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CTRI Number  CTRI/2024/10/075549 [Registered on: 21/10/2024] Trial Registered Prospectively
Last Modified On: 21/10/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   A small scale clinical study to understand safety and effectiveness of Respikshar-Y25 in patient of Asthma. 
Scientific Title of Study   A pilot, exploratory clinical study to evaluate the safety and efficacy of Respikshar-Y25 tablet in the patients with Asthma 
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 Mrudula V Joshi 
Designation  Head of Department (Ayurved Samhita evam Siddhant) 
Affiliation  Dr. D. Y. Patil College of Ayurved and Research Centre, Pimpri, Pune-18 
Address  Department of Ayurved Samhita and Siddhant, 4th floor, Dr. D. Y. Patil College of Ayurved and Research Centre, Sant Tukaram Nagar, Pimpri-Chinchwad, Maharashtra, India 411018

Pune
MAHARASHTRA
411018
India 
Phone  9226279270  
Fax    
Email  mrudula.joshi@dpu.edu.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mrudula V Joshi 
Designation  Head of Department (Ayurved Samhita evam Siddhant) 
Affiliation  Dr. D. Y. Patil College of Ayurved and Research Centre, Pimpri, Pune-18 
Address  Department of Ayurved Samhita and Siddhant, 4th floor, Dr. D. Y. Patil College of Ayurved and Research Centre, Sant Tukaram Nagar, Pimpri-Chinchwad, Maharashtra, India 411018

Pune
MAHARASHTRA
411018
India 
Phone  9226279270  
Fax    
Email  mrudula.joshi@dpu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Vatsal L Dhudashiya 
Designation  P.G. Scholar 
Affiliation  Dr. D. Y. Patil College of Ayurved and Research Centre, Pimpri, Pune-18 
Address  Department of Ayurved Samhita and Siddhant, 4th floor, Dr. D. Y. Patil College of Ayurved and Research Centre, Sant Tukaram Nagar, Pimpri-Chinchwad, Maharashtra, India 411018

Pune
MAHARASHTRA
411018
India 
Phone  9429882282  
Fax    
Email  vatsaldhudashiya@gmail.com  
 
Source of Monetary or Material Support  
Dr. D.Y. Patil college of Ayurved and Research centre, Pimpri, Pune-18 
 
Primary Sponsor  
Name  Sudhatatva pharmacy 
Address  Dr DY Patil College Rd, Sant Tukaram Nagar, Pimpri Colony, Pimpri-Chinchwad, Maharashtra, India 411018 
Type of Sponsor  Pharmaceutical industry-Indian 
 
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 Mrudula V Joshi  Dr. D. Y. Patil Ayurved hospital, Pimpri, Pune-18  Kayachikitsa OPD no. 05 (Ground floor) and Kayachikitsa male and female IPD (first floor)
Pune
MAHARASHTRA 
9226279270

mrudula.joshi@dpu.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Dr. DYPCA & RC INSTITUTIONAL ETHICS COMMITTEE PIMPRI, PUNE-18  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 ArmDrugOther than Classical(1) Medicine Name: Respikshar-Y25, Reference: NA, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/Tablets, Dose: 550(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 4 Weeks, anupAna/sahapAna: Yes(details: -warm water), Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients presenting with mild or moderate cases of Asthma irrespective of sex, aged between 18 years to 65 years will be considered.
History of Asthma less than 5 year.
Peak Expiratory flow rate more than 80 lit/min and less than 300 lit/min.
 
 
ExclusionCriteria 
Details  Asymptomatic Asthma patients
Known case of other respiratory illness
The patients who had history of uncontrolled diabetes and uncontrolled systemic arterial hypertension, other systemic illness
Chronic cigarette smokers
Individuals with known allergies to ingredients of interventional drug
Pregnant or breastfeeding women
Patient in status asthmaticus 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To observe changes in Peak expiratory flow rate (PEFR) value after treatment in Asthma patients compared with base line values.  4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1. To observe changes in respiratory rate, Absolute Eosinophil Count, Erythrocyte Sedimentation Rate (ESR), Asthma control questionnaire (ACQ) and Asthma control test (ACT) questionnaire after treatment in Asthma patients compared with base line values.  4 weeks 
 
Target Sample Size   Total Sample Size="35"
Sample Size from India="35" 
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)   01/11/2024 
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="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   The selected intervention for this study, Respikshar-Y25, comprises a polyherbomineral tablet formulation containing several key ingredients with purposeful therapeutic properties for management of Asthma. 

INDICATIONS AND USES

Mild to moderate patients of Asthma

STUDY OBJECTIVES

The proof-of-concept study presented here will be carried out with the following objectives:

A.   Primary objective:

1.     To observe changes in Peak expiratory flow rate (PEFR) value after treatment in Asthma patients compared with base line values.

 

B.    Secondary objective:

 

1.     To observe changes in respiratory rate, Absolute Eosinophil Count, Erythrocyte Sedimentation Rate (ESR), Asthma control questionnaire (ACQ) and Asthma control test (ACT) questionnaire after treatment in Asthma patients compared with base line values.

2.     To observe the safety of interventional drug.


STUDY DETAILS

 Screening visit (S1)

At the screening visits, (S1) Informed Consent will be taken and documentation of the same will be done. A detail interrogation for medical history, Concomitant Medication or any changes will be documented. Pregnancy Test (For Female subjects of child bearing potential) will be performed.  Physical Examinations, Vital Signs (Blood Pressure, Heart Rates, Temperature, Respiratory rate, SpO2), Peak expiratory flow rate (PEFR) will be measured, Blood collection will be done for the test Absolute eosinophil count and Erythrocyte Sedimentation Rate (ESR). Asthma control questionnaire (ACQ) and Asthma control test (ACT) questionnaire will be filled. Only for necessary participants LFT, KFT and chest X-ray will be performed. For eligible patients interventional drug, daily diary card and rescue medication will be provided.

 Active treatment period

After the assessment, patients who fulfill all the eligibility criteria will enter in 4 weeks active treatment period. Study Medication, Daily diary Card and Rescue medication will be provided. Training for how to fill the diary will be given.

Follow up visits will be scheduled at 2nd and 4th week after inclusion. Patients will be called accordingly. A window period of ± 3 days will be allowed for each follow up visit.

 

Visit T2:

In this visit, Vital Signs will be checked. Detail physical examination will be done. Peak expiratory flow rate (PEFR) will be measured. Asthma control questionnaire (ACQ) and Asthma control test (ACT) questionnaire will be filled. Blood collection will be done for the test Absolute eosinophil count and Erythrocyte Sedimentation Rate (ESR). Daily diary Card will be examined, Medication compliance, use of rescue medication, concomitant medication will be checked. Adverse events if any will be recorded. Study Medication till next follow up will be provided. Patients will be called for next visit after 2 weeks.

 

Visit T4:

In this visit, Vital Signs will be checked. Detail physical examination will be done. Peak expiratory flow rate (PEFR) will be measured. Asthma control questionnaire (ACQ) and Asthma control test (ACT) questionnaire will be filled. Daily diary Card will be examined, Medication compliance, use of rescue medication, concomitant medication will be checked. Adverse events if any will be recorded.


STUDY DURATON

The study duration will be total of 4 weeks after being recruited in the study. The whole study will be completed in 6 months period.


ASSESSMENT OF STUDY

Following efficacy and safety parameters will be used for the assessment of the study.


EFFICACY ASSESSMENT:

·       Objective assessment measures:

1.     Peak expiratory flow rate (PEFR)

2.     Respiratory rate

3.     Oxygen saturation (SpO2)

4.      Absolute eosinophil count

5.     Erythrocyte Sedimentation Rate (ESR)

6.     Chest X-ray (if necessary)

 

·       Subjective assessment measures:

1.     Asthma control questionnaire (ACQ)

2.     Asthma control test (ACT) questionnaire

SAFETY ASSESSMENT:

All the adverse events occurring throughout the treatment course will be recorded and managed accordingly. The safety of the patient will also be assessed by Changes in vital signs & clinically significant laboratory changes (if necessary) at the end of treatment period after administration on of treatment compared with baseline.

STATISTICAL ANALYSIS

Student’s paired ‘t’ test will be used, whereas non-parametric data will be evaluated using Wilcoxan matched paired test. P<0.05 will be considered as level of significance.

 





 
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