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CTRI Number  CTRI/2026/01/100869 [Registered on: 12/01/2026] Trial Registered Prospectively
Last Modified On: 16/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Randomized, Crossover Trial 
Public Title of Study   How Yoga May Improve Quality of Life in People with Interstitial Lung Disease 
Scientific Title of Study   Effect of Integrated Approach of Yoga Therapy in Interstitial Lung Disease: A Randomised Crossover Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prakriti Bohra 
Designation  PhD Student 
Affiliation  Swami Vivekananda Yoga Anusandhana Samsthana 
Address  Centre for Open and Distance Education (CODE), 2nd Floor, Arogydhama Health Care Block, S-VYASA, Prashanti Kutiram, Bangalore

Bangalore
KARNATAKA
560105
India 
Phone  09828577103  
Fax    
Email  drprakritibohra@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Natesh Babu 
Designation  Associate Professor 
Affiliation  Swami Vivekananda Yoga Anusandhana Samsthana 
Address  Centre for Open and Distance Education (CODE), 2nd Floor, Arogydhama Health Care Block, S-VYASA, Prashanti Kutiram, Bangalore
Kalluballu Post, Jigani Hobli
Bangalore
KARNATAKA
560105
India 
Phone  09342825813  
Fax    
Email  natesh.babu@svyasa.edu.in  
 
Details of Contact Person
Public Query
 
Name  Prakriti Bohra 
Designation  PhD Student 
Affiliation  Swami Vivekananda Yoga Anusandhana Samsthana 
Address  Centre for Open and Distance Education (CODE), 2nd Floor, Arogydhama Health Care Block, S-VYASA, Prashanti Kutiram, Bangalore

Bangalore
KARNATAKA
560105
India 
Phone  09828577103  
Fax    
Email  drprakritibohra@gmail.com  
 
Source of Monetary or Material Support  
RAJASTHAN JAIPURIA HOSPITAL, Kailash Puri Colony, Milap Nagar, Jaipur, Rajasthan, 302018 
S-VYASA, Prashanti Kutiram, Vivekananda Road,Kalluballu Post, Jigani, Anekal, Bengaluru – 560105, INDIA 
 
Primary Sponsor  
Name  Prakriti Bohra 
Address  Prashanti Kutiram, Vivekananda Road, Kalluballu Post, Jigani, Anekal,Bengaluru – 560105, INDIA 
Type of Sponsor  Other [SELF (PhD Student)] 
 
Details of Secondary Sponsor  
Name  Address 
Rajasthan Hospital Jaipur  86, opp. RAJASTHAN JAIPURIA HOSPITAL, Kailash Puri Colony, Milap Nagar, Jaipur, Rajasthan, 302018 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Prakriti Bohra  Rajasthan Hospital  RAJASTHAN JAIPURIA HOSPITAL, 1st Floor, Respiratory Block, Kailash Puri Colony, Milap Nagar, Jaipur
Jaipur
RAJASTHAN 
09828577103

drprakritibohra@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 4  
Name of Committee  Approval Status 
IEC-SVYASA  Approved 
IEC-SVYASA  Approved 
RHL ETHICS COMMITTEE  Approved 
RHL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J841||Other interstitial pulmonary diseases with fibrosis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Integrated Approach of Yoga Therapy (IAYT)  This study will employ a validated Integrated Approach of Yoga Therapy (IAYT) module specifically designed for patients with Interstitial Lung Disease (ILD). The total duration of the intervention will be 12 weeks. Yoga sessions will be conducted six days per week, with a 1-hour session each morning (8:00 AM–9:00 AM) delivered through an online platform to ensure accessibility and continuity. The IAYT program integrates asanas, pranayama, deep relaxation techniques, mental relaxation practices (including MSRT), educational inputs, and counselling, delivered in a structured and progressive manner. Practices will be introduced gradually, beginning with gentle movements and advancing to breathing and mind–body relaxation techniques, with modifications made as required for individual participants. Participants will continue to receive standard medical management for ILD under the supervision of their treating physician, in accordance with established conventional treatment protocols. 
Comparator Agent  Walking with Music  During the 12-week intervention period, participants in the active control group will not receive IAYT and will continue standard medical care for ILD under their treating physician. In addition, they will perform a non-yogic, attention-matched intervention consisting of walking for 30 minutes twice daily (morning and evening), six days per week, while listening to music of their choice. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  a. Patients with stable chronic ILD, including IPF, CTD-ILD, HP, and Undifferentiated ILD, whose diagnosis was made through a multi-disciplinary team discussion.
b. Consent to participate in a 26-week program.
c. An ambulatory patient capable of performing yoga.
 
 
ExclusionCriteria 
Details  a. Forced Vital Capacity less than 50 percent
Continuous Oxygen therapy
b. Diagnosis of pulmonary hypertension
c. Other respiratory diseases apart from ILD
d. Rapidly Progressive (RP-ILD) or unstable disease
e. Diagnosis of Cardio-respiratory failure, advanced malignancy, renal or hepatic failure, neurological diseases such as Parkinson’s, epilepsy and stroke.
f. Pulmonary infection, Acute exacerbation and other respiratory declines within the last 4 weeks
g. Recent abdominal surgery
h. Pregnant women
i. On anxiety/depression-related drugs
j. Patients admitted to the hospital (inpatients)
k. Patients who are currently on self-medication for ILD or any respiratory condition.
l. Patients who are receiving any form of alternative or complementary therapy, including but not limited to Ayurveda, Unani, Homoeopathy, Naturopathy, Siddha, Tibetan medicine, or other traditional/folk therapies.
m. Co-morbidities which make yoga training impossible
n. Who are regular yoga practitioners and engaged in systematic physical activities and mindfulness practice

 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Health related Quality of life: CDC-HRQoL and St. George Respiratory Questionnaire (SGRQ)  Five key timepoints
Pre-Intervention; One Week After Baseline 1; After the First 12-Week Intervention Period; After the 2-Week Washout Period; After the Second 12-Week Intervention Period  
 
Secondary Outcome  
Outcome  TimePoints 
Functional exercise capacity: Six-Minute Walk Distance by Six-Minute Walking Test
 
Five key timepoints
Pre-Intervention; One Week After Baseline 1; After the First 12-Week Intervention Period; After the 2-Week Washout Period; After the Second 12-Week Intervention Period  
Pulmonary function: Spirometry   Five key timepoints
Pre-Intervention; One Week After Baseline 1; After the First 12-Week Intervention Period; After the 2-Week Washout Period; After the Second 12-Week Intervention Period  
Dyspnoea: Modified Medical Research Council Dyspnoea Scale (mMRC)   Five key timepoints
Pre-Intervention; One Week After Baseline 1; After the First 12-Week Intervention Period; After the 2-Week Washout Period; After the Second 12-Week Intervention Period  
Fatigue: Borg Rating of Perceived Exertion (RPE) 6–20   Five key timepoints
Pre-Intervention; One Week After Baseline 1; After the First 12-Week Intervention Period; After the 2-Week Washout Period; After the Second 12-Week Intervention Period  
Sleep Quality: Pittsburgh Sleep Quality Index (PSQI)   Five key timepoints
Pre-Intervention; One Week After Baseline 1; After the First 12-Week Intervention Period; After the 2-Week Washout Period; After the Second 12-Week Intervention Period  
Lung Capacity: Breath Holding Time   Five key timepoints
Pre-Intervention; One Week After Baseline 1; After the First 12-Week Intervention Period; After the 2-Week Washout Period; After the Second 12-Week Intervention Period  
Respiratory Rate (Brahmari)   Five key timepoints
Pre-Intervention; One Week After Baseline 1; After the First 12-Week Intervention Period; After the 2-Week Washout Period; After the Second 12-Week Intervention Period  
 
Target Sample Size   Total Sample Size="116"
Sample Size from India="116" 
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   N/A 
Date of First Enrollment (India)   02/02/2026 
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="5"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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 - Informed Consent Form

  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 - For individual participant data meta-analysis.

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

  6. For how long will this data be available start date provided 02-01-2028 and end date provided 02-01-2031?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary
Modification(s)  

The current study will be a single-centre, randomized, assessor-blinded crossover clinical trial to evaluate the effect of an Integrated Approach to Yoga Therapy compared with walking with music in patients with stable interstitial lung disease. Participants will be randomly allocated to one of two parallel sequences. One sequence will receive yoga therapy for 12 weeks, followed by a 15-day washout period, and then walking with music for 12 weeks. The other sequence will receive walking with music first, followed by washout and then yoga therapy. Standard medical care will be continued throughout the study.

The primary outcome will be health-related quality of life assessed using validated respiratory and general health questionnaires. Secondary outcomes will include functional exercise capacity, pulmonary function, dyspnoea, fatigue, anxiety, and depression, sleep quality, breath-holding time, and duration of Bhramari pranayama.

Outcome assessments will be conducted at five timepoints, including two baseline assessments one week apart, post-first intervention, post-washout, and post-second intervention. This crossover design will allow each participant to act as their own control while minimizing inter individual variability and enabling evaluation of treatment time and carryover effects. The study will aim to generate clinical evidence for yoga as a structured non-pharmacological adjunct in the management of interstitial lung disease.

 
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