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CTRI Number  CTRI/2024/10/076085 [Registered on: 30/10/2024] Trial Registered Prospectively
Last Modified On: 26/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Other (Specify) [Kshar sutra application]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Treatment of Bhagandar with Yava Kshar sutra and apamarg kshar sutra. 
Scientific Title of Study   A Comparative clinical study of Yava kshar sutra and Apamarg kshar sutra in the management of Bhagandar with special reference to Fistula in ano. 
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 Dheeraj Soni 
Designation  MS Scholar 
Affiliation   
Address  OPD. no. 25 department of shalya tantra Rajkiya ayurveda pg college and hospital chaukaghat, varanasi,221002.

Varanasi
UTTAR PRADESH
221002
India 
Phone  7879709044  
Fax    
Email  sonidkk2020@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mrigank Shekhar  
Designation  Lecturer 
Affiliation  Rajkiya ayurveda pg college and hospital chaukaghat, varanasi,221002. 
Address  OPD No.25 department of shalya tantra Rajkiya ayurveda pg college and hospital chaukaghat, varanasi,221002.

Varanasi
UTTAR PRADESH
221002
India 
Phone  9453788863  
Fax    
Email  drmrigank.bhu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anubha Srivastav 
Designation  Lecturer 
Affiliation  Rajkiya ayurveda pg college and hospital chaukaghat, varanasi,221002. 
Address  Department of Rachna sharir Rajkiya ayurveda pg college and hospital chaukaghat, varanasi,221002.

Varanasi
UTTAR PRADESH
221002
India 
Phone  8840712319  
Fax    
Email  hianubha27@gmail.com  
 
Source of Monetary or Material Support  
Opd no.25 Government pg ayurveda college and hospital chaukaghat varanasi 221002 
 
Primary Sponsor  
Name  Government pg ayurveda college and hospital varanasi 
Address  OPD No, 25 Department of Shalya tantra Rajkeeya ayurveda pg college and hospital chaukaghat varanasi 
Type of Sponsor  Government medical college 
 
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 Dheeraj Soni   Room No.25 Shalya tantra dept. Govt. pg Ayurvedic college and hospital chaukaghat Varanasi   Room No.25 Shalya tantra department Government pg Ayurvedic college and hospital chaukaghat Varanasi
Varanasi
UTTAR PRADESH 
7879709044

Sonidkk2020@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC government pg ayurveda college and hospital varanasi u.p mahayogi guru gorakhnath ayush univrsity gorakhpur u.p  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: चक्रदत्त अर्शचिकित्सा ५/१४८., Procedure details: Changing of yava kshar sutra in every 7th day in the application of fistula in ano. )
2Comparator ArmProcedure-kShArasUtra, क्षारसूत्र (Procedure Reference: चक्रदत्त अर्शचिकित्सा ५/१४८., , Procedure details: Snuhi apamarg kshar sutra ligation in fistula in ano followed by changing of kshar sutra in evry 7th day.)
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patient age between 18-60 years
2.Clinical Signs and Symptoms of all types of Bhagandar
3.Both sex( male and female)
 
 
ExclusionCriteria 
Details  1.HBsAg, HCV and HIV positive patients.
2.Secondary fistulas due to:-
i. Crohn’s disease , Ulcerative colitis
ii. Carcinoma of Rectum
iii. Tuberculosis
3.Osteomyelitis of Pelvic Bone.
4.Patient having uncontrolled DM& HTN.
5. Fistula associated with anal fissure and
piles.
6.Pregnancy.

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.Cure of fistula in ano.
 
1.It depends on the length of fistula tract.
 
 
Secondary Outcome  
Outcome  TimePoints 
1.Less hospital stay
2.Reduced long time angity.
3.Reduced post operative complication
4.Improved Routine activaty 
3-4 month 
 
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 2/ Phase 3 
Date of First Enrollment (India)   01/12/2024 
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="6"
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   Interventional study

Patients suffering from Fistula in ano will be selected from OPD and IPD of Government Ayurvedic college and hospital Varanasi.

Total patients -(60) each groups having 30 patients.
 
Total groups-(2)
         group-1 (trail group) -patients of fistula in ano ( Bhagandar) will be treated with Arka ksheer based Yavakshar sutra.
         group-2 (control group)-patients of fistula in ano ( Bhagandar) will be treated with Snuhi ksheer based Apamarga kshar sutra.

Treatment plan-Comparative study of unit cutting time and symptom relief in the patients of fistula in ano with trial group of Yavakshar sutra and Control group of Apamarga kshar sutra.

Treatment duration- it depends on the length of fistulous tract.

Follow up-
  •        1st follow up - 15 days after the completion of treatment.
  •          2nd follow up- 15 days after the 1st follow up.
                              3rd follow up- 1 month after the 2nd follow up 
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