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CTRI Number  CTRI/2025/02/081092 [Registered on: 21/02/2025] Trial Registered Prospectively
Last Modified On: 07/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Siddha 
Study Design  Single Arm Study 
Public Title of Study   Clinical Trial to evaluate the effectiveness of Siddha formulations in the management of Kalleeral Noi(Alcoholic Liver Disease) among Out Patients attending Ayothidoss Pandithar Hospital 
Scientific Title of Study   An Open Label Single Arm Clinical Trial to evaluate the effectiveness of Siddha formulations in the management of Kalleeral Noi(Alcoholic Liver Disease) among Out Patients attending Ayothidoss Pandithar Hospital 
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. J.Jinavani 
Designation  PG Scholar 
Affiliation  National Institute of Siddha 
Address  Room No.26/27, Department of Nanju Maruthuvam, National Institute of Siddha, Tambaram Sanatorium, Chennai. 600047 TAMILNADU INDIA

Chennai
TAMIL NADU
600047
India 
Phone  8072478787  
Fax    
Email  jinajeeva24@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. S. Murugesan 
Designation  Associate Professor 
Affiliation  National Institute of Siddha 
Address  Room No-26/27,Department of Nanju Maruthuvam, National Institute of Siddha, Tambaram Sanatorium, Chennai - 600047, Tamil Nadu, India.

Chennai
TAMIL NADU
600047
India 
Phone  9841108269  
Fax    
Email  ss.drss@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr. S. Murugesan 
Designation  Associate Professor 
Affiliation  National Institute of Siddha 
Address  Room No.26/27, Department of Nanju Maruthuvam, National Institute of Siddha, Tambaram Sanatorium, Chennai-600047, Tamil Nadu, India.

Chennai
TAMIL NADU
600047
India 
Phone  9841108269  
Fax    
Email  ss.drss@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Siddha, Tambaram Sanatorium, Chennai - 600047. 
 
Primary Sponsor  
Name  National Institute of Siddha 
Address  National Institute of Siddha Tambaram Sanatorium Chennai-600047 TamilNadu 
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 J Jinavani  National Institute of Siddha  Room No.26/27, Department of Nanju Maruthuvam, National Institute of Siddha, Tambaram Sanatorium, Chennai - 600047, Tamil Nadu. INDIA
Chennai
TAMIL NADU 
8072478787

jinajeeva24@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NATIONAL INSTITUTE OF SIDDHA  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K70||Alcoholic liver disease,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Thaalisathi Chooranam & Vediannabethi Chenduram  Internal Medicines : 1.Thaalisathi Chooranam - 2 gm, bd, after food with Honey. 2.Vediannabethi Chenduram - 130 mg, bd, after food with Honey. Treatment Duration - 40 Days  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  History of Alcoholic Abuse for more than five years and the Alcoholic dependency will be confirmed by AUDIT questionnaire
Subjects who are willing to quit Alcohol
Participants with clinical signs and symptoms of early stages of Alcoholic Liver Disease that confirmed with USG.
Individuals with elevated Liver enzymes Total bilirubin Direct and Indirect Bilirubin
levels such as AST,ALT,ALP, GGT and lipid profile
Patients with an MDF score of less than 32  
 
ExclusionCriteria 
Details  Individuals with advanced stages of Alcoholic liver disease with MELD score of greater than 20
Withdrawal symptoms like seizure , Alcohol Withdrawal Delirium and Alcohol Hallucinosis
Substance abuse other than alcohol like Narcotics
Pregnant and Lactating women
participants with known liver diseases such as inherited metabolic causes
Hemochromatosis Wilsons disease Hepatic infection and hepatic carcinoma 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The Therapeutic effectiveness of Siddha formulations will be evaluated by observing improvement in clinical signs and symptoms after treatment.   Screening Period: 2 Months
Trial period: 14 months
Assessment Period:2 Months.

 
 
Secondary Outcome  
Outcome  TimePoints 
Monitoring the changes in the MDF score & MELD SCORE, Lab parameters including LFT (Serum Bilirubin, AST, ALT, ALP, GGT), & lipid profile with its permissible limit after treatment.
Observing the changes in hematological, liver, & renal functional markers will ensure the safety of the trial drugs. 
Screening period: 2 months
Trial period: 14 months
Assessment period:2 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   Phase 2 
Date of First Enrollment (India)   21/02/2025 
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 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   BACKGROUND :
 Alcohol is a direct hepatotoxin, and its ingestion causes the initiation of numerous metabolic responses that influence the final Hepatotoxic response. Alcoholic Liver Disease (ALD) is one of the deadliest diseases that impacts about 5.3% of Global deaths, especially in men with a high death rate and a Global burden of 5.1%. Current management of  Alcoholic Liver Disease includes steroidal medication, Nutritional supplements, and abstinence from alcohol. These drugs develop resistance and troublesome side effects in patients. The rationale behind this study is to mitigate the symptoms of ALD using the Siddha formulation.

AIM:
To evaluate the clinical effectiveness of Siddha formulations Thaalisathi Chooranam and Vediannabethi Chenduram in the management of Kalleeral Noi (Alcoholic Liver Disease) at early stages among patients reporting at Ayothidoss Pandithar Hospital.

OBJECTIVES : 
PRIMARY OBJECTIVE :
To evaluate the clinical effectiveness of Siddha formulations by observing changes in signs and symptoms of the patient before and after treatment.

SECONDARY OBJECTIVE :
  • To evaluate the changes in MDF score ,Lab parametes - LFT (Serum Bilirubin, AST, ALT, ALP,  GGT) and Lipid profile before and after treatment.
  • To evaluate the changes in Liver function by comparing the MELD score ( Serum Total Bilirubin, Serum Creatinine and INR ratio) before and after treatment.
  • To ensure patient safety by monitoring Liver Function Test ( LFT),Renal Function Test (RFT) and Hematological parameters before and after treatment.
STUDY DESIGN : An open-Label single arm Clinical Trial

INTERVENTIONAL DRUGS :

I)Thaalisathi Chooranam :
Dosage : 2 grams
Regimen : BD (Twice in a day ),after food
Adjuvant : Honey

II) Vediannabethi Chenduram :
Dosage : 130 mg
Regimen: BD (Twice in a day ),after food
Adjuvant : Honey

TREATMENT PERIOD : 40 days

EXPECTED OUTCOME :
  • The therapeutic effectiveness of Siddha formulations will be evaluated by observing the improvement in clinical signs and symptoms after treatment.
SECONDARY OUTCOME :
  • Monitoring the changes in the MDF score and MELD score, Lab parameters ( LFT - Serum Bilirubin,AST,ALT,ALP,GGT), and Lipid profile with its permissible limit after treatment.
  • The safety of the trial drugs will be ensured by observing the changes in Haematological parameters and lipid and Renal function markers.



 
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