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CTRI Number  CTRI/2024/11/076379 [Registered on: 08/11/2024] Trial Registered Prospectively
Last Modified On: 09/12/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Evaluation of Annabhedi Sindooram for Managing Anemia Symptoms in Adults: A Clinical Study 
Scientific Title of Study   A single-arm clinical trial to evaluate the effect of Annabhedi Sindooram in the management of anemia with reference to hemoglobin percentage 
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 J Hareendran Nair  
Designation  Managing Director and Founder  
Affiliation  Pankajakasthuri Herbal Research Foundation  
Address  Pankajakasthuri Herbal Research Foundation Pankajakasthuri Ayurveda Medical college Kattakkada

Thiruvananthapuram
KERALA
695572
India 
Phone    
Fax    
Email  hareendrannair@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr S Jaya Lekshmi  
Designation  Deputy Medical Superintendent 
Affiliation  Pankajakasthuri Ayurveda Medical college and PG centre  
Address  Room No 2 Pankajakasthuri Ayurveda Medical college and PG centre Killy
Pankajakasthuri Herbals India Pvt Ltd. Poovachal
Thiruvananthapuram
KERALA
695572
India 
Phone  8301050260  
Fax    
Email  jayalekshmi.s94@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Aparna Chandran  
Designation  Assistant professor 
Affiliation  Pankajakasthuri Ayurveda Medical college and PG centre  
Address  Room No: 2 Department of kayachikitsa Pankajakasthuri Ayurveda Medical college and PG centre Killy Thiruvananthapuram

Thiruvananthapuram
KERALA
69972
India 
Phone  8075231774  
Fax    
Email  aparnabs94@gmail.com  
 
Source of Monetary or Material Support  
Pankajakasthuri Herbals India Pvt. Ltd, Poovachal, Trivandrum, Kerala-695575  
 
Primary Sponsor  
Name  Pankajakasthuri Herbals India Pvt Ltd  
Address  Poovachal Trivandrum Kerala Pin: 695575  
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 Kasthuri Nair A   Pankajakasthuri Ayurveda Medical college and PG centre   Room No 1 Department of Kayachikitsa Pankajakasthuri Ayurveda Medical college and PG centre Thiruvananthapuram Thiruvananthapuram KERALA
Thiruvananthapuram
KERALA 
8113851665

dr.kasthurinair@pkhil.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Independent Ethics Committee of Pankajakasthuri Herbal Research Foundation   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:D50||Iron deficiency anemia. Ayurveda Condition: PANDUROGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugOther than Classical(1) Medicine Name: Annabhedi Sindooram , Reference: NA, Route: Oral, Dosage Form: Capsules, Dose: 400(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 180 Days, anupAna/sahapAna: Yes(details: Lime juice), Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Subjects with Hb% less than 11 gm/dl.
2. Age group between 18 and 60 years.
 
 
ExclusionCriteria 
Details  1. Anemia secondary to disorders like liver cirrhosis, rheumatoid arthritis, uremia, or malignancies.
2. Sideroblastic anemia, thalassemia major or minor.
3. Iron deficiency anemia in pregnancy.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the change in Hb% over the study period at specific time points.  Baseline (0th Day): Initial Hb% measurement before the start of treatment.
90th Day: Intermediate Hb% measurement to assess ongoing response.
180th Day (End of Study): Final Hb% measurement to determine the overall effectiveness of the treatment.
 
 
Secondary Outcome  
Outcome  TimePoints 
Objective Parameters (CBC, Serum Ferritin, Reticulocyte Count)
Subjective Parameters (Fatigue, QoL, Symptom Assessment)
Safety Parameters (LFTs, RFTs, AEs): 
• Objective Parameters (CBC, Serum Ferritin, Reticulocyte Count):
o Assessed at Baseline and 180th Day.
• Subjective Parameters (Fatigue, QoL, Symptom Assessment):
o Evaluated at Baseline 90th Day and 180th Day.
• Safety Parameters (LFTs, RFTs, AEs):
o Measured at Baseline and 180th Day with continuous monitoring for safety concerns throughout the study duration.
 
 
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 
Date of First Enrollment (India)   18/11/2024 
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="10"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
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  

Anemia, characterized by a deficiency in red blood cells or hemoglobin, results in inadequate oxygen transport and manifests through symptoms such as fatigue, pallor, weakness, and shortness of breath. In the Ayurvedic context, this condition aligns with Pandu, where the function of Rasadhatvagni is significantly impaired. Various etiologies contribute to anemia, including nutritional deficiencies, chronic diseases, genetic disorders, and bone marrow pathologies. This study is designed as a single-arm clinical interventional trial, with an aim to evaluate the efficacy of Annabhedi Sindooram in improving hemoglobin levels in patients attending the OPD of Pankajakasthuri Ayurveda Medical College Hospital, specifically those with Hb% less than 11 gm/dl. The intervention involves administering Annabhedi Sindooram capsules at a dosage of 1-0-1 (A/F) with lime juice for 180 days. The primary outcome will focus on changes in hemoglobin levels, while secondary outcomes will encompass various subjective and objective measures of anemia, assessed at baseline and at defined intervals.

 
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