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CTRI Number  CTRI/2024/07/071662 [Registered on: 31/07/2024] Trial Registered Prospectively
Last Modified On: 30/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Efficacy of medicated herbal lepa in hyperpigmentation management 
Scientific Title of Study   A comparative clinical study to evaluate the efficacy of Varun Twak Lepa with Aja Dugdha and Go Dugdha in the management of Vyanga wsr melasma 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Manisha Kumawat 
Designation  MD scholar 
Affiliation  National Institute of Ayurveda, Deemed to be University 
Address  Dept. of Dravyaguna, National Institute of Ayurveda, Joravar Singh gate, Jaipur

Jaipur
RAJASTHAN
302002
India 
Phone  8955510432  
Fax    
Email  manishakumawat2496@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sumit Nathani 
Designation  Associate Professor 
Affiliation  National Institute of Ayurveda Deemed to be University 
Address  Dept. of Dravyaguna, National Institute of Ayurveda, Joravar Singh gate, Jaipur

Jaipur
RAJASTHAN
302002
India 
Phone  7665809886  
Fax    
Email  sumitnathani2@rediff.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sumit Nathani 
Designation  Associate Professor 
Affiliation  National Institute of Ayurveda Deemed to be University 
Address  Dept. of Dravyaguna, National Institute of Ayurveda, Joravar Singh gate, Jaipur


RAJASTHAN
302002
India 
Phone  7665809886  
Fax    
Email  sumitnathani2@rediff.com  
 
Source of Monetary or Material Support  
Pharmacy of National Institute of Ayurveda Deemed to be university , Madhav Vilas Palace, Amer Rd, Jaipur, Rajasthan 302002 
 
Primary Sponsor  
Name  National Institute of Ayurveda Deemed to be university 
Address  Jorawar singh gate, Jaipur, Rajasthan, 302002 
Type of Sponsor  Research institution and hospital 
 
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 
Manisha Kumawat  National Institute of Ayurveda  OPD no.19 National Institute of Ayurveda jaipur,Department of Dravyaguna.
Jaipur
RAJASTHAN 
8955510432

manishakumawat2496@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee National Institute of Ayurveda  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:L814||Other melanin hyperpigmentation. Ayurveda Condition: VYANGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugOther than Classical(1) Medicine Name: Varun twak churna, Reference: NA, Route: Topical, Dosage Form: Lepa Churna, Dose: 5(g), Frequency: od, Bhaishajya Kal: Pragbhakta, Duration: 2 Months, anupAna/sahapAna: Yes(details: -go dughda ), Additional Information: -
2Intervention ArmDrugClassical(1) Medicine Name: varun tvak lepa, Reference: chakradutta, Route: Topical, Dosage Form: Lepa Churna, Dose: 5(g), Frequency: od, Bhaishajya Kal: Pragbhakta, Duration: 2 Months, anupAna/sahapAna: Yes(details: Ajadugdha), Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients presenting Vyanga as clinical features according to Susruta Samhita (Mandalam Visrujati, Nirujam Tanu ,Shyava).
2.
Patients of either sex.
3.
Patients of age between 18 - 60 years.
4.
Patients that come under the criteria of MASI scale. 
 
ExclusionCriteria 
Details  Melasma due to tubercular therapy or malignant cases.
2.
Patients having systemic pathogenesis due to allergy.
3.
Diagnosed patients of Carcinoma, Burns, Herpes, Eczema, Psoriasis, Measles, Chickenpox, Leucoderma and Leprosy.
4.
Person suffering from any infective or contagious skin disease or under medication with antibiotics, antifungal and steroid.
5.
Patients of uncontrolled hormonal disease.
6.
Patients who are reporting allergic history of trial drugs. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Changes in MASI scale .  Changes in MASI scale after 4th week. 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in Ayurvedic parameters i.e. varna, akriti.
â–ª
Changes in quality of life index (MELASQOL). 
2 months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   Phase 2/ Phase 3 
Date of First Enrollment (India)   10/08/2024 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 - NO
Brief Summary  
Today, the whole world is looking towards Ayurveda with great expectations; they have realized the significance of Ayurveda. People search for the Ayurveda as it maintains longevity, beautification and minimal adverse effects of the drugs. The prime objective of Ayurveda is to maintain and reestablish the equilibrium of body tissue that is why our sages have described Trisutra1 not only for all healthy person but also for ailing.
Beauty is one of the most valued aspects in this competitive era. There is nothing like healthy skin to make an individual feel confident and beautiful, so it is no surprise that uneven skin tone can make any women and man feel self-conscious. Uneven skin tone is always frustrating factor for youth.
Acharya Sushruta and Acharya Vagbhatta has mentioned Vyanga as Kshudra Roga. All most all Acharyas have considered Vyanga as a Kshudra Roag except,Acharya Charakahas mentioned vyanga under raktadhatugata2vikara.
According to Ayurveda concepts,it is manifested due to vitiation of vata and pitta dosha. These doshas vitiated by krodha,aayas,ushna, tikshna,ruksha dietary habits. Thereby, it results in presence of niruja,tanu and shyava varan yukta mandala on mukha pradesh3.
Need of Study: -
➢
Vyanga (Melasma) is a condition which affects the beauty as well as personality. Now a days Vyanga has become one of the biggest problems specially in women due to excessive use of cosmetic supplements and changes occurring during pregnancy.
➢
There is a need to explore natural alternative as per Ayurveda classics for safe management of vyanga which is also easily available and cost effective.
➢
Procuring and using goat milk is a biggest challenge in today’s busy schedule and need of the hour is to fulfill this gap with maintaining characteristics of final product (lepa Kalpana)
➢
This gap can be fulfilled with the help of searching an alternative for the Aja dugdha in the form of Go dugdha as well as exploring options to increase the shelf life for Varun twak with Aja Dhughda lepa.
 
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