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CTRI Number  CTRI/2025/10/096377 [Registered on: 23/10/2025] Trial Registered Prospectively
Last Modified On: 02/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Role of Arjun Ksheera Pak and Makardhwaj Vati in Improving Heart Function 
Scientific Title of Study   CLINICAL EVALUATION OF ARJUN KSHEERA PAK SPRAY DRIED POWDER & MAKARDHWAJ VATI AS AN ADJUNCT TO STANDARD THERAPY IN HEART FAILURE WITH REDUCED LEFT VENTRICULAR EJECTION FRACTION 
Trial Acronym  ARJUNA-HF 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Amaan Siddiqui 
Designation  PG Scholar 
Affiliation  Quadra Institute of Ayurveda and Hospital 
Address  Opd No 2 Department Of Kaya Chikitsa Quadra Institute Of Ayurveda And Hospital Nh 58 Roorkee Haridwar Road Near Montfort School Roorkee 247667 Hardwar UTTARAKHAND 247667 India

Hardwar
UTTARANCHAL
247667
India 
Phone  8755355133  
Fax    
Email  amaan.siddiqui457@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Abhishek Bhusan Sharma 
Designation  Professor 
Affiliation  Quadra Institute of Ayurveda and Hospital 
Address  OPD No 2 Department Of Kayachikitsa Quadra Institute Of Ayurveda And Hospital Nh58 Roorkee Haridwar Road Near Montfort School Roorkee 247667 Hardwar UTTARAKHAND 247667 India

Hardwar
UTTARANCHAL
247667
India 
Phone  9458636020  
Fax    
Email  ayu.abhishek@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Abhishek Bhusan Sharma 
Designation  Professor 
Affiliation  Quadra Institute of Ayurveda and Hospital 
Address  OPD No 2 Department Of Kayachikitsa Quadra Institute Of Ayurveda And Hospital Nh58 Roorkee Haridwar Road Near Montfort School Roorkee 247667 Hardwar UTTARAKHAND 247667 India

Hardwar
UTTARANCHAL
247667
India 
Phone  9458636020  
Fax    
Email  ayu.abhishek@gmail.com  
 
Source of Monetary or Material Support  
Opd No 2 Department Of Kayachikitsa Quadra Institute Of Ayurveda And Hospital Nh58 Roorkee Haridwar Road Near Montfort School Roorkee 247667 
 
Primary Sponsor  
Name  Amaan Siddiqui 
Address  Opd No 2 Department Of Kayachikitsa Quadra Institute Of Ayurveda And Hospital Nh 58 Roorkee Haridwar Road Near Montfort School Roorkee 247667 
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 
Amaan Siddiqui  Quadra Institute of Ayurveda And Hospital Roorkee  OPD No 2 Department Of Kayachikitsa Quadra Institute Of Ayurveda And Hospital Nh58 Roorkee Haridwar Road Near Montfort School Roorkee 247667 Hardwar UTTARAKHAND
Hardwar
UTTARANCHAL 
08755355133

amaan.siddiqui457@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL COMMITTEE QUADRA INSTITUTE OF AYURVEDA  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:I501||Left ventricular failure, unspecified. Ayurveda Condition: HRUDROGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugOther than Classical(1) Medicine Name: Arjun Ksheer Pak Powder, Reference: NA, Route: Oral, Dosage Form: Churna/ Powder, Dose: 12(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 8 Weeks, anupAna/sahapAna: Yes(details: -Water), Additional Information: - Arjun Ksheera Pak will be prepared according to the classical method described in Bhaisajyaratnavali (Ch. 33, V. 11, Hridya Rog Chikitsa) and subsequently converted into powder using the dry heating technique. -Patients will receive interventional treatment in addition to their standard heart failure therapy.
2Intervention ArmDrugClassical(1) Medicine Name: Makardhwaj Vati, Reference: Bhaisajyaratnavali Vajikaran Adhyay, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 320(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 8 Weeks, anupAna/sahapAna: Yes(details: -Water), Additional Information: -Patients will receive interventional treatment in addition to their standard heart failure therapy.
3Comparator Arm (Non Ayurveda)-Standard Heart Failure TherapyConventional treatment for heart failure with reduced ejection fraction, as per standard clinical practice. Patients in this arm will not receive Arjun Ksheera Pak or Makardhwaj Vati.
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. 2D echocardiography: Effective ejection fraction between 20% = 40% due to any cardiac pathology.

2. Coronary Artery Disease

3. Cardiomyopathy

4. Age group: 30 years to 65 years 
 
ExclusionCriteria 
Details  1. Pregnancy and lactating mothers

2. Acute MI

3. Significantly elevated Troponin level

4. Valvular Heart disease

5. Congenital Heart disease

6. Within one week of post Coronary artery bypass graft surgery.

7. Decompensated Heart Failure. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To help relief in symptoms of HFrEF  Follow ups were scheduled at the 28th day first follow up and 56th day second follow up after initiation of the trial and outcome will be assessed at 56th day 
 
Secondary Outcome  
Outcome  TimePoints 
Provide a alternative & safe treatment for HFrEF  18 Months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   05/11/2025 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
This open-label, two-arm randomized controlled trial aims to evaluate the efficacy of Arjun Ksheera Pak spray-dried powder and Makardhwaj Vati as adjuncts to standard therapy in Heart Failure with Reduced Ejection Fraction (HFrEF). Thirty patients aged 30–65 years with classical features of HFrEF will be randomly selected from the OPD and IPD of the Kayachikitsa Department, Quadra Institute of Ayurveda. Participants will be divided into two groups, one receiving conventional treatment and the other receiving conventional plus interventional therapy. The study duration for each patient will be 56 days, and the total study period is 18 months. Assessment will be based on subjective and objective parameters, and the collected data will be statistically analyzed to evaluate clinical efficacy.

 
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