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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  
Name  Address 
NIL  NIL 
 
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  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M818||Other osteoporosis without currentpathological fracture. Ayurveda Condition: ASTHIKSHAYAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(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: -
2Comparator ArmDrugClassical(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
  1. 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).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [drveenagrao@yahoo.in].

  6. 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.

  7. 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.

 
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