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CTRI Number  CTRI/2025/08/093086 [Registered on: 14/08/2025] Trial Registered Prospectively
Last Modified On: 13/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Ayurvedic Regimen for Garbhini Pandu 
Scientific Title of Study   Evaluation of the efficacy of Mandura Makshika Bhasma in the management of Garbhini Pandu w s r to Iron deficiency anaemia in pregnancy a Randomized controlled 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  Dr Pragya Singh 
Designation  PG Scholar 
Affiliation  KAHERS Shri B M Kankanawadi Ayurveda Mahavidyalaya  
Address  Room Number 23 Department of Streeroga and Prasuti Tantra KAHERS Shri B M Kankanawadi Ayurveda Mahavidyalaya Post graduate studies and research centre Belagavi

Belgaum
KARNATAKA
590003
India 
Phone  8874848306  
Fax    
Email  pragya95552@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nayana Bhagat  
Designation  Associate Professor 
Affiliation  KAHERS Shri B M Kankanawadi Ayurveda Mahavidyalaya  
Address  Room Number 23 Department of Streeroga and Prasuti Tantra KAHERS Shri B M Kankanawadi Ayurveda Mahavidyalaya Post graduate studies and research centre Belagavi

Belgaum
KARNATAKA
590003
India 
Phone  8123236686  
Fax    
Email  nayana.gavekar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nayana Bhagat  
Designation  Associate Professor 
Affiliation  KAHERS Shri B M Kankanawadi Ayurveda Mahavidyalaya  
Address  Room Number 23 Department of Streeroga and Prasuti Tantra KAHERS Shri B M Kankanawadi Ayurveda Mahavidyalaya Post graduate studies and research centre Belagavi

Belgaum
KARNATAKA
590003
India 
Phone  8123236686  
Fax    
Email  nayana.gavekar@gmail.com  
 
Source of Monetary or Material Support  
KAHERS Shri B M Kankanawadi Ayurveda Mahavidyalaya Belagavi karnataka India 590003  
 
Primary Sponsor  
Name  Dr Pragya Singh 
Address  Pg Scholar Department of Streeroga and Prasuti Tantra KAHERS Shri B M Kankanawadi Ayurveda Mahavidyalaya Post graduate studies and research centre Belagavi Karnataka India 590003 
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 Pragya Singh  KLE Ayurveda Hospital Shahapur Belagavi  Room Number 23 Department of Streeroga and Prasuti Tantra KAHERS Shri B M Kankanawadi Ayurveda Mahavidyalaya Post graduate studies and research centre Belagavi
Belgaum
KARNATAKA 
8874848306

pragya95552@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional Ethics Committee for Reseach on Human Subjects  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O280||Abnormal hematological finding onantenatal screening of mother,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Ferrous Ascorbate  Ferrous Ascorbate Route of Administration Oral Dose 100mg OD Duration 45 Days 
Intervention  Mandura Makshika Bhasma  Mandura Makshika Bhasma Anupana Honey Route of Administration Oral Dose 125mg BD Duration 45 Days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Confirmed diagnosis of Mild Iron Deficiency Anaemia 9 to 10 point 9 g per dl as per WHO criteria
Pregnant women in early second trimester between 14 weeks to 20 weeks 6 days
Age group 18 to 40 years
Singleton intrauterine pregnancy
Willingness to participate 
 
ExclusionCriteria 
Details  Moderate to Severe Anaemia Moderate 7 to 8 point 9 g per dl Severe less than 7g per dl
Anaemia due to other causes such as megaloblastic anaemia thalassemia or sickle cell anaemia
Multiple pregnancy
Gestational age less than 14 weeks or more than 21 weeks
Chronic metabolic disorders hypertension diabetes hepatic and renal diseases GDM PIH Bleeding disorders like piles peptic ulcer oesophageal varices 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Improvement in hematological parameters and clinical
symptoms of Garbhini Pandu 
Baseline 22nd Day and 45th Day  
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
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)   20/09/2025 
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="6"
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  

Anaemia affects 52 percentage of pregnant women in India with Iron Deficiency Anaemia IDA responsible for about half of these cases contributing significantly to maternal and perinatal complications

Conventional treatment involves oral iron supplements which are effective but often poorly tolerated due to gastrointestinal side effects leading to low adherence

Parenteral iron therapy is faster but expensive and risky

In Ayurveda although Garbhini Pandu isnt directly mentioned related conditions like Vivarnata and Pandutwa are discussed

Traditional Ayurvedic medicines like Mandura Bhasma and Swarna Makshika Bhasma have been used to manage anaemia

A unique formulation  Mandura Makshika Bhasma  combines both enhancing therapeutic effects especially for severe pitta related conditions

Despite the availability of modern formulations like ferrous ascorbate side effects and poor bioavailability remain issues

Limited research exists on the combined effects of Mandura and Swarna Makshika Bhasma This study aims to explore their synergy absorption and potential as an effective Ayurvedic alternative for managing IDA in pregnancy

 
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