| CTRI Number |
CTRI/2025/02/081019 [Registered on: 20/02/2025] Trial Registered Prospectively |
| Last Modified On: |
11/08/2025 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Ayurveda |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
Management of abnormal uterine bleeding (Asrikdara) with coded Ayurvedic formulation- AYUSH-LND |
|
Scientific Title of Study
|
Effectiveness and safety of AYUSH-LND (coded Ayurvedic formulation) in the Management of abnormal uterine bleeding (Asrikdara): an Open label single arm prospective clinical study. |
| Trial Acronym |
Nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Vd Priya Ashokrao Thakare |
| Designation |
Research Officer (Ayu.) |
| Affiliation |
Regional Ayurveda Research Institute, Nagpur |
| Address |
Regional Ayurveda Research Institute, Nagpur Near Gharkul Parisar, N.I.T. complex, Nandanvan, Nagpur, Maharshtra -
Nagpur MAHARASHTRA 440024 India |
| Phone |
9175418356 |
| Fax |
|
| Email |
ard123md@rediffmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Prashant Shinde |
| Designation |
Research Officer (Ayu.) |
| Affiliation |
Central Council for Research in Ayurvedic Sciences |
| Address |
Jawahar Lal Nehru Bhartiya Chikitsa evam Homoepathy
Anusandhan Bhawan, 61-65, Institutional Area, Opp. D Block,
Janakpuri, New Delhi
New Delhi DELHI 110058 India |
| Phone |
9623011214 |
| Fax |
|
| Email |
drshindeprashant007@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Prashant Shinde |
| Designation |
Research Officer (Ayu.) |
| Affiliation |
Central Council for Research in Ayurvedic Sciences |
| Address |
Jawahar Lal Nehru Bhartiya Chikitsa evam Homoepathy
Anusandhan Bhawan, 61-65, Institutional Area, Opp. D Block,
Janakpuri, New Delhi
New Delhi DELHI 110058 India |
| Phone |
9623011214 |
| Fax |
|
| Email |
drshindeprashant007@gmail.com |
|
|
Source of Monetary or Material Support
|
| Central Council for Research in Ayurvedic Sciences, Jawahar Lal Nehru Bhartiya Chikitsa evam Homoepathy
Anusandhan Bhawan, 61-65, Institutional Area, Opp. D Block,
Janakpuri, New Delhi-58. (Ministry of AYUSH, Government of India) |
|
|
Primary Sponsor
|
| Name |
Central Council for Research in Ayurvedic Sciences |
| Address |
Jawahar Lal Nehru Bhartiya Chikitsa evam Homoepathy
Anusandhan Bhawan, 61-65, Institutional Area, Opp. D Block,
Janakpuri, New Delhi-110058 |
| Type of Sponsor |
Government funding agency |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 4 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Smritika Taware |
Dr. D.Y.Patil College of Ayurved and Research Centre, Pimpri, Pune |
Streeroga evam Prasutitanta Department, Dr. D. Y. Patil College Rd, Sant Tukaram Nagar, Pimpri Colony, Pimpri-Chinchwad, Maharashtra 411018 Pune MAHARASHTRA |
9850967067 020-27805899 bhonsalesmritika@gmail.com |
| Dr Shilpakumari B Donga |
Institute of Teaching and Research in Ayurved, (ITRA),Jamnagar |
Streeroga evam Prasutitanta Department, ITRA, Opp. City B division Police Station, Gurudwara Road, Jamnagar, Gujrat 361008 Jamnagar GUJARAT |
9825646796
drshilpadonga@yahoo.com |
| Dr Bharathi Kumaramangalam |
National Institute of Ayurveda (DU), Jaipur |
Streeroga evam Prasutitanta Department, NIA, Madhav Vilas Palace, Amer Rd, Jaipur, Rajasthan 302002 Jaipur RAJASTHAN |
9492047131 91-141-263-5709 baruhunt@gmail.com |
| Dr Mamatha KV |
Shri Dharmasthala Manjunatheshwara College of Ayurveda, Udupi, Karnataka |
Streeroga evam Prasutitanta Department, Sri Dharmasthala Manjunatheshwara College of Ayurveda, Hospital and Research Centre, Laxminarayana Nagara, Post Kuthpady, Udupi Taluka & District – 574118, Karnataka, India Udupi KARNATAKA |
9448215605 0820-2533790 mamath2@gmail.com |
|
Details of Ethics Committee
Modification(s)
|
| No of Ethics Committees= 4 |
| Name of Committee |
Approval Status |
| Institutional Ethical Clearance Committee Human |
Approved |
| Institutional Ethics Committee (IEC) |
Approved |
| Institutional Ethics Committee National Institute of Ayurveda |
Approved |
| Institutional Ethics Committee, ITRA |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition:N939||Abnormal uterine and vaginal bleeding, unspecified. Ayurveda Condition: ASRUGDARAH/RAKTAPRADARAH, |
|
|
Intervention / Comparator Agent
|
| sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | | 1 | Intervention Arm | Drug | Other than Classical | | (1) Medicine Name: AYUSH-LND, Reference: NA, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/Tablets, Dose: 500(mg), Frequency: tds, Bhaishajya Kal: Adhobhakta, Duration: 120 Days, anupAna/sahapAna: Yes(details: Water), Additional Information: Coded formulation | | 2 | Intervention Arm | Drug | Classical | | (1) Medicine Name: Dhatri Lauha, Reference: AFI Part 1 – Vol. 5, Route: Oral, Dosage Form: Lauha-Mandura, Dose: 500(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 120 Days, anupAna/sahapAna: Yes(details: Water), Additional Information: - |
|
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
40.00 Year(s) |
| Gender |
Female |
| Details |
i. Women Age between 18-40 years with heavy menstrual bleeding with no definable organic cause and having complaints of excessive bleeding during menstruation (classified according to PALM – COEIN Classification (bleeding due to coagulopathy, Ovulatory dysfunction, endometrial, iatrogenic and not yet classified will be included.) (Pictorial blood loss assessment chart (PBLAC) score more than 100 points) or prolonged bleeding i.e. bleeding more than 7days for 3 consecutive cycles; ii. Willing and able to comply with schedules visits, treatment, and assessments. |
|
| ExclusionCriteria |
| Details |
i. Hb less than 8 gm.
ii. Endometrial Hyperplasia diagnosed radiologically with endometrial thickness more than 20 mm in secretory phase
iii. Associated with reproductive system abnormalities (Excluded clinically and radiologically) or diagnosed Pelvic Inflammatory Disease, Cervicitis, Hydrosalpinx, Endometriosis, Fibroid Uterus, Carcinoma of Reproductive Organ, adenomyosis
iv. Other causes of excessive menstrual bleeding e.g. Thyroid disease, Incomplete Abortion, abortion in last three months, presence of an IUCD.
v. Participants on prolonged (more than 6 weeks) drugs which can cause Abnormal Uterine Bleeding e.g. Anticoagulants, Acetylsalicylic acid, Antidepressants (Selective Serotonin Reuptake Inhibitors, Tricyclic Antidepressants), Hormone Replacement Therapy, Tamoxifen, Phenothiazines, Corticosteroids, Thyroxine, Oral Contraceptives products or any other drugs that may have an influence on the outcome of the study.
vi. Lactating woman and women expecting to conceive within next 4 months.
vii. Participants who have a past history of Atrial Fibrillation,Acute Coronary Syndrome, Myocardial Infarction, Stroke or Severe Arrhythmia in the last 6 months.
viii. Participant with raised liver enzymes twice the upper limit of normal & creatinine more than 1.4, poorly controlled Hypertension (more than 160/100 mm of Hg), poorly controlled Diabetes Mellitus{B.S. (F) more than 130 mg and or Blood Sugar (2 hr. PP) more than 250 mg and HbA1c more than 6.5}.
ix. Ingestion of any investigational drug within 4 weeks prior to recruitment in the study.
x. Participants who are currently participating in any other clinical trial or participated in past four weeks.
xi. Any other condition which the Principal Investigator thinks may jeopardize the study
xii. Women who are on hormonal therapy for AUB may be included after washout period. |
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
Changes in the score denoting amount of menstrual blood loss in women by means of PBLAC (Pictorial Blood Loss Assessment Chart
ii.Change in the laboratory safety parameters (LFT, KFT) |
Changes in the score denoting amount of menstrual blood loss in women by means of PBLAC (Pictorial Blood Loss Assessment Chart [Time frame: Baseline, every cycle up to 4 cycles].
ii. Change in the laboratory safety parameters (LFT, KFT) baseline [Time frame: Baseline, end of the 4th cycles]. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| No of participants with normal cycles at 120 days (restoration of normal menstrual cycle Duration 5-7 days and interval 21-35 days) |
Baseline, every cycle up to 4 cycles |
| Change in score of Menorrhagia Impact Questionnaire. |
Baseline, every cycle up to 4 cycles |
| iii. Assessment of treatment adherence through participant self-reported compliance log and used medication containers/strips |
Baseline, every cycle up to 4 cycles |
| iv. Assessment of the tolerability of AYUSH-LND (Assessed through reported withdrawal of participants due to incidence of Treatment emergent adverse events (GIT-related AE specifically) during the study period |
Baseline, every cycle up to 4 cycles |
| Change in the laboratory parameters from baseline (Complete Blood Count, Test Sr. FSH, Sr. LH, Sr. estradiol) |
baseline, and 120th day |
|
|
Target Sample Size
|
Total Sample Size="560" Sample Size from India="560"
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 3 |
|
Date of First Enrollment (India)
|
26/02/2025 |
| 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)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Open to Recruitment |
|
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
|
Abnormal Uterine Bleeding (AUB) is defined as
any alteration in the pattern or volume of menstrual blood flow. As per
American College of Obstetrics & Gynaecology Abnormal Uterine Bleeding (AUB)
is occurred in conditions such as bleeding between periods, bleeding after sex,
spotting anytime in the menstrual cycle or for more days than normal, bleeding
after menopause. Menstrual cycles that are longer than 35 days or shorter than
21 days are abnormal and it can occur at any age. It can have a substantial financial and
quality-of-life burden. It affects women’s health
both medically and socially. In India, the reported
prevalence of AUB is around 17.9%. A randomized clinical study was
already conducted by CCRAS on Abnormal uterine bleeding using Ayurvedic
formulation Tab. AYUSH LND (Analysis was done but results are not published)
found statistically more significant than conventional therapy in the heavy
menstrual bleeding. Previous study was done in controlled environment, so this
study is proposed to conduct on tolerability and treatment adherence in large
population. |