initiation and Maintenance Disorders |
| ID | Term |
|---|---|
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
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randomized, double-blind, placebo-controlled trial.
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Double blind
| Placebo | Dietary Supplement | Two capsules to be taken 45±10 mins before sleep (after dinner) for 21 days |
|
| To assess impact of VL-NL-02 on Dream as assessed by Dream and Sleep Emotions and Anxiety (DSEA) Questionnaire |
The DSEA questionnaire has two subscales: Sleep anxiety and Dream emotional scale. |
| Day 1, 11 and 22 of intervention |
| To assess impact of VL-NL-02 on Restorative sleep by using Restorative Sleep Questionnaire - Weekly Version (RSQ-W) questionnaire | RSQ-W is a validated scale for measuring refreshing quality of sleep. It has 9 items with answers scaled from 1 to 5. The questionnaire asks about how one felt after waking up and starting the day during the past seven days. | Day 1, 11 and 22 of intervention |
| To assess impact of VL-NL-02 on Quality of life using RAND Short form (SF)-36 | The SF-36 includes multi-item scales to measure the following 8 dimensions (refer 15.2 for questionnaire): PF- Physical functioning (10 items in question 3) RP- Role limitations due to physical health problems (4 items in question 4) BP- Overall body pain (questions 7 and 8) SF- Social functioning (questions 6 and 10) MH - General mental health, covering psychological distress and well-being (5 items: questions 9 b, c, d, f and h) RE- Role limitations due to emotional problems (questions 5 a, b and c) VT- Vitality, energy or fatigue (4 items: questions 9 a, e, g and i) GH- General health perceptions (5 items: questions 1 and 11 a to d) | Day 1, 11 and 22 of intervention |
| To assess impact of VL-NL-02 on Improvement in deep sleep and Rapid eye movement (REM) sleep stages by Polysomnography | Polysomnography refers to a systematic process used to collect physiologic parameters during sleep. Sleep stage scoring and detection of arousals for each 30-s epoch will be performed visually according to standard AASM procedures. | Day 0, 10 and 21 of intervention |
| To assess impact of VL-NL-02 on Levels of salivary cortisol immediately after awakening | Normal ranges for cortisol are: Morning hours 8 10 a.m.: < 19.1 nmol/L (< 0.690 μg/dL) Afternoon hours 2:30-3:30 p.m.: < 11.9 nmol/L (< 0.430 μg/dL) | Day 1 and 22 of Intervention |
| To assess impact of VL-NL-02 on Levels of serum serotonin | The normal range is 50 to 200 ng/mL (0.28 to 1.14 µmol/L) in healthy individuals | Day 1 and 22 of Intervention |
| To assess impact of VL-NL-02 on Levels of urinary melatonin | The highest levels of melatonin are recorded from 3am onwards with a value of 47.35 pg/ml | Day 1 and 22 of Intervention |
| To assess impact of VL-NL-02 on Levels of serum Brain Derived Neurotrophic Factor (BDNF) | Day 1 and 22 of Intervention |
| Nashik |
| Maharashtra |
| 422003 |
| India |
| Sparsh Hospital | Navi Mumbai | Maharashtra | 410206 | India |
| Dhanwantari Hospital | Pune | Maharashtra | 411011 | India |
| Arora Allergy Asthma and Chest Care Hospital | Ajmer | Rajasthan | 305001 | India |
| D001523 |
| Mental Disorders |