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CTRI Number  CTRI/2024/12/078428 [Registered on: 23/12/2024] Trial Registered Prospectively
Last Modified On: 03/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Ayurvedic management of fungal infection of ear. 
Scientific Title of Study   Effect of Gomutra Arka Karnapoorana on Fungal growth of Otomycosis w. r. t Karnasrava - A Randomised Controlled Clinical Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  shashikala khadabadi 
Designation  Associate professor  
Affiliation  Shree jagadguru Gavisiddheshwara Ayurvedic medical collage and hospital 
Address  Shalakyatantra OPD, Room No 41
Gavimath Campus, Koppal
Koppal
KARNATAKA
583231
India 
Phone  08951315404  
Fax    
Email  shashikalakhadabadi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Savita S Angadi  
Designation  Professor  
Affiliation  KAHER’s Shri B.M.K Ayurveda Mahavidyalaya 
Address  Shahapur
Belagavi
Belgaum
KARNATAKA
590003
India 
Phone  7411213286  
Fax    
Email  savitaangadi484@gmail.com  
 
Details of Contact Person
Public Query
 
Name  shashikala khadabadi 
Designation  Associate professor 
Affiliation  shree jagadguru Gavisiddheshwara Ayurvedic medical collage and hospital 
Address  Shalakyatantra OPD, Room No 41
Gavimath Campus , Koppal
Koppal
KARNATAKA
583231
India 
Phone  8951315404  
Fax    
Email  shashikalakhadabadi@gmail.com  
 
Source of Monetary or Material Support  
Shree Jagdguru Gavisiddheswara Ayurveda Medical college ,Koppal, Karnataka, 583231 India 
 
Primary Sponsor  
Name  Dr Shashikala Khadabadi 
Address  Shalakyatantra OPD, Room No 41 Shree Jagadguru Gavisiddeshwara Ayurvedic Medical college and Hospital, Koppal 583231 
Type of Sponsor  Other [Self] 
 
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 Shashikala Khadabadi  Shree Jagadguru Gavisiddeshwara Ayurvedic Medical college and hospital  Shalakytantra OPD, Room No 41 Gavimath road
Koppal
KARNATAKA 
8951315404

shashikalakhadabadi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KAHER ethical committee(Human) for Ph.D research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:H603||Other infective otitis externa. Ayurveda Condition: KARNA-SRAVAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-karNapUraNam, कर्णपूरणम् Pradhan Karma(Procedure Reference: sharangadhara samhita , Procedure details: Patients will be treated using GomutraArka karnapoorana for 100 matra kaala(2.4mins) for 15 days with the interval of 5 days)
(1) Medicine Name: Gomutra arka , Reference: sushruta samhita , Route: Topical, Dosage Form: Arka, Dose: 1(ml), Frequency: od, Duration: 15 Days
2Comparator ArmProcedure-karNapUraNam, कर्णपूरणम् (Procedure Reference: sharangadhara samhita , Procedure details: Patients will be treated using Arka taila karnapoorana daily for 100 matra kaala(2.4mins) for 15 days with the interval of 5 days)
(1) Medicine Name: Arka taila , Reference: sharangadhara samhita , Route: Topical, Dosage Form: Taila, Dose: 1(ml), Frequency: od, Duration: 15 Days
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Clinically diagnosed cases of otomycosis
2. Willing to give consent
 
 
ExclusionCriteria 
Details  1. Patient with Otitis Media.
2. Other otitis externa.
3. Post-operative cases of ear surgery.
4. Structural ear anomalies that make assessment of therapeutic response difficult.
5. Uncontrolled diabetes mellitus and Hypertension
6. Known cases of other systemic illness
7. Pregnancy and lactating women
8. Patients using concomitant medicines that may interfere with the study evaluations 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction in fungal growth   15 days  
 
Secondary Outcome  
Outcome  TimePoints 
Reduction of itching in ear   15 days  
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   15/01/2025 
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="2"
Months="0"
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  

Effect of Gomutra Arka Karnapoorana on Fungal growth of Otomycosis w. r. t Karnasrava - A Randomised Controlled Clinical Trial

 

Otomycosis is a common superficial fungal infection that affects the external auditory canal (EAC). The infection is present globally, with prevalence ranging from 9% to 30% in patients with the signs and symptoms of EAC infection. The most common causative agents of otomycosis are Molds of the genus Aspergillus and yeasts of the genus Candida, particularly Aspergillus (A.) Niger complex and Candida (C.) albicans. Intense itching, discomfort or pain in the ears, watery discharge with musty odour, reduced hearing and fungal mass are the main signs and symptoms of otomycosis. Treatment of otomycosis includes local therapy as Aural toileting and anti- fungal agents with steroid formulations. This line of treatment can revert the otomycosis which involves some potential side effects.  The clinical features of otomycosis are similar to karnasrava explained in Ayurveda classics. Treatment protocol of Karnasraava includes shirovirechna, dhupana, purana, pramarjana, dhavana (Raajavrukshadigana ,Surasaadigana),avachurnana (manashila, lodhra) and Karanpurana .

In this study Gomutra arka, which has antifungal property is chosen for the karnapoorana. Arka taila  karnapoorana is taken as control group.

Methodology:  clinically diagnosed patients of otomycosis fulfilling inclusion criteria will be Randomly allocated to study groups using Computerised Randomization chart with informed consent. Patients allocated to Group A(Trial) will be treated using GomutraArka karnapoorana and  Group B (Control) will be treated with Arka taila karnapoorana daily for 100 matra kaala(2.4mins) for 15 days with the interval of 5 days. Patients will be assessed on day 1,15,30 and 45 for itching scale, otalgia, otorrhia and fungal mass. Any ADR will be addressed.

 


 
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