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CTRI Number  CTRI/2025/10/096254 [Registered on: 21/10/2025] Trial Registered Prospectively
Last Modified On: 21/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Efficacy of Panchatikta Ghrita Guggulu over Lakshadi Guggulu after Panchaprasrta Basti in management of Asthishosha (Osteoporosis) 
Scientific Title of Study   A Randomised Controlled Clinical Trial to evaluate the efficacy of Panchatikta Ghrita Guggulu over Lakshadi Guggulu after Panchaprasrta Basti in management of Asthishosha (Osteoporosis) 
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 NEHA SHARMA 
Designation  MD Scholar, Department of Kayachikitsa 
Affiliation  All India Institute Of Ayurveda 
Address  Department of Kayachikitsa, 6th floor,Academic block, Block C, All India Institute Of Ayurveda,Gautampuri, Sarita vihar, Mathura road, New Delhi

New Delhi
DELHI
110076
India 
Phone  7780936826  
Fax    
Email  drnehasharma32@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr JONAH S 
Designation  Professor and Head Of Department 
Affiliation  All India Institute Of Ayurveda 
Address  Department of Kayachikitsa, 6th floor,Academic block, Block C, All India Institute Of Ayurveda,Gautampuri, Sarita vihar, Mathura road, New Delhi

New Delhi
DELHI
110076
India 
Phone  8589805246  
Fax    
Email  jonahdr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr JONAH S 
Designation  Professor and Head Of Department 
Affiliation  All India Institute Of Ayurveda 
Address  Department of Kayachikitsa, 6th floor,Academic block, Block C, All India Institute Of Ayurveda,Gautampuri, Sarita vihar, Mathura road, New Delhi

New Delhi
DELHI
110076
India 
Phone  8589805246  
Fax    
Email  jonahdr@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Ayurveda  
 
Primary Sponsor  
Name  All India Institute of Ayurveda,  
Address  All India Institute of Ayurveda, Gautampuri, Sarita Vihar, New Delhi  
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 NEHA SHARMA  All India Institute Of Ayurveda  Department of Kayachikitsa, OPD NO. 3, Ground floor, Hospital block, All India Institute Of Ayurveda, Gautampuri, Sarita vihar, Mathura road, New Delhi
New Delhi
DELHI 
7780936826

drnehasharma32@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AIIA INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:O||Medical and Surgical. Ayurveda Condition: ASTHISOSHAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Panchtikta ghrita guggulu, Reference: Bhaishaya Ratnavali-kushtha chikitsa, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 1000(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 6 Weeks, anupAna/sahapAna: Yes(details: lukewarm water), Additional Information: Panchaprasrta basti
2Comparator ArmDrugClassical(1) Medicine Name: Lakshadi guggulu, Reference: Bhaishaya Ratnavali, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 1000(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 6 Weeks, anupAna/sahapAna: Yes(details: -lukewarm ), Additional Information: Panchprasrta basti
 
Inclusion Criteria  
Age From  31.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Subjects aged between the age group of 31 and 60 years.
2.Diagnosed case of Primary osteoporosis by BMD Test (T- score of less than or equal to -2.5)
3.Lakshanas of sAsthishosha - Asthi Shoola, Asthi Toda, Santat Ruka, Bhrama, Nakha Bhanga, Shrama, Raukshya, Aswapna.

4.Patients fit for basti
5.Informed written consent
 
 
ExclusionCriteria 
Details  1.Patients on long-term medications such as Steroids and antiepileptics drugs.
2.Osteomalacia, Rickets, Genetic causes juvenile osteoporosis, Cushing syndrome, Marfan Syndrome,
3.Patient with uncontrolled diabetes mellitus, hypertension thyroid and parathyroid disorders.
4.Cancer Patients, Surgical Patients, Pregnant Women and Lactating mothers
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.Changes in Bone Mineral Density (BMD) and Improvement in lakshana of Asthishosha - Asthi Shoola, Asthi Toda, Santat Ruka, Bhrama, Nakha Bhanga, Shrama, Raukshya, Aswapna.   baseline
after 50th day  
 
Secondary Outcome  
Outcome  TimePoints 
1.Improvement in laboratory parameters- VIT-D, Serum calcium, CBC with ESR, Thyroid profile, Serum Parathyroid Hormone, KFT, LFT, Lipid Profile.
2.Improvement in quality of life related to osteoporosis using Quality of life scores with QUALEFFO-41 questionnaire developed by IOF.
 
baseline
after 50th day 
 
Target Sample Size   Total Sample Size="54"
Sample Size from India="54" 
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)   15/12/2025 
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="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  

RESEARCH QUESTION

Does the administration of Panchatikta Ghrita Guggulu followed by Panchaprasrta Basti, when compared to Lakshadi Guggulu with the same pre-procedure, result in greater clinical improvement in patients between 31-60 years with Asthishosha (Osteoporosis)?

HYPOTHESIS

There is difference in the efficacy of Panchatikta Ghrita Guggulu and Lakshadi Guggulu, when administered after Panchaprasrta Basti, in the management of Asthishosha (Osteoporosis)

NULL HYPOTHESIS (H0)

There is no significant difference in the efficacy of Panchatikta Ghrita Guggulu and Lakshadi Guggulu, when administered after Panchaprasrta Basti, in the management of Asthishosha (Osteoporosis).

ALTERNATE HYPOTHESIS(H1)

There is significant difference in the efficacy of Panchatikta Ghrita Guggulu and Lakshadi Guggulu, when administered after Panchaprasrta Basti, in the management of Asthishosha (Osteoporosis)

Inclusion criteria

Exclusion criteria

  Subjects aged between the age group of 31 and 60 years.

         Patients on long-term medications such as steroids and antiepileptics drugs.

  Diagnosed case of Primary Osteoporosis by BMD Test (T  score of less than or equal to -2.5) 

         Osteomalacia, Rickets, Genetic causes, Juvenile Osteoporosis, Cushing syndrome, Marfan Syndrome,

  Lakshanas of   Asthishosha  Asthi Shoola,  Asthi Toda, Santat Ruka, Bhrama, Nakha Bhanga, Shrama, Raukshya, Aswapna.      

         Patient with uncontrolled diabetes mellitus, hypertension, thyroid and parathyroid disorders. 

  Informed written consent

  Patients fit for basti 

         Cancer Patients, Surgical Patients, Pregnant Women and Lactating mothers.

INVESTIGATIONS

INVESTIGATION

BEFORE TREATMENT

(0n 0th day)

AFTER TREATMENT

(0n 50th day)

BMD

will be done

will be done

VIT D, Serum calcium, CBC with ESR, Thyroid profile, Serum Parathyroid Hormone, KFT, LFT, Lipid Profile

 

will be done

 

will be done

 


EXPECTED OUTCOME MEASURES

       Primary Outcome:

   Changes in Bone Mineral Density (BMD) and Improvement in  lakshana of Asthishosha  Asthi Shoola,  Asthi Toda, Santat Ruka, Bhrama, Nakha Bhanga, Shrama, Raukshya, Aswapna.  

     Secondary Outcome:

   Improvement in laboratory parameters VIT D, Serum calcium, CBC with ESR, Thyroid profile, Serum Parathyroid Hormone, KFT, LFT, Lipid Profile.

   Improvement in quality of life related to osteoporosis using Quality of life scores with QUALEFFO 41 questionnaire developed by IOF.

METHODOLOGY

Parameter

Details

Study Type

Comparative Interventional Clinical Trial

Masking

Open label

Interventional model

Parallel assignment

Study Design

Randomized, open-label, comparative controlled clinical trial

Sampling Frame (Selection of Cases)

OPD/IPD wing of AIIA according to diagnostic criteria

Sampling Procedure

Probability

Sample Size

54 (27 in each group)

Number of Groups

2

Timing

Prospective 

Intervention (Basti and Oral medications)

8 days and 6 Weeks

Follow up 

4 Weeks

Review Period

Once in 2 weeks


DURATION OF STUDY

        Basti administration period         8 days

       Oral Medication Period              6 weeks

        Follow Up Period                       4 Weeks

        Review Period                          Once in 2 weeks

Sample Size  Minimum sample size is 27 in each group. Sample size will be increased as per feasibility or Stratified sampling and analysis will be considered .

  GROUP A (Lakshadi Guggulu)  27

  GROUP B (Panchatikta Ghrita Guggulu)  27


 
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