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CTRI Number  CTRI/2024/12/078417 [Registered on: 23/12/2024] Trial Registered Prospectively
Last Modified On: 14/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Effect of Sakanjik Japakusum and Jyotismati Patra in Secondary Amenorrhea 
Scientific Title of Study   A clinical trial to evaluate the effect of Sakanjik Japakusum and Jyotismati Patra on Nastartava (Secondary Amenorrhea) 
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 Samruddhi Heramb Narawade 
Designation  PG Scholar, Department of Prasuti Tantra Evum Striroga 
Affiliation  Sri Jayendra Saraswathi Ayurveda College and Hospital, Chennai 
Address  Department of Prasuti Tantra Evum Striroga, OPD block,Sri Jayendra Saraswathi Ayurveda College and Hospital,Nazarathpet, Chennai. Thiruvallur TAMIL NADU 600123 India

Thiruvallur
TAMIL NADU
600123
India 
Phone  9309009899  
Fax    
Email  samruddhinarawade@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr L V Rathnakar 
Designation  Professor, Department of Prasuti Tantra Evum Striroga 
Affiliation  Sri Jayendra Saraswathi Ayurveda College and Hospital, Chennai 
Address  Department of Prasuti Tantra Evum Striroga, OPD block,Sri Jayendra Saraswathi Ayurveda College and Hospital,Nazarathpet, Chennai. Thiruvallur TAMIL NADU 600123 India

Thiruvallur
TAMIL NADU
600123
India 
Phone  9840340826  
Fax    
Email  drlrathnakar@sjsach.org.in  
 
Details of Contact Person
Public Query
 
Name  Dr Samruddhi Heramb Narawade 
Designation  PG Scholar, Department of Prasuti Tantra Evum Striroga 
Affiliation  Sri Jayendra Saraswathi Ayurveda College and Hospital,chennai 
Address  Department of Prasuti Tantra Evum Striroga, OPD block,Sri Jayendra Saraswathi Ayurveda College and Hospital,Nazarathpet, Chennai. Thiruvallur TAMIL NADU 600123 India

Thiruvallur
TAMIL NADU
600123
India 
Phone  9309009899  
Fax    
Email  samruddhinarawade@gmail.com  
 
Source of Monetary or Material Support  
Sri Jayendra Saraswathi Ayurveda College and Hospital,nazarathpeth,chenni,Tamil nadu India-600123 
 
Primary Sponsor  
Name  Dr. Samruddhi Heramb Narawade 
Address  Room no 13 ,Department of Prasuti Tantra Evum Striroga, Sri Jayendra Saraswathi Ayurveda College and Hospital, Nazarathpet, Chennai. Thiruvallur TAMIL NADU 600123 India 
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 Samruddhi Heramb Narawade  Sri Jayendra Saraswathi Ayurveda College and Hospital  Room no.13,Department of Prasuti Tantra Evam Striroga,Sri Jayendra Saraswathi Ayurveda College and Hospital,Nazarathpet, Chennai. Thiruvallur TAMIL NADU 600123 India
Thiruvallur
TAMIL NADU 
9309009899

samruddhinarawade@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Sri Jayendra Saraswati Ayurveda College and Hospital (Department of Ayurveda of SCSVMV Deemed to be University) NAZARATHPET, CHENNAI- 600123  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:N911||Secondary amenorrhea. Ayurveda Condition: ARTAVADOSHAH/ARTAVADUSHTIH/RAJODOSHAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: sakanjik japakusum and jyotismati patra, Reference: Bhaishajya Ratnavali, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 1(g), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 90 Days, anupAna/sahapAna: Yes(details: -kanji), Additional Information: -
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Patients of age group 15-40years.
- Diagnosed cases of PCOS with chronic anovulation
- Hypothyroidism, Increased prolactin levels
- Low, high or normal FSH level & LH level
- Eating disorders, Stress 
 
ExclusionCriteria 
Details  Pregnancy
- Cushing syndrome
- Empty Sella
- Sheehan syndrome
- Abnormal karyotype
- Asherman syndrome
- Anatomical abnormalities 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Regularization and reappearance of menses within 90 days of treatment period  90days ( Three consecutive menstrual cycles) 
 
Secondary Outcome  
Outcome  TimePoints 
appearance of regular , cyclic menses with normal growth and secondary sexual characteristics.relieves the symptoms of PCOS,regularies
the hormones, 
90 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)   09/01/2025 
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="6"
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   Menarche is a precious milestone of puberty. Hypothalamo pituitary gonadal axis (HPO Axis) plays a main role in the regulation of the cyclical changes that happens in the female reproductive structures like uterus, ovaries, vagina etc. If the basic health of women governed by rasa dhatu is deteriorated then the upadhatu artava would also be influenced. There is mainly derangement of vata. Apana Vata is said to be the governing force of menstrual flow and vyana vayu is responsible for rasarakta chankramana. Vitiated Apana vayu and vyana vayu leads to hampering of their normal function.The Principle treatment of Nastartava - Samshodhana, Shaman in the form of Agneya Dravyas, use of Swayonivardhana Dravyas and Nidana Parivarjana".
The selected drug for the study contains japakusum, jyotismati, and kanjika.
Japakusum has kasaya, tikta rasa, katu vipak, sita virya & kaphapittasamak properties. jyotismati is tikshna gunatmak katu, tikta rasatmak, katu vipaki, ushna viryatmak, Medhya, & vatakaphasamak as well as artavajanaka . kanjika is amla rasatmak, ushna viryatmak, amla vipaki, laghu, tikshna gunatmak, vatakaphanasak and dahasamak.
Nastartava is considered as amenorrhoea in modern science. In Nastartava there is obstruction of passage by doshas because of that obstruction women’s menstruation stops. The meaning of nasyati means artava does not end at all, it just doesn’t seem to be coming out. In Nastartava Artavavaha Strotas and artavavahidhamanis gets blocked by vitiated Vata and  Kapha dosha which leads to artava adarshanam (Nastartava).  Nastartava is also seen as one of the manifestation of yonivyapads like vandhya yonivyapad ,shandhi,arajaska and shushka yonivyapad. Sakanjik Japakusum along with Jyotishmati patra administered orally in form of vati which works on vitiated Dosha, Dhatu & established pathophysiology because of having Vata Kapha Shaman & Artava Janana properties which leads to Samrapti Vighatan and formation of Artava in the end. 
 
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