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CTRI Number  CTRI/2015/02/005586 [Registered on: 26/02/2015] Trial Registered Retrospectively
Last Modified On: 21/02/2015
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical study of Vranari Guggulu and Vrana lepa in the management of Diabetic Foot Ulcer 
Scientific Title of Study   A Clinical Study of the effect and validation of Vranari Guggulu and Karanjadi Vranalepa in the management of Madhumehajanya Vrana (Diabetic Foot Ulcer) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Chadalawada Venkata Siva Koteswara Rao 
Designation  Lecturer 
Affiliation  Dr. NTR Health University, Andhra Pradesh 
Address  Dr. NRS Govt. Ayurvedic College Vijayawada Andhra Pradesh
Dr. NRS Govt. Ayurvedic College Vijayawada Andhra Pradesh
Krishna
ANDHRA PRADESH
522006
India 
Phone  9441072007  
Fax    
Email  ayurdoctor007@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Chadalawada Venkata Siva Koteswara Rao 
Designation  Lecturer 
Affiliation  Dr. NTR Health University, Andhra Pradesh 
Address  Dr. NRS Govt. Ayurvedic College Vijayawada Andhra Pradesh
Dr. NRS Govt. Ayurvedic College Vijayawada Andhra Pradesh
Krishna
ANDHRA PRADESH
522006
India 
Phone  9441072007  
Fax    
Email  ayurdoctor007@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Chadalawada Venkata Siva Koteswara Rao 
Designation  Lecturer 
Affiliation  Dr NRS Govt.Ayurvedic College, Vijayawada 
Address  Dept. of Sareera Rachana Dr NRS Govt.Ayurvedic College MG Road, Vijayawada
MG Road,Vijayawada
Krishna
ANDHRA PRADESH
520002
India 
Phone  9441072007  
Fax    
Email  ayurdoctor007@gmail.com  
 
Source of Monetary or Material Support  
Dr NRS Govt Ayurvedic College 
 
Primary Sponsor  
Name  DrNRS GovtAyurvedic College 
Address  MG Road, Vijayawada 
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 Ch V S Koteswara Rao  Division of Shalya  Dr. NRS Govt. Ayurvedic College Dr. NTR Health University M.G. Raod Vijayawada
Krishna
ANDHRA PRADESH 
9441072007

ayurdoctor007@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Diabetic Foot Ulcer,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Kanchanara Guggulu and Vajraka thailam  Kanchanara Guggulu 500 mg bid with water internally and Vajraka thailam as external application for 45 days 
Intervention  Vranari Guggulu and Karanjadi Vranalepa  Vranari Guggulu 500 mg bid with water internally and Karanjadi Vranalepa as external application for 45 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patients of both sexes between the age group of 18-60 yrs.
2.Type I and II DM
3.Clinically Diagnosed as Diabetic Foot Ulcer
4.Target ulcer duration more than 30 days 
 
ExclusionCriteria 
Details  1.H/o Infectious and systemic diseases
2.Ulcer on heel
3.Ulcer with exposed bone and tendon
4.Immune deficiency
5.Coagulation disorders
6.Cellulitis
7.Gangrene
8.Presence of underlying Osteomyelitis
9.Pregnant women
10.Malignancies 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Mean percentage change in wound area,pain
Recognized clinical prognostic factors like reduction in wound area and depth and wound healing
Proportion of patients with complete wound closure 
Treatment period : 45 days
Assessment in every week
Active follow up : 45 days  
 
Secondary Outcome  
Outcome  TimePoints 
Improve general condition of the patient
wound healing 
Treatment period : 45 days
Assessment in every week
Active follow up : 45 days  
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   25/11/2014 
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="4"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   Will be published after completion of the study 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   A clinical trial is initiated to generate evidence for the scientific validation of the clinical efficacy and safety of classical Ayurvedic formulation Vranari Guggulu twp tablets(500mg) and Karanjadi Vranalepa(external application) in Madhumehajanya Vrana (Diabetic Foot Ulcer) at Dr.NRS Govt. Ayurvedic College, Vijayawada for the PhD study under Dr.NTR University of Health Sciences, Vijayawada.  In the study Vranari Guggulu 500 mg b.i.d. internal administration and Karanjadi Vrana lepa as external application given for Group I patients (i.e. 50 patients), Kanchanara Guggulu 500 mg b.i.d. internal administration and Vajraka thailam as external application given for Group II patients (another 50 patients). This study will be conducted in India and completed in 4 years duration.  The primary outcome measures will be relief in signs and symptoms,  Mean percentage change in wound area, Recognized clinical prognostic factors like reduction in wound area, depth and wound healing.  Proportion of patients with complete wound closure (i.e. complete skin epithelialization) after initiation of study treatment.  Any adverse drug reaction or event occurs during the trial also will be documented.  
Kanchanara Guggulu consists of bauhinia varigata, terminalia chebula, terminalia bellerica, emblica officinalis, zingiber officinale, piper nigrum, piper longum, crataeva nurvala, elettaria cardamomum, cinnamomum zeylanicum, commiphora mukul.
Vajraka thailam consists of saptaparna, karanja, malathi, chitraka, sariva, vatsaka, langali and gomutra and thailam.
Vranari Guggulu consists of pippali(piper logum) 1 part, guggulu(commiphora mukul)5parts, triphala each 3 parts, rasa sindura 1 part.
Karanjadi vrana lepa consists of sasi(camphor) 1 part, Girivara 2 parts, Tutha(CuSo4) 3 parts, yashti(glycerrhiza) 4 parts, bakuchi(psoralia) 5 parts Karanja 6 parts.

 
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