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CTRI Number  CTRI/2025/11/097995 [Registered on: 24/11/2025] Trial Registered Prospectively
Last Modified On: 22/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study of kshar panchak kshara sutra and apamarg kshar sutra ligation in management of wart 
Scientific Title of Study   A clinical study of kshar panchak kshara sutra ligation in management of charmakeel w.s.r. wart 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrNarendra Thakur 
Designation  P.g Scholar shalya tantra 
Affiliation  Rani Dullaiya Smriti Ayurved Pg Evam Chikitsalaya,Barkhedi kalan,Bhopal Madhya Pradesh  
Address  P.g Department of Shalya tantra,O.p.d no.7,Rani Dullaiya Smriti Ayurved Pg Evam Chikitsalaya,Barkhedi kalan,Bhopal Madhya Pradesh 462044 India

Bhopal
MADHYA PRADESH
462044
India 
Phone  7489494929  
Fax    
Email  dr.narendra87nikki@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrShraddha Sahkare 
Designation  Professor Department of Shalya tantra 
Affiliation  Rani Dullaiya Smriti Ayurved Pg Evam Chikitsalaya,Barkhedi kalan,Bhopal Madhya Pradesh  
Address  P.g Department of Shalya tantra,O.p.d no.7,Rani Dullaiya Smriti Ayurved Pg Evam Chikitsalaya,Barkhedi kalan,Bhopal Madhya Pradesh 462044 India

Bhopal
MADHYA PRADESH
462044
India 
Phone  9326827421  
Fax    
Email  sakhare2012@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrShraddha Sahkare 
Designation  Professor Department of Shalya tantra 
Affiliation  Rani Dullaiya Smriti Ayurved Pg Evam Chikitsalaya,Barkhedi kalan,Bhopal Madhya Pradesh  
Address  P.g Department of Shalya tantra,O.p.d no.7,Rani Dullaiya Smriti Ayurved Pg Evam Chikitsalaya,Barkhedi kalan,Bhopal Madhya Pradesh 462044 India

Bhopal
MADHYA PRADESH
462044
India 
Phone  9326827421  
Fax    
Email  sakhare2012@gmail.com  
 
Source of Monetary or Material Support  
Rani Dullaiya Smriti Ayurved Pg Evam Chikitsalaya,Barkhedi kalan,Bhopal M.P Bhopal Madhya Pradesh 462044 India  
 
Primary Sponsor  
Name  Dr.Narendra Thakur 
Address  P.g Scholar,Rani Dullaiya Smriti Ayurved Pg Evam Chikitsalaya,Barkhedi kalan,Bhopal M.P Bhopal Madhya Pradesh 462044 India 
Type of Sponsor  Other [Self] 
 
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 
DrNarendra Thakur  Rani Dullaiya Smriti Ayurved P.G. College Hospital Bhopal  P.g Department of Shalya tantra,O.p.d no.7,Rani Dullaiya Smriti Ayurved Pg Evam Chikitsalaya,Barkhedi kalan,Bhopal M.p Bhopal Madhya Pradesh
Bhopal
MADHYA PRADESH 
07489494929

dr.narendra87nikki@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee,Rani Dullaiya Smriti Ayurved P.G. College Hospital Bhopal  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:L029||Cutaneous abscess, furuncle and carbuncle, unspecified. Ayurveda Condition: CARMAKILAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-kShArasUtra, क्षारसूत्र (Procedure Reference: Rastarngani, Procedure details: The patient will be laid down in a comfortable position. Wart part will be Draped with sterile cut drape sheet after administering local anesthesia (xylocaine2%) By the help of ksharpanchak kshar sutra complete wart was transfixed & ligate )
2Comparator ArmProcedure-kShArasUtra, क्षारसूत्र (Procedure Reference: Rastarangani, Procedure details: The patient will be laid down in a comfortable position. Wart part will be Draped with sterile cut drape sheet after administering local anesthesia (xylocaine2%) By the help of Apamarga kshar sutra complete wart was transfixed & ligate )
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Diagnosed cases of (Charmakeel) wart .
Those patients of charmakeel who will be medically fit for ksharsutra ligation irrespective of gender, religion and occupation.
Patient who will ready to give written consent.
 
 
ExclusionCriteria 
Details  Subjects are excluded from this study if any 1 or more of the following criteria is met
Subject has clinically atypical warts on the trunk or extremities.
Subject is immunocompromised (e.g., due to chemotherapy, systemic steroids, genetic immunodeficiency, transplant status, etc.)
Subject has perienguinal, subenguinal, genital, anal, plantar, flat. Known case of Hiv ,Hepatites B.
Patient suffer from current skin disease known case of psoriasis, atopic dermatitis, eczema, sun damage, sunburn, excessive hair, open wounds.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction in redness,edema and pain   07 days 
 
Secondary Outcome  
Outcome  TimePoints 
Total reduction in redness,edema,pain & charmkeel
 
21 days 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   04/12/2025 
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="0"
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   ‘Charmakeelatheethi’Charmakeela is the term for something that resembles a nail (keela) or something bound to the skin (charma)[2].Since ancient times, charmakeela has been a common ailment that requires more individualized care for psychological reasons. Among the kshudraroga that acharya Susrutha mentions is Charmakeela. 
"Paka" (preparation) and "vidhi" (application) are associated with "Kshara." Caustic alkali is preferable to other sharper and auxiliary instruments because it can perform excision, incision, and scarification; it also relieves three doshas and has specialized uses. All three of the parasurgical techniques—Agni (cauterization), Kshara (caustic alkali), and Jalauka (leeches)—have significance. Kshara remains the leader despite Agni and Jalauka’s incapacity to execute some surgeries like incision and excisionWarts are benign skin growths that have been present in human society from ancient times 
 
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