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CTRI Number  CTRI/2025/02/081226 [Registered on: 24/02/2025] Trial Registered Prospectively
Last Modified On: 22/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Application of Guggulu kshara sutra in fistula in ano (Bhagandra) 
Scientific Title of Study   Randomized controlled clinical study to evaluate the efficacy of Guggulu kshara sutra in the management of Bhagandra w.s.r. to fistula in ano 
Trial Acronym  Nill 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Yatendra kumar 
Designation  MS PG scholar  
Affiliation  Vaidya yagya Dutt Sharma ayurved mahavidyalaya. Khurja Bulandshahr  
Address  OPD NO 5 Shayla Tantra department ,Vaidya Yagya Dutt Sharma Ayurved Mahavidhyalya PLRD Hospital Khurja Bulandshahar

Bulandshahar
UTTAR PRADESH
203131
India 
Phone  8433411065  
Fax    
Email  Yatendrakumar6573@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amit Mishra  
Designation  Professor Of Shalya tantra department  
Affiliation  Vaidya yagya dutt Sharma Ayurved mahavidhyalaya Khurja Bulandshahar  
Address  OPD NO 5 Shayla Tantra department ,Vaidya Yagya Dutt Sharma Ayurved Mahavidhyalya PLRD Hospital Khurja Bulandshahar

Bulandshahar
UTTAR PRADESH
203131
India 
Phone  9838325000  
Fax    
Email  dramitkjjftp@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Amit Mishra  
Designation  Professor Of Shalya tantra department  
Affiliation  Vaidya yagya dutt Sharma Ayurved mahavidhyalaya Khurja Bulandshahar  
Address  OPD NO 5 Shayla Tantra department ,Vaidya Yagya Dutt Sharma Ayurved Mahavidhyalya PLRD Hospital Khurja Bulandshahar


UTTAR PRADESH
203131
India 
Phone  9838325000  
Fax    
Email  dramitkjjftp@gmail.com  
 
Source of Monetary or Material Support  
Vaidya yagya Dutt Sharma ayurved Mahavidyalaya khurja Bulandshahr  
 
Primary Sponsor  
Name  Dr Yatendra Kumar  
Address  OPD NO -5 Shalya Tantra department Vaidya Yagya Dutt Sharma ayurved Mahavidyalaya, PLRD Hospital khurja Bulandshahr, Uttar Pradesh  
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 Yatendra Kumar   Vaidya yagya Datt Sharma ayurved mahavidyalaya and hospital khurja bulandshahr uttar pradesh   OPD NO-5 SHALYA TANTRA DEPARTMENT VAIDYA YAGYA DUTT SHARMA AYURVED MAHAVIDYALAYA PLRD HOSPITAL KHURJA BULANDSHAHR UTTAR PRADESH
Bulandshahar
UTTAR PRADESH 
8433411065

yatendrakumar6573@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics committee vaidya yagya dutt sharma ayurved mahavidyalaya khurja bulandshahr uttar pradesh  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Fistula in ano 
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-kShArasUtra, क्षारसूत्र (Procedure Reference: Sushrut samhita nidan sthan 4/4, Procedure details: Ligation of Guggulu ksharsutra every weekly)
 
Inclusion Criteria  
Age From  17.00 Day(s)
Age To  60.00 Day(s)
Gender  Both 
Details  1 The Patient who presented with the signs & symptoms Bhagandra w.s.r fistula in ano. 2 Patient having age between 18 to 60 year 3 Fistulous tract less than 3cm .(1.5inch)will be included.
 
 
ExclusionCriteria 
Details  1.Patient aged below 16 and above 60 year of age 2. Patient who are sensitive to xylocaine will be excluded. 3. Sedentary lifestyle disorder like uncontrolled hypertension, uncontrolled diabetes mellitus , ulcerative colitis, crohn disease,Fistula with high level fistula with multiple opening will be excluded, Osteomyelitis of hip bone ,HIV HBsAg and rectal malignancy  
 
Method of Generating Random Sequence   Other 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the effect of Guggulu kshara sutra to relieve the fistula in ano   To evaluate the effect of Guggulu kshara sutra to relieve the fistula in ano  
 
Secondary Outcome  
Outcome  TimePoints 
Effective as well as curative management for this painful condition   After analysing all parameters the result will be assessed on the basis of symptomatic relief and improvement
Fair recovery after 4 week important in clinical features 31 to 60 percent
Good recovery important after 6 week important in clinical features 60 to 90 percent complete recovery after 8 weeks important in clinical features more than 90 percent  
 
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   N/A 
Date of First Enrollment (India)   05/03/2025 
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="0"
Months="9"
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   In sushrut samhita nidan sthan chepter 4/4 it is mentioned Aachary sushruta has described that bhagandra is usually secondary to the pidika of gudapradesh. When bhagandra pidika further get suppurated and burst out due to excessive vitiation of doshas,this leads to the formation of the bhagandra. Hence the bhagandra can be defined as a pathological conditions which causes tear and pain in the anorectal canal , vagina or urinary bladder. 
In charaka  samhita chikitsa sthan it is mentioned chapter 12 of shotha chikitsa under the  disease bhandara occuring in the anorectal region charaka has given a little description about bhagandra.
Acharya Vagbhatt explained etiological factor of Bhagandra as following verses. Chepter 28 /1-2)
 
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