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CTRI Number  CTRI/2024/08/072245 [Registered on: 09/08/2024] Trial Registered Prospectively
Last Modified On: 08/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   An Ayurvedic Management in improving the Quality of Life in Stage 4 cancer During Chemotherapy 
Scientific Title of Study   An Open Label Randomized Controlled Clinical Study to Evaluate the Efficacy of Khadirarishta and Chandraprabha vati as an Adjuvant in Improving Quality of Life of Subjects Udergoing Chemotherapy in Stage 4 Cancer 
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 Mahantagouda Shivanna Sasanoor 
Designation  PG Scholar 
Affiliation  JSS Ayurveda Medical College and Hospital 
Address  JSS Ayurveda Medical College and Hospital Lalithadripura Road Alanahalli Mysuru Karnataka India

Mysore
KARNATAKA
570028
India 
Phone  8971810174  
Fax  08212548360  
Email  mahantsasanoor74@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Beena M D 
Designation  Professor 
Affiliation  JSS Ayurveda Medical College and Hospital 
Address  Department of Kayachikitsa OPD 3 JSS Ayurveda Medical College and Hospital Lalithadripura Road Alanahalli Mysuru

Mysore
KARNATAKA
570028
India 
Phone  9538367282  
Fax  08212548360  
Email  drpbsreddy@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Beena M D 
Designation  Professor 
Affiliation  JSS Ayurveda Medical College and Hospital Lalithadripura Road Alanahalli Mysuru 
Address  Department of Kayachikitsa OPD 3 JSS Ayurveda Medical College and Hospital Lalithadripura Road Alanahalli Mysuru

Mysore
KARNATAKA
570028
India 
Phone  9538367282  
Fax  08212548360  
Email  drpbsreddy@yahoo.com  
 
Source of Monetary or Material Support  
JSS Ayurveda Medical College and Hospital Lalithadripura Road Alanahalli Mysuru - 570028 Karnataka India 
 
Primary Sponsor  
Name  Dr Mahantagouda S 
Address  OPD 3 Department of Kayachikitsa JSS Ayurveda Medical College and Hospital Lalithadripura Road Alanahalli Mysuru Karnataka India 570028 
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 Mahantagouda Shivanna Sasanoor  JSS Ayurveda Medical College and Hospital Lalithadripura Road Alanahalli Mysuru  Department Of Kayachikitsa OPD 3 JSS Ayurveda Medical College and Hospital Lalithadripura Road Alanahalli Mysuru
Mysore
KARNATAKA 
8971810174

mahantsasanoor74@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Clearance Committee - Human  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:D499||Neoplasm of unspecified behavior of unspecified site. Ayurveda Condition: ARBUDAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Khadirarishta, Reference: Sharangadhara Samhita, Route: Oral, Dosage Form: Arishta, Dose: 15(ml), Frequency: tds, Bhaishajya Kal: Adhobhakta, Duration: 90 Days, anupAna/sahapAna: Yes(details: -Jala), Additional Information: -
(2) Medicine Name: Chandraprabha vati, Reference: Sharangadhara Samhita, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 1(g), Frequency: tds, Bhaishajya Kal: Adhobhakta, Duration: 90 Days, anupAna/sahapAna: Yes(details: -Jala), Additional Information: -
2Comparator Arm (Non Ayurveda)-Standard Of CareMedicines given as prescribed by the Oncologist based on symptoms like Tab PAN 40mg orally once a day,Tab ONDEM orally once/twice a daily,Tab Folvite 5mg orally once a day, Tab Acetaminophen orally sos.Syp DUPHALAC 30ml orally HS etc.. for 3-5 days
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1)Subjects above 18 years of age, irrespective of gender, religion, socio- economic status, type and site of the cancer.
2)Who are undergoing chemotherapy in stage 4 cancer.
3)Subjects who are undergone 1or more cycles of chemotherapy.
 
 
ExclusionCriteria 
Details  1)Who Are Not Able To Take Oral Medicines
2)Terminally Ill Patients 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Improve The Quality Of Life  Every 15 days for 90 days 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in Karnofsky scale
Improve in Quality of Life  
Assessment will be at every 15 days till 90 days 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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/ Phase 4 
Date of First Enrollment (India)   19/08/2024 
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="5"
Days="30" 
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 - NO
Brief Summary  

A neoplasm or tumor is defined as a mass of tissue formed as a result of abnormal, excessive, uncoordinated, autonomous and purposeless proliferation of cells, even after removal of growth stimulus which caused 

It is the most dreadful, grave and tissue invasive disease which gradually hampers the quality of life, and decreases life expectancy and it is the second leading cause of death worldwide.

The estimated number of incident cases of cancer in India for the year 2022 was found to be 14,61,427 (crude rate:100.4 per 100,000). In India, one in nine people are likely to develop cancer in his/her lifetime. Lung and breast cancers were the leading sites of cancer in males and females, respectively. Among the childhood (0-14 year) cancers, lymphoid leukemia (boys: 29.2% and girls: 24.2%) was the leading site. The incidence of cancer cases is estimated to increase by 12.8 per cent in 2025 as compared to 2020.

By seeing the definition, signs and symptoms of cancer can be corelated with Arbuda and it is defined as swelling occurring in any part of the body due to vitiation of Tridosha, afflicting the Mamsa Dhatu, which is circular, fixed, slightly painful, big or wide spread, deep seated, slowly growing and non-suppurative.

Chemotherapy is the sheet anchor of therapy used in surgical embryonal tumors and as primary treatment in advanced cancers not amenable to surgery or radiation. The care for terminally ill cancer patients includes control of symptoms, control of pain, treatment of psychological disturbances, maintenance of quality of life.

The adverse effects due to chemotherapy remains at highest which includes anorexia, anaemia, nausea, hairloss, constipation, diarrhea, mood changes, easy bruising and infection, maximize their sufferings and deteriorates their quality of life.

It is the need of hour to improve the quality of life of subjects undergoing chemotherapy.

Khadirarishta and Chandraprabha Vati are two Ayurvedic formulations mentioned in Sharangadhara Samhita having direct indications in Arbuda, Gulma, Granthi, Pandu, Aruchi, agnimandya, Balya, Shoola, Pleehodara, Sarvarogahara with Rasayana effect can be administered to improve quality of life in subjects undergoing chemotherapy.

In present study, an effort is put forth to evaluate the efficacy of Khadirarishta and Chandraprabha Vati as an adjuvant in improving quality of life of cancer subjects who are undergoing Chemotherapy in stage 4 cancer.

 
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