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CTRI Number  CTRI/2015/09/006177 [Registered on: 11/09/2015] Trial Registered Prospectively
Last Modified On: 06/11/2017
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   A clinical trial to study the effect of AHPL/AYTAB/0313 in patients suffering from arthritis of knee(s) 
Scientific Title of Study   A clinical study to evaluate efficacy and safety of AHPL/AYTAB/0313 in subjects suffering from osteoarthritis of knee(s)  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
AHPL/AYTAB/0313/2015/CT-1; Version No: 2, date: 20.07.2015   Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shailesh Deshapande 
Designation  Assistant Professor, Department of Kayachikitsa  
Affiliation  Pune District Education Associations, College of Ayurved & Research Centre and Hospital 
Address  Pune District Education Associations, College of Ayurved & Research Centre and Hospital, Sector No. 25, Pradhikaran, Nigdi, Pune

Pune
MAHARASHTRA
411044
India 
Phone  9763104451  
Fax    
Email  dr.shaileshd@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sanjay Nipanikar  
Designation  Head - R & D Centre  
Affiliation  Ari Healthcare Pvt. Ltd. 
Address  Ari Healthcare Pvt. Ltd, R & D Centre, Unit No 401, International Biotech Park, BTS 2 Building, Chrysalis Enclave, 4th floor, Plot No 2A, MIDC Phase-II Hinjewadi, Pune

Pune
MAHARASHTRA
411057
India 
Phone  8550990792  
Fax    
Email  sanjay.n@arihealthcare.in  
 
Details of Contact Person
Public Query
 
Name  Dr Sanjay Nipanikar  
Designation  Head - R & D Centre  
Affiliation  Ari Healthcare Pvt. Ltd. 
Address  Ari Healthcare Pvt. Ltd, R & D Centre, Unit No 401, International Biotech Park, BTS 2 Building, Chrysalis Enclave, 4th floor, Plot No 2A, MIDC Phase-II Hinjewadi, Pune


MAHARASHTRA
411057
India 
Phone  8550990792  
Fax    
Email  sanjay.n@arihealthcare.in  
 
Source of Monetary or Material Support  
Ari Healthcare Pvt. Ltd. R & D Centre, Unit No 401 International Biotech Park BTS 2 Building, Chrysalis Enclave 4th floor Plot No 2A MIDC Phase-II Hinjewadi Pune  
 
Primary Sponsor  
Name  Ari Healthcare Pvt Ltd 
Address  R & D Centre, Unit No 401 International Biotech Park BTS 2 Building, Chrysalis Enclave 4th floor Plot No 2A MIDC Phase-II Hinjewadi Pune 
Type of Sponsor  Pharmaceutical industry-Indian 
 
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 Shailesh Deshapande   Pune District Education Associations, College of Ayurved & Research Centre and Hospital  2nd Floor, Sector No. 25, Pradhikaran, Nigdi, Pune
Pune
MAHARASHTRA 
9763104451

dr.shaileshd@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Pune District Education Associations, College of Ayurved & Research Centre and Hospital, Sector No. 25, Pradhikaran, Nigdi, Pune   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Osteoarthritis of Knee(s),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  AHPL/AYTAB/0313 Tablet  Each film coated tablet contains extracts of Shallaki (Boswellia serrata), Guggulu (Commiphora mukul), Rasna (Pluchea lanceolata), Ashvagandha (Withania somnifera), Nirgundi (Vitex negundo), Guduchi (Tinospora cordifolia), Eranda (Ricinus communis), Shunthi (Zingiber officinale). Dose & Treatment Duration: Two tablets 2 times a day orally after meals with water for 180 days  
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Subject willing to participate, who have read, understood and signed informed consent form
2.Subject with history of knee pain due to osteoarthritis requiring use of NSAIDs acetaminophen, or another analgesic agent on a regular basis (greater than or equal to 3 days per week) for at least 6 months before the screening visit.
3.OA confirmed by radiographs and diagnosed according to ACR diagnostic criteria (clinical and radiological) for the OA of the knee.
4.Subjects are willing to make all required study visits
5.Subjects are willing to follow study instructions given by the investigator
 
 
ExclusionCriteria 
Details  1.Subjects refused to give their informed consent
2.Subjects with rheumatoid arthritis, gout, pseudo gout, inflammatory arthritis, Pagets disease of bone, chronic pain syndrome, fibromyalgia, or another major joint disease
3.Subjects with history of surgery, including arthroscopy, or major trauma to the study joint in the previous six months before the screening visit
4.Subjects requiring knee arthroplasty within 6 months of screening or anticipating any need for a surgical procedure on the index joint during the study
5.Subjects with signs of clinically important active inflammation of the study knee joint including redness, warmth and or a large, bulging effusion with the loss of normal contour at the screening and or baseline visits
6.Subjects using systemic corticosteroids within 2 months of screening, or intraarticular visco-supplementation within the past 3 months
7.Subjects with any other investigational drug within 1 month prior to randomization;
8.Subjects having diabetes mellitus, tuberculosis, HIV, ischemic heart disease
9.Subjects with known major medical or surgical disease
10.Pregnant and lactating women
11.Subjects with known hypersensitivity to ingredients used in study drug.
12.Subjects with significant abnormal laboratory parameters
13.ECG demonstrating any signs of uncontrolled arrhythmia and or acute ischemia 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Assessment of efficacy of AHPL/AYTAB/0313 tablet by assessing knee joint pain on VAS and by assessment of WOMAC Index   Screening Visit (day -7), Baseline Visit (day 0), Visit 1 (day 30), Visit 2 (day 60), Visit 3 (day 90), Visit 4 (day 120), Visit 5 (day 150) and Visit 6 (day 180). 
 
Secondary Outcome  
Outcome  TimePoints 
1.Quality of life on SF -36 questionnaire
2.Time to walk 50 feet on even surface
3.Knee joint swelling on graded scale
4.Global assessment for overall improvement by the subject and investigator at the end of 180 days of study treatment
5.Use of analgesic drug as rescue medicine
6.Tolerability of the study drug evaluated by number of Adverse Drug Reactions
7.Safety laboratory investigations
 
Screening Visit (day -7), Baseline Visit (day 0), Visit 1 (day 30), Visit 2 (day 60), Visit 3 (day 90), Visit 4 (day 120), Visit 5 (day 150) and Visit 6 (day 180). 
 
Target Sample Size   Total Sample Size="56"
Sample Size from India="56" 
Final Enrollment numbers achieved (Total)= "48"
Final Enrollment numbers achieved (India)="48" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   14/09/2015 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None Yet  
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
This study is an open label, interventional, single center, prospective clinical study to evaluate efficacy and safety of AHPL/AYTAB/0313 in subjects suffering from osteoarthritis of knee(s). The study will be conducted in 56 patients suffering from osteoarthritis of knee(s). The study will be conducted at Pune District Education Association’s, College of Ayurved & Research Centre and Hospital, Sector No. 25, Pradhikaran, Nigdi, Pune- 411 044, India. The primary outcome will be to evaluate the efficacy of AHPL/AYTAB/0313 by assessing knee joint pain on VAS and by assessing WOMAC Index score [on day -7, day 0, day 30, day 60, day 90, day 120, day 150 and day 180]. The secondary objectives will be to evaluate the efficacy of AHPL/AYTAB/0313 by assessing subject’s quality of life on SF-36 questionnaire, time required by subjects to walk 50 feet on even surface, knee joint swelling on graded scale, use of analgesic drug as rescue medicine [on day -7, day 0, day 30, day 60, day 90, day 120, day 150 and day 180]. The secondary objectives will be to evaluate the safety of AHPL/AYTAB/0313 by assessing laboratory investigations [on day -7 and day 180] and tolerability of the study drug with numbers of ADR [on day 180]. Also, clinical global evaluation for overall improvement by physician and by the patient will be assessed as secondary outcome on day 180. 
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