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CTRI Number  CTRI/2026/02/104813 [Registered on: 25/02/2026] Trial Registered Prospectively
Last Modified On: 18/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Understanding How Panchakarma Detox Therapy Affects Body Cells in Healthy Adults 
Scientific Title of Study   An open-label, randomized, exploratory study to evaluate the effect of Shodhananga Snehapan Followed by Virechana on Membrane Lipidomics and Fluidity in Human Cells of Healthy Individuals. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Geeta Devi 
Designation  Ph.D Scholar 
Affiliation  All India Institute of Ayurveda, New Delhi 
Address  7th Floor, Academic block, Department of Panchakarma, All India Institute of Ayurveda,Sarita Vihar, Gautampuri, New Delhi

South
DELHI
110076
India 
Phone  8988891400  
Fax    
Email  geeta3747@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Dr Anandaraman P V 
Designation  Professor and Head of Department 
Affiliation  All India Institute of Ayurveda, New Delhi 
Address  Room no.- 704, 7th Floor, Academic block, Department of Panchakarma, All India Institute of Ayurveda,Sarita Vihar, Gautampuri, New Delhi

South
DELHI
110076
India 
Phone  9495130595  
Fax    
Email  dr.ananthramsharma@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Dr Anandaraman P V 
Designation  Professor and Head of Department 
Affiliation  All India Institute of Ayurveda, New Delhi 
Address  Room no.- 704, 7th Floor, Academic block, Department of Panchakarma, All India Institute of Ayurveda,Sarita Vihar, Gautampuri, New Delhi

South
DELHI
110076
India 
Phone  9495130595  
Fax    
Email  dr.ananthramsharma@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Ayurveda, New Delhi 
 
Primary Sponsor  
Name  All India Institute of Ayurveda 
Address  All India Institute of Ayurveda, Gautampuri, Sarita Vihar, New Delhi , 110076 
Type of Sponsor  Research institution and hospital 
 
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 Geeta Devi  All India Institute of Ayurveda  Room no- 705, Department of Panchakarma, All India Institute of Ayurveda, Mathura road, Gautampuri, Sarita Vihar New Delhi 110076
South
DELHI 
8988891400

geeta3747@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Fit for Virechana 
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-virecana-karma, विरेचन-कर्म (Procedure Reference: , Procedure details: 1.The subjects will be given deepana-pachana with Panchakola churna 3gm with lukewarm water BD before food for 3-7 days/until the attainment of nirama lakshan. 2. Then the subjects will be given shodhananga snehpana with Indukant ghrita early morning on empty stomach before onset of hunger in arohana matra i.e escalating dose starting with 30ml & thereafter increasing the dose everyday by calculating the time taken for digestion of Sneha for 5-7days or till the attainment of samyak snigdha lakshana. 3.After attaining samyak snighdha lakshanas, the patient will be subjected to Sarvanga abhyanga with Ksheerabala taila & Bashpa sweda with Dashmool Kwatha in the morning for 3 days (including the day of virechana). On the previous day of virechana, the patient should be given anabhishyandi diet which do not aggravate kapha (like khichdi, rice-sambhar, lemon juice in warm water). 4.On the day of virechana, early morning after abhyanga & Swedana, virechana yoga i.e. Trivrittavleha will be given to the patient in the dosage suitable as per his kostha. 5.After Samyaka virechana patient will have to follow samsarjana krama (specific diet schedule) for 3-7 days, depending upon shudhi prakara. )
2Comparator Arm (Non Ayurveda)-There will be no intervention given to subjects. Only blood samples will be withdrawn for investigations
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1.Subjects who are willing to sign the informed written consent.

2.Subjects of age group 18 years - 40 years irrespective of their gender, caste, or religion.

3.Snehapana arha and Virechana arha
( Subjects fit for snehana and virechana)

4.Subjects who are currently not participating in any other clinical trial or are not registered in any other research study in last 12 weeks.

5.Apparently healthy volunteers without any illness and not on any medications in the past 3 months.

 
 
ExclusionCriteria 
Details  1.Pregnant women and lactating mothers.

2. Subjects having comorbodities like Hypertension, Diabetes Mellitus, Thyroid disorder, erythrocyte disorders including anaemia, sickle cell disease, hereditary membranopathies leading to altered shape, stability and function of RBCs or any other systemic illness or condition that may jeopardize the study.

3.Subjects having history of prolonged medication with corticosteroids, diuretics, anti-dyslipidaemic drugs etc or any other drugs that may influence the outcome of the study.



 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Change in cell membrane lipidomics and membrane fluidity of human RBCs of healthy individuals.
 
To asses Membrane lipidomics and Membrane fluidity, investigations will be done at following intervals:
In Interventional Group (n=30):-
Baseline (BT) 0th Day
After Completion of Snehana (AT1)
After Completion of Svedana (AT2)-(only for n=10 subjects)
After Completion of Samsarjana Krama (AT3)

In Control Group (n=10):-
Baseline 0th Day
and On 23rd day 
 
Secondary Outcome  
Outcome  TimePoints 
1.Improvement in quality of life (assesed by using WHOQOL-BREF scale).
2.Change in Plasma Metabolome. 
In Interventional group,
Improvement in quality of life (for n=30 subjects),Change in plasma metabolome( for n = 15 subjects) assessed in following intervals:-
Baseline (BT) 0th day
After Completion of Samsarjan Krama
In Control Group (n=10):-
Baseline 0th Day
and On 23rd day 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   01/06/2026 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   Introduction 
In Ayurveda, Panchakarma (Bio Purification) is a specially designed set of five procedures of internal purification of the body through the nearest possible root. Such purification helps to expel aggravated dosha and bring back the normalcy of dosha i.e.Vata, Pitta and Kapha thus allowing the biological system to return to homeostasis , to rejuvenate and also facilitate the desired pharmaco therapeutic effects of the medicine.The elimination of aggravated dosha from the body is known as Shodhana . Virechana is one among the shodhana procedure of panchakarma done in three phases i.e. preparatory, main procedure and post procedure. Shodhananga snehapana (oral administration of medicated ghee or oil)  is an essential preparatory procedure (purvakarma) before shodhana ( Bio purification)  lasting for three to seven days given in arohana krama (escalating doses) until samyaka snigdha lakshanas (signs of proper internal oleation) appear. It is then succeeded by abhyanaga (oil massage ) and swedana (sudation), followed by virechana using purgative herbs to expel doshas via the rectum.Cell membrane functions are controlled by membrane fluidity, which in turn is controlled by membrane lipid composition ( Membrane lipidomics).

Need of Study
Despite proven clinical efficacy of Shodhananga snehapana followed by virechana in various pathological conditions and improvement in various parameters like in lipid profile, body weight, BMI, Immunoglobulins, effect on gut microbiome, this procedure of panchakarma still has not recieved much attention with regard to its mechanism at cellular level possibly due to difficulty in conceptual compatibility. However certain animal studies have been carried out to rule out the effect of ghee intake on erythrocyte membrane dynamics of rats and effect of virechana karma on histopathological changes in section of liver, heart , kidney, spleen, jejunum , pancreas and colon of albino rats. But currently there is no study available regarding changes in cell membrane dynamics after shodhananga snehapana and virechana. Hence considering this beside the role of dietary lipids to influence membrane lipids composition which further affects membrane fluidity, this study can be done to rule out the effect of shodhananga snehapana in membrane lipidomics and fluidity thus decoding the mode of action of shodhnanaga snehapana followed by virechana in panchakarma.

 
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