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CTRI Number  CTRI/2019/08/020832 [Registered on: 21/08/2019] Trial Registered Prospectively
Last Modified On: 30/01/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Study on shreshtavyoshadi vati external application to tonsils and Dashamulyadi kashaya orally in Chronic tonsillitis. 
Scientific Title of Study   A longitudinal observational study to assess the effectiveness of shreshtavyoshadi pratisarana and Dashamulyadi kashaya orally in Chronic tonsillitis. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR ANKITHA C S 
Designation  PG SCHOLAR 
Affiliation  GOVERNMENT AYURVEDA MEDICAL COLLEGE,BANGALORE 
Address  ABHIGNA NILAYA,SOMAGUDDU POST, CHELLAKERE TALUK, CHITRADURGA DISTRICT, KARNATAKA STATE,INDIA
GOVERNMENT AYURVEDA MEDICAL COLLEGE,DHANVANTARI ROAD,BANGALORE-560009
Bangalore
KARNATAKA
577522
India 
Phone  9686703384  
Fax    
Email  ankithacbhuvana@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR SYED MUNAWAR PASHA 
Designation  HOD,DEPARTMENT OF SHALAKYA TANTRA 
Affiliation  GOVERNMENT AYURVEDA MEDICAL COLLEGE,BANGALORE 
Address  DEPARTMENT OF SHALAKYA TANTRA,OPD NO.09, GOVERNMENT AYURVEDA MEDICAL COLLEGE,DHANVANTARI ROAD,BANGALORE-560009

Bangalore
KARNATAKA
560009
India 
Phone  9886593932  
Fax    
Email  smpasha78@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR ANKITHA C S 
Designation  PG SCHOLAR 
Affiliation  GOVERNMENT AYURVEDA MEDICAL COLLEGE,BANGALORE 
Address  ABHIGNA NILAYA,SOMAGUDDU POST, CHELLAKERE TALUK, CHITRADURGA DISTRICT, KARNATAKA STATE,INDIA
GOVERNMENT AYURVEDA MEDICAL COLLEGE,DHANVANTARI ROAD,BANGALORE-560009
Bangalore
KARNATAKA
577522
India 
Phone  9686703384  
Fax    
Email  ankithacbhuvana@gmail.com  
 
Source of Monetary or Material Support  
DR ANKITHA C S 
 
Primary Sponsor  
Name  DR ANKITHA C S 
Address  ABHIGNA NILAYA, SOMAGUDDU POST, CHELLAKERE TALUK, CHITRADURGA-577522, KARNATAKA 
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 ANKITHA C S  GOVERNMENT AYURVEDA MEDICAL COLLEGE, BANGALORE  DEPARTMENT OF SHALAKYA TANTRA, ENT SECTION, OPD NO.09.GOVERNMENT AYURVEDA MEDICAL COLLEGE, DHANVANTARI ROAD, BANGALORE-560009
Bangalore
KARNATAKA 
9686703384

ankithacbhuvana@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICAL COMMITTEE, GOVERNMENT AYURVEDA MEDICAL COLLEGE, BANGALORE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J350||Chronic tonsillitis and adenoiditis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  1. SHRESHTAVYOSHADI PRATISARANA 2. DASHAMULYADI KASHAYA  1. SHRESHTAVYOSHADI VATI PRATISARANA QUANTITY SUFFICIENT ONCE IN A DAY FOR 7 DAYS. 2. DASHAMULYADI KASHAYA 25 ML TWICE A DAY FOR 48 DAYS. 
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  10.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1. SUBJECTS PRESENTING WITH CLASSICAL FEATURES OF CHRONIC TONSILLITIS.
 
 
ExclusionCriteria 
Details  1. Subjects diagnosed with peritonsillar abscess, tonsillar cyst, and tonsillolith will be excluded.
2. Subjects associated with any chronic debilitating disorders.
3. Pregnant and lactating women.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
PICTORIAL REPRESENTATION  78 DAYS 
 
Secondary Outcome  
Outcome  TimePoints 
BRODSKY GRADING SCALE  78 DAYS 
 
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   N/A 
Date of First Enrollment (India)   01/09/2019 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Tonsils are the body’s first line of defense at the oro-pharyngeal gateway. Chronic tonsillitis (ICD-J35.0) is one of the commonest chronic infection, characterized by recurrent acute attacks. Tonsillitis is an inflammation of the tonsils and especially the palatine tonsils typically due to viral or bacterial infection.The prevalence rate of Tonsillitis in India is >1million cases/ year. 

The recurrent attack of tonsillitis makes the disease chronic & vulnerable for infectious diseases & causes several health hazards like laryngeal oedema, acute otitis media and quinsy.
In case of recurrent attacks the only treatment of choice is surgery in conventional medical science. Considering the increased rate of incidence, non availability of effective medical measures ,  possible complications of surgery and anaesthesia like airway obstruction with respiratory compromise, primary and secondary post operative bleeding and non affordability for surgery, and surgical removal of lymphoid tissue(tonsils) arises a question of debate  which can affect the body defence mechanism. so the need arises to research for effective measures which would  help in treating the condition.
In Ayurveda tonsillitis can be correlated to Tundikeri (NAMC CODE- GE-3) Which presents with Kathinasotha resembling Karpasaphala, Toda, daha, paaka.

Hence this study has been taken. The composition of shreshtavyoshadivati and Dashamulyadikashaya   are easily available, cost effective, easy to administer ,safe and effective.

HYPOTHESIS:

Null hypothesis H0-shrestavyoshadi pratisarana and dashamoolyadi kashaya orally has no significant result in the management of tundikeri.

Alternate hypothesis H1-shrestavyoshadi pratisarana and dashamoolyadi kashaya orally has significant result in the management of  tundikeri.


 
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