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CTRI Number  CTRI/2024/07/070027 [Registered on: 04/07/2024] Trial Registered Prospectively
Last Modified On: 03/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Preventive 
Study Design  Single Arm Study 
Public Title of Study   A CLINICAL STUDY TO EVALUATE THE EFFICACY OF AYU-ANO-D-GEL (LOCALLY) ALONG WITH HARITAKI CHURNA VATI (ORALLY) IN THE MANAGEMENT OF PARIKARTIKA W.S.R. TO FISSURE IN ANO. 
Scientific Title of Study   A CLINICAL STUDY TO EVALUATE THE EFFICACY OF AYU-ANO-D- GEL (LOCALLY) ALONG WITH HARITAKI CHURNA VATI (ORALLY) IN THE MANAGEMENT OF PARIKARTIKA W.S.R. TO FISSURE IN ANO. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Damini Vilas Raut  
Designation  Pg scholar (Shalya) 
Affiliation  D. Y. Patil school of Ayurveda Nerul Navimumbai  
Address  D.Y Patil School of Ayurveda deemed to be university Nerul Navimumbai
Dr. D.Y. Patil School of Ayurveda deemed to be university Nerul Navimumbai 400706
Thane
MAHARASHTRA
400709
India 
Phone  9309859226  
Fax    
Email  daminiraut8@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Vedika Bhoir  
Designation  Associate professor  
Affiliation  D. Y. Patil school of Ayurveda Nerul Navimumbai  
Address  D. Y. Patil school of Ayurveda deemed to be university Nerul Navimumbai sec. 6
D. Y. Patil school of Ayurveda deemed to be university Nerul Navimumbai sec 6
Thane
MAHARASHTRA
400706
India 
Phone  9029112333  
Fax    
Email  vedika.bhoir@dypatil.edu  
 
Details of Contact Person
Public Query
 
Name  Dr. Vedika Bhoir  
Designation  Associate professor  
Affiliation  D. Y. Patil school of Ayurveda deemed to be university Nerul Navimumbai  
Address  D. Y. Patil school of Ayurveda deemed to be university Nerul Navimumbai sec. 6
D. Y. Patil school of Ayurveda deemed to be university Nerul Navimumbai
Thane
MAHARASHTRA
400706
India 
Phone  9029112333  
Fax    
Email  vedika.bhoir@dypatil.edu  
 
Source of Monetary or Material Support  
D. Y. Patil school of Ayurveda Nerul Navimumbai  
 
Primary Sponsor  
Name  Damini Raut  
Address  D. Y. Patil school of Ayurveda Nerul Navimumbai sec 6  
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 
Dr Vedika Bhoir   Opd no 3  D y Patil School of Ayurveda Nerul Navimumbai sec 6
Thane
MAHARASHTRA 
9029112333

vedika.bhoir@dypatil.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical committee D. Y. Patil deemed to be university school of Ayurveda Nerul Navimumbai   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K600||Acute anal fissure. Ayurveda Condition: PARIKARTIKA,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Ayu-Ano-D-gel , Reference: Bhaishajya kalpana , Route: Topical, Dosage Form: Malahara/ Ointment/ Balm, Dose: 3(g), Frequency: tds, Bhaishajya Kal: Abhakta, Duration: 1 Months, anupAna/sahapAna: No, Additional Information: Application before and after defecation in morning and at bed time
(2) Medicine Name: Haritaki church vati , Reference: Bhaishajya kalpana , Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 500(mg), Frequency: hs, Bhaishajya Kal: Antarabhakta, Duration: 1 Months, anupAna/sahapAna: No, Additional Information: 4 tablet at bed time
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Clinically diagnosed Patients of Acute fissure in ano (Onset upto 28 days) without Sentinel Tag & Anal papillae.
Patients among the age group 18 to 60 yrs, irrespective of gender religion, occupation, educational status, and socio-economic status. 
 
ExclusionCriteria 
Details  Chronic Fissure in Ano (Onset more than 28 days) with Sentinel Tag & Anal papillae.
Bleeding Disorder like Hemophilia etc.
Patient with uncontrolled systemic disease like diabetes and hypertension.
Patient with Ca rectum. 
 
Method of Generating Random Sequence   Adaptive randomization, such as minimization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
TO STUDY THE CLINICAL EFFICACY OF AYU-ANO-D GEL(LOCALLY) ALONG WITH HARITAKI CHURNA VATI (ORALLY) IN THE MANAGEMENT OF PARIKARTIKA W.S.R. TO FISSURE IN ANO.   TO STUDY THE CLINICAL EFFICACY OF AYU-ANO-D GEL(LOCALLY) ALONG WITH HARITAKI CHURNA VATI (ORALLY) IN THE MANAGEMENT OF PARIKARTIKA W.S.R. TO FISSURE IN ANO.  
 
Secondary Outcome  
Outcome  TimePoints 
• To evaluate the effect of AYU-ANO-D GEL (Locally) in the management of symptoms of acute fissure in ano such as Burning sensation, Pain, Ulcer & Bleeding P/R.
• To establish AYU-ANO-D GEL as local (user friendly), cost effective treatment for Parikartika w.s.r. to fissure in ano.
• To review the Ayurvedic & Modern literature in context to Parikartika & Fissure in Ano & advancement in its management.
• To validate the ancient mode of treatment in this scientific era.
 
PR bleeding in 3 days
Vedanasthapan in 1 day
Shoth in 2 days
Vranropan in 7 days 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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 3 
Date of First Enrollment (India)   15/07/2024 
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="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 - NO
Brief Summary   Background: Fissure in ano is a very common and painful condition of the anal canal. It is a most common proctologic condition that affects the world wide population and cause of trouble in day to day life. Fissure in ano can be defines as longitudinal tear in the superficial skin (squamous epithelial lining) of the anal canal. The fissure in ano is most commonly found posteriorly in the midline of anal canal, as it is the least protected part of the anal canal. In Ayurveda fissure in ano can be correlated with Parikartika. The word Parikartika is a combination of two words. Pari (around the anus) and kartika (Cutting Pain). It is a condition characterized by Kartanvat pida in gudabhaga (Cutting like pain around the anus). In parikartika, there is longitudinal cut. According to Sushruta Gudavran is a sadyovran (easily curable disease) (Su. Chi. 36/6). Kashyap mentioned management of parikartika according to doshik involvement of parikartika (Ka. S. Chi. 2/1). None of the samhita describes about surgical management, so it indicates that conservative management is sufficient for the treatment of Parikartika. Material & Methods: AYU-ANO-D GEL will be a 100% natural and Ayurvedic preparation which includes drugs such as Dhataki pushpa arka and Menthol including xantham gum as natural polymer. Results: AYU-ANO-D GEL (Locally) will show effective results in Parikartika such as Vedanaharan, Raktasthamban, Vranropan & Shothaharan properties. Keywords: Acute fissure in ano, Ayurveda, AYU-ANO-D Gel, parikartika, Sadhyovrana, Vranropana, etc. 
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