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CTRI Number  CTRI/2025/08/093212 [Registered on: 19/08/2025] Trial Registered Prospectively
Last Modified On: 18/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Ayurvedic interventions in Ulcerative colitis 
Scientific Title of Study   A Randomized Controlled Trial of Kutaja Rasa Kriya in the Management of Mild to Moderate Cases of Ulcerative Colitis  
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 Abhishek Jaiswal 
Designation  Junior Resident 
Affiliation  Banaras Hindu University 
Address  Department of Shalyatantra Faculty of Ayurveda Institute of Medical Sciences

Varanasi
UTTAR PRADESH
221005
India 
Phone  9651899243  
Fax    
Email  abhishekjaiswaluno@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Rahul Sherkhane 
Designation  Professor and Head of Department 
Affiliation  Banaras Hindu University 
Address  Department of Shalyatantra Faculty of Ayurveda Institute of Medical Sciences

Varanasi
UTTAR PRADESH
221005
India 
Phone  8233829723  
Fax    
Email  rahulsherkhane@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Abhishek Jaiswal 
Designation  Junior Resident 
Affiliation  Banaras Hindu University 
Address  Department of Shalyatantra Faculty of Ayurveda Institute of Medical Sciences

Varanasi
UTTAR PRADESH
221005
India 
Phone  9651899243  
Fax    
Email  abhishekjaiswaluno@gmail.com  
 
Source of Monetary or Material Support  
Sir Sunderlal Hospital Faculty of Ayurveda Institute of Medical Sciences Banaras Hindu University 
 
Primary Sponsor  
Name  Department of Shalyatantra  
Address  Faculty of Ayurveda Institute of Medical Sciences Banaras Hindu University Varanasi 221005 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
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 Abhishek Jaiswal  Sir Sunderlal Hospital Banaras Hindu University  OPD No.12,14,16A Indian Medicine Wing Department of Shalyatantra Faculty of Ayurveda Institute of Medical Sciences Banaras Hindu University
Varanasi
UTTAR PRADESH 
9651899243

abhishekjaiswaluno@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, Institute of Medical Sciences, Banaras Hindu University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K519||Ulcerative colitis, unspecified. Ayurveda Condition: PITTAJA-ATISARAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Kutaja , Reference: Bhaishajya Ratnavali, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 6(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 3 Months, anupAna/sahapAna: Yes(details: Takra), Additional Information: -
2Comparator Arm (Non Ayurveda)-Mesalamine1.2 gm BD, For 3 months, via oral route
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  mild to moderate type (Mayo score 3 to 10) of ulcerative colitis

previously diagnosed cases of ulcerative colitis 
 
ExclusionCriteria 
Details  Toxic mega colon/Fulminant type of disease
Severe type of Ulcerative colitis (Mayo score 11-12) who need corticosteroid for their management.
Known active infection (TB, HIV, C. Difficile, CMV)
Gastro intestinal perforation
Infective colitis, ischemic colitis, solitary ulcer syndrome, irradiation colitis
Patients with known history of malignancy
Pregnant females.
Patients with co morbid illness including DM, Stage III or above, CHF, chronic pancreatitis, severe liver and renal diseases 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Assessment of efficacy of Ayurvedic trial drug in mild to moderate Ulcerative Colitis  monthly assessment for 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
Assessment of efficacy of trial drug on the basis of endoscopic parameters, serological parameters & histopathological parameters  monthly assessment for 3 months 
 
Target Sample Size   Total Sample Size="54"
Sample Size from India="54" 
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)   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="0"
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  

This clinical study aims to evaluate the efficacy of Kutaja Rasa Kriya, a classical Ayurvedic formulation, in managing mild to moderate ulcerative colitis (UC). UC is a chronic inflammatory bowel disease characterized by mucosal inflammation and recurrent episodes of bloody diarrhea, abdominal pain, and urgency. Conventional treatments often involve corticosteroids and immunomodulators, which can be effective but are associated with side effects and drug dependency.

In Ayurveda, UC shows similarities with conditions such as Atisara, Pravahika, and Grahani, especially the Pittaja and Raktaja types. Classical texts recommend therapies involving Agni deepana (digestive stimulation), Ama pachana (detoxification), Rakta sthambhana (hemostasis), and Grahi (astringent) herbs. Kutaja (Holarrhena antidysenterica) and Dadima (Punica granatum) are identified in classical texts for their astringent, anti-diarrheal, and hemostatic properties, making them suitable for UC management.

This randomized controlled trial involves two groups:

  • Group A (control group): standard allopathic treatment with Mesalamine

  • Group B (intervention group): administration of Kutaja Rasa Kriya (prepared from Kutaja and Dadima) with buttermilk.

A total of 54 patients (27 per group) will be enrolled based on specific inclusion criteria, including a Mayo score of 3–10. Patients will be assessed clinically and via endoscopic, serological, and histopathological parameters over 3 months, with monthly follow-ups.

The study aims to provide scientific evidence for the therapeutic potential of Ayurvedic medicine in ulcerative colitis and to compare its efficacy against standard treatment. The need arises due to the increasing burden of IBD in India, limitations of existing treatments, and the underexplored immunomodulatory effects of Ayurvedic formulations in UC.


 
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