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CTRI Number  CTRI/2024/10/076018 [Registered on: 29/10/2024] Trial Registered Prospectively
Last Modified On: 28/10/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Yoga & Naturopathy 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Ayurvedic Management of Tension Type Headache 
Scientific Title of Study   A Randomized Controlled Clinical Trial To Compare The Efficacy of Navsadar Taila Nasya along with Gyan Mudra with that of Bala Taila Nasya along with Gyan Mudra in the Management of Vataja Shirahshoola (Episodic Tension Type Headache) 
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 Anjali Dabas 
Designation  Assistant Professor 
Affiliation  Ishan Ayurvedic Medical College and Research Centre 
Address  Shalakya Department OPD, Hospital Block, Ishan Ayurvedic Medical College and Research Centre, Knowledge Park-1, Greater Noida, Uttar Pradesh
Knowledge Park-1, Greater Noida, Uttar Pradesh
Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  9911166668  
Fax    
Email  anjali.shalakya@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ashu 
Designation  Professor and Head of Department 
Affiliation  Shri Krishna AYUSH University 
Address  PG Department of Shalakya Tantra, Shri Krishna AYUSH University, Umri Road, Sector-8, Kurukshetra, Haryana

Kurukshetra
HARYANA
136118
India 
Phone  9416553131  
Fax    
Email  drashukataria@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anjali Dabas 
Designation  Assistant Professor 
Affiliation  Ishan Ayurvedic Medical College and Research Centre 
Address  Shalakya Department, ENT OPD, Hospital Block, Ishan Ayurvedic Medical College and Research Centre, Knowledge Park-1, Greater Noida

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  9911166668  
Fax    
Email  anjali.shalakya@gmail.com  
 
Source of Monetary or Material Support  
Ishan Ayurvedic Medical College and Research Centre, Knowledge Park-1, Greater Noida, Uttar Pradesh-201310, India 
 
Primary Sponsor  
Name  Ishan Ayurvedic Medical College and Research Centre 
Address  Knowledge Park -1, Greater Noida, Uttar Pradesh - 201310 
Type of Sponsor  Private 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 Anjali Dabas  Ishan Ayurvedic Medical College and Research Centre  Knowledge Park 1 Greater Noida
Gautam Buddha Nagar
UTTAR PRADESH 
9911166668

anjali.shalakya@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Shri Krishna AYUSH University, Kurukshetra, Haryana  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:G00-G99||Diseases of the nervous system. Ayurveda Condition: SIROROGAH/SIRAHSULA/SIRASTAPA/SIROBITAPA,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-nasyam/ nastam, नस्यम्/ नस्तम् (Procedure Reference: Sushruta Samhita, Chikitsa Sthana, 40/21, Procedure details: Nasya is the method of administrating medicine through the nose for either pacifying, or cleansing or strengthening the structures of the upper part of the body especially above the shoulder. Medicine will be instilled 4 ml in each nostril (anytime between 10.00 am to 1.00 pm) for 7 days. the procedure will be repeated again after 1 week.)
(1) Medicine Name: Bala Taila, Reference: Sushruta Samhita, Chikitsa Sthana, 15/29-34, Route: Nasal, Dosage Form: Taila, Dose: 4(ml), Frequency: od, Duration: 7 Days
2Intervention ArmProcedure-nasyam, नस्यम् (Procedure Reference: Sushrut Samhita, Chikitsa Sthana, 40/21, Procedure details: Nasya is the method of administrating medicine through the nose for either pacifying, or cleansing or strengthening the structures of the upper part of the body especially above the shoulder. Medicine will be instilled 4 ml in each nostril (anytime between 10.00 am to 1.00 pm) for 7 days. Nasya procedure will be repeated again after one week.)
(1) Medicine Name: Navsadar Taila, Reference: Abhinav Chintamani, Dwitiya Bhaga, Route: Nasal, Dosage Form: Taila, Dose: 4(ml), Frequency: od, Duration: 7 Days
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients having signs and symptoms of Vataja Shirahshoola (Episodic TTH) will be included i.e. 1. headache having atleast 2 of the 4 characteristics (i) bilateral (ii)pressing or tightening headache (iii) mild to moderate intensity (iv) not aggravated by routine physical activity 2. lasting for 30 minutes to 7 days 3. Not accompanied with nausea/vomiting 4. No more than one of photophobia or phonophobia 5. Atleast 10 episodes of headache per month
 
 
ExclusionCriteria 
Details  1. Pregnant and Lactating Women
2.Patients suffering from major systemic disease viz. TB, Cancer, Diabetes, heart disease, Hypertension etc.
3. Headache due to refractive error and increased intra-ocular pressure.
4. Secondary headache due to other pathological conditions eg. Tumours, cerebral Haemorrhagic Conditions.
5. Headache secondary to head trauma.
6.Nasya ayogya patients as per classical text will be excluded. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Improvement in subjective parameters.  at Baseline, 28th day , and 35th day 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in Quality of Life of the Patients.  At baseline, 28th day , & 35th day. 
 
Target Sample Size   Total Sample Size="33"
Sample Size from India="33" 
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   N/A 
Date of First Enrollment (India)   11/11/2024 
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="1"
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 - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

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

  6. For how long will this data be available start date provided 24-10-2025 and end date provided 24-10-2028?
    Response - Beginning 3 months and ending 5 years following article publication.

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

Shirah is the supreme part of the body and in Ayurveda classics, it is said to be of immense importance. Out of the total 107 marmas present in the body, 37 marmas are present in urdhvjatru parts. Therefore, all the shirorogas should be treated at the earliest and with care, because, if untreated, then, it may lead to grievous after-effects. Shirahshoola is the synonym as well as the symptom of all the Shirorogas described in Ayurveda.  A fit of violent headache without any apparent cause and which becomes worse in the night and is relieved by pressure or by being bandaged or by an application of fomentation around the head is known as the Vataja Shiroroga. Headache is one of the most common reasons patients seek medical attention as it causes disturbance and various degree of disability of an individual to deal with daily chores of life. A tension headache is generally a diffuse, mild to moderate pain that many people describe as feeling as if there’s a tight band around their head extending bilaterally back from the forehead across the sides of the head to the occipital and may extend to the posterior neck muscles.

Approximately 75% to 90% of all persons who complain of chronic or frequent headaches suffer from tension headache. Tension headache is more prevalent among women than men. About 69% of men and 88% of women develop a tension headache sometime during their lives. Tension headache can occur at any age but most commonly begins during adolescence or young adulthood, with the highest frequency among those aged 25-60 years. Tension type headache is most common in young adults with about 60% occurring in people over 20 years of age. Lifetime prevalence of episodic tension headache is between 30% and 78%. Global active prevalence of tension-type headache is 19.4%.

A Study was conducted in 2012 at NIA, Jaipur, which proved that Bala Taila Nasya and Gyan Mudra is very effective in the treatment of Vataja Shirahshoola. However, till date, no study has been conducted to evaluate the effect of Navsadar Taila Nasya in Vataja Shirahshoola.

Therefore, the current study has been planned to evaluate the efficacy of Navsadar Taila Nasya alongwith Gyan Mudra in Vataja Shirahshoola, and its comparative efficacy with Bala Taila Nasya alongwith Gyan Mudra. Also, Bala Taila is very costly, so, there is a need of an alternative Nasya drug which is cost-effective, and having the same or more efficacy as compared to Bala Taila. Navsadar Taila is easily available and comparatively cheaper, therefore, it is chosen as the trial drug for the current study.

 

 


 
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