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CTRI Number  CTRI/2026/03/106754 [Registered on: 23/03/2026] Trial Registered Prospectively
Last Modified On: 23/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Ayurvedic treatment of Immature Cataract 
Scientific Title of Study   A clinical consensus study for the development of Standard Operating Procedure and practice guidelines for Anjana Karma with a Feasibility study in immature cataract 
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 Shrawan Kumar Sahu  
Designation  Research Officer Ay 
Affiliation  Central Ayurveda Research Institute New Delhi 
Address  Room No 48, Ground floor, Block C, Central Ayurveda Research Institute Punjabi Bagh Road no 66, New Delhi, India
West
New Delhi
DELHI
110026
India 
Phone  7500799915  
Fax  01125225546  
Email  drsahu79@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shweta Mata 
Designation  Research Officer Ay 
Affiliation  Central Ayurveda Research Institute New Delhi 
Address  ROOM NO 201,2ND Floor, OPD block Central Ayurveda Research Institute Punjabi Bagh Road no 66 New Delhi India
DELHI 110026 India
New Delhi
DELHI
110026
India 
Phone  8866014946  
Fax  01125225546  
Email  drshwetamataccras@gmail.com   
 
Details of Contact Person
Public Query
 
Name  DR Praveen Balakrishnan 
Designation  Research Officer Ay 
Affiliation  Regional Ayurveda research Institute  
Address  Room No 224,Regional Ayurveda research Institute Poojappura Trivandrum
Poojappura Trivandrum
Thiruvananthapuram
KERALA
695012
India 
Phone  07012911654  
Fax    
Email  drpraveenbalakrishnan@gmail.com  
 
Source of Monetary or Material Support  
Central Council for Research in Ayurvedic Sciences 61-65 Institutional Area Janakpuri New Delhi  
 
Primary Sponsor  
Name  Central Council for Research in Ayurvedic Sciences  
Address  61-65, opp. D’ Block, D Block, Janakpuri Institutional Area, Janakpuri, New Delhi, Delhi-110058  
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sharwan Kumar Sahu  Central Ayurveda Research Institute New Delhi  ROOM NO 48, Ground Floor , Block C ,Central Ayurveda Research Institute Punjabi Bagh Road no 66, New Delhi India West DELHI 110026 India
New Delhi
DELHI 
7500799975
01125225546
drsahu79@gmail.com 
Dr Praveen Balakrishnan  Regional Ayurveda Research Institute  Room No 224 ,Regional Ayurveda Research Institute Poojappura, Trivandrum- 695012
Thiruvananthapuram
KERALA 
7012911654

drpraveenbalakrishnan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
CentralEthicsCommittee  Approved 
CentralEthicsCommittee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:H25||Age-related cataract. Ayurveda Condition: TIMIRAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-anjana (Procedure Reference: sushrut samhita uttara tantra, Procedure details: Topical application of medicine to the internal surface of lid margin (conjunctival fornices) with an applicator (Anjana Shalaka) Treatment for first 7 days .)
(1) Medicine Name: chandrodya varti, Reference: AFI-Part-1,13/3, Route: Ocular, Dosage Form: Varti/ Suppository, Dose: 60(mg), Frequency: od, Duration: 7 Days
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Subjects of age 40-70 years
2.Subjects who agree to participate in the study and submit a written informed consent form
3. Willing and able to participate for 1 week
4. Diagnosed cases of immature cataract who are not receiving any specific treatment.
 
 
ExclusionCriteria 
Details  1.Subjects who have active corneal ulceration, corneal opacity, keratitis,trauma etc
2.Uncontrolled diabetes mellitus (DM) (HbA1c MORE THAN 8) and Uncontrolled hypertension (Systolic BP higher than 160mmHg and/or Diastolic BP higher than 100mmHg)
3.Subjects suffering from major systemic illness necessitating long term drug treatment (Rheumatoid arthritis, Psycho-Neuro-endocrinal disorders, etc.)
4. Subjects with concurrent Hepatic Dysfunction (defined as AST and or ALT more than 2 times of the upper normal limit) or Renal Dysfunction ((defined as S. Creatinine above 1.2mg/dL or an eGFR below 60 mL/min/1.73 m2 ), uncontrolled Pulmonary Dysfunction (asthmatic and COPD subjects).
5. Alcoholics and/or drug abusers
6. Patients with evidence of malignancy
7.H/O Hypersensitivity to the trial drug or any of its ingredients
8. Subjects who have completed participation in any other clinical trial during the past six months.
9. Any other condition which the Investigator thinks may jeopardize the study.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Changes in visual acuity by Snellen’s Chart
[Change in at least 1 line]
 
baseline and after 7 days
 
 
Secondary Outcome  
Outcome  TimePoints 
Any SAE /ADR  baseline and after 7 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 3/ Phase 4 
Date of First Enrollment (India)   13/09/2026 
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="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  
Non-surgical, non-invasive and cost-effective management of eye diseases is possible with the adoption of Ayurvedic procedures coupled with that of eye friendly diet habit, regimen and medicines. In Ayurveda, a specific ocular therapeutic procedure (a group of special methods of drug administration) for the treatment for eye disorders has been delineated in the name of kriyakalpa. Ancient medical scholars, the pioneers of Kriyakalpa were aware of the mechanism of blood aqueous barrier as well as ocular pharmacology. Kriyakalpa involves mucosal and cutaneous route of drug administration mainly.
The Kriyakalpa has witnessed some changes in its number in due course of time, which indicates the progressive nature of Ayurveda. Acharya Charaka, Acharya Sushruta, Acharya Vagbhata, Acharya Sharangdhara etc. are some of the pioneers of Ayurveda. It is due to their tireless efforts that this ancient science is standing in this modern era of advanced technology for the welfare of the masses.
 Acharya Charak enumerated three kriyakalpa i.e. Aschyotana, Anjana & Bidalaka in his treatise Charaka Samhita. On the other hand, Acharya Sushruta described five kriyakalpas i.e Tarpana, Putapaka, Seka, Aschyotana & Anjana.  Acharya Sharangdhara added two more kriyakalpa viz. Pindi &Bidalaka in that of Acharya Sushruta and made its number seven. 
 A comprehensive description of Kriyakalpa is as follows.
 1. Tarpana- This is one of the Kriyakalpa which brings about nourishing effect to the eyes to improve the visual acuity. In this procedure the unctuous substances i.e. medicated lipid (mostly Ghrita Manda) is kept in the eye for a specific period surrounded by a layer of wet flour of pulse (Phaseolus radiatus) or now a days by a Tarpana goggle. 
2. Putapaka- Putapaka is the topical application of the extract in the eyes for a speculated time, which is performed after Tarpana therapy in order to restore the strength to eyes. The extract is prepared out of plant drugs, animal flesh, mineral drugs and fats by heating their mixture (paste) in a closed chamber.
 3. Seka- This is the pouring of thin streams of medicated solution onto the closed eyes continuously from a height of four Angul for a specific period of time,as per the prevalence of Dosha(body humour). Seka is indicated in acute condition of eye diseases.
 4. Aschyotana- Instillation of the drops of medicated solution into the open eyes from the height of two Angul is called as Aschyotana. Aschyotana is the first line of treatment in all eye diseases. 
5. Anjana- Topical application of medicine to the internal surface of lid margin (conjunctival fornices) with an applicator (Anjana Shalaka) is called as Anjana.
 6. Pindi- Here, heated medicine in cotton or Doshghna leaves is kept tightly over the eyelids. This is comparable to the Poultice. Pindi is capable of relieving the symptoms like oedema, itching and ocular pain.
 7. Bidalaka- This is the application of medicated paste over the skin of lids and is useful in early stages of eye diseases especially for getting rid of burning, redness,watering, itching and swelling of eye.
The judicious and superb use of Shalaka must have remained the central point behind the nomenclature Shalakya Tantra.Since  use of Shalaka is mainly associated with Anjana and there is not an availability of SOP for Anjana till now,it is the need of the time to develop the same. The purpose of the current study is to scientifically standardize Anjana procedure. Standardization works in the field of Netra Kriyakalpa will ultimately contribute to redaction of procedures which is need of the hour

 
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