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CTRI Number  CTRI/2024/04/066536 [Registered on: 30/04/2024] Trial Registered Prospectively
Last Modified On: 23/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To Evaluate the efficacy of Rasnadi Gutika along with Chandrakala lepa in Sandhigata Vata (Janu sandhi)w.s.r.to Osteoarthritis (knee joint) 
Scientific Title of Study   A Clinical Study to Evaluate the Comparative Efficacy of Rasnadi Gutika along Chandrakala Lepa with Intra-articular Methylprednisolone acetate Infiltration in Sandhigata Vata(Janu sandhi)w.s.r.to Osteoarthritis(Knee joint) 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prof Anil Kumar Sharma 
Designation  Professor 
Affiliation  R.G.G.P.G.Ayurvedic college and hospital Paprola. 
Address  Room no.206 of shalya tantra department anatomy block of qR.G.G.P.G.Ayurvedic college and hospital Paprola V.P.O.Paprola teh Baijnath distt Kangra Himachal Pradesh 176115

Kangra
HIMACHAL PRADESH
176115
India 
Phone  9805056393  
Fax    
Email  dranilpaprola@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Anil Kumar Sharma 
Designation  Professor 
Affiliation  R.G.G.P.G.Ayurvedic college and hospital Paprola. 
Address  Room no.206 of shalya tantra department anatomy block of R.G.G.P.G.Ayurvedic college and hospital Paprola V.P.O.Paprola teh Baijnath distt Kangra Himachal Pradesh 176115

Kangra
HIMACHAL PRADESH
176115
India 
Phone  9805056393  
Fax    
Email  dranilpaprola@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shiwani kapoor 
Designation  PG SCHOLAR 
Affiliation  R.G.G.P.G.Ayurvedic college and hospital Paprola 
Address  R.G.G.P.G.Ayurvedic college and hospital Paprola teh Baijnath distt Kangra Himachal Pradesh 176115

Kangra
HIMACHAL PRADESH
176115
India 
Phone  8219985740  
Fax    
Email  shiwanikapoor07@gmail.com  
 
Source of Monetary or Material Support  
Charak pharmacy RGGPG ayurvedic college and hospital paprola H.P ,Baijnath pharmacy ,paprola distt kangra H.P.,Jogindernagar pharmacy distt Mandi H.P. 
 
Primary Sponsor  
Name  Principal RGGPGAyurvedic college and hospital Paprola 
Address  Rajiv Gandhi Goverment Post Graduate Ayurvedic college and Hospital Paprola teh. Baijnath distt Kangra H.P.176115 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
Prof Anil kumar sharma  Room no.206 of shalya tantra anatomy block R.G.G.P.G.Ayurvedic college and hospital Paprola teh baijnath distt kangra H.P.176115 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Shiwani kapoor  R.G.G.P.G.Ayurvedic college and hospital Paprola H.P.  OPD/IPD of Shalya tantra department R.G.G.P.G.Ayurvedic college and hospital Paprola teh baijnath distt kangra H.P.176115
Kangra
HIMACHAL PRADESH 
8219985740

shiwanikapoor07@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL COMMITTEE HUMAN  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M170||Bilateral primary osteoarthritis of knee. Ayurveda Condition: SANDHIGATAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Rasnadi gutika, Reference: AFI vol.3, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 1(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 8 Weeks, anupAna/sahapAna: Yes(details: Lukewarm), Additional Information: 2 tablets (1 gm) 500 mg each twice a day after food with lukewarm water
(2) Medicine Name: Chandrakala lepa, Reference: AFI vol.3, Route: Topical, Dosage Form: Malahara/ Ointment/ Balm, Dose: 10(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 8 Weeks, anupAna/sahapAna: No, Additional Information: Lepa will be applied according to affected surface area of thickness 4 mm till it dry twice a day.
2Comparator Arm (Non Ayurveda)-Intra-articular methylprednisolone acetate infiltration40 mg methylprednisolone acetate with 1ml of 2% lignocaine hydrochloride infiltrated in affected knee joint by lateralpatello femoral approach.1 sitting mandatory and 2nd repeat after 21 days if needed.
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1)Patients fulfilling the diagnostic criteria of OA recommended by American college of Rheumatology.
2)Patients with following radiological findings-definite osteophytes and normal joint space or moderate osteophytes and joint space reduction.
3)Patienys willing for trial. 
 
ExclusionCriteria 
Details  1)Patients having history of trauma,any previous surgery in target knee,knee infection.
2)Patients with systemic disorders
3)ICTC and HBsAg psoitive patients
4)Patients not willing for trial. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Change in WOMAC total score (at time of baseline and at end of the treatment)  Total 8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Change in WOMAC stiffness domain score.
Change in WOMAC physical function domain.
Changes in analgesic burden in comparison to Baseline(No.of times of use of conventional analgesic drug)
Assesment of change in clinical parameters(on 0,14,28,42 and 56th day) 
Total 8 weeks 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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 1/ Phase 2 
Date of First Enrollment (India)   12/05/2024 
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="2"
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   The trial is in the early phase and is not yet started.the present study the drugs Rasnadi Gutika (Ref.AFI,part3,page111)contains Rasna,Guggulu,Sarpi.according to Ayurveda ,Rasna is a well known drug for vatashamana aswell as have anti-inflammatory,analgesic,antioxidant effect.Guggulu is also vatahara,shoolahara.Sarpi is vatashamaka and brumhaniya.
Chandrakala lepa (Ref-AFI,part3,page225)contains Madhuchhista,Sveta Maricha,Coconut oil and Karpoora.Madhuchhista and Coconut oil being snigdha in nature decreases rukshata in joints.Sveta Maricha and karpoora are shoolanashaka and effective in Sandhigata vata.
Therefore both above drugs are taken into specific disease condition for the hypothesis that to act effectively for the proper samprapti vighatana by alleviating vata and shoola which are main complaints of diseases.
 
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