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CTRI Number  CTRI/2026/02/104384 [Registered on: 20/02/2026] Trial Registered Prospectively
Last Modified On: 19/02/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Unani 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Unani Intervention in Fatty liver 
Scientific Title of Study   Unani Intervention in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) 
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 Suheena Khanday 
Designation  Research Officer (Unani) 
Affiliation  Regional research institute of unani medicine Srinagar 
Address  Regional research institute of unani medicine habak naseem bagh srinagar

Srinagar
JAMMU & KASHMIR
190006
India 
Phone  7006219033  
Fax    
Email  suheena.ccrum@ccrum.res.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Suheena Khanday 
Designation  Research Officer (Unani) 
Affiliation  Regional research institute of unani medicine Srinagar 
Address  Regional research institute of unani medicine habak naseem bagh srinagar

Srinagar
JAMMU & KASHMIR
190006
India 
Phone  7006219033  
Fax    
Email  suheena.ccrum@ccrum.res.in  
 
Details of Contact Person
Public Query
 
Name  Dr Suheena Khanday 
Designation  Research Officer (Unani) 
Affiliation  Regional research institute of unani medicine Srinagar 
Address  Regional research institute of unani medicine habak naseem bagh srinagar

Srinagar
JAMMU & KASHMIR
190006
India 
Phone  7006219033  
Fax    
Email  suheena.ccrum@ccrum.res.in  
 
Source of Monetary or Material Support  
Cental Council for Research in Unani Medicine, New Delhi 
 
Primary Sponsor  
Name  Cental Council for Research in Unani Medicine 
Address  Jawahar Lal Nehru Bhartiya Chikitsa Avum Homeopathy Anusandhan Bhavan, 61-65, Institutional area, Opp. D-Block, Janakpuri, New Delhi, pin code-110058 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
Ministry of Ayush  Ayush Bhavan, New Delhi 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Suheena khanday  Regional Research Institute of Unani Medicine, Habak, Naseem bagh  Regional research institute of unani medicine habak naseem bagh srinagar
Srinagar
JAMMU & KASHMIR 
7006219033

suheena.ccrum@ccrum.res.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Regional Research Institute of Unani Medicine srinagar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E756||Lipid storage disorder, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group A: Arq Biranjasif and Qurs Afsanteen  Qurs Afsateen is an Unani pharmacopeial formulation which will be given to patients in tablet form orally, with a dose of two tablets twice daily after meals. Arq Biranjasif is also an Unani pharmacopeial formulation will be given orally in distillate form at a dose of 125 ml twice daily along with Qurs Afsanteen. These drugs will be given for a duration of eight weeks. 
Comparator Agent  Group B:Qurs Afsateen, Arq Baranjasif and Aab Nakhood   Aab-e-Nakhood 250 ml (Chickpea infusion) is to be taken early in the morning, along with Qurs Afsanteen, two tablets to be taken twice daily with Arq-e-Biranjasif 125 ml, for a total duration of eight weeks. 
Comparator Agent  Group C:Aab Nakhood + Qurs Afsanteen + Arq Biranjasif and Riyazat (Exercise)for 30 minutes daily for 8 weeks  In this group, Aab Nakhood will be administered orally at a dose of 250 ml once daily in the early morning. Qurs Afsateen, at a dose of two tablets, along with Arq Biranjasif 125 ml, will be given twice daily. In addition, Riyazat (excercise) which is also one of the regimenal therapy in Unani Medicine will be performed daily for 30 minutes. This treatment regimen will be continued for a duration of eight weeks. 
Comparator Agent  Group D:Vitamin E capsule 400mg   In this group Vitamin E 400 mg (440 IU) capsule will be given once daily for a duration of eight weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients of both genders, diagnosed with Grade I or Grade II non-alcoholic fatty liver disease on ultrasonography, having mild to moderate elevation of liver enzymes (ALT and AST), and with a body mass index between 25 and 35 kg/m² will be included in the study.
 
 
ExclusionCriteria 
Details  Patients having severe somatic diseases such as serious respiratory, circulatory, or endocrine disorders, hepatic or renal insufficiency, hepatitis B or C or any other chronic liver disease, those with a history of drug or alcohol abuse, patients on long-term corticosteroid therapy or hepatotoxic drugs, pregnant or lactating women, and patients with cirrhosis, malignancy, or autoimmune hepatitis will be excluded from the study. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. To evaluate and compare the effectiveness of Unani therapeutic modalities Ilaj bil Dawa (Pharmaco Therapy), Ilaj bil Ghiza (Dietotherapy), and Riyazat (Exercise) in combination with each other, versus standard allopathic treatment in improving hepatic steatosis and liver function in patients with NAFLD.

 
baseline and after completion of study i.e.8 weeks
 
 
Secondary Outcome  
Outcome  TimePoints 
1. To explore correlations between traditional Unani diagnostic concepts (e.g., Mizaj, Balgham predominance) and clinical/laboratory outcomes in NAFLD patients.
2. To determine the safety and tolerability of Unani interventions compared to standard therapy by monitoring adverse events and treatment adherence.
3. To assess the impact of Unani treatments and allopathic therapy on metabolic parameters such as BMI, FBS, Lipid profile, Insulin level
4. To develop Standard Operating Procedures (SOPs) for the implementation of Riyazat

 
Before and after the eight-week clinical trial 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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 
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   This study is a prospective, randomized, open-label, controlled, interventional clinical trial to be conducted at the Regional Research Institute of Unani Medicine (RRIUM), Srinagar, with a sample size of 120 patients diagnosed with non-alcoholic fatty liver disease (NAFLD). The study aims to evaluate and compare the effectiveness and safety of three Unani treatment modalities—Ilaj bil Dawa (drug therapy), Ilaj bil Ghiza (dietotherapy), and Ilaj bil Tadbeer (regimenal therapy)—with standard allopathic management. Eligible participants will be randomized into four groups: Group A will receive Qurs Afsanteen with Arq Biranjasif; Group B will receive Aab Nakhood along with Qurs Afsanteen and Arq Biranjasif; Group C will receive Aab Nakhood, Qurs Afsanteen, Arq Biranjasif, and daily Riyazat; and Group D will receive Vitamin E as standard care, each for a duration of eight weeks, followed by a two-week follow-up period. The total study duration will be one year and six months, including recruitment, intervention, and follow-up. Clinical, laboratory, inflammatory, biomarker, and imaging parameters will be assessed at baseline and at the end of treatment, along with periodic clinical evaluations at predefined intervals. Primary outcomes include improvement in fatty liver grade, liver enzyme levels, and anthropometric measures, while secondary outcomes assess inflammatory markers, metabolic parameters, insulin sensitivity, quality of life, and safety. Data will be collected using validated case record forms and analyzed using appropriate statistical methods. 
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