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CTRI Number  CTRI/2024/07/070191 [Registered on: 08/07/2024] Trial Registered Prospectively
Last Modified On: 07/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of Mahakalyanaka Ghrita and Panchagavya Ghrita in Generalized Anxiety Disorder and its Medical Astrology 
Scientific Title of Study   A Clinical and Comparative Study to Evaluate the Effect of Mahakalyanaka Ghrita and Panchagavya Ghrita in the Management of Chittodvega and its Medical Astrology Correlates 
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 Singh Divya 
Designation  Phd Scholar 
Affiliation  Banaras Hindu University 
Address  Department of Kayachikitsa Faculty of AYURVEDA IMS BHU Varanasi

Varanasi
UTTAR PRADESH
221005
India 
Phone  7776955534  
Fax    
Email  divyasingh.1312@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof KHHVSS Narasimha Murthy 
Designation  Professor 
Affiliation  Banaras Hindu University 
Address  Department of Kayachikitsa Faculty of AYURVEDA IMS BHU Varanasi

Varanasi
UTTAR PRADESH
221005
India 
Phone  9415813567  
Fax    
Email  k_narasimhamurthy@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Prof KHHVSS Narasimha Murthy 
Designation  Professor 
Affiliation  Banaras Hindu University 
Address  Department of Kayachikitsa Faculty of AYURVEDA IMS BHU Varanasi

Varanasi
UTTAR PRADESH
221005
India 
Phone  9415813567  
Fax    
Email  k_narasimhamurthy@yahoo.co.in  
 
Source of Monetary or Material Support  
Sir Sunderlal Hospital Faculty of Ayurveda Institute of Medical Sciences BHU Varanasi 
 
Primary Sponsor  
Name  Sir Sunderlal Hospital Department of Kayachikitsa Faculty of Ayurveda 
Address  Institute of Medical Sciences Banaras Hindu University Varanasi Uttar Pradesh India 
Type of Sponsor  Government 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 Singh Divya  Sir Sunderlal Hospital Institute of Medical Sciences, Banaras Hindu University  OPD No. 23, Manas Roga, Department of Kayachikitsa, Ayurveda wing, Institute of Medical Sciences, Banaras Hindu University, Varanasi UTTAR PRADESH
Varanasi
UTTAR PRADESH 
7776955534

divyasingh.1312@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Banaras Hindu University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:F411||Generalized anxiety disorder. Ayurveda Condition: UNMADAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Mahakalyanaka Ghrita, Reference: Ashtang Hridaya Uttarsthana 6/26-34, AFI page no. 94., Route: Oral, Dosage Form: Ghrita, Dose: 24(g), Frequency: od, Bhaishajya Kal: Abhakta, Duration: 2 Months, anupAna/sahapAna: Yes(details: warm water), Additional Information: -
2Comparator ArmDrugClassical(1) Medicine Name: Panchagavya Ghrita, Reference: Ashtang Hridaya Uttarsthana 7/18-19, AFI page no. 90., Route: Oral, Dosage Form: Ghrita, Dose: 24(g), Frequency: od, Bhaishajya Kal: Abhakta, Duration: 2 Months, anupAna/sahapAna: Yes(details: warm water), Additional Information: -
3Comparator Arm (Non Ayurveda)-EscitalopramDose-10mg, Route of Administration-Oral, Frequency-OD, Duration- 2 Months.
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients fulfilling the diagnostic criteria of DSM- V for Generalized Anxiety Disorder
and willing to sign the informed consent.
A. Excessive anxiety and worry (apprehensive expectation), occurring more days than
not for at least 6 months, about a number of events or activities (such as work or school
performance).
B. The individual finds it difficult to control the worry.
C. The anxiety and worry are associated with three (or more) of the following six symptoms (with at least some symptoms having been present for more days than not for the
past 6 months):
1. Restlessness or feeling keyed up or on edge.
2. Being easily fatigued.
3. Difficulty concentrating or mind going blank.
4. Irritability.
5. Muscle tension.
6. Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfying
sleep).
D. The anxiety, worry, or physical symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
E. The disturbance is not attributable to the physiological effects of a substance (e.g., a
drug of abuse, a medication) or another medical condition (e.g., hyperthyroidism).
F. The disturbance is not better explained by another mental disorder. 
 
ExclusionCriteria 
Details  1. Patients suffering from other Anxiety Disorders like- Separation Anxiety Disorder,
Social Anxiety Disorder, Specific Phobia, Panic Disorders.
2. Patients suffering from Substance or Medication Induced Anxiety.
3. Patients suffering from other psychiatric disorders like Depression, Bipolar Disorder.
4. Pregnant women. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Relief in sign and symptoms of the disease
The main sign and symptoms in the study are as
follows
1. Excessive Worry
2. Restlessness
3. Easily Fatigued
4. Difficulty in Concentration
5. Irritability
6. Muscle Tension
7. Sleep Disturbance
8. Depressed Mood
9. Diminished Interest/ Pleasure
10. Significant Weight Loss
11.Insomnia/Hypersomnia
12. Psychomotor Agitation/Retardation
13. Fatigue
14. Worthlessness/Guilt
15. Diminished Concentration
16. Recurrent Suicidal Ideation
Astrological appearance of Graha, Mahadasha, Antardasha in Lagna Chart in Horoscope of patients with Chittodvega will be studied.
 
60 days study with follow up of every 30 days 
 
Secondary Outcome  
Outcome  TimePoints 
Assessment of scoring of following scales
1.Symptom Rating Scale
2.Hamilton Anxiety Rating Scale 
60 days study with follow up of every 30 days 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
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 4 
Date of First Enrollment (India)   25/07/2024 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 - NO
Brief Summary  
150 clinically diagnosed patients of Chittodvega (Generalised Anxiety Disorder) will be registered and divided randomly into three groups with 50 patients in each group and following interventions will be done:
Group I (Control Group): Escitalopram 10mg
Group II: Mahakalyanaka Ghrita 24 grams
Group III: Panchagavya Ghrita 24 grams
 
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