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CTRI Number  CTRI/2025/09/095156 [Registered on: 19/09/2025] Trial Registered Prospectively
Last Modified On: 12/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Medical Device
Ayurveda
Diagnostic
Preventive 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A study to find out how well an Ayurvedic medicine (Vyaghriharitaki Avaleha), with or without another medicine (Oriladi Kashaya Ghana Vati), helps in treating asthma (Tamaka Shwasa) in children aged 6 to 12 years 
Scientific Title of Study   Efficacy of vyaghriharitaki avaleha with and without oriladi kashaya ghana vati in the management of tamaka shwasa (bronchial asthma) in children age 6 to 12 years a randomized controlled clinical 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 Swati Nair 
Designation  PG Scholar 
Affiliation  ALL INDIA INSTITUTE OF AYURVEDA 
Address  Room No. 406, Department of Kaumarbhritya, Academic Block, All India Institute of Ayurveda, Gautampuri, Sarita Vihar, New Delhi – 110076, South Delhi, India.

New Delhi
DELHI
110076
India 
Phone  7306009262  
Fax    
Email  swatinair07@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Rajagopala S 
Designation  Head of Department 
Affiliation  ALL INDIA INSTITUTE OF AYURVEDA 
Address  Room No. 404, Department of Kaumarbhritya, Academic Block, All India Institute of Ayurveda, Gautampuri, Sarita Vihar, New Delhi – 110076, South Delhi, India.

New Delhi
DELHI
110076
India 
Phone  7600902564  
Fax    
Email  srajagopala@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Swati Nair 
Designation  PG Scholar 
Affiliation  ALL INDIA INSTITUTE OF AYURVEDA 
Address  Room No. 406, Department of Kaumarbhritya, Academic Block, All India Institute of Ayurveda, Gautampuri, Sarita Vihar, New Delhi – 110076, South Delhi, India.

New Delhi
DELHI
110076
India 
Phone  7306009262  
Fax    
Email  swatinair07@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Ayurveda Gautampuri Sarita Vihar New Delhi 110076  
 
Primary Sponsor  
Name  All India Institute of Ayurveda 
Address  All India Institute of Ayurveda Gautampuri Sarita Vihar New Delhi 110076  
Type of Sponsor  Government 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 Swati Nair  All India Institute of Ayurveda  Room no 406 Department of Kaumarbhritya Academic block All India Institute of Ayurveda Gautampuri Sarita Vihar New Delhi 110076
New Delhi
DELHI 
7306009262

swatinair07@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AIIA ,Division of Translational Research & Biostatistics,INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:J454||Moderate persistent asthma. Ayurveda Condition: TAMAKASVASAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Oriladi Kashaya Ghana Vati, Reference: Sahasrayoga Kashaya Prakarna, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 250(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 90 Days, anupAna/sahapAna: Yes(details: -Lukewarm water), Additional Information: -
2Comparator ArmDrugClassical(1) Medicine Name: Vyagrihareetaki Avaleha, Reference: Bhaishajya Ratnavali Kasarogadhikara Prakarna, Route: Oral, Dosage Form: Avleha/Leha/Paka/Raskriya, Dose: 3(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 90 Days, anupAna/sahapAna: Yes(details: -Lukewarm water), Additional Information: -
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  1.Children between 6–12 years of age irrespective of gender
2.Patients with mild to moderate bronchial asthma with at least three asthma episodes during last one year.
3.Diagnosis of asthma based on the criteria of the Global Initiative for Asthma (GINA).
4.Provided a signed statement of informed LAR consent/assent from both the parent/guardian and child/adolescent.
5.Patients with Tamaka Shwasa categorized under Sukha Sadhya and Krichra Sadhya as per Ayurvedic assessment will be included.
6.Patients on other drug therapy will be included only after completion of the wash out period prescribed.
 
 
ExclusionCriteria 
Details  1.Patients below 6 years and above 12 years of age.
2.Patients with severe bronchial asthma with prolonged remissions (lasting more than a month).
3.Severe and Complicated respiratory allergic disorders those need hospitalization.
4.Diagnosed C/o Tuberculosis, Pleural effusion, Emphysema, Lung abscess, Bronchiectasis, Pleurisy, Nasal polyps, Congenital lung/cardiac anomalies, Chronic debilitating diseases
5.Individuals with significant cardiovascular conditions, additional infectious ailments, and clinically significant disorders affecting the cardiovascular, renal, hepatic, neurological, haematological, endocrine, or respiratory systems, are excluded.
6.Patients who are not willing to comply with the protocol requirements will be excluded from the study.

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.Improvement in classical sign and symptoms of Tamaka Shwasa in terms of reduction in frequency, duration and severity of attacks.

 
0th day, 15th day, 30th day, 45th day, 60th day, 75th day, 90th day 
 
Secondary Outcome  
Outcome  TimePoints 
1.Improvement in Paediatric Asthma Quality of Life Questionnaire (PAQLQ).
2.Reduction in FeNO level.
3.Improvement in Pulmonary Function Test by FOT (Forced Oscillation technique).
4.To assess any probable side effects such as gastrointestinal discomfort or pain, altered taste, dryness of mouth, allergic reactions, or any other side effects observed during and after the intervention period.
 
0th day, 15th day, 30th day, 45th day, 60th day, 75th day, 90th day 
 
Target Sample Size   Total Sample Size="74"
Sample Size from India="74" 
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)   11/11/2025 
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="0"
Months="3"
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  
TITLE OF THE STUDY

Efficacy of Vyaghriharitaki Avaleha with and without Oriladi Kashaya Ghana Vati in the management of Tamaka Shwasa bronchial asthma in children age 6 to 12 years a randomized controlled clinical study

RESEARCH QUESTION
Does the add on administration of Oriladi Kashaya Ghana Vati along with Vyaghriharitaki Avaleha reduce the cardinal symptoms of Tamaka Shwasa Bronchial Asthma compared to oral administration of Vyaghriharitaki Avaleha alone in children aged 6 to 12 years over 45 days

HYPOTHESIS
Administering Oriladi Kashaya Ghana Vati in combination with Vyaghriharitaki Avaleha orally twice daily after food dosed as per the patients age along with lukewarm water as Anupana for a period of 45 days to children aged 6 to 12 years diagnosed with Tamaka Shwasa Bronchial Asthma is expected to effectively reduce asthma symptoms decrease their frequency duration and severity enhance pulmonary functions and ultimately enhance the quality of life in affected children compared to the oral administration of Vyaghriharitaki Avaleha alone

NULL HYPOTHESIS H0
Administering Oriladi Kashaya Ghana Vati in combination with Vyaghriharitaki Avaleha orally twice daily after food dosed as per the patients age along with lukewarm water as Anupana for a period of 45 days to children aged 6 to 12 years diagnosed with Tamaka Shwasa Bronchial Asthma has no significant reduction in asthma symptoms decrease their frequency duration and severity enhance pulmonary functions and ultimately enhance the quality of life in affected children compared to the oral administration of Vyaghriharitaki Avaleha alone

ALTERNATE HYPOTHESIS H1
Administering Oriladi Kashaya Ghana Vati in combination with Vyaghriharitaki Avaleha orally twice daily after food dosed as per the patients age along with lukewarm water as Anupana for a period of 45 days to children aged 6 to 12 years diagnosed with Tamaka Shwasa Bronchial Asthma results in a significant reduction in asthma symptoms decrease their frequency duration and severity enhance pulmonary functions and ultimately enhance the quality of life in affected children compared to the oral administration of Vyaghriharitaki Avaleha alone

NEED OF THE STUDY

For healthcare providers the challenges of managing asthma differ between regions and health systems Despite lot of efforts to improve asthma care over the past 30 years and the availability of effective medications many patients globally have not benefited from advances in asthma treatment and often lack even the rudiments of care Many of the worlds population live in areas with inadequate medical facilities and financial resources GINA recognizes that the recommendations found in this report must be adapted to fit local practices and the availability of healthcare resources To improve asthma care and patient outcomes evidence based recommendations must also be disseminated and implemented nationally and locally and integrated into health systems and clinical practice Implementation requires an evidence based strategy involving professional groups and stakeholders and considering local cultural and socioeconomic conditions

This research aims to determine how well and how useful Oriladi Kashaya ghana vati along with Vyaghriharitaki Avaleha for treating Tamaka Shwasa in children Focusing on affordability and easy access the study seeks a practical way to manage childhood asthma and hopes to offer a safe and effective treatment that can be readily used in current healthcare

Considering the ongoing need for affordable and safe long term treatments for Tamaka Shwasa bronchial asthma even with the many formulations offered in Ayurveda the hence in this study a clinical trial is intended to evaluate the add on effect of Oriladi Kashaya ghana vati when administered along with Vyaghriharitaki Avaleha

AIM AND OBJECTIVE OF RESEARCH STUDY
The aim of the present study is to assess the efficacy of interventions on the signs and symptoms of the disease Tamaka Shwasa vis a vis Bronchial Asthma and pulmonary function tests and quality of life parameters

OBJECTIVES OF THE RESEARCH PROJECT

PRIMARY OBJECTIVES
To assess the efficacy of Oriladi Kashaya Ghana Vati as an add on to Vyaghriharitaki Avaleha in reducing cardinal signs and symptoms in terms of frequency severity and duration of Tamaka Shwasa in participants of the study

SECONDARY OBJECTIVES
To assess improvement in the quality of life of the patients of Tamaka Shwasa by using the Paediatric Asthma Quality of Life Questionnaire PAQLQ
To assess the reduction in FeNO level Pulmonary inflammation
To assess improvement in Pulmonary Function Test by FOT Forced oscillation technique
To assess and report any adverse drug reactions observed during and after the treatment period

OUTCOME MEASURES

PRIMARY OUTCOME
1 Improvement in classical signs and symptoms of Tamaka Shwasa in terms of reduction in frequency duration and severity of attacks

SECONDARY OUTCOME
1 Improvement in Paediatric Asthma Quality of Life Questionnaire PAQLQ
2 Reduction in FeNO level
3 Improvement in Pulmonary Function Test by FOT Forced Oscillation Technique
4 To assess any probable side effects such as gastrointestinal discomfort or pain altered taste dryness of mouth allergic reactions or any other side effects observed during and after the intervention period

PRIMARY ENDPOINT
Change in total cardinal symptom score including frequency severity and duration of Tamaka Shwasa symptoms from baseline to the end of treatment period

SECONDARY ENDPOINT
Change in total PAQLQ score from baseline to end of treatment period
Change in fractional exhaled nitric oxide FeNO level measured in ppb from baseline to end of treatment
Change in pulmonary function parameters measured by FOT from baseline to end of treatment

 
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