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CTRI Number  CTRI/2017/03/008229 [Registered on: 27/03/2017] Trial Registered Retrospectively
Last Modified On: 23/03/2017
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To study the anaesthetic & pain releiving effect of Yashtimadhu Ghrita & Ghrita after haemorrhoidectomy pain  
Scientific Title of Study   A Comparative evaluation of anaesthetic & analgesic effect of Yashtimadhu ghrita & ghrita in the management of post haemorrhoidectomy pain. 
Trial Acronym  Yashtimadhu ghrita, Post haemorrhoidectomy pain 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Hirenkumar Balvantbhai Mistry 
Designation  MS shalya scholar 
Affiliation  Parul Institute of Ayurveda 
Address  Parul institute of Ayurveda, P.O. Limda, Ta. Waghodia, dist. Vadodara Pin.391760 Gujarat India

Vadodara
GUJARAT
391760
India 
Phone  9427637420  
Fax    
Email  drhirenmistry@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Hemant Toshikhane 
Designation  Professor 
Affiliation  Parul Institute Of Ayurveda 
Address  Parul institute of Ayurveda, P.O. Limda, Ta. Waghodia, Dist. Vadodara Pin.391760 Gujarat India

Vadodara
GUJARAT
391760
India 
Phone  9964596478  
Fax    
Email  drhemantt@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Hemant Toshikhane 
Designation  Professor 
Affiliation  Parul Institute Of Ayurveda 
Address  Parul institute of Ayurveda, P.O. Limda, Ta. Waghodia, Dist. Vadodara Pin.391760 Gujarat India

Vadodara
GUJARAT
391760
India 
Phone  9964596478  
Fax    
Email  drhemantt@gmail.com  
 
Source of Monetary or Material Support  
Department of Pharmacy Parul institute of Ayurveda, P.O. Limda, Ta. Waghodia, Dist. Vadodara Pin.391760 Gujarat India 
 
Primary Sponsor  
Name  Dr Hirenkumar B Mistry 
Address  Parul institute of Ayurveda, P.O. Limda, Ta. Waghodia, Dist. Vadodara Pin.391760 Gujarat India GUJARAT INDIA 
Type of Sponsor  Other [Parul Institute Of Ayurveda Limda Vadodara] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Hemant Toshikhane  PARUL INSTITUTE OF AYURVEDA, P.O. LIMDA, TA. WAGHODIA. DIST. VADODARA PIN 391760 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Hirenkumar Balvantbhai Mistry  Parul Institute of Ayurveda hospital  Room no 115-117 Department of Shalya tantra
Vadodara
GUJARAT 
9427637420

drhirenmistry@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
The Parul Institute of Ayurveda Institutional Ethics Committee on Human Research (PIA-IECHR)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Operated patients of haemorrhoidectomy complaining of Pain. Age group - between 16-60 yrs, irrespective of sex, religion and socio-economic status.,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Plain ghrita  20ml of plain ghrita will be applied intra rectally (Intra-anal) in the morning after meal for 15 days from the 1st post op day 
Intervention  Yashtimadhu ghrita  20ml of Yashtimadhu ghrita will be applied intra rectally (Intra-anal) in the morning after meal for 15 days from the 1st post operative day 
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Operated patients of haemorrhoidectomy complaining of Pain.

Age group - between 16-60 yrs, irrespective of sex, religion and socio-economic status. 
 
ExclusionCriteria 
Details  Age<16 yrs & age > 60 yrs.

Patients suffering from other systemic and metabolic diseases like Diabetes mellitus, tuberculosis, HIV, HbsAg, anaemia, chronic renal failure etc.

Patients not willing for local application intra rectally (Intra-anal) of Yashtimadhu Ghrita. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Assessment will be made with the following parameters:

Subjective parameters: Pain

The characteristic feature of pain will be documented and analyzed based on VAS.

Pain will be assessed by Intensity and duration-after defecation. 
Assessment of pain will be done after post operative anesthesia withrawal every 2 hrs upto 8hrs and before treatment & after treatment upto 7 days from 1st post operative day.

Follow up will be taken 0-7thday, 14th & 21st day.
 
 
Secondary Outcome  
Outcome  TimePoints 
Criteria for Pain:
INTENSITY - VAS (VISUAL ANALOUGE SCALE)

S. No Parameter Criteria Grade

1. Intensity Of Pain No Pain 0
2. Mild Pain 1-3
3. Moderate Pain 4-6
4. Severe Pain 7-10


 
DURATION – AFTER DEFECATION
Sr. No Parameter Criteria Grade

Duration of pain

1. No pain 0
2. Pain, lasting for max. 10 min. 1
3. Pain, lasting for more than 10 min. upto 1 hr. 2
4. Pain, lasting for almost half a day 3
5. Pain, throughout the day 4
 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/05/2015 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None Yet  
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
Post opertive pain is Nociceptive; anticipated unavoidable physiological pain which is caused due to tissue trauma. Drugs such as NSAIDs and opioids are used for post operative management but are associated with their own drawbacks. Yashtimadhu ghrita has been in use in Ayurvedic practice for analgesia - shashtra nipatjanya vedana. It is known to relieve pain and can be used to supplement anaesthesia and also get rid of adverse effect of modern analgesic drugs.  

There are very few Ayurvedic treatments available for post haemorrhoidectomy pain management. Therefore, this study is planned for establishing and to screen the effect of Yashtimadhu Ghrita as Ayurvedic treatment modality for post haemorrhoidectomy pain. 

This study is randomised, intervantional, parallel group trail, comparing the anesthetic and analgesic effect of Yashtimadhu ghrita & plain ghrita;20ml intra-rectally  for 15 days from 1st post operative day in 60 patient of post haemorrhoidectomy pain. 
The primary outcome will be measured by subjective parameters pain intensity wise analyzed on VAS
The secondary outcome will be measured by pain duration after defecation analyzed on gradation mention as above format.
 
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