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CTRI Number  CTRI/2025/03/082027 [Registered on: 10/03/2025] Trial Registered Prospectively
Last Modified On: 10/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Clinical Study on the Efficacy of Virechana followed by Bruhat Panchamoola Kashaya in the Management of impaired cholesterol levels 
Scientific Title of Study   An Open Label Randomised Controlled Clinical Study to Evaluate the Efficacy of Virechana followed by Bruhat Panchamoola Kashaya in the Management of Dyslipidemia 
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 Sai Sudha C S 
Designation  PG Scholar 
Affiliation  JSS Ayurveda Medical College 
Address  #82, Sri Sai Annapoorna, 2nd main, 2nd cross, Kandaayanagar, Srirampura, 2nd stage, Mysuru
41/E, Lalithadripura Road, Alanahalli, Mysuru, 1st floor, Department of PG Studies in Kayachikitsa
Mysore
KARNATAKA
570023
India 
Phone  9945416262  
Fax    
Email  saisudha1300@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajesh A Udapudi 
Designation  Professor and HoD 
Affiliation  JSS Ayurveda Medical College and Hospital, Mysuru 
Address  JSS Ayurveda Medical College and Hospital, 1st floor, Department of PG Studies in Kayachikitsa, 41/E, Lalithadripura Road, Alanahalli, Mysuru

Mysore
KARNATAKA
570028
India 
Phone  9844136277  
Fax    
Email  drrajeshudapudi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rajesh A Udapudi 
Designation  Professor and HoD 
Affiliation  JSS Ayurveda Medical College and Hospital, Mysuru 
Address  JSS Ayurveda Medical College and Hospital, 1st floor, Department of PG Studies in Kayachikitsa, 41/E, Lalithadripura Road, Alanahalli, Mysuru

Mysore
KARNATAKA
570028
India 
Phone  9844136277  
Fax    
Email  drrajeshudapudi@gmail.com  
 
Source of Monetary or Material Support  
Dr Sai Sudha C S 82, Sri Sai Annapoorna, 2nd main, 2nd cross, Kandaayanagar, Srirampura, 2nd stage, Mysuru-570023, Karnataka, India 
 
Primary Sponsor  
Name  Dr Sai Sudha C S 
Address  82, Sri Sai Annapoorna, 2nd main, 2nd cross, Kandaayanagar, Srirampura, 2nd stage, Mysuru-570023 
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 Sai Sudha C S  JSS Ayurveda Medical College and Hospital  41/E, Ground floor, OPD 1, Lalithadripura Road, Alanahalli, Mysuru-570028, Karnataka, India
Mysore
KARNATAKA 
9945416262

saisudha1300@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E785||Hyperlipidemia, unspecified. Ayurveda Condition: MEDOROGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-virecana-karma, विरेचन-कर्म (Procedure Reference: Charaka Samhita, Procedure details: Deepana Pachana with Hingwashtaka Churna for 3-7 days Snehapana with Varunadi Ghrita for 3-7 days Sarvanga Abhyanga with Murchita Tila Laila followed by Bhashpa Sweda for 3 days Virechana with Trivrut Lehya for 1 day)
2Intervention ArmDrugClassical(1) Medicine Name: Bruhat Panchamoola Kasha, Reference: Sarngadhara Samhita, Route: Oral, Dosage Form: Kwatha/ Kashaya, Dose: 25(ml), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 45 Days, anupAna/sahapAna: Yes(details: -1 tablespoon Made), Additional Information: -
3Comparator ArmProcedure-virecana-karma, विरेचन-कर्म (Procedure Reference: Charaka Samhita, Procedure details: Deepana Pachana with Hingwashtaka Churna for 3-7 days Snehapana with Varunadi Ghrita for 3-7 days Sarvanga Abhyanga with Murchita Tila Laila followed by Bhashpa Sweda for 3 days Virechana with Trivrut Lehya for 1 day)
4Comparator ArmDrugClassical(1) Medicine Name: Triphala Kashaya , Reference: Sarngadhara Samhita, Route: Oral, Dosage Form: Kwatha/ Kashaya, Dose: 25(ml), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 45 Days, anupAna/sahapAna: Yes(details: -1 tablespoon Madhu ), Additional Information: -
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  Serum CHOLESTEROL (201-400mg/dL)
Serum TRIGLYCERIDES (150-400mg/dL)
Serum LDL (130-189mg/dL)
Serum HDL (1-40mg/dL)
Serum VLDL (31-100mg/dL) 
 
ExclusionCriteria 
Details  Subjects with uncontrolled Diabetes Mellitus with HbA1c more than 10 per cent, IDDM or Hypertension with SBP/DBP more than or equal to 160/110mmHg
Subjects with any other known systemic disorder which may interfere with the study
Pregnant and lactating women 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the efficacy of Virechana followed by Bruhat Panchamoola Kashaya in the management of Dyslipidemia  0th day
71st day 
 
Secondary Outcome  
Outcome  TimePoints 
Lipid profile test  Before treatment - 0th day
After Virechana - 14th to 16th day
After treatment - 59th to 71st day 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   18/03/2025 
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 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   Dyslipidemia is a disorder of lipoprotein metabolism, which can include overproduction or deficiency of lipoproteins or both. The disorder can manifest as an elevation of plasma cholesterol, triglycerides, or both, or a low HDL level or all three together that contributes to the development of atherosclerosis.
The prevalence of Dyslipidemia across the nation has been reported as; 24.0% of hypercholesterolemia, 20.9% of high LDL-cholesterol, 66.9% low HDL-cholesterol and 32.1% of hypertriglyceridemia. Cardiovascular disease is the most significant complication of Dyslipidemia owing to more than 4 million deaths each year, worldwide.
The management protocol for Dyslipidemia includes lifestyle modifications, diet, exercise and administration of statins in various intensities. Statin therapy is also used in primary and secondary prevention of the disease. It is added with two other classes of medications aimed at inhibiting the absorption of cholesterol and decreasing LDL-C levels which has in turn shown to decrease cardiovascular outcomes. 
Many Ayurvedic formulations have been proven to have anti-dyslipidemic activity. There remains a scope for research in this field owing to the prevalence of the disease. Therefore, Bruhat Panchamoola Kasha has been chosen as the trial drug for the present study. Triphala Kasha, a proven drug for Dyslipidemia, is taken as the control drug.
 
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