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CTRI Number  CTRI/2026/01/101546 [Registered on: 19/01/2026] Trial Registered Prospectively
Last Modified On: 16/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Other (Specify) 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Ayurvedic managment in the Treatment of Insomnia. 
Scientific Title of Study   A randomised controlled clinical trial between clonazepam, ayurvedic polyherbal formulation, and shirodhara in the management of anidra (insomnia) 
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 Nabanita Chakrabarty 
Designation  Assistant Professor ,Department of Kayachikitsa 
Affiliation  The West Bengal University of Health Sciences 
Address  Department of Kayachikitsa, Room no -1 Institute of Post Graduate Ayurvedic Education and Research at SVSP Hospital,294 /3/1 A.P.C Road, Kolkata WEST BENGAL 700009

Kolkata
WEST BENGAL
700009
India 
Phone  9432682951  
Fax    
Email  nabanita.newhope@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nabanita Chakrabarty 
Designation  Assistant Professor ,Department of Kayachikitsa 
Affiliation  The West Bengal University of Health Sciences 
Address  Department of Kayachikitsa, Room no -1 Institute of Post Graduate Ayurvedic Education and Research at SVSP Hospital,294 /3/1 A.P.C Road, Kolkata WEST BENGAL 700009

Kolkata
WEST BENGAL
700009
India 
Phone  9432682951  
Fax    
Email  nabanita.newhope@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ananya Das 
Designation  PG Scholar Department of Kayachikitsa 
Affiliation  The West Bengal University of Health Sciences 
Address  Department of Kayachikitsa, Room no -1 Institute of Post Graduate Ayurvedic Education and Research at SVSP Hospital,294 /3/1 A.P.C Road, Kolkata WEST BENGAL 700009

Kolkata
WEST BENGAL
700009
India 
Phone  7699249257  
Fax    
Email  ananyad978@gmail.com  
 
Source of Monetary or Material Support  
Government of West Bengal Department of Heath and Family Welfare Swasthya Bhawan GN 29 Sector V Salt Lake City Kolkata 700091. 
 
Primary Sponsor  
Name  Government of West Bengal 
Address  Institute of Post Graduate Ayurvedic Education and Research at SVSP Hospital, 294/3/1 A.P.C Road, Kolkata Kolkata WEST BENGAL 700009 India 
Type of Sponsor  Government medical college 
 
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 Nabanita Chakrabarty  Institute of Post Graduate Ayurvedic Education and Research At SVSP  Department of Kayachikitsa, Institute of Post Graduate Ayurvedic Education and Research At SVSP Opd no.1 294/3/1 A.P.C Road, Kolkata -700009 Kolkata WEST BENGAL
Kolkata
WEST BENGAL 
9432682951

nabanita.newhope@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL COMMITTEE, IPGAE AND R KOLKATA  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:F519||Sleep disorder not due to a substance or known physiological condition, unspecified. Ayurveda Condition: NIDRANASAH/ASVAPNAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugClassical(1) Medicine Name: Ayurvedic poly herbal Formulation, Reference: Tagara-200mg Jatamansi-200mg, Shankhapushpi-100mg, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 500(mg), Frequency: hs, Bhaishajya Kal: Adhobhakta, Duration: 21 Days, anupAna/sahapAna: No, Additional Information: -
2Comparator Arm (Non Ayurveda)-CLONAZEPAM 0.5 MG
3Intervention ArmProcedure-SiraHpicuH, शिरःपिचुः (Procedure Reference: mUrdhatailam, Procedure details: Shirodhara is an Ayurvedic procedure where a stream of oil or herbal liquid(warm milk) is poured over the head for 45 to 90 minutes.)
(1) Medicine Name: Ayurvedic poly herbal Formulation, Reference: Tagara-200mg Jatamansi-200mg, Shankhapushpi-100mg, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/Tablets, Dose: 500(mg), Frequency: hs, Duration: 21 Days
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients aged between 18 to 60 years..

2. Diagnosed cases of Anidra (primary & secondary insomnia) based on Ayurvedic and modern criteria.

3. Patients with Insomnia Severity Index (ISI) score between mild to moderate (8-21).

4. Duration of insomnia greater than equal to 1 month and less than equal to 6 months.

5. Willing to participate and give written informed consent.

6. Patients able to comply with the study protocol and follow-up visits. 
 
ExclusionCriteria 
Details  1.Patient below 18 years and above 60 years.
2.Patients with severe insomnia (ISI score greater than 21) requiring higher medical intervention.

3. History of substance abuse, alcohol dependence.

4. Pregnant or lactating women.

5. Patients with major chronic illnesses (e.g., uncontrolled diabetes, cardiac disease, renal or hepatic impairment). 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Improvement in sleep quality and duration (PSQI, ISI score reduction)  At Baseline & after 1st weeks,2nd weeks and 4th weeks . 
 
Secondary Outcome  
Outcome  TimePoints 
1. Absence of side effects

2. Improvement in patient-reported well-being

3. Reduction in anxiety & fatigue 
At Baseline ,1st weeks,2nd weeks, 4th weeks 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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 
Date of First Enrollment (India)   30/01/2026 
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="3"
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  

 A RANDOMISED CONTROLLED CLINICAL TRIAL BETWEEN CLONAZEPAM, AYURVEDIC POLYHERBAL FORMULATION AND SHIRODHARA IN THE MANAGEMENT OF ANIDRA (INSOMNIA).

   Anidra (Insomnia) is a prevalent sleep disorder that significantly impairs physical health, mental well-being, and quality of life. Anidra (Insomnia) is described in Ayurveda as a disorder resulting from the vitiation of Vata and Pitta doshas, leading to impaired Nidra—one of the Trayopastambha essential for sustaining life. In contemporary practice, insomnia is commonly managed with benzodiazepines such as clonazepam; however, their long-term use is limited by adverse effects, including dependence, tolerance, and cognitive impairment. Ayurveda offers holistic, non-habit-forming therapeutic modalities through Medhya and Nidrajanana herbs, along with Panchakarma procedures such as Shirodhara. The present study is designed as a randomised, controlled, open-label, three-arm clinical trial to evaluate and compare the efficacy and safety of clonazepam, an Ayurvedic polyherbal formulation, and the combination of the same formulation with Shirodhara in the management of Anidra. Ninety diagnosed patients fulfilling the inclusion criteria will be randomly allocated into three groups (n=30 each). Group A will receive clonazepam (0.5 mg) at bedtime; Group B will receive an Ayurvedic polyherbal formulation containing Tagara (Valeriana wallichii), Jatamansi (Nardostachys jatamansi), and Shankhapushpi (Convolvulus pluricaulis)at bedtime; and Group C will receive the same formulation along with Shirodhara using Kshira for 21 days. Clinical assessment will be carried out using validated subjective parameters, namely the Pittsburgh Sleep Quality Index (PSQI) and Insomnia Severity Index (ISI), along with sleep latency and sleep duration. Data will be analysed using a paired t-test for within-group comparison and one-way Analysis of Variance (ANOVA) followed by post-hoc tests for intergroup comparison. A p-value <0.05 will be considered statistically significant. The study is expected to establish Ayurvedic interventions, particularly polyherbal formulation with Shirodhara, as effective, safe, and sustainable alternatives to conventional pharmacotherapy for Anidra.

 
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