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CTRI Number  CTRI/2025/03/083208 [Registered on: 24/03/2025] Trial Registered Prospectively
Last Modified On: 21/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   To know effect of astanga ghrita nasya and astanga granules in low average intelligence in 5th standard children  
Scientific Title of Study   A Clinical study to evaluate efficacy ofastanga ghrita nasyaand astanga granules internally in 5th standard of low average intelligence  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Inchara P 
Designation  PG Scholar 
Affiliation  Rajiv Gandhi Univarsity Of Health Sciences,Bangalore 
Address  Room number 16, Ground floor Department of Kaumarabhritya Sri Dharmasthala Manjunateshwara Ayurveda College and Hospital Hassan 573201 Karnataka India

Hassan
KARNATAKA
573201
India 
Phone  9164460383  
Fax    
Email  incharaprakash24@gmail com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nayan Kumar S  
Designation  Associate Professor  
Affiliation  Rajiv Gandhi University of Healthcare Science, Bangalore  
Address  Room Number 16 Department of Kaumarabhritya Sri Dharmasthala manjunateshwara Ayurveda College and Hospital hassan Karnataka

Hassan
KARNATAKA
573201
India 
Phone  8197589426  
Fax    
Email  drnayankumar@sdmcahhassan.org  
 
Details of Contact Person
Public Query
 
Name  Dr Nayan Kumar S  
Designation  Associate Professor  
Affiliation  Rajiv Gandhi University of Health sciences Bangalore  
Address  Room Number 16 Ground floor Department of Kaumarabrithya Sri Dharmasthala Manjunatheshwara College Of Ayurveda And Hospital Hassan 573201 Karnataka India Hassan,KARNATAKA

Hassan
KARNATAKA
573201
India 
Phone  8197589426  
Fax    
Email  drnayankumar@sdmcahhassan.org  
 
Source of Monetary or Material Support  
1. Department of Kaumarabhritya Sri Dharmasthala manjunateshwara Ayurveda College and Hospital Hassan 573201, Karnataka,India 
Department of Kaumarabhritya Sri Dharmasthala manjunateshwara Ayurveda College and Hospital Hassan 573201 Karnataka India 
 
Primary Sponsor  
Name  Dr Inchara P 
Address  Sri Dharmasthala Manjunateshwara Ayurveda College and Hospital hassan 573201 Karnataka,India 
Type of Sponsor  Other [Other] 
 
Details of Secondary Sponsor  
Name  Address 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Inchara P  Sri Dharmasthala manjunateshwara Ayurveda College hospital  OPD Department of Kaumarabhritya,Thanniruhalla, BM road, Hassan
Hassan
KARNATAKA 
9164460383

incharaprakash24@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committe SDM   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:F70||Mild intellectual disabilities. Ayurveda Condition: BUDDHIMANDYAM (KEVALA-KAPHA),  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-nasyam/ nastam, नस्यम्/ नस्तम् (Procedure Reference: Astanga hridaya, Procedure details: Astanga ghrita 6 drops to each nostril is instilled for 2 times in a day for 45 days)
(1) Medicine Name: Astanga ghrita , Reference: Astanga hridaya , Route: Nasal, Dosage Form: Ghrita, Dose: 6(drops), Frequency: bd, Duration: 45 Days
 
Inclusion Criteria  
Age From  4.00 Year(s)
Age To  5.00 Year(s)
Gender  Both 
Details  1. The children of either gender studying in 5thstandard fulfilling the diagnostic criteria.
2. Children whose parents are willing to participate the in the study after giving informed parent consent and oral assent by child. 
 
ExclusionCriteria 
Details  1.Children with learning disabilities or any other neuro-cognitive dysfunction like ADHD,Autism.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate the combined effect of astanga ghrita nasya and astanga granules orally in 5th standard children of low average 1q  Initially screening is done with Draw man test then assessment on 1st day with binet kamath scale of intelligence and reassessment is done on 45th day after treatment using binet kamath scale of intelligence  
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the combined effect of astanga ghrita nasya and oral administration of astanga granules in 5th standard children with low average IQ.  Assesment 1st day before treatment and 45days after treatment  
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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/ Phase 3 
Date of First Enrollment (India)   20/05/2025 
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   In today’s competitive world, assessing a child’s intelligence is crucial for their academic and extracurricular success. Intelligence, involves cognitive abilities like acquiring, storing, and reproducing knowledge1. In Ayurveda, intelligence is described through terms like buddhi, smriti, medha, dhi, and dhruti, highlighting deep and comprehensive knowledge2.
Every child is unique, distinguished by their intelligence, learning skills, activities, memory, and courage. Lower IQ levels are associated with decreased happiness and poorer health outcomes3. Studies indicate that about 6-7% of the population has low average intelligence, affecting their school performance4. A survey conducted in and around Hassan found that 2% of children has low average intellectual capacity5.It’s observed that 15-20% of students in a classroom struggle academically to excel in their academics 6. Low average intelligence is a person possessing below average cognitive ability(generally an IQ 0f 75-86 through Binet kamath test of intelligence7 which is indicative of less school performance.
Children with lower average intelligence are at risk of long-term learning difficulties, poor reasoning, planning, and abstract thinking. Without appropriate support, they may face academic, social, and emotional challenges leading to personal and professional setbacks.

Interventions to enhance intellectual development can significantly benefit these children. Ayurvedic literature mentions medhya dravyas (nootropic substances)8 that can boost brain function. Astanga ghrita, an Ayurvedic formulation mentioned in astanga hridaya, is known for its nervine tonic properties, especially beneficial for children which is medhavardaka, smritivardaka (improves memory)and budhivardaka (improves intellectual capacity,cognition and perception). It contains ingredients like mandukaparni, shankapushpi, brahmi, and amrita,9 known for their cognitive-enhancing effects.Administering Astanga ghrita as nasya (nasal medication) can stimulate higher brain centers, enhancing neurological functions. Astanga ghrita is formulated into palatable granules, making it easier for children to consume.

Though earlier studies conducted on intellectual disabilities, their were no attempts made to provide medication in nasal route thus this study becomes unique in exploring the effects of ashtanga ghrita nasya and as granules for supporting children’s cognitive development , academic performance and overall well-being.
 
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