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CTRI Number  CTRI/2025/07/091119 [Registered on: 18/07/2025] Trial Registered Prospectively
Last Modified On: 14/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Development of an instrument for Ayurvedic Ear Oil Therapy for testing its safety and efficacy in healthy volunteers 
Scientific Title of Study   Development of EnhAnced electRonic Aural Instillation Device (EAR-AID)- A comprehensive instrument for Karnapurana (topical oil pooling in ears) 
Trial Acronym  EAR-AID 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Krishna Kumar V 
Designation  Reserach Officer(Ayurveda) 
Affiliation  National Ayurveda Research Institute fort Panchakrma , Cheruthuruthy 
Address  Department of Ayurveda, Hospital Block, OPD.NO-4 National Ayurveda Research Institute for Panchakrma , Cheruthuruthy-679531, Thrissur, Kerala

Thrissur
KERALA
679531
India 
Phone  07306892140  
Fax    
Email  drkkempran@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Krishna Kumar V 
Designation  Reserach Officer(Ayurveda) 
Affiliation  National Ayurveda Research Institute fort Panchakrma , Cheruthuruthy 
Address  Department of Ayurveda, Hospital Block, OPD.No.4 National Ayurveda Research Institute for Panchakrma , Cheruthuruthy-679531, Thrissur, Kerala


KERALA
679531
India 
Phone  07306892140  
Fax    
Email  drkkempran@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Krishna Kumar V 
Designation  Reserach Officer(Ayurveda) 
Affiliation  National Ayurveda Research Institute fort Panchakrma , Cheruthuruthy 
Address  Department of Ayurveda, Hospital Block, OPD.No-4 National Ayurveda Research Institute for Panchakrma , Cheruthuruthy-679531, Thrissur, Kerala


KERALA
679531
India 
Phone  07306892140  
Fax    
Email  drkkempran@gmail.com  
 
Source of Monetary or Material Support  
Central Council for Research in Ayurvedic Sciences, New Delhi 
 
Primary Sponsor  
Name  Central Council for Research in Ayurvedic Sciences 
Address  61-65, opp. D’ Block, D Block, Janakpuri Institutional Area, Janakpuri, New Delhi, Delhi 110058 
Type of Sponsor  Research institution 
 
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 
Krishna Kumar V  National Ayurveda Reserach Institute for Panchakarma  Department of Ayurveda, Hospital Block, OPD.NO-4 Cheruthuruthy-679531, Thrissur, Kerala
Thrissur
KERALA 
07306892140

drkkempran@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institututional Ethics Committee, National Ayurveda Reserach Institute for Panchakarma, Cheruthuruthy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy volunteer  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-aBya~ggaH, अभ्यंग  (Procedure Reference: A.H.SU.22/32, Procedure details: Pre-requisite procedure includes temporal region massage with processed gingelly oil (murchitatila taila) )
(1) Medicine Name: murchitatila taila, Reference: API-Part-II, Volume-1, Route: Topical, Dosage Form: Taila, Dose: 5(ml), Frequency: od, Duration: 7 Days
2Comparator ArmProcedure-karNapUraNam, कर्णपूरणम् Pradhan Karma(Procedure Reference: A.H.SU.22/32, Procedure details: Main procedure is instillation of 5 ml of Murchita tila taila in each external auditory canal for 15-20 min in morning. )
(1) Medicine Name: Murchita tila taila , Reference: API-Part-II, Volume-1, Route: Otic, Dosage Form: Taila, Dose: 5(ml), Frequency: od, Duration: 7 Days
3Comparator ArmProcedure-not applicable (Procedure Reference: A.H.SU. 22/32, Procedure details: Post-procedure includes massaging of base of ears for 100 matra (100 seconds))
4Comparator ArmProcedure-karNasvedanam, कर्णस्वेदनम् (Procedure Reference: A.H.SU.22/32, Procedure details: Swedana is done after Abhyanga)
5Comparator ArmProcedure-pramArjana-karma, प्रमार्जन-कर्म (Procedure Reference: A.H.SU.22/32, Procedure details: After 15-20 min of instillation, oil from the ear canal will be wiped with dry cotton. )
6Intervention ArmProcedure-aBya~ggaH, अभ्यंग  (Procedure Reference: A.H.SU.22/32, Procedure details: Pre-requisite procedure includes temporal region massage with processed gingelly oil (murchitatila taila) )
7Intervention ArmProcedure-karNasvedanam, कर्णस्वेदनम् (Procedure Reference: A.H.SU.22/32, Procedure details: Swedana is done after Abhyanga)
8Intervention ArmProcedure-karNapUraNam, कर्णपूरणम् Pradhan Karma(Procedure Reference: A.H.SU.22/32, Procedure details: Main procedure is instillation of 5 ml of Murchita tila taila in each external auditory canal for 15-20 min in morning using the instrument EAR-AID)
9Intervention ArmProcedure-not applicable (Procedure Reference: A.H.SU.22/32, Procedure details: Post-procedure includes massaging of base of ears for 100 matra (100 seconds))
10Intervention ArmProcedure-pramArjana-karma, प्रमार्जन-कर्म (Procedure Reference: A.H.SU.22/32, Procedure details: After 15-20 min of instillation, oil from the ear canal will be removed using the instrument EAR-AID)
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  Willing to participate and give written informed consent
Physically independent, ambulatory volunteers
BMI of 17.5 to 30.5 kg/m2

Healthy status would be assessed by the absence of evidence of any active or chronic disease following a detailed medical history, a complete physical examination including vital signs, 12-lead ECG, hematology, blood chemistry, serology, psychological assessment and urinalysis and also assessment on the basis of CCRAS Health Assessment Scale

 
 
ExclusionCriteria 
Details  Any condition which is contraindicated for Karnapurana like abnormal middle ear.
Current hearing aid user for more than 3 months
Uncontrolled hypertension (Systolic BP greater than 140mmHg and or Diastolic BP greater than 90mmHg)
Uncontrolled Diabetes (HbA1c greater than 8 percentage).
History of Hypersensitivity to the trial drug or any of its ingredients.
Continuing addiction to smoking and usage of tobacco in any form
Individuals simultaneously or previously (within 30 days prior to investigation start) participate in a clinical investigation using experimental drugs or devices.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Successful design and functional development of the EAR-AID device that enables automated delivery and removal of medicated oils in accordance with the therapeutic requirements of Karnapurana therapy.

 
Two years 
 
Secondary Outcome  
Outcome  TimePoints 
Safety assessed through incidence of adverse events or device-related complications encountered during its use  Two years 
Efficacy: Accuracy of medicated oil delivery (volume, rate, and temperature) as per therapeutic protocol.  Two years 
Usability assessed through Standardized usability questionnaires are critical tools for assessing how users perceive the usability of a product in the following aspects: Ease of setup, comfort during use, time efficiency, learnability, error rate, user satisfaction, task completion success rate, need for assistance, and confidence in using the device.  Two years 
Reliability & validity: Demonstrated consistent and stable performance of the EAR-AID device across multiple sessions (e.g., 10–15 consecutive uses), with no operational failures, critical errors, throughout the evaluation period, assessed through clinical study by comparing with classical Karnapurana (existing gold standard method).  Two years 
Feasibility: Successful integration of the EAR-AID device into clinical or therapeutic settings without requiring significant modifications to existing workflows, along with demonstrated acceptability and positive reception by end-users, as assessed through structured feedback and qualitative interviews.  Two years 
 
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 3 
Date of First Enrollment (India)   01/05/2026 
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="10"
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  

Ayurveda has a specialty branch known as Shalakya Tantra, which deals with diseases of the eyes, ears, nose, and throat. Karnapurana is a treatment modality in this branch, wherein medicated oil is instilled into the ear canal for a stipulated duration and removed. It has many applications in various ear disorders like deafness, tinnitus, vertigo, and other systemic diseases like hemiplegia and Bell’s palsy.

 Presently, Karnapurana is performed manually by a trained Panchakarma therapist. This method has certain limitations. The primary limitation pertains to the installation of oil. Presently, it is done with a gokarna/spoon. Hygiene cannot be adequately maintained, and there is more waste of medicine in this method. The second limitation is related to the removal of oil after the procedure. At present, it is done with a cotton bud. However, if it is not done correctly, the oil may be retained in the ear canal, which may harbor fungal infections in the ear canal.

 Due to these limitations, there is a scope for a novel instrument to perform the karnapurana. This instrument should function in such a way that there is the provision of regulation of the oil temperature, and oil is instilled hygienically. Also, there should be a mechanism to remove the oil after the procedure.

We are using biocompatible silicone tubing for administering medication into the ear and removing the medication. These tubes can be sterilized for reuse or discarded after a single use. They are recyclable, highly cost-effective, and designed with patient safety in mind.

To prevent contamination, we are using peristaltic pumps for administering medication. The medication flows through biocompatible silicone tubing, ensuring it does not come into contact with the device itself. As a result, the device will not harbor harmful microorganisms and will effectively prevent any bacterial or fungal growth, ensuring a safe and sterile application. This setup guarantees non-toxicity and maintains the integrity of the medication.

 
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