| CTRI Number |
CTRI/2024/08/072983 [Registered on: 27/08/2024] Trial Registered Prospectively |
| Last Modified On: |
23/08/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Ayurveda |
| Study Design |
Single Arm Study |
|
Public Title of Study
|
Interventional study on the effect of Shatapushpa Arka for Managing Menstrual Cramps in Young Women Participants. |
|
Scientific Title of Study
|
Clinical study to evaluate the effect of Shatapushpa Arka in the management of Primary Dysmenorrhea in young adult females. |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Sharanya CB |
| Designation |
UG Scholar |
| Affiliation |
SDMIAH BANGALORE |
| Address |
SDM Institute of Ayurveda and Hospital Anchepalya Kumbalagodu Post Bengaluru-Mysore Highway Bengaluru- 560074
Bangalore KARNATAKA 560074 India |
| Phone |
9741700359 |
| Fax |
|
| Email |
20a4406@sdmayurbangalore.in |
|
Details of Contact Person Scientific Query
|
| Name |
Sharanya CB |
| Designation |
UG Scholar |
| Affiliation |
SDMIAH BANGALORE |
| Address |
SDM Institute of Ayurveda and Hospital Anchepalya Kumbalagodu Post Bengaluru-Mysore Highway Bengaluru- 560074
Bangalore KARNATAKA 560074 India |
| Phone |
9741700359 |
| Fax |
|
| Email |
20a4406@sdmayurbangalore.in |
|
Details of Contact Person Public Query
|
| Name |
Sharanya CB |
| Designation |
UG Scholar |
| Affiliation |
SDMIAH BANGALORE |
| Address |
SDM Institute of Ayurveda and Hospital Anchepalya Kumbalagodu Post Bengaluru-Mysore Highway Bengaluru- 560074
Bangalore KARNATAKA 560074 India |
| Phone |
9741700359 |
| Fax |
|
| Email |
20a4406@sdmayurbangalore.in |
|
|
Source of Monetary or Material Support
|
| Rajiv Gandhi University of Health Sciences.
2, 30th Cross Rd, opp. Sagar Hospital, 4th T Block East, Pattabhirama Nagar, Jayanagar, Bengaluru, Karnataka 560041. |
|
|
Primary Sponsor
|
| Name |
Rajiv Gandhi University of Health Sciences |
| Address |
12, 30th Cross Rd opposite to Sagar Hospital 4th T Block East Pattabhirama Nagar Jayanagar Bengaluru Karnataka 560041 |
| Type of Sponsor |
Government funding agency |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Smitha Jain |
SDM Institute of Ayurveda and Hospital Bangalore |
Department of Rasashastra, Ground floor, OPD No.25.
Anchepalya Kumbalagodu Post Bengaluru-Mysore Highway Bengaluru-560074 Bangalore KARNATAKA |
9480063676
sdmcabh@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition:N944||Primary dysmenorrhea. Ayurveda Condition: UDAVARTINI, |
|
|
Intervention / Comparator Agent
|
| sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | | 1 | Intervention Arm | Drug | Classical | | (1) Medicine Name: Shatapushpa Arka/Mishreya Arka, Reference: Arka Prakasha Tritiya Shataka Shloka 11 , Route: Oral, Dosage Form: Arka, Dose: 10(ml), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 5 Days, anupAna/sahapAna: Yes(details: Jala), Additional Information: 10 milliliters of Shatapushpa Arka will be administered orally twice a day after food with 20 milliliters of warm water for two menstrual cycles from 2 days prior to expected date of menstruation till the third day of menstruation. |
|
|
|
Inclusion Criteria
|
| Age From |
20.00 Year(s) |
| Age To |
24.00 Year(s) |
| Gender |
Female |
| Details |
Single (unmarried), young adult females between 20 and 24 years of age.
Subjects having regular menstrual cycles in the interval of 21–35 days and bleeding duration of 3-7 days.
Subjects suffering from pain during menstruation for more than 2 consecutive menstrual cycles.
Lower abdominal and pelvic pain associated with onset of menses.
Onset of pain within 6–12 hours after onset of menses and pain lasting for 9–72 hours.
Subjects of Grade 1, 2 and 3 on the Verbal Multidimensional Scoring (VMS) System.
|
|
| ExclusionCriteria |
| Details |
Female subjects with known history of Secondary Dysmenorrhea, Pelvic pathology, endometriosis, tubercular endometritis, polycystic ovarian syndrome.
Female subjects with known history of thyroid, pituitary and hypothalamic abnormalities, general diseases like tuberculosis, nephritis, diabetes and heart diseases.
History of any other surgical and neurological condition or surgery resulting in Dysmenorrhea.
|
|
|
Method of Generating Random Sequence
|
Not Applicable |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
Reduction in spasmodic lower abdominal pain as assessed in VMSS.
|
Mentruation related spasmodic lower abdominal pain relief within 3 days of administration of trial drug.
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Reduction in Associated Symptoms of Primary Dysmenorrhea as assessed in CMSS. |
Relief within 3 days of administration of trial drug.
|
|
|
Target Sample Size
|
Total Sample Size="30" Sample Size from India="30"
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)
|
03/09/2024 |
| 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="3" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Closed to Recruitment of Participants |
|
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
|
Dysmenorrhea is a common gynecological complaint among adolescent and young adult females. Dysmenorrhea is usually primary and is associated with normal ovulatory cycles and with no pelvic pathology. Primary Dysmenorrhea (ICD 10 diagnosis code- N94.4) refers to the presence of recurrent cramping pain in the lower abdomen during menstruation. Primary Dysmenorrhea (PD) negatively impacts the Quality of Life by hampering the productivity and ability to perform their day to day activities. A cross-sectional study has shown 70.2% prevalence of dysmenorrhea in South Indian females aged 11-28 years. The goal of treatment is to provide adequate relief of pain. In contemporary science, NSAIDs, especially mefenamic acid, are the treatment of choice for Dysmenorrhoea. However they impart certain adverse effects, including indigestion, headaches and drowsiness etc. Due to the rising awareness about the substantial risk of adverse effects of these NSAIDs, considerable numbers of patients approach for Ayurvedic treatment. Hence Dysmenorrhea is one of the common clinical entities encountered in regular Ayurvedic practice. In Ayurvedic classics, dysmenorrhea can be termed as Kashtartava. Kashtartava is a symptom in disease Udavartini Yonivyapat. Ayurveda denotes the involvement of Vata in all different kinds of pain. The function of Apana Vayu is ensuring physiological downward expulsion of Artava. So any de-arrangement of Apana Vata causes painful menstruation. Therefore to reduce the symptoms of pain, Vata Anulomana (Normal course of movement of Vata) and Vatahara (Vata-pacifying), is the choice of treatment. Many Dravyas are mentioned in Ayurvedic Classics for Kashtartava, out of which Shatapushpa is one of them. Shatapushpa (Anethum graveolens Linn.) can be used in treatment of pain and other associated symptoms of dysmenorrhea as it is Vatahara, Yoni Shulaghna and also Vata Anulomana. Clinical trials on Shatapushpa in the form of Phala Churna and Shatapushpyadi Taila have proven significant effects in the management of Kashtartva. Phytochemical constituents of Anethum graveolens Linn. include volatile components, coumarins, terpenoids, flavonoids, phenolic acids and steroids. The terpenoid-carvone has antispasmodic effect. The flavonoid quercetin also has the ability to reduce PGF2α-elicited Ca2+ responses in human uterine smooth muscle cells and inhibit Ca2+-dependent uterine contractions. Other volatile compounds like α-phellandrene, limonene have analgesic effects too . Arka Kalpana is a unique pharmaceutical preparation in Ayurveda in which the volatile oil and active principles of a drug are collected by the process of distillation. Arka is the most efficacious and stable dosage form as explained in Arka Prakasha. So this study aims to administer Shatapushpa in the form of Arka (distillate). Hence this study is intended to evaluate the effect of Shatapushpa Arka in the management of PD in young adult females. |