| CTRI Number |
CTRI/2024/12/077694 [Registered on: 05/12/2024] Trial Registered Prospectively |
| Last Modified On: |
02/12/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Ayurveda |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
A study to evaluate the efficacy of bodhivriksha (Ficus Religiosa) kashaya basti in the management of vatarakta w.s.r. gouty arthritis |
|
Scientific Title of Study
|
An open label randomized controlled trial to evaluate the efficacy of bodhivriksha (Ficus Religiosa) kashaya basti in the management of vatarakta w.s.r. to gouty arthritis |
| Trial Acronym |
Nill |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Nitish |
| Designation |
M D Panchkarma Scholar |
| Affiliation |
Institute for ayurved studies and research Shri krishana AYUSH university |
| Address |
Room no 29 1st floor
Institute for ayurved studies and research
Shri krishana AYUSH university
kurukshetra
Haryana
136118
India
Kurukshetra HARYANA 136118 India |
| Phone |
7015429162 |
| Fax |
|
| Email |
nk7876477@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Prof Dr Ashish Mehta |
| Designation |
Chairperson, PG Department of Panchkarma |
| Affiliation |
Institute for ayurved studies and research Shri krishana AYUSH university |
| Address |
Room no 67 1st floor
Institute for ayurved studies and research
Shri krishana AYUSH university
kurukshetra
Haryana
136118
India
Kurukshetra HARYANA 136118 India |
| Phone |
8950375285 |
| Fax |
|
| Email |
drashishhmehta@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Nitish |
| Designation |
M D Panchkarma Scholar |
| Affiliation |
Institute for ayurved studies and research Shri krishana AYUSH university |
| Address |
Room no 29 1st floor
Institute for ayurved studies and research
Shri krishana AYUSH university
kurukshetra
Haryana
136118
India
Kurukshetra HARYANA 136118 India |
| Phone |
7015429162 |
| Fax |
|
| Email |
nk7876477@gmail.com |
|
|
Source of Monetary or Material Support
|
| Institute for ayurved studies and research Shri krishana AYUSH university kurukshetra haryana 136118 india |
|
|
Primary Sponsor
|
| Name |
Institute for ayurved studies and research Shri krishana AYUSH university |
| Address |
Sector 8 Umri road kurukshetra
136118
Haryana
India |
| Type of Sponsor |
Government 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 Nitish |
Institute for Ayurved and studies and Research, Shri Krishna AYUSH University |
Room no. 29 first floor shri krishna AYUSH university hospital Umri road sector 8 kurukshetra Kurukshetra HARYANA |
07015429162
nk7876477@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional ethical committee of university |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition:M959||Acquired deformity of musculoskeletal system, unspecified. Ayurveda Condition: VATARAKTAM, |
|
|
Intervention / Comparator Agent
|
| sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | | 1 | Intervention Arm | Procedure | - | bastikarma/vastikarma, बसà¥à¤¤à¤¿à¤•रà¥à¤®/वसà¥à¤¤à¤¿à¤•रà¥à¤® | (Procedure Reference: Charak samhita chikitsa 29, Procedure details: Total 16 basti(yoga basti) will be given in 9 days (9 basti of murchita tila tailam in the evening & 6 bodhivriksha kashaya basti in morning empty stomach).) (1) Medicine Name: Bodhivriksha kashaya , Reference: Charak samhita chikitsa 29, Route: Rectal, Dosage Form: Kwatha/Kashaya, Dose: 160(ml), Frequency: od, Duration: 6 Days | | 2 | Comparator Arm (Non Ayurveda) | | - | Alllopurinol | Tablet allopurinol 300 mg hs for 10 days will be given. |
|
|
|
Inclusion Criteria
|
| Age From |
30.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
Patients willing to sign the conset form.
Patient between the age sub-group of 30-60 years of either sex.
Patients presenting with clinical features of vatarakta.
Assessment of gouty arthritis by assessment criteria.(ARA criteria and ACR and EULAR criteria)
Patient with chronicity of disease less than 2 years.
Patients fit for basti karma (basti yogya).
Serum uric acid range 6.00 mg/dl to 9.00 mg/dl. |
|
| ExclusionCriteria |
| Details |
Subjects with chronicity of disease more than 2 years.
Subjects of either sex age below 30 years and above 60 years.
The patients unfit for Basti Karma.
Patients having systematic pathologies like cardiac disease and hypertension.
Subjects with uncontrolled diabetes, systemic disorders and endocrine disorders.
Patients having tuberculosis of spine, spinal tumors, vertebral fractures, surgical conditions, and auto immune disease like ankylosing spondylitis.
Both groups: Rectal prolapse, Fever, Pregnant and lactating mothers etc.
Known case of Rheumatoid Arthritis, Psoriatic Arthritis, Patients with renal or hepatic impairment Serum creatinine more than 1.8mg/dl along with Serum Urea more than 60 mg/dl.
Patients requiring emergency treatment |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
| The proportion of patients showing improvement in the level of sr. uric acid post Basti karma. |
Ist- 0 Day.
IInd - After the completion of trial.
IIIrd- 10 days after Basti karma |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Reduction in the symptoms of patient like sandhi shotha (swelling), sandhi shool (pain),
stadabhta (stiffness) etc. as described in assessment criteria.
Reduction in CRP level of the patient.
Reduction in ESR level of the patient. |
Ist- 0 Day.
IInd - After the completion of trial.
IIIrd- 10 days after Basti karma |
|
|
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
|
N/A |
|
Date of First Enrollment (India)
|
01/01/2025 |
| 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="1" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
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
|
Vatarakta displays characteristics of modern-day gouty arthritis. Crystal arthropathy known as gouty arthritis is typically seen in middle-aged and older men and postmenopausal women. In 1848, Sir Alfred Garrod connected hyperuricemia to gout. The primary symptoms of hyperuricemia, a metabolic precursor of gout, are pain and swelling in the metatarsophalangeal joint and other major joints. The symptoms of gout include excruciating pain, warmth, redness, and tenderness in the joints as well as sensitivity to touch. Biochemically, gout is defined by extracellular fluid urate saturation, which is reflected in hyperuricemia in the blood, with urate concentrations in the plasma or serum above 6.0 mg/dL (or 400 micromol/L), which is the approximate limit of urate solubility. Primary Objective: To assess the effect of Bodhivriksha kashaya Basti karma in the reduction of Sr. Uric Acid level. patient assessment done according to criteria, if fit for trial and consent taken and proceeds with intervention according to patient group. |