| CTRI Number |
CTRI/2025/07/091551 [Registered on: 23/07/2025] Trial Registered Prospectively |
| Last Modified On: |
09/05/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Ayurveda |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
The effectiveness of the Ayurvedic medication Bhringarajasava in treating malnutrition (balshosh ) in children aged three to six year |
|
Scientific Title of Study
|
EFFICACY OF BHRINGARAJASAVA IN THE MANAGEMENT OF BALSHOSHA IN PRE SCHOOL-CHILDREN: A RANDOMIZED CONTROLLED TRIAL |
| 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 Kamalesh Fagore |
| Designation |
Pg Scholar (kaumarbhritya dept) |
| Affiliation |
National Institute of Ayurveda Jaipur |
| Address |
opd no 5
department of kauarbhritya National Institute of Ayurveda hospital
jorawar singh gate
jaipur opd no 5
department of kauarbhritya National Institute of Ayurveda hospital
jorawar singh gate
jaipur Jaipur RAJASTHAN 302002 India |
| Phone |
9074535570 |
| Fax |
|
| Email |
kamleshfagore07@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Prof Dr Nisha Ojha |
| Designation |
Head of Department and Professor(kaumarbhritya dept) |
| Affiliation |
National Institute of Ayurveda Jaipur |
| Address |
opd no 5
department of kauarbhritya National Institute of Ayurveda hospital
jorawar singh gate
jaipur opd no 5
department of kauarbhritya National Institute of Ayurveda hospital
jorawar singh gate
jaipur Jaipur RAJASTHAN 302002 India |
| Phone |
9074535570 |
| Fax |
|
| Email |
drnishaojha@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Prof Dr Nisha Ojha |
| Designation |
Head of Department and Professor(kaumarbhritya dept) |
| Affiliation |
National Institute of Ayurveda Jaipur |
| Address |
opd no 5
department of kauarbhritya National Institute of Ayurveda hospital
jorawar singh gate
jaipur opd no 5
department of kauarbhritya National Institute of Ayurveda hospital
jorawar singh gate
jaipur Jaipur RAJASTHAN 302002 India |
| Phone |
9468650449 |
| Fax |
|
| Email |
drnishaojha@gmail.com |
|
|
Source of Monetary or Material Support
|
| National Institute of Ayurveda
Jaipur
302002 |
|
|
Primary Sponsor
|
| Name |
National Institute of Ayurveda |
| Address |
Jorawar singh gate
Amer road
Jaipur
302002 |
| Type of Sponsor |
Government medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Kamalesh Fagore |
National Institute of Ayurveda Jaipur |
department of kauarbhritya,
opd no 5 Jaipur RAJASTHAN |
9074535570
kamleshfagore07@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
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition:E441||Mild protein-calorie malnutrition. Ayurveda Condition: BALAROGAH, |
|
|
Intervention / Comparator Agent
|
| sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | | 1 | Intervention Arm | Drug | Classical | | (1) Medicine Name: bhringarajasav, Reference: sahastrayoga, Route: Oral, Dosage Form: Asava, Dose: 5(ml), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 3 Months, anupAna/sahapAna: Yes(details: jal), Additional Information: also follow ICMR National Institute of Nutrition Dietary guidline for indians 2024 | | 2 | Comparator Arm (Non Ayurveda) | | - | ICMR National Institute of Nutrition Dietary guidline for indians 2024 | |
|
|
|
Inclusion Criteria
|
| Age From |
3.00 Year(s) |
| Age To |
6.00 Year(s) |
| Gender |
Both |
| Details |
Weight for height Z score of minus 1SD TO less than minus3SD
Children aged 3 year to 6 years of either sex with no major medical complication.
Mother and care taker trainable to provide home based diet.
Parents willing to participate in the clinical trial.
|
|
| ExclusionCriteria |
| Details |
children suffering from severe malnutrition who need hospitilization.
Weight for height Z score is greater than minus 3SD .
Tuberculosis, Cerebral palsy, Congenital heart diseases, Known metabolic disorders, Known mal-absorption syndromes, Chromosomal malformations, Renal or hepatic disorders.
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Open Label |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Change in Weight |
every followup visit in every 14 days |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
Change in Ayurvedic symptoms of Balshosh
Change in MUAC, Skin fold thickness and BMI.
Change in Height in cm
Change in Chest circumference in cm |
every followup visit in every 14 days |
|
|
Target Sample Size
|
Total Sample Size="60" Sample Size from India="60"
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)
|
25/09/2025 |
| 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 - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Anyone
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [kamleshfagore07@gmail.com].
- For how long will this data be available start date provided 01-01-2026 and end date provided 01-01-2031?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
NEED OF THE STUDY Childhood under nutrition accounts for 45% of Under 5 mortality alone and poses a key public health challenge in India. It is a major global health problem, resulting in childhood morbidity, mortality, impaired intellectual development, suboptimal adult work capacity, and increased risk of diseases in adulthood.[i] As per recent report of NFHS 5 (2020-21) the nutrition reveals that in Rajasthan 27.6% of children under the age of five are underweight, 31.8% are stunted and 16.8% are wasted.[ii] Although India has shown remarkable progress and has a number of nutritional programs but still malnutrition is a big problem in our country. Several cultural, societal, and economic issues make it difficult to achieve the goals even with a variety of dietary programs. Considering all the variables, it is imperative that we stress the need of treating childhood malnutrition both preventatively and therapeutically. India celebrates the first week of September as National Nutrition Week and dedicates the entire month for Nutrition related campaigns and activities. The Government of India had launched multiple schemes to address the problems of the high rate of malnutrition in India. But, still there is no satisfactory solution and management for malnutrition and it is the need of the time to look into the alternative systems for the management. Therefore with these perspectives the present trial entitled “A Clinical Study to Evaluate the Efficacy of Bhringarajasava in the Management of Balshosha in pre school Children ” has been planned from Sahasra Yogam, Aasava Prakarana, page no.250-251. Trial Drug: Bhringarajasava (Sahastra Yog, AsavaPrakran, second edition P.N.250-251) | S.N. | Name of Drug | Latin Name | Family | Useful Part | | | 1. | Bhringaraj | Ecliptaprostrata | Asteraceae | Whole plant | 12.250lts | | 2. | Haritaki | Terminalia chebula | Combretaceae | Fruit | 384 gms | | 3. | Pippali | Piper longum | Piperaceae | Fruit | 96 gm | | 4. | Jatiphala | Myristica fragrans | Myristicaceae | Fruit | 96 gm | | 5. | Lavang | Syzygium aromaticum | Myrtaceae | Flower Bud | 96 gm | | 6. | Twak | Cinnamomum zeylanicum | Lauraceae | Dry Bark | 96 gm | | 7. | Ela | Elettaria cardamomum | Zingiberaceae | Sd. | 96 gm | | 8. | Patri | Cinnamomum tamala | Lauraceae | Dried Leaf | 96 gm | | 9. | Nagkeshar | Mesua ferrea | Calophyllaceae. | Flower[i] | 96 gm | | 10. | Gudd | Jaggery | | ----- | 9.600 kg | [i]Dravyaguna-Vijnan Vol. II by Prof. P.V. Sharma published by Chaukhambha Bharati Academy, Varanasi, India, Reprint 2009, [i] Black R et al. Maternal and child undernutrition and overweight in low-income and middleincome countries. Lancet, 2013;382:427–51 [ii]https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://main.mohfw.gov.in/sites/default/files/NFHS-5_Phase-II_0.pdf&ved=2ahUKEwis0qGRy92FAxWgdPUHHXV_BPMQFnoECDAQAQ&usg=AOvVaw1xbRlN9Fq5qBwWUSTTFg69 |