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CTRI Number  CTRI/2025/07/090978 [Registered on: 16/07/2025] Trial Registered Prospectively
Last Modified On: 14/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare the effect of Apamarga kshar sutra and Gunja kshar sutra ligation in Bhagandara 
Scientific Title of Study   Comparative clinical evaluation of Apamarga kshar sutra and Gunja kshar sutra ligation in Bhagandara 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Raghav Sharma 
Designation  PG scholar 
Affiliation  Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan  
Address  OPD 15, Department of Shalya Tantra, Patanjali ayurved hospital, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, phase 1, Roorkee Road, Haridwar, Uttarakhand India 249405

Hardwar
UTTARANCHAL
249405
India 
Phone  8557889495  
Fax    
Email  raghavsharma102030@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Dr Sachin Gupta 
Designation  HOD & Professor 
Affiliation  Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan  
Address  OPD 15, Department of Shalya Tantra, Patanjali ayurved hospital, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, phase 1, Roorkee Road, Haridwar, Uttarakhand India 249405

Hardwar
UTTARANCHAL
249405
India 
Phone  9419135050  
Fax    
Email  chintu.925@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Dr Sachin Gupta 
Designation  HOD & Professor 
Affiliation  Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan  
Address  OPD 15, Department of Shalya Tantra, Patanjali ayurved hospital, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, phase 1, Roorkee Road, Haridwar, Uttarakhand India 249405

Hardwar
UTTARANCHAL
249405
India 
Phone  9419135050  
Fax    
Email  chintu.925@gmail.com  
 
Source of Monetary or Material Support  
Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan 
 
Primary Sponsor  
Name  Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan 
Address  Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan,Haridwar,Uttarakhand,India 249405 
Type of Sponsor  Research institution and hospital 
 
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 
Raghav Sharma  Patanjali Ayurved Hospital  OPD 15,Department of Shalya Tantra,Patanjali ayurved hospital,Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan, phase 1, Roorkee Road , Haridwar , Uttarakhand, India 249405
Hardwar
UTTARANCHAL 
8557889495

raghavsharma102030@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Patanjali Bhartiya Ayurvigyan Evam Anusandhan Sansthan Haridwar,Uttrakhand  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K603||Anal fistula. Ayurveda Condition: BAGANDARAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-kShArasUtra, क्षारसूत्र (Procedure Reference: Chakradatta Arshodhikar 5/148, Procedure details: Apamarga- Ksharsutra Ligation in fistulous tract locally & changed weekly till the whole tract is cut through (duration of treatment based on length of fistulous tract))
2Intervention ArmProcedure-kShArasUtra, क्षारसूत्र (Procedure Reference: Chakradatta Arshodhikar 5/148, Procedure details: Gunja- Ksharsutra Ligation in fistulous tract locally & changed weekly till the whole tract is cut through (duration of treatment based on length of fistulous tract))
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1) Clinical signs and symptoms of all types of Bhagandara
2) Patient age group ranging between 18-60 years of either sex
3) Patients who are willing for the trial
4) Newly diagnosed as well as pre-diagnosed cases of Bhagandara
 
 
ExclusionCriteria 
Details  HBsAg, HCV and HIV positive patients.
Patient below 18 and above 60 years of age of either sex.
Pregnancy
Secondary fistulas due to: -
1) Crohn’s disease
2) Ulcerative colitis
3) Carcinoma of Rectum
4) Pelvic Abcess
5) Tuberculosis
6) Osteomyelitis of Pelvic Bone.
7) Patient having uncontrolled
Diabetes and Hypertension.
8) Other systemic disorder.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Subjective Parameters–
Itching
Burning sensation
Discharge
Pain
Inflammation

Objective parameters-
unit cutting time
 
Assessment will be done at baseline, followed by
weekly assessment until the fistula tract is
completely healed
 
 
Secondary Outcome  
Outcome  TimePoints 
Subjective Parameters–
Itching
Burning sensation
Discharge
Pain
Inflammation
 
Upto 2 months after cut through of the fistula tract 
 
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)   01/08/2025 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
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   In this trial we are selecting patients of Bhagandara  and dividing them into two groups with 30 patients in each group. In 1st group, we will do intervention with standard Apamarga kshar sutra ligation of fistula tract and in 2nd group, we will do intervention with Gunja kshar sutra ligation of fistula tract. Comparative study to be done on the basis of assessment based on subjective and objective parameters. Subjective parameters includes Burning sensation , Itching, Discharge, Pain and Inflammation and Objective parameters includes unit cutting time 
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