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CTRI Number  CTRI/2024/04/065596 [Registered on: 12/04/2024] Trial Registered Prospectively
Last Modified On: 09/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A Clinical Trial To Study The Effect Of Lodhra, Tumbiphala Kalka And Lajjalu Kalka As Yonipichu In Pelvic Organ Prolapse 
Scientific Title of Study   An Open Label Double Arm Comparative Clinical Study To Evaluate The Effect Of Lodhra, Tumbiphala Kalka And Lajjalu Kalka As Yonipichu. 
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 SHILPY SHUKLA 
Designation  PG SCHOLAR  
Affiliation  Sri Kalabyraveswara Swamy Ayurvedic Medical College Hospital And Research Centre 
Address  OPD No 209 Department Of Prasooti Tantra And Stree Roga Sri Kalabyraveswara Swamy Ayurvedic Medical College Hospital And Research Centre Bangalore 560104

Bangalore
KARNATAKA
560104
India 
Phone  9741251256  
Fax    
Email  shuklashilpy428@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR ANUPAMA V 
Designation  PROFESSOR 
Affiliation  Sri Kalabyraveswara Swamy Ayurvedic Medical College Hospital And Research Centre 
Address  OPD No 209 Department Of Prasooti Tantra And Stree Roga Sri Kalabyraveswara Swamy Ayurvedic Medical College Hospital And Research Centre Bangalore 560104

Bangalore
KARNATAKA
560104
India 
Phone  9845442660  
Fax    
Email  dr.anupama.v@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR SHILPY SHUKLA 
Designation  PG SCHOLAR  
Affiliation  Sri Kalabyraveswara Swamy Ayurvedic Medical College Hospital And Research Centre 
Address  OPD No 209 Department Of Prasooti Tantra And Stree Roga Sri Kalabyraveswara Swamy Ayurvedic Medical College Hospital And Research Centre Bangalore 560104

Bangalore
KARNATAKA
560104
India 
Phone  9741251256  
Fax    
Email  shuklashilpy428@gmail.com  
 
Source of Monetary or Material Support  
Sri Kalabyraveswara Swamy Ayurvedic Medical College Hospital And Research Centre Bangalore Karnataka India 560104 
 
Primary Sponsor  
Name  Dr Shilpy Shukla 
Address  Sri Kalabyraveswara Swamy Ayurvedic Medical College Hospital And Research Centre Bangalore Karnataka India 560104 
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 Shilpy Shukla  Sri Kalabyraveswara Swamy Ayurvedic Medical College Hospital And Research Centre  OPD No 209 Department Of Prasooti Tantra And Stree Roga Sri Kalabyraveswara Swamy Ayurvedic Medical College Hospital And Research Centre Bangalore 560104
Bangalore
KARNATAKA 
9741251256

shuklashilpy428@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee SKAMCH And RC Bangalore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:N819||Female genital prolapse, unspecified. Ayurveda Condition: PRASRAMSINI/PRASRAVINI,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-yoni picu, योनि पिचु (Procedure Reference: Bhaishajya Ratnavali Adhyaya 7, Procedure details: Lajjalu Kalka will be used for yonipichu in pelvic organ prolapse. Duration is 60 days.)
(1) Medicine Name: Lajjalu Kalka , Reference: Bhaishajya Ratnavali Adhyaya 7, Route: Vaginal, Dosage Form: Kalka/ Paste, Dose: 3(g), Frequency: od, Duration: 60 Days
2Intervention ArmProcedure-yoni picu, योनि पिचु (Procedure Reference: Bhaishajya Ratnavali Adhyaya 7, Procedure details: Lodhra Tumbiphala Kalka will be used for yonipichu in pelvic organ prolapse. Duration is 60 days )
(1) Medicine Name: Lodhra Tumbiphala Kalka, Reference: Bhaishajya Ratnavali Adhyaya 7, Route: Vaginal, Dosage Form: Kalka/ Paste, Dose: 3(g), Frequency: od, Duration: 60 Days
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  60.00 Year(s)
Gender  Female 
Details  Female Patients between 35 and 60 years. (both years
inclusive)
Uterine Prolapse First And Second Degree
Mild To Moderate Rectocele
Mild To Moderate Cystocele 
 
ExclusionCriteria 
Details  Carcinoma of Cervix
Any sexually transmitted disease
Urethrocele
Procedentia
Any systemic illness which interferes with the course of treatment  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Assessment based on subjective parameters Like Mass per vagina along with or without these symptoms as follows- Uterine incontinence, Backache, Dyspareunia, Fecal incontinence, Stress incontinence.   Efficacy of treatment will be assessed on the
subjective parameters at baseline and the end of
30 days till 60 days.
 
 
Secondary Outcome  
Outcome  TimePoints 
Assessment based on Objective parameters.
1 Prolapse assessed by POP quantification
2 Tenderness assessment of cervical motion tenderness & abdominal tenderness by palpation with visual analog scale 
Effect of treatment will be assessed by objective parameters at baseline & the end of 30 days till 60 days 
 
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 2/ Phase 3 
Date of First Enrollment (India)   20/04/2024 
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="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   Pelvic organ prolapse is one of the clinical conditions seen in day today gynecological practice specifically amongst the parous women due to weakness of the structural support. These factors may be anatomical or clinical. The main presenting complaints include mass per vagina,urinary incontinence, overactive bladder, fecal incontinence.
Out of many Sthanika chikitsa yoni pichu advised in conditions like pelvic organ prolapse. Vaginal wall and adjacent tissues are extremely vascular and this facilitates absorption of drugs through vagina. anatomically backward position of vagina helps in self retaining of drugs for a longer duration. Hence, Yoni pichu has chosen for study .
 It leaves a scope to find out a remedy which would offer cure of the disease, free from complications and economically better. Hence, yonipichu with lodra and tumbhi phala is choosen, which is economically better, with less complications and will help in strengthening the uterine and vaginal walls. It can also prevent first and second degree uterine prolapse to progress to third degree. The drug Lodhra is kashya and tikta rasa ,sheeta veerya and katu vipaka and Tumbiphala are Tikta Rasa ,katu Vipaka in nature and Mamsa vivardhana and lajjalu is tikta ,kashya rasa ,sheeta virya and it is yoniroganasat it helps for Yonidrudhikarana here.Thus there is need to know its efficacy in pelvic organ prolapse.
In first group tumbiphala and lodhra kalka as yonipichu will be used . In Second group lajjalu kalka as yonipichu will be used .
 
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