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CTRI Number  CTRI/2024/04/066194 [Registered on: 24/04/2024] Trial Registered Prospectively
Last Modified On: 23/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda
Surgical/Anesthesia
Other (Specify) [KSHARASUTRA]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To compare efficacy of Nimba Ksharasutra and Apamarga Ksharasutra in the management of Bhagandara(Fistula-in-ano). 
Scientific Title of Study   Clinical study on Bhagandara(Fistula-in-ano) and its management with Nimba Ksharasutra. 
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 Satish Mishra 
Designation  MS Scholar 
Affiliation  Gopabandhu Ayurveda Mahavidyalaya VIP Road Puri 
Address  Post Graduate Department of Shalyatantra Gopabandhu Ayurveda Mahavidyalaya VIP Road Puri

Puri
ORISSA
752002
India 
Phone  7853001775  
Fax    
Email  drsatishmishra678@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Dr Ranjan Kumar Kasta 
Designation  Professor & H.O.D 
Affiliation  Gopabandhu Ayurveda Mahavidyalaya VIP Road Puri 
Address  Post Graduate Department of Shalyatantra Gopabandhu Ayurveda Mahavidyalaya VIP Road Puri

Puri
ORISSA
752002
India 
Phone  9439809240  
Fax    
Email  drrkkasta@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Dr Ranjan Kumar Kasta 
Designation  Professor & H.O.D 
Affiliation  Gopabandhu Ayurveda Mahavidyalaya VIP Road Puri 
Address  Post Graduate Department of Shalyatantra Gopabandhu Ayurveda Mahavidyalaya VIP Road Puri

Puri
ORISSA
752002
India 
Phone  9439809240  
Fax    
Email  drrkkasta@gmail.com  
 
Source of Monetary or Material Support  
Gopabandhu Ayurveda Mahavidyalaya VIP Road Puri Odisha India 752002 
 
Primary Sponsor  
Name  Dr Satish Mishra 
Address  Post Graduate Department of Shalyatantra Gopabandhu Ayurveda Mahavidyalaya VIP Road Puri Odisha India 752002 
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 
Prof Dr Ranjan Kumar Kasta  Gopabandhu Ayurveda Mahavidyalaya VIP Road Puri   OPD & IPD Of Post Graduate Department of Shalyatantra
Puri
ORISSA 
9439809240

drrkkasta@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Gopabandhu Ayurveda Mahavidyalaya & Hospital Puri Odisha 752002  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K605||Anorectal fistula. Ayurveda Condition: BAGANDARAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-kShArasUtra, क्षारसूत्र (Procedure Reference: Sushruta Samhita , Procedure details: Apllication of Nimba Ksharasutra in 30 patients of Bhagandara(Fistula-in-ano).The Ksharasutra will be changed after every 7 days,till it cut through the entire fistulous tract.)
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  All diagnosed cases of Bhagandara i.e. Low Anal Fistula. 
 
ExclusionCriteria 
Details  Age below 20 years and above 60 years.
High Anal Fistula
Tuberculosis
Uncontrolled Hypertension
Uncontrolled Diabetes mellitus
Chronic or Acute Ulcerative colitis
Crohns disease
Ano rectal and other Malignancy
Veneral diseases, AIDS and Hepatitis B
Pregnancy 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. To study the patho-physiology of Bhagandara.
2. To evaluate and assess the efficacy of the Nimba Ksharsutra in Fistula-in-Ano.
3. To introduce a less irritant,less pain and burning sensation,safe and best
alternative modality in the management of Bhagandara. 
The length of tract and other sign and symptoms will be assessed on 14th,28th,56th days respectively. 
 
Secondary Outcome  
Outcome  TimePoints 
The length of tract and other sign and symptoms will be assessed .   14th,28th,56th days respectively. 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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/ Phase 4 
Date of First Enrollment (India)   06/05/2024 
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="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   THIS A COMPARATIVE CLINICAL STUDY ON EFFICACY OF NIMBA KSHARASUTRA WITH APAMARGA KSHARASUTRA IN THE MANAGEMENT OF BHAGANDARA(FISTULA IN ANO).
 A. According to the procedure stated above 60 patients will be selected for the study. B. Selected case will be immediately undergo clinical examination and pathological investigation to assess the presenting condition. C. Out of 60 patients, 30 patients will be treated with Nimba ksharasutra and categorized in Group-1 [G1]. D. Rest 30 patients will be treated with conventional Apamarga ksharasutra and categorized in Group-2[G2].
 
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