| CTRI Number |
CTRI/2024/06/069380 [Registered on: 24/06/2024] Trial Registered Prospectively |
| Last Modified On: |
30/06/2026 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Homeopathy |
| Study Design |
Randomized, Parallel Group, Placebo Controlled Trial |
|
Public Title of Study
|
Homoeopathic Treatment of Chronic Tension Type Headache |
|
Scientific Title of Study
|
The Efficacy of Individualized Homoeopathic Medicines in the Treatment of Chronic Tension Type Headache in Adults: A Double-Blind, Randomized, Placebo-Controlled Trial |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| U1111-1309-0836 |
UTN |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Krishanu Panja |
| Designation |
Postgraduate Trainee |
| Affiliation |
The Calcutta Homoeopathic Medical College & Hospit |
| Address |
Department of Practice of Medicine, Special OPD (Room no. 21), Medicine OPD (Room no. 16), 265-266 Acharya Prafulla Chandra Road Kolkata WEST BENGAL 700009 India
Kolkata WEST BENGAL 700009 India |
| Phone |
9775256088 |
| Fax |
|
| Email |
krishanu.panja91@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr. HIMANGSU HAIT |
| Designation |
Professor & Head of the Department of Practice of Medicine |
| Affiliation |
The Calcutta Homoeopathic Medical College and Hospital |
| Address |
Department of Practice of Medicine, Special OPD (Room no. 21), Medicine OPD (Room no. 16), 265-266 Acharya Prafulla Chandra Road Kolkata WEST BENGAL 700009 India
Kolkata WEST BENGAL 700009 India |
| Phone |
9433565680 |
| Fax |
|
| Email |
haitdrhimangsu@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr. HIMANGSU HAIT |
| Designation |
Professor & HOD (Practice of Medicine) |
| Affiliation |
The Calcutta Homoeopathic Medical College and Hospital |
| Address |
Department of Practice of Medicine, Special OPD (Room no. 21), Medicine OPD (Room no. 16), 265-266 Acharya Prafulla Chandra Road Kolkata WEST BENGAL 700009 India
Kolkata WEST BENGAL 700009 India |
| Phone |
9433565680 |
| Fax |
|
| Email |
haitdrhimangsu@gmail.com |
|
|
Source of Monetary or Material Support
|
| The Calcutta Homoeopathic Medical College and Hospital, 265-266, Acharya Prafulla Chandra Road, Kolkata 700009, West Bengal, India |
|
|
Primary Sponsor
|
| Name |
The Calcutta Homoeopathic Medical College and Hospital |
| Address |
265-266, Acharya Prafulla Chandra Road, Kolkata-700009, West Bengal, India |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Krishanu Panja |
The Calcutta Homoeopathic Medical College and Hospital |
Department of Practice of Medicine, Special OPD (Room no. 21), Medicine OPD (Room no. 16), 265-266 Acharya Prafulla Chandra Road Kolkata WEST BENGAL 700009 India
Kolkata
WEST BENGAL, India Kolkata WEST BENGAL |
09775256088
krishanu.panja91@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| The Institutional Ethical Committee, Government of West Bengal, The Calcutta Homoeopathic Medical College and Hospital, 265-266, Acharya Prafulla Chandra Road, Kolkata 700009 |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: G442||Tension-type headache, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Identical-Looking Placebo with Concomitant Care |
This group will receive placebo, identical in appearance with the verum. Each dose will consist of 1 cane sugar globules no. 40 moistened with 90% v/v ethanol, to be taken orally on clean tongue in empty stomach; dosage and repetition will be maintained depending upon the individual requirement of the cases.Both the groups of will be general advices on adequate dietary fibre, fluid intake, limit stress, heat therapy, build your support system and physical activity. All sundry items will be procured from a Good Manufacturing Practice (GMP) certified firm. Duration of therapy: 3months. |
| Intervention |
Individualized Homoeopathic Medicine with Concomitant Care |
Intervention is planned as administering indicated homoeopathic medicines in centesimal potencies (Ch) as decided to the case or condition. Each dose will consist of 1 cane sugar globules no. 40 moistened with the indicated medicine (preserved in 90% v/v ethanol), to be taken orally on clean tongue in empty stomach; dosage and repetition depending upon the individual requirement of the cases. Patients will be advised to refrain from handling the globules or from eating, drinking, smoking, or brushing teeth within 30minutes of taking the globules and will be asked to suck the globules rather than simply swallowing those. Single individualized medicine will be prescribed on each occasion taking into account presenting symptoms totality, clinical history details, constitutional features, Miasmatic expressions repertorization using Synthesis repertory when required with due consultation of Materia Medica and due consensus among three homoeopaths. Along with medicine there will be general advices on adequate dietary fibre, fluid intake, limit stress, heat therapy, build your support system and physical activity. All the medicines and sundry items will be procured from a Good Manufacturing Practice (GMP) certified firm. Durable of therapy: 3months. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
1.Age between 18 and 65 Years
2.Patients of either sex including transgender
3.The diagnosis of chronic tension type headache was based on The International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria for adults which were fulfilled for the past 3 months with symptoms onset at least 6 months before diagnosis.
4.Patient whose blood pressure is within the normal range
5.Illiterate people will be interviewed by the investigators maintaining adequate privacy to fill up the scales or questionnaires
6.Literate participant able to read and write in english, hindi or bengali
7.Participants having prior experience or knowledge of the treatment. E.g.- primed to expect ‘homoeopathic aggravation’ and available treatment options for the disease conditions, intimated through Patient Information Sheet. |
|
| ExclusionCriteria |
| Details |
1.Criteria for migraine, Trigeminal autonomic cephalalgias or Other primary headache disorders fulfilled as per ICHD 3 for adults
2.Patients suffering from the complications of Tension Headache
3.Patients who are undergoing treatment with non-steroidal anti-inflammatory drugs (NSAIDs), antiemetic, or oestrogen during 2 weeks prior to enrolment in the study.
4.Diagnosed case of Cluster headache, Sinusitis, Brain aneurysm, Brain Tumour and Many other Pathologies
5.Has a history of structural abnormality of the Head or a disease or condition that can affect Headache
6.Unstable mental or psychiatric illness or other systemic diseases (e.g., uncontrolled hypertension, diabetes, thyroid diseases etc.) affecting quality of life or any vital organ failure
7.Patient under tobacco chewing and/or smoking, alcoholism and/or any other form(s) of substance abuse and/or dependence. (TAPS) Tool.
8.Self-reported immune – compromised state
9.Pregnant and puerperal women, and lactating mothers.
10.Patients who are too sick for consultation
11.Simultaneous participation of any other clinical trials.
12.Undergoing homoeopathic treatment for any chronic disease within the last 6 months. |
|
|
Method of Generating Random Sequence
|
Permuted block randomization, variable |
|
Method of Concealment
|
Pre-numbered or coded identical Containers |
|
Blinding/Masking
|
Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Headache Disability Index, It measures specific symptoms of patients with Headache, consists of 25 Item Beta Version sub grouped into Functional and Emotional Subscale |
Baseline and Every Month till 3 Months |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| EQ-5D-5L, it is a standardized questionnaire used to measure health-related quality of life. |
Baseline and Every Month till 3 Months |
|
|
Target Sample Size
|
Total Sample Size="144" Sample Size from India="144"
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="144" |
|
Phase of Trial
|
Phase 2/ Phase 3 |
|
Date of First Enrollment (India)
|
24/06/2024 |
| Date of Study Completion (India) |
19/05/2024 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
Date Missing |
|
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
Modification(s)
|
CTTH is a disorder evolving from frequent episodic tension-type headaches with daily or very frequent episodes of headache, typically bilateral, pressing or tightening in quality and of mild to moderate intensity, lasting hours to days or unremitting. The pain does not worsen with routine physical activity but may be associated with mild nausea, photophobia, or phonophobia. Tension-type headaches are very common, with a lifetime prevalence in the general population ranging in different studies between 30% and 78%. It has a high socio-economic impact. There is no clinical trial in homoeopathy that shows its effectiveness over the last 5 years. 144 eligible patients will be included in the trial. Following that, baseline outcome data (Headache Disability Index Scale, HDI questionnaire scores, and EuroQol 5 Dimension 5 Level, EQ-5D-5L questionnaire scores) will be obtained, and the patients will be randomised either to verum, IHMs or control (identical-looking placebo) in a 2:1 ratio. |