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CTRI Number  CTRI/2024/06/069077 [Registered on: 18/06/2024] Trial Registered Prospectively
Last Modified On: 18/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Clinical study to compare the effect of Apamarga Vasa gel and dinoprostone gel on progress of the labour 
Scientific Title of Study   Comparative clinical study on the effectiveness of Yoni Lepa with Apamarga Vasa gel and dinoprostone gel in first stage of labour 
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 Bharti Yadav 
Designation  Post graduate scholar 
Affiliation  Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan 
Address  Department of Prasuti Tantra and Stree Roga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, B M road, Thanniruhalla, Hassan, Karnataka, India

Hassan
KARNATAKA
573201
India 
Phone  8800180433  
Fax    
Email  bhartiyadav0808@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Gayathri Bhat NV 
Designation  Professor and HOD 
Affiliation  Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan 
Address  Department of Prasuti Tantra and Stree Roga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, B M road, Thanniruhalla, Hassan, Karnataka, India

Hassan
KARNATAKA
573201
India 
Phone  9844437917  
Fax    
Email  gaya3hassan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Gayathri Bhat NV 
Designation  Professor and HOD 
Affiliation  Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan 
Address  Department of Prasuti Tantra and Stree Roga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, B M road, Thanniruhalla, Hassan, Karnataka, India

Hassan
KARNATAKA
573201
India 
Phone  9844437917  
Fax    
Email  gaya3hassan@gmail.com  
 
Source of Monetary or Material Support  
Shri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, B M road, Thanniruhalla, Hassan, Karnataka,PIN-573201 India Phone No-08172256460, E-mail - sdmcah@gmail.com 
 
Primary Sponsor  
Name  Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital 
Address  Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, BM road, Thanniruhalla, Hassan, Karnataka, Pin-573201, India Phone No-08172256460, E-mail - sdmcah@gmail.com 
Type of Sponsor  Private medical college 
 
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 Bharti Yadav  Shri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital  Department of Prasuti tantra and Stree roga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, B M road, Thanniruhalla, Hassan-573201
Hassan
KARNATAKA 
8800180433

bhartiyadav0808@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital Hassan  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:O618||Other failed induction of labor. Ayurveda Condition: GARBAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Apamarga Vasa gel, Reference: Gadanigraha and Vangasena, Route: Vaginal, Dosage Form: Lepa Churna, Dose: 20(mg), Frequency: sos, Bhaishajya Kal: Abhakta, Duration: 1 Days, anupAna/sahapAna: No, Additional Information: Apamarga Vasa Moola choorna will be made in gel form for yoni lepa during latent phase of labour and assessment of labour will be done with Bishops score and partograph
2Comparator Arm (Non Ayurveda)-Dinoprostone gelDinoprostone gel 0.5mg/3 gms will be administred in posterior fornix in comaprison with Apamarga Vasa gel
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  30.00 Year(s)
Gender  Female 
Details  1.subject who fulfill the diagnostic criteria
2.single intrauterine gestation with vertex presentation
3.subject who are agree to participate and ready to sign the consent form 
 
ExclusionCriteria 
Details  1.High risk pregnancy with hypertensive disorders, gestational diabetes mellitus, pulmonary disease, renal disease, psychiatric illness, cardiac disease, epilepsy, severe anemia
2.Diagnosed with HIV, HBsAg, and VDRL
3.Absolutevindication of caesarean section 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Spontaneous onset of labour pain with progress and reduced duration of first stage of labour  Assessment will be done at baseline and once in every 4 hours using bishops score and partograph. 
 
Secondary Outcome  
Outcome  TimePoints 
delivery of a live baby   Approximate 12 hours of onset of labour pain. 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   02/07/2024 
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="6"
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 - NO
Brief Summary   This study is a single blind double arm comparative clinical trial to evaluate the possible effect of Apamarga Vasa moola yoni lepa in first stage of labour and to compare its possible effect with Dinoprostone Gel. 

This study will be conducted  at Inpatient department of Prasuti tantra and Stree roga at  Sri Dharmasthala Manjunatheshwara ayurveda hospital, Hassan, Karnataka. 

Methods:
During the  latent phase of labour-  Trial group-  20ml Apamarga Vasa gel will be applied to the posterior fornix at  interval of 4 hours.
                                                        Control group- dinoprostone gel 0.5mg will be applied to the posterior fornix at  interval of 4 hours.
Maximum 3 doses  in both groups

Assessment of progress of labour will be done with bishop’s score and partograph in both groups.


 
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