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CTRI Number  CTRI/2025/10/096372 [Registered on: 23/10/2025] Trial Registered Prospectively
Last Modified On: 22/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Preventive 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A study to compare the effect of Triphaladi Ghrita Abhyantarpana along with spectacles and spectacles alone in improving age related difficulty in near vision (Presbyopia) 
Scientific Title of Study   A Randomized Controlled Clinical Trial to Compare the Effectiveness of Triphaladi Ghrita Abhyantarpana along with Spectacle Correction and Spectacle Correction alone in Dwitiya Patalgata Timira (Presbyopia) 
Trial Acronym  NA 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Deepali Rajesh Khedkar  
Designation  PG Scholar 
Affiliation  Dr. G. D. Pol Foundation YMT Ayurvedic Medical College 
Address  OPD No.25.Shalakyatantra Department, Ground Floor, Dr.G.D.Pol Foundation, YMT Ayurvedic Medical College and Hospital PG Institute. Institutional Area Sector 4 Kharghar Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  8788934120  
Fax    
Email  khedkardeepali4@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nutan Radaye  
Designation  Head Of Department  
Affiliation  Dr. G. D. Pol Foundation YMT Ayurvedic Medical College  
Address  OPD No.25.Shalakyatantra Department,Ground Floor Dr.G.D.Pol Foundation, YMT Ayurvedic Medical College and Hospital PG Institute. Institutional Area Sector 4 Kharghar Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  9820512695  
Fax    
Email  nutan.radaye.nr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nutan Radaye  
Designation  Head Of Department  
Affiliation  Dr. G. D. Pol Foundation YMT Ayurvedic Medical College  
Address  OPD No.25.Shalakyatantra Department,Ground Floor Dr.G.D.Pol Foundation, YMT Ayurvedic Medical College and Hospital PG Institute. Institutional Area Sector 4 Kharghar Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  9820512695  
Fax    
Email  nutan.radaye.nr@gmail.com  
 
Source of Monetary or Material Support  
Dr.G.D.Pol Foundation, YMT Ayurvedic Medical College and Hospital PG Institute. Institutional Area Sector 4 Kharghar Navi Mumbai  
 
Primary Sponsor  
Name  Dr Deepali Rajesh Khedkar  
Address  OPD No.25.Shalakyatantra Department,Ground Floor, Dr.G.D.Pol Foundation, YMT Ayurvedic Medical College and Hospital PG Institute. Institutional Area Sector 4 Kharghar Navi Mumbai 
Type of Sponsor  Other [Self] 
 
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 Deepali Rajesh Khedkar   Dr.G.D.Pol Foundation, YMT Ayurvedic Medical College and Hospital   OPD No.25. Shalakyatantra Department, Ground Floor, Dr.G.D.Pol Foundation, YMT Ayurvedic Medical College and Hospital PG Institute. Institutional Area Sector 4 Kharghar Navi Mumbai
Raigarh
MAHARASHTRA 
8788934120

khedkardeepali4@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics committee Dr G.D.Pol Foundation YMT Ayurvedic medical college and charitable hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:H524||Presbyopia. Ayurveda Condition: DVITIYA-PATALAGATADOSHAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Triphaladi Ghrita, Reference: Bhaishajya Ratnavali, Route: Oral, Dosage Form: Ghrita, Dose: 15(ml), Frequency: hs, Bhaishajya Kal: Adhobhakta, Duration: 30 Days, anupAna/sahapAna: Yes(details: -Madhu), Additional Information: -Triphaladi Ghrita Abhyantarpana will be given alongwith spectacle correction and will be compared with spectacle correction only
2Comparator Arm (Non Ayurveda)-Spectacle CorrectionPresbyopia will be corrected by refraction and spectacle correction will be given
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1.Patient aged between 35 to 50 years of age.
2.Near vision less than N 6 with normal distant vision i.e.6/6 vision.
3.Patients with clinical symptoms of presbyopia like Vivhal Darshan(Blurring of vision),Suchipasham na pashyati(Patient cannot thread a needle even with great efforts),Sukshma Cha Nekshate(Unable to locate fine objects),Netrayasa(Eyestrain),Shirobhitapa(Headache) 
 
ExclusionCriteria 
Details  1.Presbyopia associated with corneal degenerations,corneal ulcers,optic disc atrophy.
2.Presbyopia with cataract.
3.Psychiatric disorders,Metabolic disorders. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To study the changes in symptoms of Dwitiya Patalgata Timira (Presbyopia) like Vivhal Darshan(Blurring of vision), Suchipasham Na Pashyati(Patient cannot thread a needle even with great efforts), Sukshma Cha Nekshate(Unable to locate fine objects), Netrayasa(Eyestrain), Shirobhitapa(Headache)in both groups.  Follow up for visual assessment will be done on 0th day, 7th day, 14th day, 30th day, 60th day spectacle correction will given on 60th day. 
 
Secondary Outcome  
Outcome  TimePoints 
1.To study the changes in near point of accommodation with RAF rule in both groups.
2.To study the changes in axial length of eyeball with A scan in both groups. 
Follow up for visual assessment will be done on 0th day, 7th day,14th day, 30th day, 60th day. 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="35" 
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)   01/01/2026 
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)   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   This randomized controlled clinical trial aims to compare the effectiveness of Triphaladi Ghrita Abhyantarpana along with Spectacle Correction and Spectacle Correction alone in the management of Dwitiya Patalgata Timira (Presbyopia).Presbyopia is a condition of physiological insufficiency of accommodation leading to progressive fall in near vision. Total 70 patients aged 35 - 50 years with clinical symptoms of Dwitiya Patalgata Timira will be randomly divided into two groups - the control group will receive Spectacle Correction alone, while the trial group will receive Triphaladi Ghrita Abhyantarpana once daily for 30 days during bed time along with spectacle correction .Assessment will be based on subjective parameters like near vision, threading a needle, eyestrain, headache and objective parameters such as near point of accommodation (RAF Rule) and A scan measurements. Data will be statistically analyzed to determine the effectiveness of Triphaladi Ghrita Abhyantarpana in improving near vision and reducing symptoms of presbyopia as compared to spectacle correction alone. 
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