CTRI Number |
CTRI/2017/10/010127 [Registered on: 18/10/2017] Trial Registered Retrospectively |
Last Modified On: |
14/02/2019 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Ayurveda |
Study Design |
Randomized, Parallel Group, Multiple Arm Trial |
Public Title of Study
|
Effect of Panchakarma (Vamana) and Varadi Ghanavati in Prameha (Diabetes mellitus) |
Scientific Title of Study
|
Controlled Evaluation of the Composite Management of Prameha with Samshodhana and
Varadi Ghanavati. |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Shailesh Vinayak Deshpande |
Designation |
Post Graduate Student |
Affiliation |
R A Podar Medical College (Ayu) |
Address |
Department of Kayachikitsa,R A Podar Medical College (Ayu), Dr. Anne Besant Road, Worli, Mumbai
Mumbai MAHARASHTRA 400018 India |
Phone |
9763104451 |
Fax |
|
Email |
dr.shaileshd@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Shashikant S Sakapal |
Designation |
Lecturer in Kayachikitsa |
Affiliation |
R A Podar Medical College (Ayu) |
Address |
Department of Kayachikitsa,R A Podar Medical College (Ayu), Dr. Anne Besant Road, Worli, Mumbai
Mumbai MAHARASHTRA 400018 India |
Phone |
9892439562 |
Fax |
|
Email |
drsssakapal@rediffmail.com |
|
Details of Contact Person Public Query
|
Name |
Dr Shashikant S Sakapal |
Designation |
Lecturer In Kayachikitsa |
Affiliation |
R A Podar Medical College (Ayu) |
Address |
Department of Kayachikitsa,R A Podar Medical College (Ayu), Dr. Anne Besant Road, Worli, Mumbai
Mumbai MAHARASHTRA 400018 India |
Phone |
9892439562 |
Fax |
|
Email |
drsssakapal@rediffmail.com |
|
Source of Monetary or Material Support
|
Dabur Research & Development Centre (DRDC), Plot No. 22, Site-IV, Sahibabad-201 010 Ghaziabad, (UP), India |
|
Primary Sponsor
|
Name |
The Dean R A Podar Medical College Ayurveda |
Address |
Dr. Anne Besant Road, Worli, Mumbai 400018 |
Type of Sponsor |
Government medical college |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Shashikant S Sakapal |
M A Podar Hospital Ayu |
OPD No 12 and 13, M A Podar Hospital (Ayu), Dr. Anne Besant Road, Worli, Mumbai 400018 Mumbai MAHARASHTRA |
9892439562
drsssakapal@rediffmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Ethics Committee RA Podar Medical College Ayu |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
Modification(s)
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: E119||Type 2 diabetes mellitus without complications, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Glibenclamide |
Tablet Glibenclamide 5 mg in dose of one tablet twice daily orally with water for three months |
Intervention |
Panchakarma (Vamana) treatment followed by Varadi Ghanavati |
Panchakarma (Vamana) treatment conducted once, which is followed by Varadi Ghanavati 500 mg in dose of one tablet thrice daily orally with water for three months. |
Intervention |
Varadi Ghanavati |
Varadi Ghanavati 500 mg in dose of one tablet thrice daily orally with water for three months. |
|
Inclusion Criteria
|
Age From |
25.00 Year(s) |
Age To |
60.00 Year(s) |
Gender |
Both |
Details |
1.Patients showing classical symptoms of Prameha, who are either a known diabetic for less than a year or a newly diagnosed diabetic.
2. Fasting blood sugar below 250 mg/dl and post prandial blood sugar below 500 mg/dl.
3. Fit for Vamana treatment
|
|
ExclusionCriteria |
Details |
1. Fasting blood sugar above 250 mg% and post prandial blood sugar above 500mg%.
2. IDDM and those who are under insulin therapy.
3. Acute or chronic complications of Diabetes mellitus
4. Suffering from other diseases such as Tuberculosis, cardiac diseases.
5. Unfit for Vamana |
|
Method of Generating Random Sequence
|
Permuted block randomization, fixed |
Method of Concealment
|
Not Applicable |
Blinding/Masking
|
Open Label |
Primary Outcome
|
Outcome |
TimePoints |
Effect on symptoms of Prameha according to four point scale at the interval of 2 weeks till 12 weeks.
Effect on Blood sugar - fasting and post prandial at the interval of 2 weeks till 12 weeks. Effect on glycosylated haemoglobin (HbA1c) at base line and 12 weeks. |
Effect on symptoms of Prameha according to four point scale.
Effect on Blood sugar - fasting and post prandial, glycosylated haemoglobin |
|
Secondary Outcome
|
Outcome |
TimePoints |
Effect on lipid profile, Haemogram, Renal profile, Hepatic Profile at the base line and at 12 weeks. Effect on weight and body mass index (BMI) at the interval of 2 weeks till 12 weeks |
At base line and 12 weeks.
At the interval of 2 weeks till 12 weeks. |
|
Target Sample Size
|
Total Sample Size="45" Sample Size from India="45"
Final Enrollment numbers achieved (Total)= "49"
Final Enrollment numbers achieved (India)="49" |
Phase of Trial
|
Phase 2 |
Date of First Enrollment (India)
|
12/08/2004 |
Date of Study Completion (India) |
17/12/2005 |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
Date Missing |
Estimated Duration of Trial
|
Years="1" Months="4" Days="0" |
Recruitment Status of Trial (Global)
|
Not Applicable |
Recruitment Status of Trial (India) |
Completed |
Publication Details
|
Nil |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
|
Ayurveda prescribes Shodhana - Panchakarma as the first line of treatment in newly diagnosed obese patients of Prameha (Diabetes Mellitus). Due to the body cleansing effect of Panchakarma it evacuates Dosha responsible for causing Prameha. As it is disease predominantly caused due to Kapha, Vamana is the treatment of choice as first line of treatment. But effect of Vamana in cases of Prameha (Diabetes mellitus) remains largely unexplored. After Shodhana - Panchakarma treatment, use of medicines is the second line of treatment in Prameha (Diabetes mellitus) as prescribed by Ayurvedic treatises. Varadi Ghanavati is a classical Ayurvedic herbal medicine containing - Vatsaka (Holarrhena antidysentrica wall), Triphala (combination of Amalaki - Emblica officinalis, Haritaki - Terminalia chebula Retz, Bibhitaka - Terminalia bellirica Roxb.), Daruharidra (Berberis aristata), Musta (Cyprus rotundus Linn.), Vijaysara (Pterocarpus marsupium Roxb.). All the ingredients of Varadi Ghanavati are potent Pramehagha. They are also researched for their anti diabetic effects. Hence the study was undertaken to evaluate effect of Shodhana (Vamana) and Varadi Ghanavati in comparison with effect of Varadi Ghanavati without Shodhana (Vamana) treatment and active control treatment with glibenclamide. The results showed that the group receiving Vamana as well as Varadi Ghanavati showed better control on blood sugar as well as lipid levels. Other two groups receiving Varadi Ghanavati without Shodhana and control group showed good glycemic control but showed no significant change in lipid levels. Hence oral Ayurvedic medication followed by Panchakarma (Vamana) can be better treatment option in treatment of Prameha. |