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CTRI Number  CTRI/2025/06/088822 [Registered on: 13/06/2025] Trial Registered Prospectively
Last Modified On: 12/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical trial to evaluate the effect of two medicines, Pashanabhedadi kwatha and Trikantakadi kwatha in managing urolithiasis 
Scientific Title of Study   Management of Urolithiasis with Pashanabhedadi Kwatha and Trikantakadi Kwatha- A comparative clinical trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shyama KV 
Designation  PhD (Ayu) Scholar 
Affiliation  Glocal College of Ayurvedic Medical science and Research Centre 
Address  Glocal College of Ayurvedic Medical science and Research Centre Glocal university Mirzapur pole Saharanpur (Dist) Uttarpradesh

Saharanpur
UTTAR PRADESH
247121
India 
Phone  9605145572  
Fax    
Email  kvshyamaraj@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Remani KK 
Designation  Professor 
Affiliation  Glocal College of Ayurvedic Medical science and Research Centre 
Address  Research dDepartmen t of Kayachikitsa Glocal College of Ayurvedic Medical science and Research Centre Glocal university Mirzapur pole Saharanpur (Dist) Uttarpradesh

Saharanpur
UTTAR PRADESH
247121
India 
Phone  9447389582  
Fax    
Email  dr.kkremani.ayur@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shyama KV 
Designation  PhD (Ayu) Scholar 
Affiliation  Glocal College of Ayurvedic Medical science and Research Centre 
Address  Glocal College of Ayurvedic Medical science and Research Centre Glocal university Mirzapur pole Saharanpur (Dist) Uttarpradesh

Saharanpur
UTTAR PRADESH
247121
India 
Phone  9605145572  
Fax    
Email  kvshyamaraj@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Shyama KV 
Address  PhD Scholar Glocal College of Ayurveda and Medical Science and Research Centre, Delhi Yamuntri Marg (State high way 57)Mirzapur pole , Dist-Saharanpur, Uttarpradesh 247121 
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 Shyama KV  Sumandeep Ayurveda College and Hospital  Department of Kayachikitsa OPD Block Room No.5 Piparia (post) Vadodara
Vadodara
GUJARAT 
9605145572

kvshyamaraj@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Glocal university  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:N23||Unspecified renal colic. Ayurveda Condition: ASMARI,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Pashanabhedadi kwatha, Reference: Vangasena Samhita Ashmari adhikara 42nd chapter 64th sloka, Route: Oral, Dosage Form: Kwatha/ Kashaya, Dose: 96(ml), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 60 Days, anupAna/sahapAna: Yes(details: Karkatika,trapusa,shilajatu,guda), Additional Information: karkatika,shilajatu,trapusa and guda will be added as prakshepaka dravya
2Comparator ArmDrugClassical(1) Medicine Name: Trikantakadi kwatha, Reference: Yogaratnakara uttarardha ashmari adhikara sloka no.1, Route: Oral, Dosage Form: Kwatha/ Kashaya, Dose: 96(ml), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 60 Days, anupAna/sahapAna: Yes(details: Madhu), Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Subjects who have signed informed consent and having urolithiasis with stone size up to 10 ml will be included in the study 
 
ExclusionCriteria 
Details  Subjects with chronic kidney disease, gross hydronephrosis, severe haematuria,stone size more than 10 mm and the subjects with gastritis will be excluded. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Ultrasonography of abdomen and pelvis to detect the presence of calculi, size of calculi and number of number of calculi  Ultrasonography of abdomen and pelvis will be done on 0th day 60th day 
 
Secondary Outcome  
Outcome  TimePoints 
Subjective symptoms like pain,burning micturition, dysuria,hematuria,frequency of micturition will be assessed based on the grading in severity of the symptom.  0th day,20th day,40th day,60th day 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   01/07/2025 
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="0"
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) - 

  6. For how long will this data be available start date provided 02-01-1970 and end date provided 02-01-1970?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary   Urolithiasis is formation of urinary calculi at any level of the urinary tract. It is estimated that approximately 2% of the population experiences renal stone disease in their life with male-female ratio 2:1. The peak incidence is observed in 2nd to 3rd decades. Renal calculi are characterized clinically by colicky pain (renal colic) as they pass down along the ureter and may be manifested by hematuria. The most common symptom is colicky pain often associated with macroscopic or microscopic hematuria. The severity of pain may also depend up on the site of occurrence of stone. The pain in urolithiasis is usually severe in nature especially if the stones are moving down to the ureter. Urinary calculi is considered to be the most common and important cause of obstructive uropathy.  It also acts as an added risk factor for so many other conditions like Urinary tract infections, Chronic kidney diseases and Hypertension. Urolithiasis is such a disease which is having the maximum chance of reoccurrence and repeatedly undergoing the surgery or any other stone removal technique may adversely affect the whole urogenital system. So if we can manage the condition with oral medication which is explained in Ayurveda classics will be more beneficial for the society. With this intention we have selected the comparative study to evaluate the efficacy of Pashanabhedadi kwatha and Trikantakadi kwatha over subjective and objective parameters of Urolithiasis.
The study will be randomized open clinical trial having 2 groups with 50 subjects in each group and the medicine given will be in kashaya form with 96 ml dosage before food 2 times in a day. 
Null hypothesis:
There is no significant difference in the efficacy of managing Urolithiasis between 2 groups. (Group 1 and 2)
Alternate hypothesis:
There is significant difference in managing urolithiasis between group 1 and group 2 favoring one group over the other in reducing the signs and symptoms of urolithiasis.

 
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