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CTRI Number  CTRI/2026/01/101955 [Registered on: 23/01/2026] Trial Registered Prospectively
Last Modified On: 23/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical study to evaluate the effectiveness of Virechana Karma (a Panchakarma detoxification therapy), along with oral Kakoudumbarikadi Kashaya (50 ml twice daily) and external application of Avalgujabijadi Lepa, in the treatment of Shwitra (Vitiligo) 
Scientific Title of Study   A Controlled clinical study to evaluate efficacy of Virechana karma followed by Kakoudumbarikadi Kashaya along with Avalgujabijadi lepa in Shwitra (Vitiligo) 
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 Shilpa D 
Designation  Post Graduate Scholar 
Affiliation  Shri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Bangalore 
Address  Dept of kayachikitsa OPD No-1,2,3,4,27 Shri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital,SH 17 Anchepalya,Kumbalagodu post,Bangalore-560074,Karnataka,India

Bangalore
KARNATAKA
560074
India 
Phone  7204421998  
Fax    
Email  shilpadeveraj1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mahesh Sharma M  
Designation  Associate Professor  
Affiliation  Shri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Bangalore 
Address  Dept of kayachikitsa OPD No-1 Shri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital,SH 17 Anchepalya,Kumbalagodu post,Bangalore-560074,Karnataka,India

Bangalore
KARNATAKA
560074
India 
Phone  9964022654  
Fax    
Email  drsharmamysr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mahesh Sharma M  
Designation  Associate Professor  
Affiliation  Shri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Bangalore 
Address  Dept of kayachikitsa OPD No-1 Shri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital,SH 17 Anchepalya,Kumbalagodu post,Bangalore-560074,Karnataka,India

Bangalore
KARNATAKA
560074
India 
Phone  9964022654  
Fax    
Email  drsharmamysr@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Dr Shilpa D 
Address  Dept of kayachikitsa OPD No-1,2,3,4,27 Shri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital,SH 17 Anchepalya,Kumbalagodu post,Bangalore-560074,Karnataka,India  
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 Shilpa D  Shri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Bangalore  Dept of kayachikitsa OPD No-1,2,3,4,27 Shri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital,SH 17 Anchepalya,Kumbalagodu post,Bangalore-560074,Karnataka,India
Bangalore
KARNATAKA 
7204421998

shilpadeveraj1@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Shri Dharmasthala Manjunatheshwara Ayurveda and Hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:L80||Vitiligo. Ayurveda Condition: SVITRAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Kakoudumbarikadi Kashaya, Reference: Sahasra Yoga Kashaya Kalpana, Route: Oral, Dosage Form: Kwatha/ Kashaya, Dose: 50(ml), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 15 Days, anupAna/sahapAna: Yes(details: Ushnajalapana ), Additional Information: Along with Avalgujabijadi lepa as an external application
2Comparator ArmDrugClassical(1) Medicine Name: Khadiradi Kashaya, Reference: Yoga Ratnakara Kushta Chikitsa , Route: Oral, Dosage Form: Kwatha/ Kashaya, Dose: 50(ml), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 15 Days, anupAna/sahapAna: Yes(details: Ushnajalapana), Additional Information: Along with Avalgujabijadi lepa as an external application
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Subjects exhibiting the Sadhya Lakshanas of Shwitra i.e.
Shwetha Mandala (white patch)
Aparisravi (non-exudate)
Ashukla Roma (no whitish discolouration of hairs)
Anagnidagdha (patches which are not caused due to burn), will be selected
Participants of irrespective gender, religion, occupation and socio-economic status within the age group
of 18 to 60 years.
Chronicity of the disease should be less than 10 years.
Subjects assessed and fit for Virechana (therapeutic purgation)  
 
ExclusionCriteria 
Details  Patients with Systemic disorders like uncontrolled Diabetes mellitus, Hypertension, Hyper and
Hypothyroidism that interfering with the course of treatment
Patients unfit for Virechana karma
Patients having chronicity more than 10 years
Lesions over lip and genital areas
Congenital pigmental disorders
Other pigmented skin disorders
Secondary depigmentation disorders caused due to burns & wounds.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Significant improvement noticed in reduction in signs and symptoms based on Vitiligo area severity index
(VASI) and Vitiligo Disease Activity Score (VIDA).  
Before treatment
After Virechana Krama
After 15 days of Shamanayoga
Follow up after 45th day  
 
Secondary Outcome  
Outcome  TimePoints 
Significant improvement noticed in the Quality of life (Vitiligo impact scale-22) of patient and reduction
in signs and symptoms of Shwitra.  
Before treatment
After Virechana Krama
After 15 days of Shamanayoga
Follow up after 45th day  
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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/ Phase 3 
Date of First Enrollment (India)   03/02/2026 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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 Controlled Clinical Study To Evaluate The Efficacy Of  Virechana Karma followed By Kakoudumabarikadi kashaya  Along With Avalgujabijadi Lepa In Shwitra (Vitiligo) in adults of age group 18-60 years for a period of 30 days. During this study period 30 subjects diagnosed with SHWITRA (VITILIGO) will be recruited and divided into two groups, Group A (Trial drug/Intervention group) and Group B (Control drug/Comparator group) 15 subjects in each group respectively. Group A (Trial drug/Intervention group) it includes 15 subjects qualifying inclusion criteria of the current study will be administered Virechana as Shodhana karma followed by Kakoudumbarikadi Kashaya as Shamana Yoga along with Avalgujabijadi Lepa as an external application for 15 days starting from day-01 of trial, assessment of the patient during trial Before treatment, After Virechana Krama, After 15 days of Shamanayoga, Follow up after 45th day. Group B (Control Drug/Comparator Group) it includes 15 subjects qualifying inclusion criteria of the current study will be administered Virechana as Shodhana karma followed by Khadiradi Kashaya as Shamana Yoga along with Avalgujabijadi Lepa as an external application for 15 days starting from day-01 of trial, assessment of the patient during trial Before treatment, After Virechana Krama, After 15 days of Shamanayoga, Follow up after 45th day. The primary outcome measure will be Significant improvement noticed in reduction in signs and symptoms based on Vitiligo area severity index (VASI) and Vitiligo Disease Activity Score (VIDA) after 30 days. The secondary outcome measure will be Significant improvement noticed in the Quality of life (Vitiligo impact scale-22) of patient and reduction in signs and symptoms of Shwitra. after 30 days. Statistical analysis will be done through data obtained based on, before and after treatment assessment. 
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