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CTRI Number  CTRI/2025/02/080086 [Registered on: 07/02/2025] Trial Registered Prospectively
Last Modified On: 06/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Homeopathy 
Study Design  Single Arm Study 
Public Title of Study   Homoeopathic treatment of CSOM 
Scientific Title of Study   To evaluate the effectiveness of Calcarea Group in the management of Chronic Suppurative Otitis Media: An Open Label Prospective Clinical Study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Tulika 
Designation  Postgraduate Trainee 
Affiliation  State National Homoeopathic Medical College and Hospital 
Address  Department of Homoeopathic Materia Medica, State National Homoeopathic Medical College and Hospital,1- Viraj Khand, Gomtinagar Lucknow

Lucknow
UTTAR PRADESH
226010
India 
Phone  8009233733  
Fax    
Email  jaiswaltulika98@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anirudh Kumar 
Designation  Reader 
Affiliation  State National Homoeopathic Medical College and Hospital 
Address  Department of Homoeopathic Materia Medica, State National Homoeopathic Medical College and Hospital,1- Viraj Khand, Gomtinagar Lucknow

Lucknow
UTTAR PRADESH
226010
India 
Phone  8953883449  
Fax    
Email  Kumardranirudh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anirudh Kumar 
Designation  Reader 
Affiliation  State National Homoeopathic Medical College and Hospital 
Address  Department of Homoeopathic Materia Medica, State National Homoeopathic Medical College and Hospital,1- Viraj Khand, Gomtinagar Lucknow

Lucknow
UTTAR PRADESH
226010
India 
Phone  8953883449  
Fax    
Email  Kumardranirudh@gmail.com  
 
Source of Monetary or Material Support  
State National Homoeopathic Medical College and Hospital, 1-Viraj Khand, Gomtinagar Lucknow-226010, Uttar Pradesh, India  
 
Primary Sponsor  
Name  Tulika 
Address  Department of Homoeopathic Materia Medica, State National Homoeopathic Medical College and Hospital, 1-Viraj Khand, Gomtinagar Lucknow 
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 Tulika  State National Homoeopathic Medical College and Hospital  OPD-7, Department of Homoeopathic Materia Medica, State National Homoeopathic Medical College and Hospital, 1- Viraj Khand Gomtinagar, Lucknow-226010
Lucknow
UTTAR PRADESH 
8009233733

jaiswaltulika98@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Institutional Ethical Committee State National Homoeopathic Medical College and Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H652||Chronic serous otitis media,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Individualize Calcarea Group Homoeopathic Medicine  Intervention- The Calcarea group will be selected according to the totality of symptoms. Dosage- Medicine will be given in varying potencies of decimal/ centesimal/ millesimal scales as identified from detailed case taking.Each dose shall consist of cane sugar medicated with single medicine. Route-Medicine will be administered via oral route. Dosage and repetition will depend upon the individual requirement of the cases as per the guidelines from organon of medicine. The patient will be called for follow up after every 15 days and final assessment will be done after 6 months. At every follow up after reexamining the case it will be decided whether the patient will receive a dose of individualized homoeopathic medicine or placebo.  
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Patients both male and female will be included in the study.
2.Cases of patients between 2-50 yrs of age.
3.Patients with clinical symptomatology like otalgia and otorrhea with or without hearing disturbances.
4.Cases with duration of discharge more than six weeks used to make the diagnosis.
5.Patients who are willing to fill consent form.
6.Patient taking no other treatment for CSOM.
 
 
ExclusionCriteria 
Details  1.Patients who are not willing to give their consent for study and not complying regular follow up.
2.Cases with advanced pathology like Cholesteatoma, epidural abscess, meningitis or which requires major surgical interventions.
3.Pregnant and lactating women.
4.Patients with unstable psychiatric illness or other life-threatening systemic disease.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To compare the COMOT-15 score at the baseline and after 6 months of treatment to know the effectiveness of Calcarea group.  12 weeks, 24 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
The aims to assess the effectiveness of the primary medicine from the Calcarea group in cases of Chronic Suppurative Otitis Media (CSOM) and will assist in the clinical validation of the symptoms associated with the prescribed Calcarea group medicine.  12 weeks, 24 weeks 
 
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   N/A 
Date of First Enrollment (India)   20/02/2025 
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 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   CSOM is a chronic ear infection marked by ear discharge and a permanent perforation of the tympanic membrane. CSOM can result in hearing loss, middle ear inflammation, and ossicular damage. The chronic nature of CSOM, with poor responses to conventional treatments like antibiotics, highlights the need for alternative therapies like homeopathy. CSOM affects millions, causing preventable hearing loss. In countries like India, the prevalence is high, especially in rural areas. Modern treatments are often ineffective, prompting the search for alternative options. Homeopathy, which focuses on individualized treatments, may offer a potential solution. 

This study aims to evaluate the effectiveness of homeopathic remedies from the Calcarea group in managing Chronic Suppurative Otitis Media (CSOM), a long-lasting ear infection that causes ear discharge, hearing loss, and tympanic membrane perforation. Current treatments are often ineffective, particularly in the long term, highlighting the need for alternative therapies like homeopathy. The study will involve 30 patients with CSOM, aged 2-50 years, who will receive homeopathic treatment based on detailed case-taking. Their progress will be monitored using the Chronic Otitis Media Outcome Test-15 (COMOT-15), which assesses their quality of life. Patients will be followed up for six months, with regular assessments and data analysis to determine the treatment’s effectiveness.

The study aims to demonstrate that remedies from the Calcarea group can significantly improve symptoms of CSOM, such as ear discharge and hearing loss, and contribute to homeopathic practice in treating this condition. This study aims to assess the effectiveness of the primary medicine from the Calcarea group in cases of Chronic Suppurative Otitis Media (CSOM) and will assist in the clinical validation of the symptoms associated with the prescribed Calcarea group medicine.

 
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