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CTRI Number  CTRI/2017/03/008100 [Registered on: 15/03/2017] Trial Registered Prospectively
Last Modified On: 27/11/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Siddha 
Study Design  Single Arm Study 
Public Title of Study   A pilot study on combination of siddha formulation(Seenthil chooranam and Serankottai Nei) in the treatment of Rheumatoid Arthritis 
Scientific Title of Study   A pilot study on combination of siddha formulation in the treatment of Vali Azhal Keel Vayu Rheumatoid Arthritis  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr J kingsley 
Designation  PG scholar 
Affiliation  National Institute of Siddha 
Address  Dept of Gunapadam National Institute of Siddha Tambaram Sanatorium Chennai
Tambaram Sanatorium Chennai
Chennai
TAMIL NADU
600047
India 
Phone  9524095099  
Fax    
Email  kingsleyj01@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr S Visweswaran 
Designation  Lecturer 
Affiliation  National Institute of Siddha 
Address  Dept of Gunapadam National Institute of Siddha Tambaram Sanatorium Chennai
Tambaram Sanatorium Chennai
Chennai
TAMIL NADU
600047
India 
Phone  9962542755  
Fax    
Email  svisu11@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr S Sivakumar 
Designation  Lecturer 
Affiliation  National Institute of Siddha 
Address  DEPARTMENT OF GUNAPADAM NATIONAL INSTITUTE OF SIDDHA TAMBARAM SANATORIUM CHENNAI 47
TAMBARAM SANATORIUM CHENNAI 47
Chennai
TAMIL NADU
600047
India 
Phone  9962528338  
Fax    
Email  ssknis@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Siddha,Tambaram Sanatorium,Chennai-47 
 
Primary Sponsor  
Name  National Institute of Siddha 
Address  Tambaram Sanatorium,Chennai-47 
Type of Sponsor  Research institution and hospital 
 
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 J Kingsley  National Institute of Siddha  Room No;2, Department of Gunapadam Tambaram sanatorium,Chennai-47
Chennai
TAMIL NADU 
9524095099

kingsleyj01@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Perons affected with Rheumatoid Arthritis, (1) ICD-10 Condition: M069||Rheumatoid arthritis, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Seenthil chooranam  2g twice daily with lukewarm water for 48 days 
Intervention  Serankottai Nei  10 drops with milk twice daily for 48 days 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Subjects suffering from arthritis of two or more joints
3.Morning stiffness.
4.Swelling especially in the inter-phalangeal joint.
5.Patients willing for admission and stay in IPD or willing to attend OPD
6.Patient willing to undergo Radiological investigation and for laboratory investigation.
7.Patient willing to sign the informed consent stating that he/she will consciously stick to the treatment during 48 days and the patients can opt out of the trial of his/her own conscious discretion. 
 
ExclusionCriteria 
Details  1. Subjects with degenerative joint disease or other joint disease such as osteoarthritis,Gouty arthritis,psoriatic arthritis.
2.Subjects with severe disabiling arthritis and/ or bedridden.
3.Women who are pregnant,lactating.
4.Any other serious systemic illness such as diabetic,hypertensive,cardiac disorder,renal and hepatic disorder.
5.Those who unwilling to come for regular follow-up for the entire duration of he study. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Remission of this disease will monitored by Disease activity score of 28

joints(DAS28). 
48 days 
 
Secondary Outcome  
Outcome  TimePoints 
Other clinical signs and symptoms will be reduced  48 days 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "20"
Final Enrollment numbers achieved (India)="20" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   20/03/2017 
Date of Study Completion (India) 30/09/2017 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 30/09/2017 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
WORLD JOURNAL OF PHARMACEUTICAL RESEARCH VOLUME 7, ISSUE 18,1299-1307 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
                According to Siddha system, Vali Azhal Keel vayu (Rheumatoid arthritis) is caused due to the derangement of Vali and Azhal humour. Treatment is mainly aimed at balancing these elevated humours (mukuttram) through Purgation and Medication. This is done because of the Siddhars saying “Viraesanathal vatham thalum” which means, by purgation vatham is normalised. Therefore 10ml of Merugulli thylam was given orally with hot milk as a purgative medicine on the first day of treatment. 2gm of Seenthil chooranam with lukewarm water and 10 drops of Serankottai nei with hot milk were given orally, twice daily for the next 45 days. The individual ingredients of Seenthil chooranam possess immunomodulatory, anti-inflammatory, analgesic, antipyretic, antioxidative, hepatoprotective and neuroprotective activities and Serankottai has antiinflammatory, antioxidative, antirheumatic, antiatherogenic, neuroprotective activities. which further proves the efficacy of these two drugs for Rheumatoid arthritis.  
 
Following are the important observations made from this study. 20 patients came with the symptoms of pain, swelling, tenderness and morning stiffness. 12 of these patients had restricted movements and 8 patients had fever. Das28 score was done before and after the treatment. After 48 days of treatment all the clinical signs and symptoms of patients were reduced . The data were analysed statistically and the result showed significant (p<0.05) improvement in the treatment of Vali Azhal Keel Vayu .  The result of this study proves that the combination of Seenthil chooranam and Serankottai nei are effective in the treatment of Rheumatoid arthritis. 
 
 
 
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