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CTRI Number  CTRI/2025/08/093472 [Registered on: 22/08/2025] Trial Registered Prospectively
Last Modified On: 22/08/2025
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   Comparison Between Two Drugs Apamarga and Arka in the Management of Nadivrana Pilonidal Sinus Using Pratisaraneeya Ksharakarma 
Scientific Title of Study   A Comparative Clinical Study To Evaluate The Efficacy Of Arka Pratisaraneeya Ksharakarma And Apamarga Pratisaraneeya Ksharakarma In The Management Of Nadivrana With Special Reference to Pilonidal Sinus 
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 Rohan Dilip Pokale 
Designation  Post Graduate Resident in Shalya Tantra 
Affiliation  Dr N A MAGDUM AYURVEDIC MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE ANKALI 
Address  Dr N A Magdum Ayurvedic Medical College Hospital And Research Center Ankali 591213 Taluk Chhikodi Dist Belgaum Karnataka India

Belgaum
KARNATAKA
591213
India 
Phone  7972313696  
Fax    
Email  healinghands2204@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shaista Raj Jamadar 
Designation  Associate Professor in Shalya Tantra 
Affiliation  Dr N A MAGDUM AYURVEDIC MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE ANKALI 
Address  Dr N A Magdum Ayurvedic Medical College Hospital And Research Center Ankali 591213 Taluk Chikkodi Dist Belgaum Karnataka India

Belgaum
KARNATAKA
591213
India 
Phone  8369311754  
Fax    
Email  rajshaista786@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shaista Raj Jamadar 
Designation  Associate Professor in Shalya Tantra 
Affiliation  Dr N A MAGDUM AYURVEDIC MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE ANKALI 
Address  Dr N A Magdum Ayurvedic Medical College Hospital And Research Center Ankali 591213 Taluk Chikkodi Dist Belgaum Karnataka India

Belgaum
KARNATAKA
591213
India 
Phone  8369311754  
Fax    
Email  rajshaista786@gmail.com  
 
Source of Monetary or Material Support  
Dr N A Magdum Ayurvedic Medical College Hospital and Research Centre Ankali 
 
Primary Sponsor  
Name  Dr Rohan Dilip Pokale 
Address  Dr N A Magdum Ayurvedic Medical College Hospital and Research Centre Ankali, taluk Chikkodi Dist Belgaum 591213 Karnataka 
Type of Sponsor  Other [] 
 
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 Rohan Dilip Pokale  Dr N A Magdum Ayurvedic Medical College Hospital and Research Centre Ankali  Department Of Shalyatantra Room No 4
Belgaum
KARNATAKA 
7972313696

healinghands2204@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Dr.NAMAMC-IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:L050||Pilonidal cyst and sinus with abscess. Ayurveda Condition: NADIVRANAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-pratisAraNIya-kShAraH, प्रतिसारणीय-क्षारः (Procedure Reference: Sushruta Samhita Sutrasthana Adhyay 11/7, Procedure details: Patient will be taken in Jack Knife position on Operation Theatre Table Proper painting & draping to be done Local anesthesia with xylocaine infiltration around the external opening and whole natal cleft region Assessment of extension will be done by probing and awide elliptical incision to be taken from the external opening towards the natal cleft A wide incision will be taken and whole track will be excised Then careful examination for presence of hair or any other foreign bodies will be done Teekshna Apamarga Pratisaraneeya Kshara application over the wound and wait for Shatamatra Kala (100 seconds) followed by cleaning with Lemon Juice (Nimbu Swaras).)
2Intervention ArmProcedure-pratisAraNIya-kShAraH, प्रतिसारणीय-क्षारः (Procedure Reference: Sushruta Samhita Sutrasthana Adhyay 11/7, Procedure details: Patient will be taken in Jack Knife position on Operation Theatre Table Proper painting & draping to be done Local anesthesia with xylocaine infiltration around the external opening and whole natal cleft region Assessment of extension will be done by probing and awide elliptical incision to be taken from the external opening towards the natal cleft A wide incision will be taken and whole track will be excised Then careful examination for presence of hair or any other foreign bodies will be done Teekshna Arka Pratisaraneeya Kshara application over the wound and wait for Shatamatra Kala (100 seconds) followed by cleaning with Lemon Juice (Nimbu Swaras).)
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patients between 18 - 60 years of age.
2.Patients with Acute or Chronic Sinus Single or Multiple Sinus Tract or Pilonidal abscess.
3.Patients will be selected irrespective of sex, occupation.
 
 
ExclusionCriteria 
Details  1. Patients with Uncontrolled Diabetes Mellitus, Hypertension.
2. Patients diagnosed with Koch’s Disease, Hidradenitis Suppurativa, HIV, Hepatitis B and C.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Healing of Pilonidal sinus/ abscess after 15 days of treatment  will be observed on 3, 5, 7, 9, 11, 13, 15th day 
 
Secondary Outcome  
Outcome  TimePoints 
No recurrence and way of healing of pilonidal sinus/ abscess after 3 and 1/2 months of duration  After treatment, once in a month for three consecutive months 
 
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   N/A 
Date of First Enrollment (India)   05/09/2025 
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)   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   The present title " A COMPARATIVE CLINICAL STUDY TO EVALUATE THE EFFICACY OF ARKA PRATISARANEEYA KSHARAKARMA AND APAMARGA PRATISARANEEYA KSHARAKARMA IN THE MANAGEMENT OF NADIVRANA (PILONIDAL SINUS)" a clinical study with total number of 40 registered patients who developed the disease will be selected and randomly allocated into two groups in each 20.
Group A of 20 patients will receive standard Apamarga pratisaraneeya ksharakarma.
Group B of 20 patients will receive trial drug Arka pratisaraneeya ksharakarma.
Assessment will be done with subjective and objective criteria after total treatment duration that is three and half months. 
 
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