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CTRI Number  CTRI/2025/02/080060 [Registered on: 07/02/2025] Trial Registered Prospectively
Last Modified On: 30/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Retrospective study 
Study Design  Other 
Public Title of Study   TO ESTABLISH THE NIDANPANCHAK OF ANKYLOSING SPONDYLITIS ON THE BASIS OF AYURVEDIC CONCEPT 
Scientific Title of Study   CRITICAL ANALYSIS OF ANKYLOSING SPONDYLITIS TO ESTABLISH THE NIDANPANCHAK ON THE BASIS OF AYURVEDIC CONCEPT 
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 Renu Dhanraj Jungare 
Designation  PG Scholar 
Affiliation  Institute For Ayurved Studies And Research Shree Krishna Ayush University Kurukshetra  
Address  98 Department of Rog Nidana Evum Vikriti Vigyan Faculty of Ayurved Institute for Ayurved studies and Research Shri Krishna Ayush University Kurukshetra Kurukshetra HARYANA 136118 India

Kurukshetra
HARYANA
136118
India 
Phone  9850722478  
Fax    
Email  renujungare87@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Randhir Singh 
Designation  Associate Professor 
Affiliation  Institute for Ayurved studies and Research Shri Krishna Ayush University Kurukshetra 
Address  94 Department of Rog Nidana Evum Vikriti Vigyan Faculty of Ayurved Institute for Ayurved studies and Research Shri Krishna Ayush University Kurukshetra Kurukshetra HARYANA 136118 India

Kurukshetra
HARYANA
136118
India 
Phone  7015167849  
Fax    
Email  singhrandhir13476@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Renu Dhanraj Jungare 
Designation  PG Scholar 
Affiliation  Institute For Ayurved Studies And Research Shree Krishna Ayush University Kurukshetra 
Address  98 Department of Rog Nidana Evum Vikriti Vigyan Faculty of Ayurved Institute for Ayurved studies and Research Shri Krishna Ayush University Kurukshetra Kurukshetra HARYANA 136118 India

Kurukshetra
HARYANA
136118
India 
Phone  9850722478  
Fax    
Email  renujungare87@gmail.com  
 
Source of Monetary or Material Support  
Institute For Ayurved Studies and Research Umri road Sector 8 Kurukshetra 136118 Haryana INDIA 
 
Primary Sponsor  
Name  Dr Renu Dhanraj Jungare 
Address  98 Department of Rog Nidana Evum Vikriti Vigyan Faculty of Ayurved Institute for Ayurved studies and Research Shri Krishna Ayush University Kurukshetra Kurukshetra HARYANA 136118 India 
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 Renu Dhanraj Jungare  Institute of Ayurved studies and research  OPD No 71 Dept of Rog Nidan Evam Vikriti vigyan
Kurukshetra
HARYANA 
09850722478

renujungare87@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical committee of University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M459||Ankylosing spondylitis of unspecified sites in spine. Ayurveda Condition: AMADOSHAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Already diagnosed patients of Ankylosing spondylitis on the basis of-
Pain in low back and stiffness of spine or restriction of spinal mobility for more than 3 months and not relieved by rest
HLAB27 positive patients
Radiological changes (bamboo spine)
Schober’s test 
 
ExclusionCriteria 
Details  Age less than 20 and more than 60 years
Patients with Cancer MI Pulmonary TB
Patients on prolonged medications with Corticosteroid Anti-depressant
Patient not willing for consent 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Nidanpanchaka will be formed by knowing Nidanas purvaroopa and roopa from history of patient and samprapti by assessing all the doshas  1 day 
 
Secondary Outcome  
Outcome  TimePoints 
Ayurvedic management protocol of ankylosing spondylitis will be improved   18 months 
 
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   N/A 
Date of First Enrollment (India)   15/02/2025 
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 Yet Recruiting 
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   Ankylosing Spondylitis is characterised by chronic inflammatory arthritis predominantly affecting the sacroiliac joint & axial Skeleton. The usual age of onset is 25 years, and onset beyond 40 years of age is extremely uncommon, with a male pre-ponderance of about 3:1. The HLA B27 gene is known to have a strong connection with the disease. The frequency of HLA B27 is directly correlated with the occurrence of Ankylosing Spondylitis in a given community. In the population of northern India, the frequency of HLA B27 is 6%. About 85% of cases of chronic low back pain are associated with stiffness in the morning. Ankylosing spondylitis is linked to dactylitis, hip and buttock pain, impaired spinal movement, and postural problems. Extra skeletal symptoms such as IBS (50%), psoriasis (10%) and acute anterior uveitis (25–35%). The two main symptoms are stiffness in the morning that spreads to the buttocks or back thighs, and low back pain. Movement relieves symptoms and inactivity exacerbates them. The illness usually progresses gradually, eventually affecting the entire spine, though certain spots exhibit the cervical or thoracic spine. The vertebrae may merge in severe cases of this. When the vertebrae merge, the spine may become hard and inflexible. One common complaint is fatigue. Pain is the cause of persistent sleep disruption.  
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