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CTRI Number  CTRI/2024/07/071693 [Registered on: 31/07/2024] Trial Registered Prospectively
Last Modified On: 30/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Study To Assess The Efficacy Of Amlikakshar In Management of Mutrakrucchra With Special Reference To Urinary Tract Infection  
Scientific Title of Study   Randomised Controlled Clinical Study To Assess The Efficacy Of Amlikakshar In Management of Mutrakrucchra With Special Reference To Urinary Tract Infection 
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 Aishwarya Dilip Chavan 
Designation  PG Scholar 
Affiliation  LRP Ayurvedic Medical College and Hospital 
Address  LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre Department of Shalyatatra , Division 1, Room no 1, Islampur Sangli.

Sangli
MAHARASHTRA
415409
India 
Phone  9011368573  
Fax    
Email  chavanaishwarya777@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amit Ramchandra Shedge 
Designation  HOD Professor in Shalyatantra Department  
Affiliation  LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre Islampur  
Address  LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre Department of Shalyatantra , Division 1, Room no 1, Islampur Sangli.

Sangli
MAHARASHTRA
415409
India 
Phone  8888944733  
Fax    
Email  amit.shedage12@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Amit Ramchandra Shedge 
Designation  HOD Professor in Shalyatantra Department  
Affiliation  LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre Islampur  
Address  LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre Department of Shalyatantra , Division 1, Room no 1, Islampur Sangli.

Sangli
MAHARASHTRA
415409
India 
Phone  8888944733  
Fax    
Email  amit.shedage12@gmail.com  
 
Source of Monetary or Material Support  
LRP Ayurvedic Medical College and Hospital 
 
Primary Sponsor  
Name  Dr Aishwarya Dilip Chavan 
Address  LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre Islampur Sangli 
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 Aishwarya Dilip Chavan  LRP Ayurvedic Medical College   LRP Ayurvedic Medical College and Hospital Post Graduate Institute and Research Centre Department of Shalyatatra , Division 1, Room no 1, Islampur Sangli.
Sangli
MAHARASHTRA 
9011368573

chavanaishwarya777@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Loknete Rajarambapu Patil Ayurved Medical College Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:N300||Acute cystitis. Ayurveda Condition: MUTRAKRUCCRAM,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugClassical(1) Medicine Name: Amlikakshar, Reference: Ras Tarangini 13th tarang, Route: Oral, Dosage Form: Kshara , Dose: 625(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 7 Days, anupAna/sahapAna: Yes(details: Water), Additional Information: -
(2) Medicine Name: Yavakshar, Reference: Ras tarangini 13th tarang, Route: Oral, Dosage Form: Kshara , Dose: 625(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 7 Days, anupAna/sahapAna: Yes(details: Water), Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Inclusion Criteria
1. Patients having sign and symptoms of Mutrakruchra (Sadaha,
Saruja Mutrapravruti).
2. The age group between 18 to 60 years.
3. Patients irrespective of religion, sex and economical status 
 
ExclusionCriteria 
Details  Exclusion Criteria
1. Pregnancy & lactation
2. Prostate enlargement
3. Patients who having known case of any part of urinary tract,
Renal failure, chronic kidney diseases, Renal calculus, Nephritis,
Pyelonephritis.
4. Phimosis or paraphimosis.
5. Patients having known case of systemic illness like DM, HTN,
Asthma, HIV, HbsAg.
6. Patients who having autoimmune disorders 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
STUDY TO ASSESS THE EFFICACY OF
AMLIKAKSHAR IN MANAGEMENT OF MUTRAKRUCCHRA WITH SPECIAL
REFERENCE TO URINARY TRACT INFECTION IN AGE GROUP OF 18-60 FOR 15 DAYS

TO REDUCE THE SYMPTOMS OF URINARY TRACT INFECTION 
15 days study
follow up 1st, 2nd, 3rd, 4th, 5th, 6th,10th,15th day 
 
Secondary Outcome  
Outcome  TimePoints 
STUDY TO ASSESS THE EFFICACY OF
AMLIKAKSHAR IN MANAGEMENT OF MUTRAKRUCCHRA WITH SPECIAL
REFERENCE TO URINARY TRACT INFECTION IN AGE GROUP OF 18-60 FOR 15 DAYS

TO REDUCE THE SYMPTOMS OF URINARY TRACT INFECTION 
15 days study
follow up 1st, 2nd, 3rd, 4th, 5th, 6th,10th,15th days 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   10/08/2024 
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="0"
Months="6"
Days="0" 
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  
The term Mutrakruchhra comes under the disorders of Mutravaha
Srotas, description of this disease is mentioned in almost all classical texts. Mutra
is an outcome product of digestion of food and metabolism in the body it is passes
through urethra.
Acharya Charaka has described eight types of Mutrakruchhra. Charaka
has also mentioned eight type of Mutraghata. Mutraghata and Mutrakruchhra
separately described by Acharya Sushruta in Uttar-tantra. In Mutrakruchhra, the
vitiated Pitta Dosha along with Vata (mainly Apana Vayu) on reaching basti
(bladder) affects the Mutravaha Srotas due to which the patient feels difficulty in
micturition along with symptoms like Krucchra mutrata, Saraktamutrata,
Sadahamutrata, Sarujamutrata and Muhur-muhurmutrata.
It can be concluded that vyayama, vishamasan, rukshasevana, yanagamana are
causative factors for vataprakopa6 Tikshnaaushadha, amla sevana causes pitta
prakopa and Anupamansasevana, avyayama, adhyashan causes kaphaprakopa
So these Nidanas cause vitiation of Doshas along with Stroto-dushti of
Mutrvahastrotas. Stroto-dusti will cause kha-vaigunya in Mutravahasrotas. These
factor leads to Mutrakrucchra. The lakshanas of mutrakruchra such as
peetmutrata, sarakta mutrata, sarujamutrata, kruchramutrata, muhur muhur
mutrata are very much resembles to signs and symptoms of urinary tract
infection.
A healthy urinary tract is generally resistant to infections. However, for
anatomical reasons female lower urinary tract is more susceptible. Predisposing
factors for recurrent Urinary tract infection include female sex, obstructive
uropathy, severe vesico ureteric reflux, constipation, repeated catheterization
poor hygienic conditions, environment, poverty and illiteracy also contribute to
the increasing percentage of urinary tract infections.
Ayurveda samhitas have described many herbs that work on
mutravahastrotasdushti. Taking all these in consideration, I have selected
Amlikakshar which has special reference of giving it in Mutakrucchra. This kshar is
easily available and economically affordable.
 
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