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CTRI Number  CTRI/2016/06/007052 [Registered on: 29/06/2016] Trial Registered Retrospectively
Last Modified On: 02/03/2016
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   A clinical study to evaluate the efficacy of Ashwagandhadi vati and Muktashuktadi vati in the treatment of Osteoporosis (Asthi kshaya) 
Scientific Title of Study   A study of osteoporosis w.s.r to asthi kshaya and its management by ashwagandhadi vati and mukta-shuktibhasmadi vati 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Manisha Lakhi 
Designation  M.D Scholar 
Affiliation   
Address  Dept.of Kayachikitsa, Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar, GUJARAT

Jamnagar
GUJARAT
361008
India 
Phone  8347620562  
Fax    
Email  manishalakhi@live.nl  
 
Details of Contact Person
Scientific Query
 
Name  Dr Alankruta Dave  
Designation  Associate professor incharge H.O.D Kayachikitsa 
Affiliation   
Address  Dept.of Kayachikitsa, Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar

Jamnagar
GUJARAT
361008
India 
Phone  9824171817  
Fax    
Email  alankruta@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Alankruta Dave  
Designation  Associate professor incharge H.O.D Kayachikitsa 
Affiliation   
Address  Dept.of Kayachikitsa, Institute for Post Graduate Teaching and Research in Ayurveda, Gujarat Ayurved University, Jamnagar

Jamnagar
GUJARAT
361008
India 
Phone  9824171817  
Fax    
Email  alankruta@yahoo.com  
 
Source of Monetary or Material Support  
Post Graduate Teaching Hospital GAU Jamnagar 
 
Primary Sponsor  
Name  Post Graduate Teaching Hospital GAU Jamnagar 
Address  Gujarat Ayurved University 
Type of Sponsor  Research institution and hospital 
 
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 
DrManisha Lakhi  OPD AND IPD kayachikitsa dept IPGT&RA  dept of kayachikitsa IPGTRA GAU
Jamnagar
GUJARAT 
8347620562

manishalakhi@live.nl 
 
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  Osteoporosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Ashwagandhadi vati  orally 1 tab(500mg) after meal twice a day with water for 8weeks follow up 4 weeks  
Comparator Agent  Muktashuktibhasmadi vati  orally 1 tab (500mg) before meal twice a day with water for 8 weeks follow up 4 weeks 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients of Osteoporosis diagnosed by Bone Mineral Density test.
Patients willing to participate in the clinical trial.
Patients complaining of symptoms; joint pain, backache pain in the bones, which will be confirmed later by the BMD-test.
 
 
ExclusionCriteria 
Details  Patients below 40 years of age
Patients above 70 years of age
Pregnant women and lactating women.
Patients associated with other systemic disorders.
Hyperparathyroidism
Patients who have undergone chemotherapy and radiotherapy
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Change in the clinical symptoms of Osteoporosis like
Backache,
Joint pain,
Pain in the bones
 
8weeks and 4 weeks follow up 
 
Secondary Outcome  
Outcome  TimePoints 
Change in the Bone mineral density test  8weeks and 4 weeks follow up 
 
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 1/ Phase 2 
Date of First Enrollment (India)   14/08/2015 
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)  Open to Recruitment 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

Ayurveda refers Osteoporosis to Asthi Kshaya.

Osteoporosis  is a metabolic bone disorder. The meaning of osteoporosis is ’’porous bones’’ or ’’the brittleness of the bones due to increased porosity from loss of mineral substance’’ causing decrease in the bone tissue & leading to the increased risk of fractures. This disease is mentioned in our classics as well, the formulations of both of the drugs are not directly referred to the classics, but single drug wise it has been said that it is useful for this disorder. By experience of using this formulations it is found to be effective in patients with osteoporosis.

The ingredients of Mukta-shukti bhasmadi vati will be :
1.Mukta-shukti bhasma; which supplements calcium(rasayana) to promote bone formation (asthi balya), muscle contraction & nerve conduction. (R.T.S.S.P.S.Part 
1,pp. 196-8)


2.Amalaki; which is a source of vitamin C., an antioxidant (rasayana)that promotes regeneration of tissues (dhatu-vardhaka) and reinforces immunity (balya).(Bh.Pr.Ni.Harit.37-40.)

 3.Abhrak bhasma; which is a bioavailability enhancer (yogavahi) that enhances the efficacy of other ingredients, and an antioxidant (rasayana),an antiaging (ayu-vardhaka) and an immunomodulator(bala vardhaka).(R.T.S.S.P.S.Part 1,ppt150-61.

4. Yashad; which is an antioxidant that promotes regeneration of tissues( dhatu-vardhaka) and modulates immunity( rasapinda-vikriti-nashaka)

 In the Ashwagandhadi vati the ingredients will be:

1.Ashwagandha;which is a widely used rasayana( antioxidant,anti-aging,and regenerative)in ayurveda.Bhav prakash describes it as kshaya-apaha(regenerative),rasayani(rejuvenating and antioxidant),balya(immunomodulating), and shotha-apaha (anti-inflammatory). All these actions indicate that it helps regeneration of degenerating tissues(including joint cartilage). Some of these actions have been confirmed by Mishra LC et al.

2.Shilajatu; which has been used as an excellent rasayana . Bhav prakash describes it as rasayana, kshaya hara and shotha-hara indicating its significant role in the degenerating tissues (including joint cartilage)(Bh.pR.nI.dHAT.78-82,

3.Mandukparni; Bhav-prakash describes mandukparni as ayushya(anti-aging),rasayani,shotha hara and asrajit(corrects micro-circulation) (Bh.Pr.Ni.Gud.278-81)

4.Dughdika;Bhav prakash describes it as ruksha(anti-obesity) and ushna(metabolic stimulant)both of which help in weight reduction quite often found in patients with osteo-arthritis. (Bh.Pr.Ni.Gu.275-76)

 

Dose of both of the drugs will be 1 tab (500mg) twice a day after food with luke warm water for 8 weeks and follow up will be for 4 weeks.

Moreover, no work has been carried out previously on Mukta-shuktibhasmadi vati or Ashwagandhadi vati in the management of Asthi kshaya. Therefore to breakdown etiopathogenesis of asthi kshaya following shaman yoga has been selected.

 
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