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CTRI Number  CTRI/2017/09/009942 [Registered on: 28/09/2017] Trial Registered Prospectively
Last Modified On: 21/09/2017
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Clinical Study on Vatari Guggulu Internally and Pippalyadi Taila Enema Therapy in Management of Sciatica 
Scientific Title of Study   Clinical Evaluation of Combined Effectiveness of Vatari Guggulu and Pippalyadi Taila Matra Basti in Management of Gridhrasi (Sciatica) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sruthy Nair  
Designation  Post Graduate Scholar Dept Of Kayachikitsa 
Affiliation  Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital 
Address  BM Road Thanniruhalla Hassan 573201 Karnataka India

Hassan
KARNATAKA
573201
India 
Phone  08172256460  
Fax    
Email  sruthynairpadma94@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Diwakar Papurao Joshi 
Designation  Associate Professor and Head, Dept Of Kayachikitsa 
Affiliation  Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital 
Address  BM Road Thanniruhalla Hassan 573201 Karnataka India

Hassan
KARNATAKA
573201
India 
Phone  08172256460  
Fax    
Email  joshidpayu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Diwakar Papurao Joshi 
Designation  Associate Professor and Head, Dept Of Kayachikitsa 
Affiliation  Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital 
Address  BM Road Thanniruhalla Hassan 573201 Karnataka India

Hassan
KARNATAKA
573201
India 
Phone  08172256460  
Fax    
Email  joshidpayu@gmail.com  
 
Source of Monetary or Material Support  
Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital BM Road Thanniruhalla Hassan 573201 Karnataka India 08172256460 sdmcah@gmail.com 
 
Primary Sponsor  
Name  ri Dharmasthala Manjunatheshwara College of Ayurveda and HospitalHassan 
Address  Post Graduate Scholar Dept Of Kayachikitsa Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital BM Road Thanniruhalla Hassan 573201 Karnataka India 
Type of Sponsor  Private medical college 
 
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 Sruthy Nair  Sri Dharmasthala Manjunatheshwara College of Ayurveda & Hospital Hassan  OPD 4, Sri Dharmasthala Manjunatheshwara College of Ayurveda & Hospital Hassan BM Road Thanniruhalla Hassan 573201 Karnataka India
Hassan
KARNATAKA 
08172256460

sruthynairpadma94@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital BM Road, Thanniruhalla Hassan 573201 Karnataka India  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Gridhrasi (Sciatica),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NONE  NONE 
Intervention  Vatari Guggulu (orally) and Pippalyadi Taila (through enema)   Vatari Guggului will be given 2 tablet (500 mg) thrice daily with lukewarm water after food for 16 days. Pippalyadi Taila Basthi Pippalyadi Taila will be given 70 ml once a day for 8 days through anal route  
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  (a) DIAGNOSTIC CRITERIA
Patients with features of Gridhrasi (sciatica) like
1. Ruk on SphikPoorva, Kati, Prishta, Uru, Janu, Jangha and Pada Paryanta (Pain radiates from low back to the leg/s)
2. Toda (Pricking sensation)
3. Stambha (Stiffness)
4. Spandana (Fasciculation)
5. Positive Straight Leg Raising test
6. Positive Breggard’s sign
7. Laseague’s sign
8. Bowstring sign
9. Tenderness of nerves
10. Sensory changes
INCLUSION CRITERIA:
1. Unilateral leg pain extending below the knee (with or without strength,sensory or reflex changes) and a positive straight leg raising sign
2. Those who are fit for Basti treatment
3. Patients of intervertebral disc prolapsed,lumbar spondylosis,lumbo sacral strain
4. Those patients who are ready to sign informed consent form 
 
ExclusionCriteria 
Details  1. Neoplastic and infective conditions of the spine
2. Uncontrolled Diabetes mellitus, Uncontrolled Hypertension, Neurological complications
4. Fractures of pelvis and femur
5. Pregnancy 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Subjective parameters:
Ruk (pain)
Stambha (stiffness)
Toda (pricking sensation)
Gauravata(Heaviness)
Gait
Objective Parameters:
Straight leg raising test
Visual analog scale for pain
Flip test
Laseague’s sign
Breggard’s sign
X-ray
 
16 days 
 
Secondary Outcome  
Outcome  TimePoints 
Toda (pricking sensation)
Gauravata(Heaviness) 
16 days 
 
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   N/A 
Date of First Enrollment (India)   02/10/2017 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Current clinical study is clinical evaluation of combined effectectiveness of vatari guggulu and pippalyadi taila matra basti in the management of gridrasi (Sciatica).In the present study, an open label single arm clinical trial at IPD basis will be done with pre and post-test design for the included 30 patients.Here vatari guggulu 500 mg thrice daily in the morning and night will be administered after food with ushnodaka as anupana for the first 8 days.Along with this pippalyadi thaila anuvasana basti 70 ml will be giving once in a day for 8 days The patient will be discharged with vatari guggulu for the next 16 days..Hence the entire treatment will be completed in 16 days.

The patient will be assessed on the 1st day 8th day and 16th day. Assessment would be done based on subjective and objective parameters and would also be monitored for Adverse Drug Reactions or Adverse Drug Effects or other concurrent illness.

 
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