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CTRI Number  CTRI/2025/05/087732 [Registered on: 27/05/2025] Trial Registered Prospectively
Last Modified On: 07/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Benefits of participation in interventation of metabolic syndrome 
Scientific Title of Study   A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF HERBAL COMPOUND WITH AND WITHOUT VIRECHAN KARMA IN CASES OF DHATWAGNIMANDYA (W.S.R.TO METABOLIC SYNDROME) 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shahnuma Ansari 
Designation  Research Scholar 
Affiliation  State Ayurvedic College and Hospital Lucknow 
Address  Post Graduate Department of Kayachikitsa, State Ayurvedic College and Hospital ,Tulsidas Marg ,Tudiyaganj,Lucknow,226004 Uttar Pradesh India

Lucknow
UTTAR PRADESH
226004
India 
Phone  07991756506  
Fax    
Email  ansarishahnumaansari@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Anant Krishna 
Designation  Assistant Professor 
Affiliation  State Ayurvedic College and Hospital Lucknow 
Address  Post Graduate Department of Kayachikitsa, State Ayurvedic College and Hospital ,Tulsidas Marg ,Tudiyaganj,Lucknow,226004 Uttar Pradesh India

Lucknow
UTTAR PRADESH
226004
India 
Phone  9452274856  
Fax    
Email  anant10patel@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shahnuma Ansari 
Designation  Research Scholar 
Affiliation  State Ayurvedic College and Hospital Lucknow 
Address  Post Graduate Department of Kayachikitsa, State Ayurvedic College and Hospital ,Tulsidas Marg ,Tudiyaganj,Lucknow,226004 Uttar Pradesh India

Lucknow
UTTAR PRADESH
226004
India 
Phone  07991756506  
Fax    
Email  ansarishahnumaansari@gmail.com  
 
Source of Monetary or Material Support  
Post Graduate Department of Kayachikitsa, State Ayurvedic College and Hospital, Tulsidas Marg, Tudiyaganj, Lucknow, Uttar pradesh,226004 
 
Primary Sponsor  
Name  State Ayurvedic College and Hospital Lucknow 
Address  Post Graduate Department of Kayachikitsa, State Ayurvedic College and Hospital, Tulsidas Marg, Tudiyaganj, Lucknow, Uttar pradesh,226004 
Type of Sponsor  Government 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 
Shahnuma Ansari  State Ayurvedic College and Hospital Lucknow   Post Graduate Department of Kayachikitsa, State Ayurvedic College and Hospital ,Tulsidas Marg ,Tudiyaganj,Lucknow,226004 Uttar Pradesh India
Lucknow
UTTAR PRADESH 
07991756506

ansarishahnumaansari@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SAC INSTITUTIONAL ETHICS COMMITTE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E748||Other specified disorders of carbohydrate metabolism. Ayurveda Condition: MANDAGNIH/ AGNISADA,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Kalingaadi kwath ghan vati and kiratiktaadi kwath ghan vati, Reference: charak chikitsa 2/200and 2/202, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 500(mg), Frequency: od, Bhaishajya Kal: Adhobhakta, Duration: 3 Months, anupAna/sahapAna: No, Additional Information: Group A- patients will be treated with herbal coumpound 2 vati(250mg each ) for three months
2Comparator ArmDrugClassical(1) Medicine Name: Kalingaadi kwath ghan vati and kiratiktaadi kwath ghan vati, , Reference: charak chikitsa 2/200and 2/202,, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 500(mg), Frequency: od, Bhaishajya Kal: Adhobhakta, Duration: 3 Months, anupAna/sahapAna: No, Additional Information: Group A- patients will be treated with herbal coumpound 2 vati(250mg each ) for three months Group B- patients of this group will be treated with herbal compound 2 vati (250mg each) after three days of virechan karma with 2 vati ofIchhabhedi ras
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Inclusion criteria
1. Age- 21- 60 years
2. Fasting glucose 100 mg/dl- 140mg/dl
3. Blood Pressure 130/90 mm Hg-150/110mmHg
4. HDL 40mg/ dl -50mg/dl
5. Waist circumferance 90cm-110cm in men
80cm-100cm in women
6. BMI 25-40
7. Triglyceride 150mg /dl-200mg/dl
8. Patient having all essential criteria and minimum 50%nonessential criteria must be present
for selection of cases
9. In the patients minimum 50% objective parameter must be present for selection of cases 
 
ExclusionCriteria 
Details  Exclusion criteria 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Alternation 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Objective Parameter
1. Abdominal Obesity
2. BMI above 25
3. High Triglycerides
4. Low HDL cholesterol
5. High Blood pressure or using to lower blood pressure.
6. High fasting blood glucose
7. Increased blood clotting tendency
8. Insulin resistance.
9. High VLDL and VLDL level
In the patients minimum 50% objective parameter must be present for selection of cases. 
before trial,0day,1th month,2 month, 3 month after trial. 
 
Secondary Outcome  
Outcome  TimePoints 
Subjective parameter
essential criteria
1.Snigdhaangata(smoothness)
2.Udaraoarshvavriddhi (abdominal obesity)
3.Daurgandhya(foul smell from body)
noneseeential criteria
1.Hridyautkleda(heaviness in chest)
2.Prasake(salivation)
3.Kasa(cough)
4.Shwas(breathlessness)
patient having all essential criteria and 50% nonessential criteria must be present for selection of cases. 
before trial,0day,1th month,2 month, 3 month after trial. 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   01/06/2025 
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="5"
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 Synopsis Entitled "A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF HERBAL COMPOUND WITH AND WITHOUT
VIRECHAN KARMA IN CASES OF DHATWAGNIMANDYA (W.S.R.TO METABOLIC SYNDROME)"


Aim :
1. To evaluate the clinical efficacy of herbal compound.
2. To evaluate the clinical efficacy of herbal compound after Virechana karma.
Objective:
1. To observe the disease Dhatwagnimandya clinically during the follow up period with and without the procedure.
2. To access the effectiveness of probable mode of action of herbal compound with and without virechan karma.
 
Plan of Study
For purpose of clinical trial, the patient of Dhatwagnimandya will be selected regardless of sex, religion ,socioeconomic status and occupation in the age group of 21-60 years from
OPD/IPD of State Ayurvedic college &Hospital, Lucknow and also the referred cases which fullfil the criteria.
After clinical examination ,history and lab investigation patients fulfilling the inclusion criteria and exclusion criteria will be enrolled for the clinical trial
Type of Study- Randomized parallel group study
Period of Study- Total duration of clinical trial will be of 3 months.
Follow up period without drug of Procedure- Follow up of all registered patients will be of one month without giving herbal compound and virechan karma procedure to assess the
condition of patients & to observe any side effect of procedure.


Inclusion criteria
1. Age- 21- 60 years
2. Fasting glucose 100 mg/dl- 140mg/dl
3. Blood Pressure 130/90 mm Hg-150/110mmHg
4. HDL 40mg/ dl -50mg/dl
5. Waist circumferance 90cm-110cm in men
 80cm-100cm in women
6. BMI 25-40
7. Triglyceride 150mg /dl-200mg/dl
8. Patient having all essential criteria and minimum 50%nonessential criteria must be present for selection of cases
9. In the patients minimum 50% objective parameter must be present for selection of cases
10.Patient fit for virechan karma.
Exclusion criteria
1. Age group <2l years and > 60 years of age
2 Uncontrolled Diabetes Mellitus (Type 2)
3. Uncontrolled Hypertension on or with complication.
4. Known case of Ischemic heart Disease Cardiac Heart failure and any other vascular disorder.
5. Aggravation of complaints.
6. Uncontrolled obesity with BMI >40
7. Patients develops any serious adverse effect (A necessitating hospitalization)
8. Any addiction of Tobacco & Alcohol
9. Pregnant Lady or lactating mother
10. unwilling Patient will be excluded.Grouping of patient
Minimum 60 patients of age group 21-60 years will be divided into groups selected randomly for the clinical trial.
Group A -Patients of this group will be treated with herbal compound 2 vati (250mg each) for 3 months
Group B - Patients of this group will be treated with herbal compound 2 vati (250mg each) for 3 months after three days of virechan karma
Diet Plan and Exercise protocol will be common both in two groups.

Critaria of selection of cases
Patient will be enrolled for clinical trial in this study on the basis of clinical and biochemical lab findings as per follows.
Clinical Criteria
Subjective parameter 
Essential criteria
1.Snigdhaangta(smoothness)
2.Udaroarshva vriddhi(abdominal obesity)
3.Daurgandhya(foul smell fron body)
Nonessential criteria
1.Hridyautkleda(heaviness in chest)
2.Praseka(salivation)
3.Kasa(cough0
4.Shwasa(breathlessness)
Patient having allessential criteria and 50%nonessential criteria must be present for selection of cases.
Objective Parameter
1. Abdominal Obesity
2. BMI above 25
3. High Triglycerides
4. Low HDL cholesterol
5. High Blood pressure or using to lower blood pressure.
6. High fasting blood glucose
7. Increased blood clotting tendency
8. Insulin resistance.
9. High VLDL and VLDL level
In the patients minimum 50% objective parameter must be present for selection of cases.



 
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