| 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
|
|
|
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
|
|
|
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
|
| sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | | 1 | Comparator Arm | Procedure | - | nasyam/ nastam, नसà¥à¤¯à¤®à¥/ नसà¥à¤¤à¤®à¥ | (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 | | 2 | Intervention Arm | Procedure | - | nasyam, नसà¥à¤¯à¤®à¥ | (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 |
|
|
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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
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- 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.
- For what types of analyses will this data be available?
Response - For individual participant data meta-analysis.
- By what mechanism will data be made available?
Response - Proposals should be directed to [anjali.shalakya@gmail.com].
- 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.
- 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.
|