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CTRI Number  CTRI/2025/05/086340 [Registered on: 05/05/2025] Trial Registered Prospectively
Last Modified On: 17/02/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda
Yoga & Naturopathy
Process of Care Changes
Behavioral 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of Pranayama and Shirodhara therapy on sleep  
Scientific Title of Study   Randomized controlled trial to assess the efficacy of Pranayama and Shirodhara therapy in insomnia subjects 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pawan Kumar Singh 
Designation  PhD Scholar 
Affiliation  Panchakarma Department Faculty of Ayurveda institute of medical Sciences Banaras Hindu University  
Address  Panchakarma Department Faculty of Ayurveda Institute of Medical Sciences Banaras Hindu University

Varanasi
UTTAR PRADESH
221005
India 
Phone  919453731170  
Fax    
Email  pawansingh@bhu.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Rajkala Panchakshari Patil 
Designation  Associate Professor 
Affiliation  Panchakarma Department Faculty of Ayurveda institute of medical Sciences Banaras Hindu University  
Address  Panchakarma Department Faculty of Ayurveda Institute of Medical Sciences Banaras Hindu University

Varanasi
UTTAR PRADESH
221005
India 
Phone  8999201857  
Fax    
Email  rajkalapatil@bhu.ac.in  
 
Details of Contact Person
Public Query
 
Name  Pawan Kumar Singh 
Designation  PhD Scholar 
Affiliation  Panchakarma Department Faculty of Ayurveda institute of medical Sciences Banaras Hindu University  
Address  Panchakarma Department Faculty of Ayurveda Institute of Medical Sciences Banaras Hindu University

Varanasi
UTTAR PRADESH
221005
India 
Phone  919453731170  
Fax    
Email  pawansingh@bhu.ac.in  
 
Source of Monetary or Material Support  
Sir Sunderlal Hospital, Panchakarma Section, Indian Medicine Wing, Banaras Hindu University, Varanasi U.P. India 221005 
 
Primary Sponsor  
Name  Institute of Medical Sciences BHU 
Address  Sir Sunderlal Hospital Panchakarma Section Indian Medicine Wing Banaras Hindu University Varanasi U P India 221005 
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 
Dr Rajkala Panchakshari Patil  Sir Sunderlal Hospital   Sir Sunderlal Hospital Panchakarma Section Indian Medicine Wing Banaras Hindu University Varanasi U P India 221005
Varanasi
UTTAR PRADESH 
9824043686

rajkalapatil@bhu.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Banaras Hindu University Institute of Medical Sciences Institutional Ethics Committee Varanasi 221005 BHU  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:G470||Insomnia. Ayurveda Condition: NIDRANASAH/ASVAPNAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator Arm (Non Ayurveda)-PranayamPRANAYAMA PRACTICE (Total 45 Minutes) Name of Practice Duration Pre-Practice (Aasan)- 1. Vajrasana up to 10 breath awareness 1 minutes 15 minutes 2. Shashanka Asana & Bhujanga Asana (3 rounds holding for 10 breaths at each step) 5 minutes 3. Ardha uttanPadasana with both leg (holding for 10 breaths at each step) 2 minutes 3. Ardha Pawan Mukt asana With Both leg (holding for 10 breaths at each step) 2 minutes 4. Pawanmukt asana &Setubandha Asana (holding for 10 breaths at each step) 2 minutes 5. Crocodile variation (holding for 10 breaths at each step) 3 minutes Core Practice (Pranayama) Natural breathing Awareness with concentration of nose in Sukh asana 5 minutes 20 minutes Bhramari Pranayama 20 Round 10 minutes Natural breathing with awareness of sensation in head 5 minutes Post Practice (Relaxation) Relax in supine position or in Shava asana with awareness of sensation of whole-body parts 10 minutes
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients Diagnosed with mild to moderate Insomnia based on DSM criteria -IV at the time of screening.
2. Habitual bedtime between 9:00 pm and midnight.

3. Able and willing to follow all study related instructions and to make all required visits.

4. Insomnia severity index score between 10-15.

5.The subjects who agreed to sincerely follow the instructions given during protocol were included in the study.
 
 
ExclusionCriteria 
Details  4.6.1 Study related:
1. Patients with substance abuse (excluding tobacco, alcohol), severe depressive, psychotic or bipolar disorder with significant suicide risk.
2. Patient diagnosed other primary sleep disorders (Obstructive sleep apnea (OSA), Restless legs syndrome (RLS) and circadian rhythm sleep disorders etc.) will be excluded from study.
3. Patients having sleep schedule changes associated with shift work or night shifts in previous 7 days before study initiation or who intend to do the same during the study period.
4. Patients with clinically significant uncontrolled endocrine, metabolic, hepatic, renal, cardiovascular, gastrointestinal, respiratory, hematological or neurological illness.
5. Patients with history of malignancy, seizures or significant head trauma.
6. Pregnant or lactating women.
7. Patients in whom another investigational drug was used within three months prior to entry in this study.
8. Subjects otherwise judged by investigator or co- investigator to be inappropriate for inclusion in the study.
9. Those with age less than 18 yrs. and more than 60 yrs.

4.6.2. Pranayama related:
1. Patient who are not able to sit comfortably for 20 minutes on ground
due to any physical abnormality of pathology.
3. Patient not willing to follow the code of conduct of Yoga (Yama-Niyam)
4. Patients with marked deafness.
5. Patient not able to follow verbal instructions.

4.6.3 Shirodhara therapy related:

1. Patients with any injury overhead / neck, presence of an open wound / abrasion on over forehead & scalp region.
2. Central / peripheral neuropathy.
3. Patients having problems in lying supine for 1 hour.
4. Patients who cannot be relied upon to comply with the therapy procedures or are unwilling to give informed consent.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Effect of pranayama and Shirodhara on sleep  Baseline, 9th days, 30th day 
 
Secondary Outcome  
Outcome  TimePoints 
Effect of Pranayama and Shirodhara on quality of life of participants   After completing procedure for 9 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 1 
Date of First Enrollment (India)   05/06/2025 
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="3"
Months="1"
Days="1" 
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   This is an Randomized controlled study to analyse the effect of Pranayama and Shirodhara in 100 selected patients of Insomnia. This study aims to compare the efficacy of both procedures in insomnia.
 
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