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CTRI Number  CTRI/2024/12/078562 [Registered on: 24/12/2024] Trial Registered Prospectively
Last Modified On: 23/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A study comparing the effectiveness of Marma Chikitsa and Agnikarma for knee pain relief. 
Scientific Title of Study   A Comparative Study on the Efficacy of Marma Chikitsa and Agnikarma in the Management of Knee Joint Pain 
Trial Acronym  MAP-KNEE TRAIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR MAYUR MHASKE 
Designation  PG SCHOLAR 
Affiliation  Mahatma Gandhi Ayurved College Hospital and Research Centre Hirapur Salod Wardha 
Address  Department of Anatomy Mahatma Gandhi Ayurved College Hospital and Research Centre , Salod, Wardha
Department of Anatomy Mahatma Gandhi Ayurved College Hospital and Research Centre , Salod, Wardha
Wardha
MAHARASHTRA
442001
India 
Phone  9130951934  
Fax    
Email  mayurmhaske91@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR MAYUR MHASKE 
Designation  PG SCHOLAR 
Affiliation  Mahatma Gandhi Ayurved College Hospital and Research Centre Hirapur Salod Wardha 
Address  Department of Anatomy Mahatma Gandhi Ayurved College Hospital and Research Centre , Salod, Wardha
Department of Anatomy Mahatma Gandhi Ayurved College Hospital and Research Centre , Salod, Wardha
Wardha
MAHARASHTRA
442001
India 
Phone  9130951934  
Fax    
Email  mayurmhaske91@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR AMOL DESHPANDE 
Designation  Associate Professor 
Affiliation  DATTA MEGHE INSTITUTE OF HIGHER EDUCATION RESEARCH 
Address  Department of Anatomy Mahatma Gandhi Ayurved College Hospital and Research Centre , Salod, Wardha
Department of Anatomy Mahatma Gandhi Ayurved College Hospital and Research Centre , Salod, Wardha
Wardha
MAHARASHTRA
442001
India 
Phone  9146131519  
Fax    
Email  deshpandeamol86@gmail.com  
 
Source of Monetary or Material Support  
MAHATMA GANDHI AYURVED COLLEGE HOSPITAL AND RESEARCH CENTRE HIRAPUR SALOD WARDHA 
 
Primary Sponsor  
Name  Mahatma gandhi ayurved college hospital and research centre hirapur salod wardha 
Address  Mahatma Gandhi Ayurved College Hospital and Research Centre Hirapur Salod Wardha 
Type of Sponsor  Research institution and hospital 
 
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 MAYUR MHASKE  Mahatma gandhi ayurved college hospital and research centre hirapur salod   Department of Anatomy Mahatma Gandhi Ayurved College Hospital and Research Centre , Salod, Wardha
Wardha
MAHARASHTRA 
9130951934

mayurmhaske91@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Mahatma gandhi ayurved college hospital and research centre institutional ethics committee salod wardha   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M255||Pain in joint. Ayurveda Condition: SANDHIGATAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-agnikarma, अग्निकर्म (Procedure Reference: sushrut samhita, Procedure details: Pre-procedural method: ✓ Obtained the consent regarding the procedure. ✓ Position the subject in a chair, or sitting or lying on a bed. ✓ Identify the point of maximum pain & mark it with marker. Procedural method: ✓ By using the Gas Burner Agni Shalaka (Copper) is heated up to Red Hot color ✓ Red Hot Shalaka is placed over the Marked area up to the Samyakdagdha Sign ✓ Procedure will be conducted in doted manner. Post-procedural method: ✓ After the procedure Fresh Alovera Pulp apply over Agnikarma Area ✓ Procedure will repeat after 7 days.)
2Comparator ArmProcedure-marmacikitsA, मर्मचिकित्सा (Procedure Reference: SHUSHRUT SAMHITA, Procedure details: Pre-procedural method: ✓ Check the consent regarding the procedure ✓ Keep the patient Supine Position, Procedural method: ✓ Identify the site of the Marma ✓ Stimulate each Janu ,urvi,ani,indrabasti,Gulpha Marma by pressing it for 15/16 times for 1 second. ✓ Repeat this procedure thrice with resting period of 5 min in between. ✓ Procedure will repeat after 7 days.)
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients willing to give written informed consent.
• Patients of either gender between 20 and 60 years.
• Patients with pain in knee Joint
• Patients fit for Marma and Agnikarm Chikitsa 
 
ExclusionCriteria 
Details  1. Patient age group less than 20 years and exceeding 60 years are to be excluded (27)
2. Patients are not willing to undergo trial.
3. Fracture and accidental trauma related to knee joint
4. Patient suffering from diabetes mellitus, tubercular arthritis, etc.
5. Patients of Alpa Satva, Avar Sahanam, pregnant woman. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Relief from pain in knee joint  15 days 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement WOMAC index
Improvement in Range Of Motion
Increase in walking time 
3 weeks 
 
Target Sample Size
Modification(s)  
Total Sample Size="78"
Sample Size from India="78" 
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)   13/01/2025 
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="2"
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [mayurmhaske91@gmail.com].

  6. For how long will this data be available start date provided 14-01-2025 and end date provided 13-10-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

The volunteers will be informed about the study protocol. Willing participants will be randomly selected as per the computer-generated table. Clinical research format will be prepared and validated. Prior to the study, approval will be taken from IEC, MGACHRC, Salod (H) Wardha, and CTRI registration will be done. After selection, each participant will be tested individually and selected according to selection criteria. They are divided into two groups The trial is a two-arm parallel group randomized open labelled standard control equivalence clinical trial. It will include a 15-day treatment period and an 1st day, 7th day, and 15th day follow-up period after 3 visits.


 
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