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CTRI Number  CTRI/2024/08/072178 [Registered on: 08/08/2024] Trial Registered Prospectively
Last Modified On: 07/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To know the effect of vamana in the management of Kaphapradhana Vatarakta(Gouty Arthritis) 
Scientific Title of Study   A Randomized Controlled Clinical Trial To Evaluate the Efficacy of Mrduvamana in Kaphapradhana Vatarakta (Gouty Arthritis) 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anivilla L P Vijaya Swapnika 
Designation  Post Graduate Scholar, Department of Panchakarma 
Affiliation  Sri Jayendra Saraswathi Ayurveda College and Hospital 
Address  Room no 20, Second Floor, Department of Panchakarma, Sri Jayendra Saraswathi Ayurveda College and Hospital, Nazarathpet, Chennai, Thiruvallur, TAMIL NADU, India.

Thiruvallur
TAMIL NADU
600123
India 
Phone  9989413380  
Fax    
Email  swapnikaalpv18@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Praveen B S 
Designation  Vice Principal and Professor, Department of Panchakarma 
Affiliation  Sri Jayendra Saraswathi Ayurveda College and Hospital 
Address  Room no 20, Second Floor, Department of Panchakarma, Sri Jayendra Saraswathi Ayurveda College and Hospital, Nazarathpet, Chennai, Thiruvallur, TAMIL NADU, India.

Thiruvallur
TAMIL NADU
600123
India 
Phone  9964006795  
Fax    
Email  praveenbs29@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Praveen B S 
Designation  Vice Principal and Professor, Department of Panchakarma 
Affiliation  Sri Jayendra Saraswathi Ayurveda College and Hospital 
Address  Room no 20, Second Floor, Department of Panchakarma, Sri Jayendra Saraswathi Ayurveda College and Hospital, Nazarathpet, Chennai, Thiruvallur, TAMIL NADU, India.

Thiruvallur
TAMIL NADU
600123
India 
Phone  9964006795  
Fax    
Email  praveenbs29@rediffmail.com  
 
Source of Monetary or Material Support  
Department of Panchakarma, Sri Jayendra Saraswathi Ayurveda College and Hospital, Chennai, 600123.  
 
Primary Sponsor  
Name  Dr. Anivilla L P Vijaya Swapnika 
Address  Department of Panchakarma, Sri Jayendra Saraswathi Ayurveda College and Hospital, Chennai, 600123.  
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 Anivilla L P Vijaya Swapnika  Sri Jayendra Saraswathi Ayurveda College and Hospital  Room no 20, second floor, Department of Panchakarma, Sri Jayendra Saraswathi Ayurveda College and Hospital, Nazarathpet, Chennai, Thiruvallur, TAMIL NADU, India. 600123
Thiruvallur
TAMIL NADU 
9989413380

swapnikaalpv18@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Sri Jayendra Saraswathi Ayurveda College and Hospital, Department of Ayurveda, SCSVMV, Nazarathpet, Chennai. 600123  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E790||Hyperuricemia without signs of inflammatory arthritis and tophaceous disease. Ayurveda Condition: VATARAKTAM,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-MRDUVAMANA (Procedure Reference: Charaka Chikitsa 29th Chapter, Procedure details: Patient will be made to vomit by administering Vamaka dravya until attainment of 4 Vegas.)
(1) Medicine Name: Amrita Guggulu, Reference: Bhavaprakasha Madhyama Khanda, Route: Oral, Dosage Form: Guggulu, Dose: 500(mg), Frequency: bd, Duration: 60 Days
2Comparator ArmDrugClassical(1) Medicine Name: Amrita Guggulu, Reference: Bhavaprakasha Madhyama Khanda, Route: Oral, Dosage Form: Guggulu , Dose: 500(mg), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 60 Days, anupAna/sahapAna: Yes(details: - Sukhoshna jala), Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patient fit for Vamana karma.
Patients having signs and symptoms of Kaphapradhana Vatarakta (Gouty Arthritis). 
 
ExclusionCriteria 
Details  Patients already diagnosed with Rheumatoid arthritis, Osteoarthritis, Osteoarthritis overlapping Gouty arthritis.
Patients who are pregnant/ lactating women. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To reduce the signs and symptoms of Kaphapradhana Vatarakta (Gouty ArthritiS) assessed by using CDAI and improve Range of Movements of affected joint assessed by using Goniometer.  Patients from both the groups will be assessed after 15 days. 
 
Secondary Outcome  
Outcome  TimePoints 
To reduce serum uric acid levels   Patients from both the groups will be assessed on day 0 and day 60 
 
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)   26/08/2024 
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="2"
Months="0"
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) -  Google Scholar

  6. For how long will this data be available start date provided 20-08-2024 and end date provided 30-08-2026?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

Vatarakta is a disease characterized by Toda, Daha, Kandu, Sopha, Sthambha, Antarbrisha Arthi, Sphurana and Sparsha Asahishnutwa. Vatarakata is classified into Vata, Pitta, Kapha and Rakta Pradhana varieties other than Utthana and Gambhira varieties. The Kapha Pradhana  variety is characterized by Staimityam, Guruta, Supti, Snigdhatvam and Sheetata apart from Samanya Lakshana of Vatarakta. Gouty arthritis is a monoarticular arthropathy due to the

deposition of uric acid crystals within and around the joints. Gouty Arthritis is characterized by acute monoarthritic of rapid onset, severe pain, extreme tenderness, and marked swelling. The characteristic of the Gouty arthritis may be corelated to Kapha Pradhana Vatarakta in certain stages. Vamana Karma is a prime modality of treatment in treating diseases of Kapha. This is also beneficial in treating diseases where, Kapha is associated with Pitta and Kapha Sthanagata diseases. Vamana Karma is also performed in healthy persons as seasonal regimen. Mrduvamana is one of the treatment modalities explained in the management of Kaphapradhana Vatarakta. It might remove the rasagata Ama and thus may help in the recovery of the disease. Thus an attempt is made to evaluate the efficacy of Mrduvamana in Kaphapradhana Vatrakta (Gouty Arthritis).

 
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