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CTRI Number  CTRI/2026/02/104596 [Registered on: 24/02/2026] Trial Registered Prospectively
Last Modified On: 23/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   The effect of Arjunadi cream in children with Diaper rash  
Scientific Title of Study   Comparative clinical trial to evaluate the effect of Arjunadi cream in Ahiputana 
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 Soham B Shirole 
Designation  Post graduate scholar 
Affiliation  Parul Institute of Ayurved and Research 
Address  Department of Kaumarabhritya, Parul Institute of Ayurved and Research, Parul University, Vadodara - 391760, Gujarat

Vadodara
GUJARAT
391760
India 
Phone  9373139556  
Fax    
Email  sohamshirole99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Arun Raj GR  
Designation  HOD & Professor 
Affiliation  Parul Institute of Ayurved and Research 
Address  Department of Kaumarabhritya, Parul Institute of Ayurved and Research, Parul University, Vadodara - 391760, Gujarat

Vadodara
GUJARAT
391760
India 
Phone  9886292826  
Fax    
Email  drdrarunraj26@gmail.com   
 
Details of Contact Person
Public Query
 
Name  Dr Arun Raj GR  
Designation  HOD & Professor 
Affiliation  Parul Institute of Ayurved and Research 
Address  Department of Kaumarabhritya, Parul Institute of Ayurved and Research, Parul University, Vadodara - 391760, Gujarat

Vadodara
GUJARAT
391760
India 
Phone  9886292826  
Fax    
Email  drdrarunraj26@gmail.com   
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Dr Soham B Shirole 
Address  Post graduate scholar, Department of Kaumarabhritya, Parul University, Vadodara - 391760, Gujarat  
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 Soham B Shirole  Khemdas Hospital  OPD no.6, Ground floor,Khemdas Hospital,Ishwarpura,Waghodia, Vadodara - 391760, Gujarat.
Vadodara
GUJARAT 
09373139556

sohamshirole99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee IEC- PIAR HR  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:L22||Diaper dermatitis. Ayurveda Condition: AHIPUTANA/AHIPUTANAKAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugOther than Classical(1) Medicine Name: Panchavalkala Ointment , Reference: NA, Route: Topical, Dosage Form: Malahara/ Ointment/ Balm, Dose: 1(g), Frequency: tds, Bhaishajya Kal: Antarabhakta, Duration: 7 Days, anupAna/sahapAna: No, Additional Information: -
2Intervention ArmDrugOther than Classical(1) Medicine Name: Arjunadi Cream, Reference: NA, Route: Topical, Dosage Form: Malahara/ Ointment/ Balm, Dose: 1(g), Frequency: tds, Bhaishajya Kal: Antarabhakta, Duration: 7 Days, anupAna/sahapAna: No, Additional Information: -
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  1.00 Year(s)
Gender  Both 
Details  1. Children diagnosed as the case of Ahiputana (Diaper Rash).
2. Infants between the age group of birth upto 1 year irrespective of gender, socioeconomic status, religion.
3. Infants whose parents are willing to participate them in the study by giving informed parent consent.
 
 
ExclusionCriteria 
Details  1. Infants who have other generalized skin infections such as infantile psoriasis.
2. Infants suffering from any systemic disorders. e.g. acute gastro enteritis with dehydration, Lactose intolerance, Secondary Infection etc.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The primary outcome of this study is a reduction in the severity of Ahiputana (diaper dermatitis) as assessed by the Diaper Dermatitis Severity Scale, comparing the clinical effect of Arjunadi cream with Panchavalkala ointment.
 
0th day, 4th day, 8th day and 15th day
 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in individual symptoms of Ahiputana such as pain, itching, erythema, discharge, and lesions, along with assessment of treatment safety, tolerability, and caregiver acceptability of Arjunadi cream compared to Panchavalkala ointment.  0th day and 15th day 
 
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)   01/05/2026 
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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [sohamshirole99@gmail.com].

  6. For how long will this data be available start date provided 30-09-2027 and end date provided 30-09-2028?
    Response (Others) -  One year of post publication of research

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary  

This study is planned as an open-label, randomized controlled clinical trial to evaluate and compare the therapeutic efficacy of Arjunadi Cream with Panchavalkala Ointment in the management of Ahiputana in children up to one year of age. The trial is designed to generate clinical evidence regarding the effectiveness, safety, and acceptability of a classical Ayurvedic formulation modified into a cream dosage form for pediatric use.

A total of 120 eligible infants will be recruited from the OPD and IPD of the Kaumarabhritya department and randomly allocated into two equal groups. Group A will receive Panchavalkala Ointment, while Group B will be treated with Arjunadi Cream. Both interventions will be applied locally in the affected area thrice daily for a duration of seven days. The Arjunadi Cream is prepared as per standard operating procedures using Arjuna, Kadamba, Kustha, and Shuddha Gairika, incorporated into a Sikta Taila base, ensuring uniformity, stability, and ease of application.

Clinical assessment will be carried out on day 0, day 4, day 8, and day 15 using standardized subjective and objective parameters. These include evaluation of pain using the FLACC Pain Assessment Scale, itching severity, discharge, erythema, and papulo-vesicular lesions using the Diaper Dermatitis Severity Scale. Medication compliance will be monitored through caregiver instructions and follow-up verification. Safety assessment will include continuous monitoring for any adverse drug reactions throughout the study period.

The primary outcome measure is the reduction in the overall severity score of Ahiputana following treatment, while secondary outcomes include improvement in individual clinical parameters, tolerability of the formulation, and caregiver compliance. Statistical analysis will be performed using appropriate tests to compare intra-group and inter-group outcomes.

The study aims to establish whether Arjunadi Cream is equally or more effective than Panchavalkala Ointment and to support its potential role as a safe, cost-effective, and child-friendly topical Ayurvedic formulation in pediatric clinical practice.

 
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