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CTRI Number  CTRI/2024/07/070125 [Registered on: 05/07/2024] Trial Registered Prospectively
Last Modified On: 05/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Ayurvedic Management Of Hypothyroidism 
Scientific Title of Study   A Clinical Study To Evaluate The Combined Effect Of AVP Churna (Indigenous Formulation) With Kanchanara-Triphala Kwath And Brahmi Taila Pratimarsha Nasya In Hypothyroidism.  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Meghna S Dhapse 
Designation  second year PG scholar 
Affiliation  government ayurveda medical college ,mysuru 
Address  second year PG scholar department of kayachikitsa government ayurveda medical college ,mysuru

Mysore
KARNATAKA
570001
India 
Phone  9168469713  
Fax    
Email  meghnadhapse@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mythrey R C 
Designation  Professor and Head of Department 
Affiliation  government ayurveda medical college ,mysuru 
Address  Professor and Head of Department of Kayachikitsa Government Ayurveda Medical College Mysuru

Mysore
KARNATAKA
570001
India 
Phone  8618570803  
Fax    
Email  mythreyrc@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Meghna S Dhapse 
Designation  second year PG scholar 
Affiliation  government ayurveda medical college ,mysuru 
Address  second year PG scholar department of kayachikitsa government ayurveda medical college ,mysuru

Mysore
KARNATAKA
570001
India 
Phone  9168469713  
Fax    
Email  meghnadhapse@gmail.com  
 
Source of Monetary or Material Support  
government ayurveda medical college ,mysuru 570001 government Hi-tech panchakarma hospital,570020 
 
Primary Sponsor  
Name  Dr Meghna Dhapse 
Address  government ayurveda medical college and hospital, mysuru 
Type of Sponsor  Other [self] 
 
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 Meghna Dhapse  Government Ayurvedic Medical College and Hospital  Room Number 10 kayachikitsa OPD Government Ayurvedic Medical College and Hospital Mysore karnataka
Mysore
KARNATAKA 
9168469713

meghnadhapse@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee Government Ayurvedic Medical College and Hospital GAMC Mysuru  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E039||Hypothyroidism, unspecified. Ayurveda Condition: MEDOVAHASROTODUSHTIH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugOther than Classical(1) Medicine Name: AVP Choorna, Reference: NA, Route: Oral, Dosage Form: Churna/ Powder, Dose: 5(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 45 Days, anupAna/sahapAna: Yes(details: kanchanara triphala kwatha), Additional Information: -
2Intervention ArmProcedure-pratimarsha nasya (Procedure Reference: ashtanga hrudaya sutrasthana, Procedure details: The person should sit or lie down in a comfortable posture. After that the person has to undergo gentle massage over the forehead & face followed by mild Swedana (Sudation). Slightly warm 2 drops of brahmi taila should be Instilled in the prescribed dose in each nostril. The person is allowed to spit if he / she feel discomfort due to oil in the throat.) )
(1) Medicine Name: Brahmi taila, Reference: ayurveda sara sangraha- taila prakarana, Route: Nasal, Dosage Form: Bindu/ Drops/ Spray (Karna/ Nasa/ Netra/ Mukha), Dose: 2(drops), Frequency: bd, Duration: 45 Days
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Subjects with clinical and sub clinical hypothyroidism diagnosed through the thyroid profile will be included for the study
subjects with TSH values more than 4.5mIU/L to less than 25mIU/L 
 
ExclusionCriteria 
Details  Subjects with Congenital Hypothyroidism and secondary Hypothyroidism will be excluded
Subjects who have undergone thyroid surgery will be excluded
Diagnosed case neoplastic and toxi goiter will be excluded
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
evaluating combined effect of AVP churna with kanchanara triphala kwath as anupana and brahmi taila pratimarsha nasya in management of hypothyroidism   45days  
 
Secondary Outcome  
Outcome  TimePoints 
Variations in Thyroid Profile Values  On 46th day  
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   24/07/2024 
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="0"
Months="6"
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   Hypothyroidism is a hypo-metabolic clinical state resulting from inadequate production of thyroid hormones for prolonged period. Thyroid problems are the most common endocrine disorders presently seen worldwide and hypothyroidism is one of the most common functional disorders of thyroid gland. 
Prevalence of hypothyroidism is increasing every year. The present prevalence rate is 10.95%1. The global burden of hypothyroidism is significant. As there is an increasing incidence of hypothyroidism day by day and so there is increasing demand to find an effective alternative Ayurvedic treatment for this condition.   
Thyroid gland is situated in supraclavicular region, so it belongs to urdhwa -jatrugata bhaga as per Ayurveda. Here the sthanika doshas are kapha and vata dosha so there is an involvement of both of these doshas in the pathology of hypothyroidism showing symptoms like increase in body weight,poor appetite, fatigue, hairfall, irregular menses etc. Dry skin, tiredness, constipation, poor memory etc are some of the other symptoms associated with hypothyroidism. Aetiopathogenesis of hypothyroidism relates with jatharagni dushti resulting in dhatwagnimandya.  
         Hence the intervention adopted in this study will be pratimarsha nasya2,3 as nasya is the main treatement for urdhwa jatrugata doshas4 .  
Brahmi taila 5 is selected for the pratimarsha nasya karma and an indigenous formulation AVP Churna containing amrita satwa- 2parts, vacha-1part and punarnava-4parts with kanchanara triphala kwatha as anupana will be administered as shamana aushadhi. All the drugs used in the above combination have kapha-vatahara, deepana, pachana, lekhana and medhya properties which may help in treating hypothyroidism. 

 
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