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CTRI Number  CTRI/2017/12/011008 [Registered on: 28/12/2017] Trial Registered Retrospectively
Last Modified On: 25/09/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A Clinical Study of Cystone Forte Tablet in Kidney stone 
Scientific Title of Study   A Randomized, Double Blind, Placebo Controlled, Study to Evaluate the Efficacy and Safety of Cystone Forte Tablet in Urolithiasis – A Pilot Study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
HDC/CP/PP/72/2016  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrTSenthil Kumar 
Designation  Associate Prof. of Urology 
Affiliation  Tamil Nadu medical council 
Address  SRM Medical College Hospital and Research Center Kattankulathur

Kancheepuram
TAMIL NADU
603 203
India 
Phone    
Fax    
Email  drsenku78@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  DrTSenthil Kumar 
Designation  Associate Prof. of Urology 
Affiliation  Tamil Nadu Medical Council 
Address  Associate Prof of Urology SRM Medical College Hospital and Research Center Kattankulathur

Kancheepuram
TAMIL NADU
603 203
India 
Phone    
Fax    
Email  drsenku78@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  DrTSenthil Kumar 
Designation  Associate Prof. of Urology 
Affiliation  Tamil Nadu Medical Council 
Address  Associate Prof of Urology SRM Medical College Hospital and Research Center Kattankulathur

Kancheepuram
TAMIL NADU
603 203
India 
Phone    
Fax    
Email  drsenku78@yahoo.co.in  
 
Source of Monetary or Material Support  
The Himalaya Drug Company,Makali, Bengaluru 562 162, India 
 
Primary Sponsor  
Name  The Himalaya Drug Company 
Address  Makali, Bengaluru 562 162, India 
Type of Sponsor  Pharmaceutical industry-Global 
 
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 
DrTSenthil Kumar  SRM Medical College Hospital & Research Center  Potheri, SRM Nagar Kattankulathur
Kancheepuram
TAMIL NADU 
9444226422

drsenku78@yahoo.co.in 
 
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  (1) ICD-10 Condition: N209||Urinary calculus, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Cystone Forte  two tablets twice daily everyday starting from day 1 to end of 3 months 
Comparator Agent  Placebo  two tablets twice daily everyday starting from day 1 to end of 3 months 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Subject with Urolithiasis as diagnosed by clinically and ultrasonographically with calculi measuring 5-10mm.
2. Subjects aged between 18-50 years of either sex.
3. Hematologic and Biochemical parameters within normal limits.
4. Willing to sign inform consent document and follow study procedures 
 
ExclusionCriteria 
Details  1.Subjects with severe obstructive uropathy,
2.Subjects with serious systemic medical disorder,
3.Subjects not to have used any drugs for at least 1 week prior to the study,
4.Subjects with a strong history of food or drug allergy,
5.Subjects not to have been on weight reducing diets within 3 months prior to the start of the study,
6.No other drugs (including aspirin) to be ingested during the course of the study,
7.Pregnant and lactating women
8.Patients unwilling to provide informed consent or abide by the requirements of the study 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess the efficacy of Cystone Forte tablet in comparison with placebo in the management of Urolithiasis.
Provide rapid symptomatic recovery.
Reporting of adverse events 
Visit 0- At entry visit, baseline
Visit 1- At the end of month 1
Visit 2- At the end of month 2
Visit 3- (End of the treatment) At the end of month 3 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the safety of Cystone forte tablet in the management of Urolithiasis.
Reporting of adverse events 
Visit 0- At entry visit, baseline
Visit 1- At the end of month 1
Visit 2- At the end of month 2
Visit 3- (End of the treatment) At the end of month 3 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   20/04/2017 
Date of Study Completion (India) 21/09/2017 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This is a randomized double blind placebo controlled clinical study to evaluate the efficacy and safety of Cystone Forte Tablets in Urolithiasis. In this study, 60 cases were enrolled and subjects were instructed to take Investigational product in a dose of two tablets twice daily everyday starting from day 1 to end of 3 months. Patients were followed up for Clinical assessment, Urine examination and Ultrasonography of abdomen and Pelvis.

All the 60 patients completed the study period without withdrawal. Patients on trial group showed improvement in their symptoms from Month 1 onwards till the end of the study.Overall impression by the investigator for Cystone forte group is found to be 39% cured, 35% had marked improvement, 19% had moderate improvement, 6% had slight improvement. For placebo group 34% were cured, 24% had marked improvement, 17% had moderate improvement, 3% had slight improvement and 21% had no change .In Cystone forte group, of the 31 stones found during screening, 16 stones were expelled out at month 3, of which 14 were <7mm and 2 were >7mm. In placebo group, at month 3, 14 stones were expelled out of 29 found in screening, out of which 11 were <7mm and 3 were >7mm.

The present study showed that subjects treated with Cystone forte showed improvement in clinical parameters of urolithiasis and expulsion of kidney stones. Between the group analysis showed that Cystone forte group was found to be effective and was beneficial in the management of urolithiasis. The study results indicate that the polyherbal formulation, Cystone forte, is safe and effective in the treatment of urolithiasis with significant improvement in clinical symptoms like the clearance of calculi and symptomatic relief. The efficacy of Cystone forte can be due to the synergistic actions of the potent herbs present in the formulation. The overall compliance to the treatment was good and no treatment discontinuations were reported. Additionally, it is also found to be beneficial in expelling and/or reducing the size of the renal stones, including bigger-sized stones.

 
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