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CTRI Number  CTRI/2025/10/095688 [Registered on: 07/10/2025] Trial Registered Prospectively
Last Modified On: 01/05/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   The role of an Ayurvedic medicated milk formulation in supporting maternal milk supply and infant growth: A research study. 
Scientific Title of Study   Impact of Sthira kshirpaak on lactogenesis II of nursing Mothers and on weight velocity of their neonates A Randomized Controlled Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Mithila Amin Shreeniwas 
Designation  Associate Professor 
Affiliation  DY Patil School of Ayurveda 
Address  B3-603 Shree Saraswati CHSL, NG Acharya Marg, Chembur, Mumbai.
Dr. D. Y. Patil Vidyanagar, Sector 7, Nerul, Navi Mumbai.
Mumbai
MAHARASHTRA
400071
India 
Phone  09969947997  
Fax  022-27709994  
Email  mithila.amin@dypatil.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kalpana Dhuri 
Designation  Professor 
Affiliation  DY Patil School of Ayurveda 
Address  Dr. D. Y. Patil Vidyanagar, Sector 7, Nerul, Navi Mumbai.

Mumbai
MAHARASHTRA
400706
India 
Phone  9321835616  
Fax  022-27709994  
Email  kalpana.dhuri@dypatil.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Mithila Amin Shreeniwas 
Designation  Associate Professor 
Affiliation  DY Patil School of Ayurveda 
Address  B3-603 Shree Saraswati CHSL, NG Acharya Marg, Chembur, Mumbai.
Dr. D. Y. Patil Vidyanagar, Sector 7, Nerul, Navi Mumbai.

MAHARASHTRA
400071
India 
Phone  09969947997  
Fax  022-27709994  
Email  mithila.amin@dypatil.edu  
 
Source of Monetary or Material Support  
DY Patil Ayurved Hospital Sector7 Nerul Navi Mumbai 400706 
DY Patil Medical Hospital Sector5 Nerul Navi Mumbai 400706 
 
Primary Sponsor  
Name  Dr Mithila Amin Shreeniwas 
Address  DY Patil School Of Ayurved Sector 7 Vidyanagar Nerul 400706 
Type of Sponsor  Other [Individual Sponsor (Self)] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mithila Amin Shreeniwas  DY Patil Ayurved Hospital  DY Patil Sector 7 Vidyanagar Nerul 400706
Mumbai
MAHARASHTRA 
09969947997

mithila.amin@dypatil.edu 
Dr Mithila Amin Shreeniwas  DY Patil Medical Hospital  Sector 5 Nerul, Navi Mumbai, 400706.
Mumbai
MAHARASHTRA 
09969947997

mithila.amin@dypatil.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
IEC  Approved 
RAPMCIEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:O923||Agalactia. Ayurveda Condition: SUTIKA,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugClassical(1) Medicine Name: Sharkara (Cane Brown Sugar)), Reference: charak samhita sutrasthana 27:240, Route: Oral, Dosage Form: Ksheerpaka, Dose: 6(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 5 Days, anupAna/sahapAna: Yes(details: -Sita), Additional Information: -Placebo
2Intervention ArmDrugClassical(1) Medicine Name: Sthira, Reference: Asthtang Hruday Uttarstahana 1:20, Route: Oral, Dosage Form: Ksheerpaka, Dose: 6(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 5 Days, anupAna/sahapAna: Yes(details: -Sita), Additional Information: -Trial Drug
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  49.00 Year(s)
Gender  Female 
Details  For mothers:
Registered Primi gravida mothers who have taken ANC.
In Reproductive age group of 15-49years.
Clinically Stable

For Neonates:
Live Singleton babies of either sex
With birth weight appropriate for Gestational age
Clinically Stable
 
 
ExclusionCriteria 
Details  For mothers:
Contra-indicated to breast feed
Those under medications that affect the study results
Those with co-existing medical conditions that adversely affect lactation
Those with major anatomical breast anomalies
Critically ill

For neonates
Those with birth weights less than 2500grams or more than 3500 grams
those with Gestational Age less than 37 weeks or greater than 42 weeks
those with medical conditions which necessitate weaning or total parental nutrition
Those with major congenital anomalies
Critically ill neonates  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Lactogenesis II time
Latch Score in hours 
Postpartum Day 1 to day 5 daily assessment 
 
Secondary Outcome  
Outcome  TimePoints 
Neonatal weight loss or gain in grams  7 days 
 
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)   01/11/2025 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response (Others) -  via Publications

  6. For how long will this data be available start date provided 01-01-2026 and end date provided 01-01-2029?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  
Title 
Impact of Sthira Kshirapaak on lactogenesis II in nursing mothers and on weight velocity of their neonates. A randomized controlled trial.

Introduction 
Lactogenesis II is referred to as milk coming in which represents the onset of copious milk secretion, breast fullness and increased volume. 

Need of the Study
Delayed Lactogenesis II with a global incidence of 17 to 44 percent has significant clinical implications on weight and growth outcomes of neonates.

Objectives
Primary 
To assess the effect of Sthira on the duration of Lactogenesis II.
Secondary 
To assess the impact of Sthira Kshirapaak administered to mothers on the weight velocity of neonates.

Materials and methods
Setting
Multi centric trial

Procedure
The dyad of mothers and neonates born in the maternity ward of the study centers screened for inclusion and exclusion criteria and willing to give an informed consent to participate in the trial will be registered.
PIS will be given to the participants and written informed consent/ assent will be taken and they will be randomized into 2 groups.

Assessment
Baseline data and periodic assessments will be done at the specified intervals. ie. Daily from day 1 of Post-partum until day 5 postpartum.

Objective Parameters
Expressed milk volume
Latch Score
Neonatal weight gain or loss per day
Test Weight

Subjective parameters
in mothers 
based on Maternal perception of breast feeding
in neonates 
based on 
Satiety
urine frequency
stool frequency
etc.

Intervention
The Trial group will receive Sthira and Sita 6 grams each to be processed with milk while the Control group will receive Brown Cane Sugar and Sita 6 grams each also to be processed with milk. Both the intervention as well as placebo will have identical packing.

Duration of medication
5 days

Duration of the study
7 days

Ethical considerations 
The study will commence after obtaining permission from the institutional ethical committee and after CTRI approval, following the GCP guidelines.

Statistical Analysis
Will be done using appropriate software.

References 
Reference management systems will be used.

Conflicts of interest
Conflicts of interest if any shall be declared.
 
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