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CTRI Number  CTRI/2025/02/081237 [Registered on: 24/02/2025] Trial Registered Prospectively
Last Modified On: 14/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Other 
Public Title of Study   Effect of Daily Purgation with Narayana Churna in Managing Non-Alcoholic Fatty Liver Disease 
Scientific Title of Study   Effect of Nitya Virechana with Narayana Churna in the Management of Non-Alcoholic Fatty Liver Disease (NAFLD) 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrSheejaS 
Designation  PG Scholar 
Affiliation  Govt Ayurveda College Hospital,Tripunithura 
Address  Department of Panchakarma, Government Ayurveda College Hospital,Tripunithura,Ernakulam
Govt Ayurveda College Hospital Tripunithura Ernakulam Kerala
Ernakulam
KERALA
682301
India 
Phone  9061774477  
Fax    
Email  doctorsheeja@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrSeenaS 
Designation  Professor and HOD, Department of Panchakarma , Government Ayurveda College Hospital,Tripunithura 
Affiliation  Govt Ayurveda College Hospital,Tripunithura 
Address  Department of Panchakarma, Government Ayurveda College Hospital, Tripunithura
Govt Ayurveda College Hospital Tripunithura Ernakulam Kerala
Ernakulam
KERALA
682301
India 
Phone  09447190133  
Fax    
Email  seenas279@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrSeenaS 
Designation  Professor and HOD, Department of Panchakarma , Government Ayurveda College Hospital,Tripunithura 
Affiliation  Govt Ayurveda College Hospital,Tripunithura 
Address  Department of Panchakarma ,Government Ayurveda College Hospital, Tripunithura
Govt Ayurveda College Hospital Tripunithura, Ernakulam ,Kerala
Ernakulam
KERALA
682301
India 
Phone  09447190133  
Fax    
Email  seenas279@gmail.com  
 
Source of Monetary or Material Support  
Government Ayurveda College Hospital,Tripunithura, Puthiyakavu, Ernakulam,Kerala, India.Pin-682301 
 
Primary Sponsor  
Name  Government Ayurveda College Tripunithura, Ernakulam 
Address  Government Ayurveda College Tripunithura,Puthiyakavu, Ernakulam, Kerala, India.Pin-682301 
Type of Sponsor  Government medical college 
 
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 
DrSheejaS  Government Ayurveda College Hospital  Department of Panchakarma, Govt Ayurveda College Hospital,Puthiyakavu, Tripunithura , Pin-682301 ,Ernakulam ,Kerala,India
Ernakulam
KERALA 
9061774477

doctorsheeja@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Committee for Ethics in Research, Government Ayurveda College,Tripunithura, Kochi, ,Kerala, India, Pin-682301  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K760||Fatty (change of) liver, not elsewhere classified. Ayurveda Condition: MEDOROGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-virecana-karma, विरेचन-कर्म (Procedure Reference: Ashtanga Hridaya, Procedure details: The patient will be administered 12 g Narayana churna at bed time with hot water.)
(1) Medicine Name: Narayana churna, Reference: Ashtanga hridaya, Route: Oral, Dosage Form: Churna/ Powder, Dose: 12(g), Frequency: hs, Duration: 1 Months
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  Subject among age group 30-55 who are diagnosed as fatty liver Grade 1and 2, diagnosed by USG and Fibroscan in a sub group at the OPD and IPD of Govt. Ayurveda College Hospital ,Tripunithura. 
 
ExclusionCriteria 
Details  1.Known cases of Major Systemic illness
2.Known cases of Malignancy
3.Known cases of Portal hypertension
4.Known cases of Splenomegaly
5.Pregnant and lactating women
6.Subjects having Mridu koshta
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Change in the grade
of fatty liver as observed through USG Abdomen 
30 days 
 
Secondary Outcome  
Outcome  TimePoints 
1. Change in the score
of NAFLD fibrosis score
2. Change in the Liver function test
(LFT).
3.Change in the Lipid profile
4.Assessing Samyak virechana lakshana
5. Change in the stiffness of liver as observed through Elastography of liver in a sub group 
30 days 
 
Target Sample Size   Total Sample Size="28"
Sample Size from India="28" 
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 4 
Date of First Enrollment (India)   08/03/2025 
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 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   This trial is conducted to assess the Effect of Nitya Virechana with Narayana Churna  in the Management of Non alcoholic Fatty Liver Disease. During the intervention the participants will be given 12 g Narayana Churna with hot water at bed time for a period of  30 days as Nitya Virechana.The study will be conducted in Government Ayurveda College Hospital, Tripunithura having laboratory and USG facility which makes the study more feasible .The study design is pre and post- study .A sample of 28 will be selected based on inclusion and exclusion  criteria.The subjects will be  administered Narayana churna for the first 10 days  on IP basis and the remaining duration  on OP basis. The assessment of Virechana will be done daily basis.They will be subjected to detailed clinical evaluation and investigation including USG Abdomen, LFT, Lipid profile ,Platelet, Electrolyte, RFT and FBS. Fibrosis score will also be calculated .Elastography will be done for a sub group. USG and Elastography will be done before and after the treatment. All the above blood tests will be checked on 10 th, 20 th ,30 th and 60 th day.  Data collection will be done through case proforma,USG abdomen , blood tests and elastography in a sub  group.Data collected will be statically analysed through appropriate tests and conclusion will be drawn. 
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