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CTRI Number  CTRI/2026/02/104399 [Registered on: 20/02/2026] Trial Registered Prospectively
Last Modified On: 19/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Clinical Study to Compare Two Ayurvedic Medicines with External Application in the Management of Plaque Psoriasis 
Scientific Title of Study   A randomized double arm comparative clinical study to evaluate the efficacy of Ekavimshatika guggulu and Panchatikta ghrita guggulu along with Kasamarda lepa in kitibha kushta vis-a- vis plaque psoriasis 
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 Anusha M Janna 
Designation  PG Research Scholar 
Affiliation  Hubli Ayurveda Seva Samitis Ayurveda Mahavidyalaya and hospital Heggeri Extension Hubli 580024 
Address  Department of Kayachikitsa Hubli Ayurveda Seva Samitis Ayurveda Mahavidyalaya and hospital Heggeri Extension Hubli

Dharwad
KARNATAKA
580024
India 
Phone  9113292035  
Fax    
Email  jannaanusha@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Poornima B 
Designation  Professor 
Affiliation  Hubli Ayurveda Seva Samitis Ayurveda Mahavidyalaya and hospital Heggeri Extension Hubli 580024 
Address  Department of Kayachikitsa Hubli Ayurveda Seva Samitis Ayurveda Mahavidyalaya and hospital Heggeri Extension Hubli

Dharwad
KARNATAKA
580024
India 
Phone  9986308966  
Fax    
Email  poornimabheemanna1@gmail.com   
 
Details of Contact Person
Public Query
 
Name  Dr Anusha M Janna 
Designation  PG Research Scholar 
Affiliation  Hubli Ayurveda Seva Samitis Ayurveda Mahavidyalaya and hospital Heggeri Extension Hubli 580024 
Address  Department of Kayachikitsa Hubli Ayurveda Seva Samitis Ayurveda Mahavidyalaya and hospital Heggeri Extension Hubli

Dharwad
KARNATAKA
580024
India 
Phone  9113292035  
Fax    
Email  jannaanusha@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr Anusha M Janna 
Address  Hubli Ayurveda Seva Samitis Ayurveda Mahavidyalaya and hospital Heggeri Extension Hubli 580024 
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 
Dr Anusha M Janna  Hubli Ayurveda Seva Samitis Ayurveda Mahavidyalaya and hospital Heggeri Extension Hubli 580024  Department of Kayachikitsa Hubli Ayurveda Seva Samitis Ayurveda Mahavidyalaya and hospital Heggeri Extension Hubli 580024
Dharwad
KARNATAKA 
9113292035

jannaanusha@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ayurveda Mahavidyalaya and hospital Ethical Committe  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:L400||Psoriasis vulgaris. Ayurveda Condition: KITIBAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-Alepa-karma, आलेप-कर्म (Procedure Reference: Sharangadara Samhita, Procedure details: Kasamarda moola is made into churna (Powder) form and later mixed with Kanji (sour gruel) to prepare paste then it is applied over the lesions. Lepa is removed soon after drying from the skin.)))
(1) Medicine Name: Kasamarda , Reference: Chakradatta Samhita, Route: Topical, Dosage Form: Lepa Churna, Dose: 10(g), Frequency: od, Duration: 30 Days
2Intervention ArmDrugClassical(1) Medicine Name: Guduchi Churna, Reference: Bhavaprakasha Nigantu, Route: Oral, Dosage Form: Churna/ Powder, Dose: 5(g), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 3 Days, anupAna/sahapAna: Yes(details: Sukoshna Jala), Additional Information: -
3Intervention ArmDrugClassical(1) Medicine Name: Ekavimshatika Guggulu, Reference: Yogaratnakara Samhita, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 500(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 30 Days, anupAna/sahapAna: Yes(details: Sukoshna Jala), Additional Information: -
4Comparator ArmDrugClassical(1) Medicine Name: Panchitatikta Grita Guggulu, Reference: Chakradatta Samhita, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 500(mg), Frequency: bd, Bhaishajya Kal: Adhobhakta, Duration: 30 Days, anupAna/sahapAna: Yes(details: Sukoshna Jala), Additional Information: -
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Subjects of Kitibha Kushta Plaque Psoriasis on the basis of signs and symptoms like Shyava Kinakhara Sparsha Ugra Kandu Parusha
Subjects of either sex between age group of 16 to 60 years
Subjects of Kitibha Kushta Plaque Psoriasis with chronicity of 01 year.
 
 
ExclusionCriteria 
Details  Subjects with Uncontrolled Diabetes Mellitus and Hypertension
Subjects with Other types of Psoriasis
Subjects suffering from HIV HBsAg and other Systemic disorders
Pregnant Lady and Lactating Mother
• Subjects of Kitibha Kushta (Plaque Psoriasis) with chronicity more than 1 year.
 
 
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   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To know the reduction in the PASI Score and reduction in Auspitz sign and candle grease sign.   30 days 
 
Secondary Outcome  
Outcome  TimePoints 
To know the reduction in the Classical signs and symptoms of Kitibha Kushta ( Plaque Psoriasis ) like Kandu, Shyavata, Kinakara sparsha, Parushata.  30 days 
 
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   Phase 4 
Date of First Enrollment (India)   02/03/2026 
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  

Skin diseases significantly affect quality of life with psoriasis being one of the most common chronic inflammatory skin disorders worldwide. In Ayurveda Kitibha Kushta a type of Kshudra Kushta closely resembles Plaque Psoriasis in its clinical presentation characterized by dryness roughness discoloration and intense itching with predominance of Vata and Kapha dosha along with Ama involvement.

Conventional treatments for psoriasis often provide symptomatic relief but are associated with adverse effects and frequent recurrences creating a need for safer and effective alternative therapies. Ayurveda offers a holistic approach through Deepana Pachana Shodhana and Shamana therapies along with external applications.

This study is a randomized double arm comparative clinical trial designed to evaluate and compare the efficacy of Ekavimshatika Guggulu and Panchatiktaghrita Guggulu both administered internally along with Kasamarda Lepa applied externally in the management of Kitibha Kushta Plaque Psoriasis. A total of 40 patients will be randomly divided into two groups and treated for 30 days with follow up up to 30 days.

Assessment will be carried out using subjective parameters objective clinical signs and PASI score supported by laboratory investigations. The study aims to establish the efficacy safety and comparative effectiveness of these Ayurvedic formulations in managing plaque psoriasis and to provide scientific evidence for their clinical utility.

 
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