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CTRI Number  CTRI/2025/03/083189 [Registered on: 24/03/2025] Trial Registered Prospectively
Last Modified On: 03/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study on Smriti Vibhramsha(Subjective Cognitive Impairment) with Amalakyadi rasayana and Guduchyadi rasayana 
Scientific Title of Study   An Etiopathological Study Of Smriti Vibhramsha With Special Reference To Subjective Cognitive Impairment And Comparative Therapeutic Evaluation Of Amalakyadi Rasayana And Guduchyadi Rasayana In Its Management 
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 Anusree V V 
Designation  PG Scholar 
Affiliation  National Institute of Ayurveda 
Address  Room no: 152, Department of Roga Nidana Evam Vikriti Vigyana , National Institute of Ayurveda

Jaipur
RAJASTHAN
302002
India 
Phone  9061675454  
Fax    
Email  anusreevv19@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Preeti Gavali 
Designation  Assistant Professor 
Affiliation  National Institute of Ayurveda 
Address  Roon No: 149, DepartmentNational Institute of Ayurveda, Madhav vilas palace, Amer road,Jaipur, Rajasthan 302002

Jaipur
RAJASTHAN
302002
India 
Phone  8851832017  
Fax    
Email  preeti.620@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Preeti Gavali 
Designation  Assistant Professor 
Affiliation  National Institute of Ayurveda 
Address  Roon No: 149, DepartmentNational Institute of Ayurveda, Madhav vilas palace, Amer road,Jaipur, Rajasthan 302002

Jaipur
RAJASTHAN
302002
India 
Phone  8851832017  
Fax    
Email  preeti.620@gmail.com  
 
Source of Monetary or Material Support  
NATIONAL INSTITUTE OF AYURVEDA, Jorawar Singh Gate, Amer Road,Jaipur- 302002(RAJ.)INDIA 
 
Primary Sponsor  
Name  National Institute of Ayurveda 
Address  Jorawar Singh Gate, Amer Road, Jaipur - 302002(RAJ.)INDIA 
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 
Dr Anusree V V  National Institute of Ayurveda  OPD 17, Department of Roga Nidana Evam Vikriti Vigyana, Jorawar Singh Gate, Amer Road
Jaipur
RAJASTHAN 
9061675454

anusreevv19@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, National Institute of Ayurveda  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Smriti vibhramsha 
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugClassical(1) Medicine Name: Guduchyadi rasayana, Reference: YR74/21, BR 73/22, CD 66/23, Route: Oral, Dosage Form: Churna/ Powder, Dose: 6(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 45 Days, anupAna/sahapAna: Yes(details: Ghrita), Additional Information: -
2Intervention ArmDrugClassical(1) Medicine Name: Amalakyadi rasayana, Reference: YR 74/17, Route: Oral, Dosage Form: Churna/ Powder, Dose: 6(g), Frequency: hs, Bhaishajya Kal: Adhobhakta, Duration: 45 Days, anupAna/sahapAna: Yes(details: Madhu), Additional Information: -
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients with symptoms of Smriti vibhramsa and Subjective Cognitive Impairment will be
enrolled after confirmation through Cognitive Assessment Questionnaire and MMSE.

Patients with courses characterized by gradual onset and continuing decline.

Patients with deficits represent a decline from a previous higher level of functioning. 
 
ExclusionCriteria 
Details  Subjects below 40 and above 70 yrs of age.

Subjects with any type of listed psychiatric disorders.

Known case of any neurological disease / Organic brain disease that accounts for the illness.

Known case of Epilepsy/ Schizophrenia/ Uremia

Pregnant women

Lactating mother

Subjects suffering from severe systemic diseases like T.B., cancer etc. will also be excluded. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Changes in the score of The Cognitive Assessment Questionnaire.

Changes in the score of The Mini Mental State Examination.
 
After 45 Days 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in the symptoms of the concerned disease.
 
After 45 Days 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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 2 
Date of First Enrollment (India)   02/06/2025 
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="0"
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  
Lifestyle changes and stressful circumstances has altered the psychological equilibrium of man. Hence, mental health promotion and management of various psychological and psychosomatic disorders are necessary. So, it is the need of the era to interpret the ancient concepts of Smriti with respect to modern medical and psychological sciences.
SCI has recently attracted renewed attention on the assumption that it could be the first notable manifestation in the preclinical stage of Alzheimer’s disease and dementia. In light of the projected increase of people living with dementia all over the world, there is a strong interest in early risk stages that may allow for early intervention or the prevention of dementia. 
At present, many modern drugs which are available for various mental disorders are not safe to use because of their serious adverse effects. Ayurveda considers ageing as an inevitable part of life which can be delayed and its ill effects can be minimized by use of specific therapeutic interventions like rasayanaRasayana has the potential to tackle the problems of neurodegeneration and its effect on cognition, thereby enhancing the quality of life of a person.
RESEARCH QUESTION a. What are the etiopathological factors contributing to Smriti vibhramsa with special reference to Subjective Cognitive Impairment in present time? b. Is there any difference in the efficacy of Amalakyadi rasayana and Guduchyadi rasayana in the patients of Smritikshaya with special reference to Subjective Cognitive Impairment? 
HYPOTHESIS 
Null Hypothesis [Ho] 
There is no difference in the efficacy of Amalakyadi rasayana and Guduchyadi rasayana in the patients of Smriti vibhramsa with special reference to Subjective Cognitive Impairment. 
Alternative Hypothesis [HA] 
There is difference in the efficacy of Amalakyadi rasayana and Guduchyadi rasayana in the patients of Smriti vibhramsa with special reference to Subjective Cognitive Impairment. 
AIMS 
To assess and compare the therapeutic efficacy of Amalakyadi rasayana and Guduchyadi rasayana in the management of Smriti vibhramsa with special reference to Subjective Cognitive Impairment.
OBJECTIVES 
Primary objectives To assess the comparative therapeutic efficacy of Amalakyadi rasayana and Guduchyadi rasayana in the management of Smriti vibhramsa with special reference to Subjective Cognitive Impairment. 
Secondary objectives
To study the etiopathogenesis of Smriti vibhramsa with special reference to Subjective Cognitive Impairment. 
To assess the therapeutic efficacy of Amalakyadi rasayana in the management of Smriti vibhramsa with special reference to Subjective Cognitive Impairment. 
To assess the therapeutic efficacy of Guduchyadi rasayana in the management of Smriti vibhramsa with special reference to Subjective Cognitive Impairment.

 
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