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CTRI Number  CTRI/2017/10/009981 [Registered on: 03/10/2017] Trial Registered Prospectively
Last Modified On: 03/10/2017
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of yoga on recovery after heart surgery. 
Scientific Title of Study   Efficacy of yoga based cardiac rehabilitation on clinical outcomes in post CABG patients: A randomized controlled trial. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR BALRAM AIRAN 
Designation  PROFESSOR AND HEAD (C.T.V.S., AIIMS) 
Affiliation  ALL INDIA INSTITUTE OF MEDICAL SCIENCES 
Address  HOD OFFICE 7TH FLOOR DEPARTMENT OF CTVS CN CENTRE AIIMS NEW DELHI

New Delhi
DELHI
110029
India 
Phone  01126593862  
Fax    
Email  airanbalram@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR GAUTAM SHARMA 
Designation  PROFESSOR 
Affiliation  ALL INDIA INSTITUTE OF MEDICAL SCIENCES 
Address  ROOM NO 12 PORTA CABIN 8TH FLOOR DEPARTMENT OF CARDIOLOGY CN CENTRE AIIMS NEW DELHI

New Delhi
DELHI
110029
India 
Phone  01126593862  
Fax    
Email  drgautamsharma12@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR GAUTAM SHARMA 
Designation  PROFESSOR 
Affiliation  ALL INDIA INSTITUTE OF MEDICAL SCIENCES 
Address  ROOM NO 12 PORTA CABIN 8TH FLOOR DEPARTMENT OF CARDIOLOGY CN CENTRE AIIMS NEW DELHI

New Delhi
DELHI
110029
India 
Phone  01126593862  
Fax    
Email  drgautamsharma12@gmail.com  
 
Source of Monetary or Material Support  
FUNDING AGENCY MINISTRY OF AYUSH AND INFRASTRUCTURAL SUPPORT BY ALL INDIA INSTITUTE OF MEDICAL SCIENCES 
 
Primary Sponsor  
Name  MINISTRY OF AYUSH 
Address  Ministry of AYUSH, Ayush Bhawan, B Block, GPO Complex, INA, New Delhi - 110 023 
Type of Sponsor  Government funding agency 
 
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 BALRAM AIRAN  CENTRE FOR INTEGRATIVE MEDICINE AND RESEARCH  CENTRE FOR INTEGRATIVE MEDICINE AND RESEARCH ALL INDIA INSTITUTE OF MEDICAL SCIENCES NEW DELHI 110029
New Delhi
DELHI 
01126593862

airanbalram@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Ethics committee, AIIMS  Approved 
Ethics committee, AIIMS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  CORONARY ARTERY BYPASS GRAFTING(CABG),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  WITHOUT YOGA  Conventional medical management (medical management which includes physiotherapy, life style modifications and medications)  
Intervention  YOGA  Yoga+ conventional medical management which includes physiotherapy, life style modifications and medications. Yoga practices will be taught at AIIMS at baseline, 6 weeks, 3 months and 6 months. They will be encouraged to practice yoga as per the module every day at home till last follow -up visit(12 months). Compliance will be ensured telephonically and with the help of written log book. 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Patients willing and able to participate
2. All adults between 35- 65 years of age
3. Patients established with double or triple vessel disease planned for elective CABG
d.Patients with uncomplicated peri-operative course, who are able to perform yoga 
 
ExclusionCriteria 
Details  a. Emergency CABG
b. CABG with valve replacement surgeries
c. LVEF < 30%
d. Acute and Chronic renal failure with or
without dialysis
e. Regular yoga practitioners
f. Physical disabilities precluding yoga
practice.
g. Neuro-psychiatric illness
h. Patients already exposed to yoga 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment    
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.Clinical outcomes
Risk factor control:
Blood pressure,Glycemic control-( hba1c),Lipid profile,Measurement of obesity-
Waist Hip Ratio and BMI,Physical activity- IPAQ

Neuropsychiatric outcomes:
Anxiety and depresion(Hospital Anxiety and depression Scale), Quality of life- (SF-36 QOL)

2.Rehabilitative outcomes-
Exercise capacity ( Modified Bruce potocol)
Pulmonary capacity (Pulmonary function test)


 
6 weeks, 3, 6 and 12 months 
 
Secondary Outcome  
Outcome  TimePoints 
SECONDARY OUTCOMES

1. MACCE( major adverse cerebrovascular or cardiovascular events)
2. Inflammatory Markers- hs- CRP, IL-6, TNF-a
3. LV- Dysfunction- ECHO
4. Global gene expression 
6 weeks, 3, 6 and 12 months
 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
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)   10/10/2017 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study  will be a randomized controlled trial which is being done to  evaluate the long term efficacy of yoga as an adjunctive to conventional medical management on clinical outcomes in post CABG rehabilitation.A total 300 patients will be randomised into two groups ( 150 in experimental group and 150 in yoga group) based on inclusion and exclusion criteria. 
The Control Group: The control group will be administered conventional medical management ( which includes Physiotherapy, life style modifications and drugs )  post CABG. 
Study Group (Yoga Group): The study group / experimental group will get yoga intervention along with the conventional medical management which includes physiotherapy, life style modifications and medications.  

Yoga group will receive supervised training of yoga at AIIMS for 6 weeks. After 6 weeks patients will be recommended to practice at home and the compliance to yoga will be ensured telephonically and through written log. They will be taught more yoga techniques during the 6th week and the 6th month of follow- up visits. Patients of both the groups will be physically followed- up and undergo repeat assessments at 6 weeks, 3, 6 and 12 month in terms of primary and secondary outcomes.
 
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