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CTRI Number  CTRI/2015/02/005561 [Registered on: 23/02/2015] Trial Registered Prospectively
Last Modified On: 04/12/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Unani 
Study Design  Single Arm Study 
Public Title of Study   To study the Anti Inflammatory and Anti Arthiritic effect of Majun Jograj Gugal and Raughan-e-Malkangani on Waja‘al-Mafasil (Rheumatoid Arthritis) 
Scientific Title of Study   Immunological study on Unani Pharmacopoeial drugs Majun Jograj Gugal and Raughan-e-Malkangani to validate their Anti Inflammatory and Anti Arthiritic property in the cases of Waja‘al-Mafasil (Rheumatoid Arthritis) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
WM/RA/MJGRM CLNVAL/CCRUM 14-15  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  PROF RAIS UR RAHMAN 
Designation  DIRECTOR GENERAL  
Affiliation  Central Council for Research in Unani Medicine (CCRUM) 
Address  Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opp. D Block, Janakpuri

West
DELHI
110058
India 
Phone  01128521981  
Fax    
Email  drrahman002@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR KHALID M SIDDIQUI 
Designation  DEPUTY DIRECTOR GENERAL  
Affiliation  Central Council for Research in Unani Medicine (CCRUM) 
Address  Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opp. D Block, Janakpuri

West
DELHI
110058
India 
Phone  9810161758  
Fax    
Email  ccrum507@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR PRADEEP KUMAR 
Designation  RESEARCH OFFICER SCIENTIST III 
Affiliation  Central Council for Research in Unani Medicine (CCRUM) 
Address  Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opp. D Block, Janakpuri

West
DELHI
110058
India 
Phone  8800263300  
Fax    
Email  drpradeepkumar2001@gmail.com  
 
Source of Monetary or Material Support  
Infrastructural support 1.Regional Research Institute of Unani Medicine Patna Monetary Support : Central Council for Research in Unani Medicine, New Delhi  
 
Primary Sponsor  
Name  Central Council for Research in Unani Medicine New Delhi 
Address  Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opp. D Block, Janakpuri, New Delhi-110058. 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR TASLEEM AHMAD  Regional Research Institute of Unani Medicine (RRIUM), Patna  Guzri, Patna City
Patna
BIHAR 
09304109801

tasleem786@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Regional Research Institute of Unani Medicine (RRIUM), Patna  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M059||Rheumatoid arthritis with rheumatoid factor, unspecified, Waja‘al-Mafasil (Rheumatoid Arthritis),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Majun Jograj Gugal and Raughan-e-Malkangani  1.Majun Jograj Gugal: Dose five grams twice daily orally after meals for a period of 12 weeks 2.Raughan-e-Malkangani: Dose- Quantity sufficient local application on the affected joint (Lukewarm application on affected joint) for a period of 12 weeks  
Comparator Agent  NIL  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  • Patients of either sex in the age group 18-65 years.
• Patients having Waja‘al-Mafasil (rheumatoid arthritis) as defined by the following ACR-EULAR criteria (Annexure IV):
1) Definite clinical synovitis (pain, swelling, tenderness) in at least 1 joint
2) Absence of an alternative diagnosis for the observed synovitis (arthritis)
3) A total score of at least 6 from the individual scores in 4 domains:
a. Number and site of involved joints (range 0-5)
b. Serological abnormalities (range 0-3)
c. Elevated acute-phase reactants (range 0-1)
d. Duration of symptoms (range 0-1) 
 
ExclusionCriteria 
Details  • Rheumatoid arthritis with extra-articular manifestations, joint deformities, and advanced radiological lesions (e.g. joint subluxation and collapse).
• Obese subjects (BMI ≥30)
• History or clinical evidence of any systemic inflammatory condition other than RA such as, juvenile chronic arthritis, spondyloarthropathy, IBD, psoriatic arthritis, active vasculitis, or gout that may interfere with evaluation.
• History or clinical evidence of any serious systemic illness, DM, TB, disseminated/ complicated herpes zoster (e.g., multi-dermatomal involvement, ophthalmic zoster, CNS involvement, or post-herpetic neuralgia), HIV infection or any other serious and/ or unstable illness that, in the opinion of the investigator, could constitute a risk when taking study drug or could interfere with the interpretation of data.
• Are currently receiving or have received intra-articular treatment (e.g., corticosteroids or hyaluronic acid), oral or parenteral corticosteroids, or NSAIDs within 2 weeks of study entry and DMARDs or IFN therapy within 4 weeks prior to study entry or are anticipated to require IFN therapy during the study.
• Screening laboratory test values, including SGOT, SGPT, ALP, S. creatinine, B. urea, and uric acid outside the reference range (raised >3 times the ULN) that, in the opinion of the investigator, could pose an unacceptable risk to the participant.
• History of hypersensitivity to study drug or any of its ingredients.
• Pregnant and lactating women
• H/o Addiction (alcohol, drugs) 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
This study will Scientifically validate, anti-inflammatory and anti-arthritic property of Majoon Jograj Goggul and Roghan Malkangani by using some immunological markers of inflammation and arthritis
 
12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
This study will help us to know the status of these Immunological markers of arthritis such as IL-1β, IL-6, IL-11, TNF-α IL-17, high sensitive C-reactive protein and rheumatoid factor in cases in cases of Waja‘ al-Mafasil (Rheumatoid Arthritis)
and its modulation by unani pharmacopoeal formulations
 
12 weeks 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
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 
Date of First Enrollment (India)   01/03/2015 
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   nil 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

The present proposal is open labelled and will be undertaken to scientifically validate the efficacy claims of Unani Pharmacopoeial drugs Majoon Jograj Goggul and Roghan Malkangani to investigate immunological tools such as IL-1b, IL-6, TNF-a, IL-11, IL-17, Highsensitive C-reactive proteins, Rheumatoid Arthritis factor, before and after treatment of these Unani Pharmacopoeial drugs in the patients of waja-al-Mafasil(Rheumatoid arthritis) registered in Regional research institute of Unani medicine Patna. These immunological studies are proposed to strengthen the efficacy claim of these Unani Pharmacopoeial drugs.

Composition of Majun Jograj Gugal (NFUM-I, Page 129-30)

S. No.

Ingredients

Botanical Name

Quantity

1.

Muqil

Commiphora mukul

750 g

2.

Post-e-Halela Kabli

Terminalia chebula

170 g

3.

Post-e-Balela

Terminalia bellerica

170 g

4.

Aamla

Emblica officinalis

170 g

5.

Waj-e-Turki

Acorus calamus

15 g

6.

Baharangi

Clerodendrum serratum

15 g

7.

Atees

Aconitum heterophyllum

15 g

8.

Kutki

Picrorhiza kurroa

15 g

9.

Filifil Daraz

Piper longum

15 g

10.

Maror Phali

Helictres isora

15 g

11.

Baobarang

Embelia ribes

15 g

12.

Inderjao Talkh

Holerrhena antidysenterica

15 g

13.

Tukhm-e-Sambhalu

Vitex negundo

15 g

14.

Zeera Safaid

Cuminum cyminum

15 g

15.

Zeera Siyah

Carum carvi

15 g

16.

Tukhm-e-Karafs

Apium graveolens

15 g

17.

Hilteet

Ferula foetida

15 g

18.

Peepal Chab

Piper chaba

15 g

19.

Sheetraj Hindi

Plumbago zeylancia

15 g

20.

Filfil Moya

Piper longum

15 g

21.

Zanjabil

Zingiber officianale

15 g

22.

Qand Safaid

---

2.4 kg

23.

Raughan Zard

---

QS

24.

Raughan-e-Sarson

Brassica campestris

QS

Composition of Raughan-e-Malkangani (NFUM-I, Page 197)

S. No.

Ingredients

Botanical Name

Quantity

1.

Malkangani

Celastrus paniculatus

QS

Procurement, storage and dispensing

 
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