| CTRI Number |
CTRI/2025/08/092421 [Registered on: 05/08/2025] Trial Registered Prospectively |
| Last Modified On: |
04/08/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Ayurveda |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
A study to assess the effect of Kala basti krama with Rasnadi Niruha and Anuvasana(medicated enema treatment with alternate decoction and oil for 15 days period) in treatment of Prameha poorvaroopavastha(Prediabetic patients) |
|
Scientific Title of Study
|
An open randomized clinical control study to assess the effect of Kala basti krama with Rasnadi Niruha and Anuvasana in Prameha poorvaroopavastha wsr to prediabetic condition |
| 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 Neeraja Suresh Iyer |
| Designation |
PG Student |
| Affiliation |
R.A Podar Ayurvedic Medical College |
| Address |
OPD 7, Panchakarma OPD, Department of Panchakarma,
R.A Podar Ayurvedic Medical College Dr Annie Besant road, Worli Mumbai, 400018
Mumbai MAHARASHTRA 400018 India |
| Phone |
9850962367 |
| Fax |
|
| Email |
mimo1799@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Seema Bahatkar |
| Designation |
MD and Phd Panchakarma, HOD and Professor Panchakarma Department |
| Affiliation |
M.A Podar Ayurvedic Hospital Worli Mumbai |
| Address |
OPD 7,Panchakarma OPD, Department of Panchakarma,
M.A Podar Ayurvedic Hospital
Dr Annie Besant road, Worli Mumbai, 400018
Mumbai MAHARASHTRA 400018 India |
| Phone |
9881900560 |
| Fax |
|
| Email |
seemabahatkar@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Neeraja Suresh Iyer |
| Designation |
PG Student |
| Affiliation |
R.A Podar Ayurvedic Medical College |
| Address |
OPD 7, Panchakarma OPD, Department of Panchakarma,
R.A Podar Ayurvedic Medical College,Dr Annie Besant road, Worli Mumbai, 400018
Mumbai MAHARASHTRA 400018 India |
| Phone |
9850962367 |
| Fax |
|
| Email |
mimo1799@gmail.com |
|
|
Source of Monetary or Material Support
|
| M.A Podar Ayurvedic Medical Hospital ,Dr Annie Besant Road Worli , Mumbai |
|
|
Primary Sponsor
|
| Name |
R.A Podar Ayurvedic Medical College Worli Mumbai |
| Address |
Department of Panchakarma, R.A Podar Ayurvedic Medical College , Dr Annie Besant Road, Worli ,Mumbai
400018 |
| Type of Sponsor |
Government medical college |
|
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Details of Secondary Sponsor
|
|
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Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Neeraja Suresh Iyer |
M.A Podar Ayurvedic Hospital, Worli ,Mumbai |
Department of Panchakarma, M.A Podar Ayurvedic Hospital,Worli , Mumbai,400018 Mumbai MAHARASHTRA |
9850962367
mimo1799@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee R.A Podar Ayurvedic Medical College and M.A Podar Ayurvedic Hospital Worli Mumbai |
Approved |
|
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Regulatory Clearance Status from DCGI
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition:E119||Type 2 diabetes mellitus without complications. Ayurveda Condition: PRAMEHA-PURVARUPAM, |
|
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Intervention / Comparator Agent
|
| sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | | 1 | Intervention Arm | Procedure | - | bastikarma/vastikarma, बस्तिकर्म/वस्तिकर्म Pradhan Karma | (Procedure Reference: Ch.Si.3/19, Procedure details: Patient is made to lie in left lateral position with right leg bent at knee.
Lubricate the tip of catheter with oil.
Apply oil on the anal orifice.
Slowly insert the catheter into the anus ,slowly release the clip and allow the Basti medicine to flow into the rectum.
Carefully remove the catheter.) (1) Medicine Name: Rasnadi Niruha Basti, Reference: Ch.Si.3/61-64, Route: Rectal, Dosage Form: Kwatha/Kashaya, Dose: 765(ml), Frequency: od, Duration: 6 Days(2) Medicine Name: Rasnadi Anuvasana, Reference: Ch.Si.3/61-64 and Sharangdhar Samhita Madhyam Khanda, Adhyay 9 Shloka 1, Route: Rectal, Dosage Form: Kwatha/Kashaya, Dose: 120(ml), Frequency: od, Duration: 9 Days | | 2 | Comparator Arm | Procedure | - | saravA~gga, सर्वांग | (Procedure Reference: Ch.Su.5/86, Procedure details: Patient is made to lie in supine position. Lukewarm Til Tail is gently applied to body parts of patient.) (1) Medicine Name: Til Tail, Reference: Ch.Su.13/12, Route: Topical, Dosage Form: Taila, Dose: 300(ml), Frequency: od, Duration: 15 Days | | 3 | Comparator Arm | Procedure | - | sa~gkarasvedaH, संकरस्वेदः | (Procedure Reference: Ch.Su.14/43, Procedure details: Steam is made by boiling Dashamool Kwath and passed over body parts of patient.) (1) Medicine Name: Dashamool Kwath, Reference: Ch.Su.14/43, Route: Topical, Dosage Form: Kwatha/Kashaya, Dose: 2000(ml), Frequency: od, Duration: 15 Days | | 4 | Intervention Arm | Procedure | - | saravA~gga, सर्वांग | (Procedure Reference: Ch.Su.5/86, Procedure details: Patient is made to lie in supine position.
Lukewarm Til Tail is gently applied to body parts of patient.) (1) Medicine Name: Til Tail, Reference: Ch.Su.13/12, Route: Topical, Dosage Form: Taila, Dose: 300(ml), Frequency: od, Duration: 15 Days | | 5 | Intervention Arm | Procedure | - | sa~gkarasvedaH, संकरस्वेदः | (Procedure Reference: Ch.Su.14/43, Procedure details: Steam is made by boiling Dashamool Kwath and passed over body parts of patient.) (1) Medicine Name: Dashamool Kwath, Reference: Ch.Su.14/43, Route: Topical, Dosage Form: Kwatha/Kashaya, Dose: 2000(ml), Frequency: od, Duration: 15 Days | | 6 | Comparator Arm | Procedure | - | bastikarma/vastikarma, बस्तिकर्म/वस्तिकर्म Pradhan Karma | (Procedure Reference: Ch.Si.3/19, Procedure details: Patient is made to lie in left lateral position with right leg bent at knee. Lubricate the tip of catheter with oil. Apply oil on the anal orifice. Slowly insert the catheter into the anus ,slowly release the clip and allow the Basti medicine to flow into the rectum. Carefully remove the catheter.) (1) Medicine Name: Panchatikta Panchaprasrutiki Basti, Reference: Vangasen Basti Adhyay ,61, Route: Rectal, Dosage Form: Kwatha/Kashaya, Dose: 675(ml), Frequency: od, Duration: 15 Days |
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|
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Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
60.00 Year(s) |
| Gender |
Both |
| Details |
1)Patients with fasting blood glucose levels between 110-125mg/dl
2)Patients with post prandial blood glucose levels between 140-200 mg/dl
3)Patients with grade 0-2 of any 3 of the following signs and symptoms of poorvaroopavastha of prameha
a)Swedadhikya
b)Shayyasana swapnasukham
c)Karapadadaha or Karapadasuptata
d)Atitrushna
e)Angagauravta
|
|
| ExclusionCriteria |
| Details |
1)Patients with presenting complications of diabetes like diabetic nephropathy, retinopathy.
2)Patients with anorectal disorders like piles, fissure, fistula.
3)Patients with renal disease.
4)Patients with hyperuricemia
5)Patients with any form of malignancy.
6)Pregnant and lactating mothers |
|
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Method of Generating Random Sequence
|
Computer generated randomization |
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Method of Concealment
|
Case Record Numbers |
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Blinding/Masking
|
Participant Blinded |
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Primary Outcome
|
| Outcome |
TimePoints |
| Improvement in subjective and objective criteria of poorvaroopavastha of Prameha |
Day 45.
Follow up on Day 1 . Day 15 and Day 45 |
|
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Secondary Outcome
|
| Outcome |
TimePoints |
| Imporovement in fasting blood glucose levels. |
Day 45 |
| Improvement in post prandial blood glucose levels. |
Day 45 |
Improvement in grades of signs and symptoms of poorvaroopavastha of prameha-
Swedadhikya, Shayyasana swapnasukha, Karapada daha or suptata, Atitrushna and Angagauravta |
Day 45 |
|
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Target Sample Size
|
Total Sample Size="64" Sample Size from India="64"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
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Phase of Trial
|
Phase 2/ Phase 3 |
|
Date of First Enrollment (India)
|
16/08/2025 |
| 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="4" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
Publication Details
|
N/A |
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Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
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Brief Summary
|
Prediabetes is a condition in which blood sugar levels are higher than normal but not high enough to be caused diabetes. It is one of the lifestyle disorders which is caused due to improper food , lifestyle and stress.
If patient is not treated at prediabetes stage, it may cause diabetes mellitus in future. Diabetes mellitus affects all systems of the body and can cause further complications.
So it is very important that patient should be assessed and treated in Prediabetes stage. Ayurveda also believed that any disease should be treated in poorvaroopavastha. So I have selected this disease.
Kala Basti krama with Rasnadi Niruha and Anuvasana have been selected because it has all tikta, katu rasatmak , rooksha drugs which will act on kapha dosha and prameha vyadhi.
The study is divided into 2 arms with 32 participants each. Intervention arm - Kala Basti krama with Rasnadi Niruha and Anuvasana will be given for a period of 15 days. Control arm - Panchatikta Panchaprasrutiki Basti will be given for a period of 15 days.
Participants will be selected as per inclusion criteria.
Computer based Randomization process will be used.
Patients will be assessed on Day 1, Day 15 and Day 45 of study.
Patients will be assessed as per subjective and objective criteria. Objective criteria- Fasting blood sugar levels, Post Prandial Blood Glucose levels. Subjective criteria - Signs and Symptoms of poorvarropavastha of prameha
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