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CTRI Number  CTRI/2025/07/090596 [Registered on: 09/07/2025] Trial Registered Prospectively
Last Modified On: 08/07/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda
Screening 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   leech therapy in non-healing ulcer with analysis of leech saliva for its microbial load  
Scientific Title of Study   Evaluate the efficacy of Hirudotherapy in the management of non-healing ulcer with pre and post analysis of Leech saliva for its microbial load- A Randomized control 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  Dr Pawan Lalsangi  
Designation  Associate professor  
Affiliation  KAHERs Shri B M K Ayurveda Mahavidyalaya 
Address  KAHERs Shri B M K Ayurveda Mahavidyalaya, Dept of Shalya tantra, Belagavi - 590010, Karnataka, India

Belgaum
KARNATAKA
590010
India 
Phone  8748035055  
Fax    
Email  ambiciouspawan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pawan Lalsangi  
Designation  Associate professor  
Affiliation  KAHERs Shri B M K Ayurveda Mahavidyalaya 
Address  KAHERs Shri B M K Ayurveda Mahavidyalaya, Dept of Shalya tantra, Belagavi - 590010, Karnataka, India


KARNATAKA
590010
India 
Phone  8748035055  
Fax    
Email  ambiciouspawan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pradeep Shindhe  
Designation  Professor  
Affiliation  KAHERs Shri B M K Ayurveda Mahavidyalaya 
Address  KAHERs Shri B M K Ayurveda Mahavidyalaya, Dept of Shalya tantra, Belagavi - 590010, Karnataka, India

Belgaum
KARNATAKA
590010
India 
Phone  9986331357  
Fax    
Email  pshindhe@gmail.com  
 
Source of Monetary or Material Support  
Dr N A Magadum Ayurvedic Hospital & Research center, Dept of Shaklyatantra OPD no.4, Ankali 591213, Tq- Chikodi, Dist - Belagavi, karnataka, India.  
 
Primary Sponsor  
Name  Dr Pawan Lalsangi  
Address  Dr N A Magadum Ayurvedic Hospital & Research center, Dept of Shaklyatantra OPD no.4, Ankali 591213, Tq- Chikodi, Dist - Belagavi, karnataka, India 
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 Pawan Lalsangi  KAHERs Shri B M K Ayurveda Mahavidyalaya  Dr N A Magadum Ayurvedic Hospital and Research center, Dept of Shalyatantra OPD no.4, Ankali - 591213 Tq- Chikodi, Dist - Belagavi, Karnataka, India
Belgaum
KARNATAKA 
8748035055

ambiciouspawan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Dr.NAMAMC-IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:L99||Other disorders of skin and subcutaneous tissue in diseases classified elsewhere. Ayurveda Condition: DUSHTAVRANAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-jalokaawacharana (Procedure Reference: sushrut samhita, Procedure details: Jaloukawacharana on baseline , 7th day, 15th day )
(1) Medicine Name: Kaishore guggulu , Reference: Ch.Su.24/18 , Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/Tablets, Dose: 250(mg), Frequency: bd, Duration: 15 Days
2Comparator ArmDrugClassical(1) Medicine Name: Kaishore guggulu , Reference: Ch.Su.24/18, Route: Oral, Dosage Form: Guggulu , Dose: 250(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 15 Days, anupAna/sahapAna: Yes(details: -sukoshna jala), Additional Information: -
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  17.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Subjects with normal CT, BT and Hb%.
Symptoms of chronic non-healing wound/ Dushtavrana (present for more than 4 weeks i.e. Dirghakalanubandi) with classical signs of Durgandha, vedhana, utsangi atipooyasrava, atigandha with Pooyasrava,
Subjects with either sex and age between 18yr to 70 years,
Yogya for jalokaavacharana according to classics,
Subject who submits a written informed consent.
 
 
ExclusionCriteria 
Details  Patients who have completed participation in any other clinical trial during the past six (06) months,
Subjects with K/C/O bleeding disorders,
Wound with excessive loss of tissue,
Ayogya for Jalokaawacharan including Sarvangashopha, Pandu, Udara, Shosha, Subjects with H/O HIV I&II, HBsAg infections, severe anemia, or any other chronic illness (Like Diabetes, Hypertension, etc),
Wound with other disorders e.g. Malignant ulcers, Syphilitic ulcers, Lepromatous ulcers, Tubercular ulcers, Severe Anemia, Burns.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Hirudotherapy as add on treatment is effective in the management of Non-Healing Ulcer.
Reduction in the microbial load (Pre and post application) of leech Saliva in Hirudotherapy.
 
The frequency of Leech saliva will be collected before application, immediately after second vomitus and on 7th day.on this sample collect all data and compare .
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   21/07/2025 
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="11"
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   The present study title “Evaluate the efficacy of Hirudotherapy in the management of non-healing ulcer with pre and post analysis of Leech saliva for its microbial load- A Randomized control trial “ in the management of Dushta vrana will be conducted on 80 subjects with 40 in each group with mentioned objective and subjective parameters. one group will be treated with kaishora guggulu, aragwadadhi kashaya, jatyadi tail L/A, and other group with Jaloukawacharana with kaishora guggulu, aragwadadhi kashaya, jatyadi tail L/A. Assesment of leech saliva microbial load and patient will be done on 8, 16, 30th day. 
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