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CTRI Number  CTRI/2024/06/069222 [Registered on: 19/06/2024] Trial Registered Prospectively
Last Modified On: 13/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Comparative study to evaluate the effect of Shuddha guggulu with and without virechan karma ( purgation therapy ) in patients of dyslipidimia. 
Scientific Title of Study   Comparative clinical trial to evaluate the efficacy of shuddha guggulu with and without virechana karma in dyslipidemia 
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 Manoj Shamkuwar 
Designation  Head of Department 
Affiliation  Ayurvedic and Unani Tibbia College and Hospital 
Address  Department of panchakarma, Ayurvedic and Unani Tibbia College and Hospital, Ajmal Khan Rd, Block 56, Karol Bagh, New Delhi

Central
DELHI
110005
India 
Phone  9354925019  
Fax    
Email  manojshamkuwar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manoj Shamkuwar 
Designation  Head of Department 
Affiliation  Ayurvedic and Unani Tibbia College and Hospital 
Address  Department of panchakarma, Ayurvedic and Unani Tibbia College and Hospital, Ajmal Khan Rd, Block 56, Karol Bagh, New Delhi


DELHI
110005
India 
Phone  9354925019  
Fax    
Email  manojshamkuwar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Aniket Rajput 
Designation  MD Scholar 
Affiliation  Ayurvedic and Unani Tibbia College and Hospital 
Address  Department of Panchakarma, PG room, Ayurvedic and Unani Tibbia College and Hospital, Ajmal Khan Rd, Block 56, Karol Bagh, New Delhi

Central
DELHI
110005
India 
Phone  8587986027  
Fax    
Email  aniketrajput9650182346@gmail.com  
 
Source of Monetary or Material Support  
Department of Panchakarma, Ayurvedic and Unani Tibbia College and Hospital, Ajmal Khan Rd, Block 56, Karol Bagh, New Delhi, Delhi 110005 
 
Primary Sponsor  
Name  Ayurvedic and unani tibbia college and hospital 
Address  Department of panchakarma, Ayurvedic and Unani Tibbia College and Hospital, Ajmal Khan Rd, Block 56, Karol Bagh, New Delhi, central delhi 
Type of Sponsor  Government 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 Aniket Rajput  Ayurvedic and Unani Tibbia College and Hospital, Karol Bagh, New Delhi  Department of Panchakarma, Ayurvedic and Unani Tibbia College and Hospital, Ajmal Khan Rd, Block 56, Karol Bagh, New Delhi, Delhi 110005
Central
DELHI 
8587986027

aniketrajput9650182346@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC Ayurvedic and unani tibbia college and hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E789||Disorder of lipoprotein metabolism, unspecified. Ayurveda Condition: MEDOROGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-virecana-karma, विरेचन-कर्म (Procedure Reference: Charak samhita, sutra sthan, chapter 23 , shloka no. 8, Procedure details: pachan ( 3-7 days ) followed by snehapan ( 3-7 days ) , followed by abhyanga swedana for 3 days followed by virechana karma with trivrit avleha (30-60gm) and phaltrikadi kwath ( 100-200 ml ))
(1) Medicine Name: Shuddha guggulu, Reference: Anonymus, Ayurvedic pharmacopeia of India, Part 1, Vol 1, Delhi; Govt of India ; p- 73, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/Tablets, Dose: 500(mg), Frequency: bd, Duration: 38 Days
2Comparator ArmDrugClassical(1) Medicine Name: Shuddha guggulu , Reference: Anonymus, Ayurvedic pharmacopeia of India, Part 1, Vol 1, Delhi; Govt of India ; p- 73, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 500(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 60 Days, anupAna/sahapAna: Yes(details: -luke warm water), Additional Information: -
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1) Any one of the dearranged parameter of lipid profile ( Total cholesterol, Triglyceride, LDL,
HDL, VLDL)
2) Patient of either sex of age between 20 – 65.
 
 
ExclusionCriteria 
Details  1) Patients who are contraindicated for virechana karma- like lower GI bleeding, Prolapse of rectum, incontinence of stool, Pregnant and lactating women will not be included in the trial in group A.
2) CAD patients , patients on any ongoing medications that are likely to affect lipid levels.
3) Patients with renal or hepatic impairement (Sr creatinine greater than 1.8mg/dl, SGPOT greater than 200u/L, SGPT greater than 280uL).
4) Patients with co-morbid conditions such as Hypertension grade 2 ( greater than or equal to 160/100mm of Hg) or more, Diabetes Mellitus (having HbA1c greater than 7.5 percent with or without hyperglycemic medications
5) Patients who are on anti tubercular , anti retroviral and anti hyperlipidemic medications.
6) Patients requiring emergency treatment
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Primary outcomes would be measured by lab investigation of extended lipid profile (
including total cholesterol, triglyceride, ldl, vldl, hdl, apolipoprotein A1 and
apolipoprotein B)
 
Primary outcomes would be measured by lab investigation of extended lipid profile (
including total cholesterol, triglyceride, ldl, vldl, hdl, apolipoprotein A1 and
apolipoprotein B)
On baseline
60 days ,i.e, after completion of trial
 
 
Secondary Outcome  
Outcome  TimePoints 
To asses the add on effect of virechana karma with Shuddha guggulu on Hs-CRP level.
The proportion of patients showing improvement in the quality of life using the
questionnaire of WHO-QOL Bref Scale.
 
After 60 days ie. post completion of the intervention 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "40"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   30/06/2024 
Date of Study Completion (India) 22/11/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 22/11/2025 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
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  

Cholesterol levels are estimated to cause 18% of the global CVDs and 56% of global ischemic heart disease (IHD). For every 1% reduction in lipid level , the risk of heart disease reduces by 2.5%. Dyslipidemia is a established risk factor for atherosclerotic disease. In india , there has been an alarming increase in the prevalence of CVD over the past two decades. In this view it is need of the hour to find a cost effective , non invasive treatment protocol to combat Dyslipidemia that May act as a preventive tactic for cardiovascular diseases.

This study is an attempt to explore the efficacy and add on effect of virechana karma  in dyslipidemic patients by normalizing lipid metabolism.

 
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