| CTRI Number |
CTRI/2024/07/071453 [Registered on: 29/07/2024] Trial Registered Prospectively |
| Last Modified On: |
27/07/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Ayurveda |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
2 Ayurveda formulations and to know their utility in treating patients with Osteoporosis and Osteopenia - condition where bones become weak |
|
Scientific Title of Study
|
A Comparative clinical study to validate the influence of Gandha taila and Ksheerabala taila 101 on Osteopenia and Osteoporosis using biochemical markers of bone formation and resorption. |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
DR VEENA G RAO |
| Designation |
Professor and Head of the Department |
| Affiliation |
JSS Ayurvda Medical College and Hospital Lalithadripura road Mysore |
| Address |
Room No 2
Dept of Panchakarma
JSS Ayurveda Medical College and Hospital
Mysuru
Mysore KARNATAKA 570028 India |
| Phone |
9844549152 |
| Fax |
|
| Email |
drveenagrao@yahoo.in |
|
Details of Contact Person Scientific Query
|
| Name |
DR VEENA G RAO |
| Designation |
Professor and Head of the Department |
| Affiliation |
JSS Ayurvda Medical College and Hospital Lalithadripura road Mysore |
| Address |
Room No 2
Dept of Panchakarma
JSS Ayurveda Medical College and Hospital
Mysuru
Mysore KARNATAKA 570028 India |
| Phone |
9844549152 |
| Fax |
|
| Email |
drveenagrao@yahoo.in |
|
Details of Contact Person Public Query
|
| Name |
DR VEENA G RAO |
| Designation |
Professor and Head of the Department |
| Affiliation |
JSS Ayurvda Medical College and Hospital Lalithadripura road Mysore |
| Address |
Room No 2
Dept of Panchakarma
JSS Ayurveda Medical College and Hospital
Mysuru
Mysore KARNATAKA 570028 India |
| Phone |
9844549152 |
| Fax |
|
| Email |
drveenagrao@yahoo.in |
|
|
Source of Monetary or Material Support
|
| Ministry of AYUSH, Govt. of India, B block, GPO complex, AYUSH Bhavan, INA Market, New Delhi- 110023, INDIA |
|
|
Primary Sponsor
|
| Name |
Ministry of AYUSH |
| Address |
Ministry of Health and Family Welfare
Government of India
Nirman Bhavan
New Delhi 110011 |
| Type of Sponsor |
Government funding agency |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr VEENA G RAO |
JSS Ayurveda Medical College and Hospital |
OPD number 2, Dept. of Panchakarma, Lalithadripura road,
Mysuru-570028 Mysore KARNATAKA |
9844549152
drveenagrao@yahoo.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| JSS Ayurveda Medical College Institutional Ethical Clearance Committee - Human |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition:M818||Other osteoporosis without currentpathological fracture. Ayurveda Condition: ASTHIKSHAYAH, |
|
|
Intervention / Comparator Agent
|
| sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | | 1 | Intervention Arm | Drug | Classical | | (1) Medicine Name: Gandha Taila, Reference: Ashtanga Hrudaya, Route: Oral, Dosage Form: Taila, Dose: 1(ml), Frequency: bd, Bhaishajya Kal: Abhakta, Duration: 120 Days, anupAna/sahapAna: Yes(details: Warm water), Additional Information: - | | 2 | Comparator Arm | Drug | Classical | | (1) Medicine Name: Ksheerabala Taila, Reference: Sahasrayoga, Route: Oral, Dosage Form: Taila, Dose: 1(ml), Frequency: bd, Bhaishajya Kal: Abhakta, Duration: 120 Days, anupAna/sahapAna: Yes(details: Warm water), Additional Information: - |
|
|
|
Inclusion Criteria
|
| Age From |
35.00 Year(s) |
| Age To |
99.00 Year(s) |
| Gender |
Both |
| Details |
1 Subjects having BMD t score less than or equal to minus 1
2 Clinical features of osteopenia and osteoporosis that is skeletal pain tenderness fracture and that of asthikshaya like asthi shula sandhishaithilya keshapaata and shrama
3 Subjects of either gender above 35 years of age.
4 Women irrespective of their menopausal status.
5 Subjects irrespective of vegetarian and non-vegetarian diet pattern.
|
|
| ExclusionCriteria |
| Details |
1 Subjects in whom orally taila is contraindicated.
2 Subjects under corticosteroids and other interfering drugs
3 Pregnant and lactating women.
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Case Record Numbers |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Reduction in Bone resorption markers and increase in Bone formation markers |
At the end of the study after 120 days |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| safety profiling of Gandha taila & Ksheerabala taila 101 on Liver & Kidney functions using specific Biochemical markers like CBC, SGOT, SGPT, Urea, Creatinine |
60 days & 120 days |
|
|
Target Sample Size
|
Total Sample Size="42" Sample Size from India="42"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
|
Phase of Trial
|
N/A |
|
Date of First Enrollment (India)
|
09/08/2024 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
|
Estimated Duration of Trial
|
Years="2" Months="0" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
|
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Anyone
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [drveenagrao@yahoo.in].
- For how long will this data be available start date provided 11-07-2024 and end date provided 11-06-2027?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
Osteoporosis is the second most common
metabolic bone disease. Osteoporosis constitutes a major public health problem,
on an average 25 million Indians are affected. Asthikshaya, which can be
paralleled to osteopenia, further leads to Asthisaushirya i.e porous
bones.
Deterioration in the
quantity & quality of bone mass are brought by an imbalance between bone
resorption and bone formation processes that are normally coupled and is called
as bone turnover. Markers of this bone turnover (BTM) have a variety of
potential clinical applications based on their rapid response to treatment,
their value in monitoring compliance to medications.
Establishing an Ayurvedic
formulation which can arrest the pathology & effectively improve the bone
mass without any adverse effects, is the need of the hour, as increase in the
incidence of osteoporosis has gained the national priority for medical research
in AYUSH.
In
order to develop evidence-based practice, a randomised open label, comparative,
interventional clinical study is proposed.
Here the formulation ‘Gandha Taila’ will be given orally in the dosage
of 1ml twice daily with warm water 30 minutes before food for a period of 120
days for 21 subjects of osteopenia or osteoporosis of both the groups A and B.
Its efficacy will be assessed through 4 biochemical markers of bone formation
& 5 markers of bone resorption in serum. As it validates the mode of action
of both Gandha Taila,and Ksheerabala taila 101, this work will be highly useful
for the clinical practise. As the trail also
includes drug safety study among the subjects, which will further help in the
overall improvement in patient care.
In this regard, it is a novel project in
this field for evidence based medical practice as it will throw light on
understanding the pharmacological action of drug ‘Gandha taila’ and Ksheerabala
taila 101 over pathophysiology of osteoporosis which will be helpful in
planning the treatment of osteoporosis. |