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CTRI Number  CTRI/2025/08/093163 [Registered on: 18/08/2025] Trial Registered Prospectively
Last Modified On: 15/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Use of Apamarga Kshar Taila in management of Sharavika Prameha Pidika (Diabetic Ulcers) 
Scientific Title of Study   AN OPEN RANDOMISED CLINICAL CONTROL TRIAL OF EFFECT OF APAMARGA KSHAR TAILA WITH ADJUVANT DRUG THERAPY IN MANAGEMENT OF SHARAVIKA PRAMEHA PIDIKA WITH SPECIAL REFERENCE TO DIABETIC ULCER 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shaikh Arham Sarosh Mohd Asif 
Designation  PG Scholar  
Affiliation  Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Centre Ashta 
Address  3rd Floor Department of Shalya Tantra Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Center Ashta Tal WalWa Dist Sangli MAHARASHTRA 416301 India

Sangli
MAHARASHTRA
416301
India 
Phone  8928114719  
Fax    
Email  dr.arhamsarosh@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manoj Patil 
Designation  Professor 
Affiliation  Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Centre Ashta 
Address  3rd Floor Department of Shalya Tantra Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Center Ashta Tal WalWa Dist Sangli MAHARASHTRA 416301 India

Sangli
MAHARASHTRA
416301
India 
Phone  9422613195  
Fax    
Email  dr.patilmanoj77@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Manoj Patil 
Designation  Professor 
Affiliation  Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Centre Ashta 
Address  3rd Floor Department of Shalya Tantra Hon Shri Annasaheb Dange Ayurved Medical College Post Graduate and Research Center Ashta Tal WalWa Dist Sangli MAHARASHTRA 416301 India

Sangli
MAHARASHTRA
416301
India 
Phone  9422613195  
Fax    
Email  dr.patilmanoj77@gmail.com  
 
Source of Monetary or Material Support  
hon shri annasaheb dange ayurved medical college ashta dist sangli tal walwa maharashtra 416 301 
 
Primary Sponsor  
Name  Shaikh Arham Sarosh Mohd Asif 
Address  OPD no 13 Shalya Tantra OPD Ground Floor Dhanvantari Ayurved college hospital Ashta Tal Walwa Dist Sangli Hospital Ashta Tal WalWa Dist Sangli, Maharashtra 416301 India 
Type of Sponsor  Private medical college 
 
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 Manoj Patil  Hon Shri Annasaheb Dange Ayurved Medical COllege Post Graduate And Research Center Ashta  opd no 14 ground floor Shalyatantra department Dhanwantri hospital -Hon Shri Annasaheb ayurvedic Medical college and post graduate and research centre ashta sangli 416301 Maharashtra opd no 14 ground floor Shalyatantra department Dhanwantri hospital -Hon Shri Annasaheb ayurvedic Medical college and post graduate and research centre ashta sangli 416301 Maharashtra
Sangli
MAHARASHTRA 
9422613195

dr.patilmanoj77@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethical Committee Of Hon Shri Annasaheb Dange Ayurved Medical College And Post Graduate And Research Center Ashta Sangli  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E115||Type 2 diabetes mellitus with circulatory complications. Ayurveda Condition: PRAMEHA-PIDAKA,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator Arm (Non Ayurveda)-EUSOLEdinburgh university soluion of lime composition:1.25g of boric acid, 1.25g bleaching powdwer and sterile water upto 100ml
2Intervention ArmDrugClassical(1) Medicine Name: Apamarga Kshar Taila, Reference: Sha U 11/145, Route: Topical, Dosage Form: Dravaka, Dose: 1(NA), Frequency: od, Bhaishajya Kal: Adhobhakta, Duration: 15 Days, anupAna/sahapAna: No, Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patient suffering from Non Insulin Dependent Diabetes mellitus and Insulin Dependent Diabetes mellitus 
 
ExclusionCriteria 
Details  Patient suffering from
Malignant ulcer
Tubercular ulcer
Venous ulcer
HIV and HBsAg 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To Evaluate the efficacy of Apamarga Kshar Taila with adjuvant drug therapy in management of Shravika Prameha Pidika  at 1st day, 5thday and 15th day 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the efficacy of EUSOL & Apamarga Kshar taila with Adjuvant Drug Therapy in manangement of Sharavika Prameha Pidika   at 1st day , 5th day & 15th day 
 
Target Sample Size   Total Sample Size="88"
Sample Size from India="88" 
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 
Date of First Enrollment (India)   01/09/2025 
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="8"
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            Diabetes is a disease known for its multifaceted complications. Diabetic ulcer is one of the major complications of diabetes. Thousands of researches are being carried out on this in which Ayurveda has a major role. Brihatatryis have described Prameha Pidaka as a major complication of Prameha. These Pidakas are mainly found in muscular region, joints and vital points (Marmas). Different numbers of Prameha Pidakas are mentioned in Ayurvedic Classics. According to Sushruta there are 10 different types of Prameha Pidakas.Prameha pidika is seen as debilitating and Scoring disorder seen in the human being suffering from diabetes.it is very important and widely described chapter of shalya tantra.Su.Ni. 6/14
         Pidaka which is raised at the margin and dipped in its centre, so as to resemble as Saucer in its shape is called as Sharavika. 
         Diabetese affects more than 9.3% of Indian adult population. Up to 25% of diabetic patients develop foot ulcers. More than half of foot ulcers become infected and require hospitalisation and 20% of infections results in amputation. Early effective management can reduce the severity of complications such as preventable amputations and possible mortality and can also improve overall quality of life.
               This study is randomized open controlled trial to evaluate the efficacy of Apamarga Kshar taila in the management of Sharavika Prameha PIdika as trial drug and EUSOL as control drug. Trial and control drugs applied on the diagnosed cases of Sharavika prameha pidika for 15 days and as per need. After 15 days patient is advice to come on 5th, 10th, 15 th day for follow up. 44 patients in each group will be studied. Study will be conducted in India. Outcome of study will be asses onbetter healing and reduction of signs and symptoms of wound.

 
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