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CTRI Number  CTRI/2026/01/100266 [Registered on: 02/01/2026] Trial Registered Prospectively
Last Modified On: 31/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Assessing the effect of Yamanikadi Choornam and Agnimanth Kwatha with Shilajatu in the management of Non-alcoholic fatty liver disease(Yakritodara). 
Scientific Title of Study   A comparative clinical study of Yamanikadi Choornam and Agnimanth Kwatha with Shilajatu in the management of Non-alcoholic fatty liver disease (Grade-I and Grade-II) w.s.r to Yakritodara-An Open Labelled Randomized Study. 
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 Vaibhav Khandare 
Designation  PG SCHOLAR 
Affiliation  Ayurvedic and Unani Tibbia College and Hospital,Karol Bagh,New Delhi 110005 
Address  Ayurvedic and Unani Tibbia College and Hospital,PG Department of Kayachikitsa ,Karol Bagh,New Delhi 110005

Central
DELHI
110005
India 
Phone  8308097096  
Fax    
Email  khandarevaibhav982216@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sujata Yadav 
Designation  Associate Professor and Head of Department  
Affiliation  Ayurvedic and Unani Tibbia College and Hospital,Karol Bagh,New Delhi 110005 
Address  Ayurvedic and Unani Tibbia College and Hospital,PG Department of Kayachikitsa ,Karol Bagh,New Delhi 110005

Central
DELHI
110005
India 
Phone  9810571653  
Fax    
Email  sujatakcdelhi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sujata Yadav 
Designation  Associate Professor and Head of Department  
Affiliation  Ayurvedic and Unani Tibbia College and Hospital,Karol Bagh,New Delhi 110005 
Address  Ayurvedic and Unani Tibbia College and Hospital,PG Department of Kayachikitsa ,Karol Bagh,New Delhi 110005

Central
DELHI
110005
India 
Phone  9810571653  
Fax    
Email  sujatakcdelhi@gmail.com  
 
Source of Monetary or Material Support  
Ayurvedic and Unani Tibbia College and Hospital,Karol Bagh,New Delhi 110005 
 
Primary Sponsor  
Name  Ayurvedic and Unani Tibbia College and Hospital 
Address  Ayurvedic and Unani Tibbia College and Hospital,Karol Bagh,New Delhi 110005 
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 Vaibhav Khandare  Ayurveda and Unani Tibbia College and Hospital  OPD no. 3, Department of Kayachikitsa
Central
DELHI 
8308097096

khandarevaibhav982216@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Commitee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K760||Fatty (change of) liver, not elsewhere classified. Ayurveda Condition: YAKRUDDALYUDARAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugClassical(1) Medicine Name: Yamanikadi Choornam, Reference: Bhaishajya ratnavali Plihayakridroga chikitsa 41/9, Route: Oral, Dosage Form: Churna/ Powder, Dose: 3(g), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 90 Days, anupAna/sahapAna: Yes(details: -Lukewarm water), Additional Information: -
(2) Medicine Name: Agnimantha Kwatha with Shilajatu , Reference: Bhaishajya Ratnavali Medoroga Chikitsa 39/12, Route: Oral, Dosage Form: Kwatha/ Kashaya, Dose: 40(ml), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 90 Days, anupAna/sahapAna: No, Additional Information: -Shilajatu 250mg is added as prakshepa in kwatha
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Age group between 20 to 60 Year (irrespective of gender, religion, economic status and race).
2.Patients with grade I and grade II Non-alcoholic fatty liver disease as per USG findings.
 
 
ExclusionCriteria 
Details  1.Patients having History of uncontrolled HTN (more than160/100mmHg), DM type 1 and type 2.
2.BMI above 39.9 kg per m2
3.Diagnosed cases of alcoholic fatty liver disease, Hepatitis B and C, Cirrhosis of Liver.
Pregnant and lactating women.
4.Patients with any communicable disease like TB, HIV etc. and diagnosed cases of comorbidities.
5.Any other clinical condition which may compromise the safety of the individual study participant.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Changes in the Ultrasonography (USG) findings.  At initial visit and after completion of study. 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the effect of trial drugs on Liver function tests Parameters and Lipid profile.  At initial visit and after completion of study. 
To assess the changes in the clinical features of Non-alcoholic fatty liver disease (Grade-I and Grade-II) w.s.r to Yakritodara
 
At initial visit and after completion of study. 
Change in the score of Chronic Liver Disease Questionnarie (CLDQ-NASH Instrument).  At initial visit, mid of the study(day 45) and after completion of study. 
Incidence of adverse events  During the study 
Change in laboratory safety parameters (CBC, LFT, KFT)  At initial visit and after completion of study. 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   01/03/2026 
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  

Although classical Ayurvedic texts do not explicitly mention Non-alcoholic fatty liver disease, its clinical presentation aligns with conditions like Medodusti or Medoroga, classified under Santarpanajanya Vyadhi—disorders arising from over-nourishment.

In Ayurveda, when fatty infiltration leads to liver enlargement, it is described as Yakritodara—one of the eight types of Udara Roga. Thus, Fatty Liver Disease may be interpreted as an early manifestation of Yakritodara, characterized by excessive Meda deposition in the liver, eventually progressing to full-blown Yakritodara.

 
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