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CTRI Number  CTRI/2024/07/071425 [Registered on: 26/07/2024] Trial Registered Prospectively
Last Modified On: 25/07/2024
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   A clinical trial to assess the effect of darvi siddha tail in Reducing Symptoms of Cracked Nipples in Breastfeeding Women 
Scientific Title of Study   A randomised controlled clinical trial to study the effect of darvi siddha tail in stanachuchuka vrana in sutikavastha with special reference to cracked nipples. 
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 Pooja Prabhakar Chougule  
Designation  PG student  
Affiliation  SMBT Ayurved College and Hospital  
Address  Department of Prasuti Tantra Evum Striroga SMBT Ayurved College and Hospital Dhamangaon Nashik Nashik Maharashtra 422403 India

Nashik
MAHARASHTRA
422403
India 
Phone  7083858576  
Fax    
Email  poojachougule2121@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prashant Subhash Patil 
Designation  Associate professor  
Affiliation  SMBT Ayurved College and Hospital  
Address  Department of Prasuti Tantra Evum Striroga SMBT Ayurved College and Hospital Dhamangaon Nashik Nashik Maharashtra 422403 India
Department of Prasuti Tantra Evum Striroga SMBT ayurved college and hospital Dhamangaon Nashik Nashik
Nashik
MAHARASHTRA
422403
India 
Phone  9923601819  
Fax    
Email  drpp210@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pooja Prabhakar Chougule  
Designation  PG student  
Affiliation  SMBT Ayurved College and Hospital  
Address  Department of Prasuti Tantra Evum Striroga SMBT Ayurved College and Hospital Dhamangaon Nashik Nashik Maharashtra 422403 India

Nashik
MAHARASHTRA
422403
India 
Phone  7083858576  
Fax    
Email  poojachougule2121@gmail.com  
 
Source of Monetary or Material Support  
Department of prasuti tantra evum striroga SMBT ayurved college and hospital Dhamangaon Nashik 422403 India  
 
Primary Sponsor  
Name  Dr Pooja Prabhakar Chougule  
Address  Department of Prasuti Tantra Evum Striroga SMBT Ayurved College and Hospital Dhamangaon Nashik Nashik 422403 India  
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
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 Pooja Prabhakar Chougule   SMBT ayurved college and hospital   OPD no.4 department of Prasuti Tantra Evum Striroga SMBT Ayurved College and Hospital Dhamangaon Nashik Nashik Maharashtra
Nashik
MAHARASHTRA 
7083858576

poojachougule2121@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SMBT ayurved college and hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:O921||Cracked nipple associated with pregnancy, the puerperium, and lactation. Ayurveda Condition: SUTIKAROGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Darvi siddha tail, Reference: Chakradatta chp.44 /91-92, Route: Topical, Dosage Form: Taila, Dose: 2(ml), Frequency: qid, Bhaishajya Kal: Muhurmuhu, Duration: 7 Days, anupAna/sahapAna: No, Additional Information: After breastfeeding session
2Comparator Arm (Non Ayurveda)-Nipcare ointment It contains lanolin Procedure - use after breastfeeding session and before each breastfeeding session wipe out the area with lukewarm water for 7days
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  The signs and symptoms of stanachuchuka vrana like cracked nipple, nipple pain during breastfeeding, irritation of nipples, redness .
Postnatal mothers with the age of 18-35 years 
 
ExclusionCriteria 
Details  Mastitis
Breast abscess
Congenital deformity like nipple inversion. 
 
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 
Reduction in signs and symptoms of stanachuchuka vrana after application of darvi siddha tail   7days 
 
Secondary Outcome  
Outcome  TimePoints 
When the trial group stands in comparison with control group   18 months  
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   05/08/2024 
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="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   The prevalence rate of cracked nipple in breastfeeding during postpartum period is 32% .
In modern science treatment of cracked nipple is lanolin cream, corticosteroid creams which has its own side effects.
Use of these creams for long term causes thinning of skin, skin burning, stinging, irritation, baby’s mouth develops sores or redness.
In ayurvedic text convenient external medication like ghrita, tail applications are mentioned which are non invasive and effective.
Darvi siddha tail has properties like vranashodhaka and vranaropaka, drugs are easily available and cost effective and has more efficient properties to heal stanachuchuka vrana.Since no work has been done on Darvi Siddha Tail in stanachuchuka vrana i.e cracked nipples in sutikavastha and no comparative has been conducted out.So it will help to fill knowledge gap .
Including the married female patient having sign and symptoms of stanachuchuka vrana like stanachuchuka shula, rukshatva between age group of 18-35 year who fulfill clinical diagnostic criteria. Written consent is taken from patient to ensure ethical compliance and transparency in research process. Sample size calculated is 35 each group by using formula by Daniel 1999. Simple random sampling technique will be used. Total 70 number of patients will be divided in two group named as Group A (trial group and Group B (control group). Darvi siddha tail for topical application to group A (Trial group), Nipcare ointment for topical application to group B (control group) will be given to patients. Drugs will be purchased from GMC certified pharmacy. Both drugs will be administered for 7 days. All SOP of tail preparation and drug application procedure will be followed throughout the clinical trial. Observation will be done on Oth and 7th day of treatment.
Result will be drawn on basis of assessment criteria and statistical analysis. Discussion will be done on the basis of observation and result obtained during treatment. Summary will be drawn, and thesis work will be summarized with the help of statistical analysis. Conclusion will be drawn out.
 
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