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CTRI Number  CTRI/2024/09/074523 [Registered on: 30/09/2024] Trial Registered Prospectively
Last Modified On: 20/09/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Diagnostic 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Patient having symptoms of bronchial asthma will be selected and odd even randomization will be done and add on effect of bharangiharitaki aval rha will be observed in patients and eosinophil count will be observed .  
Scientific Title of Study   Randomised clinical trial to assess add on effect of bharangiharitaki avaleha in tamak shwasa(bronchial asthma) with special reference to eosinophil count.  
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 Namrata Jayprakash shinde 
Designation  PG Scholar 
Affiliation  LRP Ayurvedic Medical College and Hospital 
Address  LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre Islampur, Department of Rognidan , Division No 1 , Room no 1 tal Walwa Dist Sangli Sangli

Sangli
MAHARASHTRA
415409
India 
Phone  8530450224  
Fax    
Email  namujshinde@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sandip patil 
Designation  Associate professor  
Affiliation  LRP Ayurvedic Medical College and Hospital 
Address  LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre Islampur, Department of Rognidan , Division No 1 , Room no 1 tal Walwa Dist Sangli Sangli

Sangli
MAHARASHTRA
415409
India 
Phone  9823531537  
Fax    
Email  sandipkanase87@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sandip patil 
Designation  Associate professor  
Affiliation  LRP Ayurvedic Medical College and Hospital 
Address  LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre Islampur, Department of Rognidan , Division No 1 , Room no 1 tal Walwa Dist Sangli Sangli

Sangli
MAHARASHTRA
415409
India 
Phone  9823531537  
Fax    
Email  sandipkanase87@gmail.com  
 
Source of Monetary or Material Support  
LRP Ayurvedic Medical College and Hospital and Research Centre, Islampur. taluka Walwa Dist Sangli State Maharashtra Country India Pincode 415409 
 
Primary Sponsor  
Name  Dr.Namrata Shinde 
Address  LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre Islampur, Department of Rognidan , Division No 1 , Room no 1 tal Walwa Dist Sangli Sangli  
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 Namrata shinde  LRP Ayurvedic Medical College and HospitAl  LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre , Department of Rognidan , Division no. 1 , Room no 1 , Islampur Sangli Sangli MAHARASHTRA
Sangli
MAHARASHTRA 
8530450224

namujshinde@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Loknete Rajarambapu Patil Ayurved Mahavidyalay Sangli Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:J452||Mild intermittent asthma. Ayurveda Condition: TAMAKASVASAH, (2) ICD-10 Condition:J453||Mild persistent asthma. Ayurveda Condition: TAMAKASVASAH, (3) ICD-10 Condition:J454||Moderate persistent asthma. Ayurveda Condition: TAMAKASVASAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Bharangiharataki, Reference: Yogratnakar, Route: Oral, Dosage Form: Avleha/Leha/Paka/Raskriya, Dose: 10(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 30 Days, anupAna/sahapAna: No, Additional Information:
(2) Medicine Name: Bharangiharataki, Reference: Yogratnakar, Route: Oral, Dosage Form: Avleha/Leha/Paka/Raskriya, Dose: 10(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 30 Days, anupAna/sahapAna: No, Additional Information:
2Comparator Arm (Non Ayurveda)-Tablet Deriphylline Combination of etophylline and theophylline will be given. Duration - 30 days Dose -100 mg bid
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1) Patient having tamak shwasa symptoms like shwasakrichtta, kasa(cough) lalate sweda (sweating over forehead, asinolabhate saukhyam (comfortable in sitting position), vamathu prayaha (spitting again and again), anidra (insommnia)
2) Patient in avega avastha.
3) Patient on drug etofylline (23 mg) + theophylline (77 mg) BD
4) Sex: irrespective of sex
5) Patient of age group 18-50 will be included 
 
ExclusionCriteria 
Details  1) Patient with bronchiectectasis, emphysema, infective neoplasmic disease of Respiration.
2) Known case of tamak shwasa taking treatment more than 3 years.
3) Patient on drug other than etofylline (23 mg) + theophylline (77 mg) BD.
4) Patient with systemic disorder.
5) Patient in vega avasta.
6) Pregnancy, Lactating Mother. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
TO STUDY ADD ON EFFECT OF BHARANGIHARITAKI AVALEHA IN TAMAKA SHWASA (BRONCHIAL ASTHMA) WITH SPECIAL REFERENCE TO EOSINOPHIL COUNT  30 days 
 
Secondary Outcome  
Outcome  TimePoints 
1) To study tamak shwasa according to ayurvedicliterature.
2) To study bronchial asthma.
3) To study eosinophil count, respiratory rate, peak expiratory flow rate.
4) To study relief in tamak shwasa by using bharangiharitaki avaleha.
5) To study changes in eosinophil count, respiratory rate, peak expiratory flow rate in tamak shwasa by using bharangiharitaki avaleha. 
12 months 
 
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 2 
Date of First Enrollment (India)   02/10/2024 
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="1"
Months="0"
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  

         Bronchial asthma is the common cause of death in rural india. Patients suffering from infective respiratory diseases such as tuberculosis, pneumonia can be cured after treatment but a sizeable number of patients continue to suffer from fibrotic sequel of these diseases. Apart from these there is going to be a large group of potential respiratory patients in future. They are persons exposed to smoke, pollution and various types of occupational dust which are more prone to develop bronchial asthma and therefore constitute the group of potential respiratory patients.

​This alarming raise in the prevalence of tamak shwasa can be accounted to factors such as atmospheric pollution, rapid environmental changes, adaptation of newer dietetic preparations and tremendous psychological stress. In ayurveda it is among five types of shwasa roga, and sometimes is considered to be satisfactorily treatable disease. The clinical manifestations show high recurrence pattern.

​Therefore, the management criteria should be addressed to quality improvement in the life of patients.

​Ayurveda can give promising result to the patient either by adding rasayana and thus enhancing the vital capacity and resistance of the lung or can be adjuvant to present modern regimen for the management of tamaka shwasa by the quality of life of affected patients, this drug having ushna tikta and shwassthan karma may affect and reduces the symptoms and dose of ongoing drugs.

​Vata and kapha are the two key pathological factors involved in the samprapti of tamaka shwasa. Thus, more and more research work is the need of the day either in bringing about a cure for this illness or effective control. More than 200 works have been carried out on this topic in all over India in ayurveda field. Ayurveda has got many time-tested formulations for this condition. 

​Clinically, patient’s eosinophil count and respiratory rate is increased, peak expiratory flow rate is lower. According to line of treatment of tamaka shwasa,so topic is selected bharangiharitaki avaleha which is having vata-kaphaghna and ushna property, any decrease in symptoms i.e. eosinophil count, respiratory rate and peak expiratory flow rate will be observed. The present study will be carried out to study add on effect of bharangiharitaki avaleha in tamak shwasa.

 
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