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CTRI Number  CTRI/2011/06/001835 [Registered on: 28/06/2011] Trial Registered Retrospectively
Last Modified On: 05/08/2012
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Siddha 
Study Design  Single Arm Study 
Public Title of Study
Modification(s)  
siddha medicine for PITHA PANDU[Anaemia] 
Scientific Title of Study   The efficacy of the SIDDHA MANDOORAM [internal] in the treatment of PITHA PANDU [Iron Defeciency Anaemia] 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
32091202  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DrLJanet Sheeba 
Designation  M.D(S) student - II year 
Affiliation  The T.N.Dr.M.G.R.Medical University, Chennai 
Address  Maruthuvam Department, National Institute of Siddha, Chennai.
Guindy, Chennai-600032, Tamil Nadu
Chennai
TAMIL NADU
600047
India 
Phone  044-22411611  
Fax  044-22381314  
Email  l.janetsheeba@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  ProfDrKManickavasakam 
Designation  Director  
Affiliation   
Address  National Institute of Siddha, Chennai, Tamil Nadu

Chennai
TAMIL NADU
600047
India 
Phone  044-22411611  
Fax  044-22381314  
Email  dr.kmvm@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DrNalini Sofia 
Designation  Lecturer 
Affiliation   
Address  Lecturer,Maruthuvam Department, National Institute of Siddha, Chennai

Chennai
TAMIL NADU
600047
India 
Phone  044-22411611  
Fax  044-22381314  
Email  dr.nalinisofia@gmail.com  
 
Source of Monetary or Material Support
Modification(s)  
National Institute of Siddha, Tambaram Sanatorium, (Department of AYUSH), Chennai - 600 047, Tamil Nadu 
 
Primary Sponsor  
Name  National Institute of Siddha Tambaram SanatoriumDepartment of AYUSH Chennai Tamil Nadu 
Address  Chennai - 600047, Tamil Nadu 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
Nil   
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrLJanet Sheeba  National Institute of Siddha  Maruthuvam Department,National Institute of Siddha-600047
Chennai
TAMIL NADU 
044-22411611
044-22381314
l.janetsheeba@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Of National Institute Of Siddha  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  PITHA PANDU [Iron Defeciency Anaemia],  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
Intervention  SIDDHA MANDOORAM  Kazharchi alavu [2gms],before food,twice a day with buttermilk for 48 days continously 
 
Inclusion Criteria  
Age From  13.00 Year(s)
Age To  55.00 Year(s)
Gender  Both 
Details  patient willing to undergo blood investigation;
Clinical symptoms of:
Pallor
Breathlessness
Palpitation
Anorexia
Giddiness
Lassitude
Fatigue
Koilonychias etc;
Hemoglobin level less than normal range ie.,7-13 mg/dl for men,7-10mg/dl for women[Normal range:Male:14-18gms/dl;Female:11-15gms/dl]Patient blood smear showing Microcytic Hypochromic RBC;
Patient willing to sign the informed consent stating that he/she will conscientiously stick to the treatment during 48 days but can be opt out of the trial of his/her own conscious discretion 
 
ExclusionCriteria 
Details  Parasitic infection;Bleeding disorder[Bleeding piles,Menorrhagia];Pregnancy and lactation;Presence of any associated severe systemic illness[e.g RA,CA];Endocrine disorder[thyroid abnormality,Diabetes mellitus];cardiac disease;Renal disease; H/o of steriod exposure for prolonged time;Peptic ulcer;Gasterctomy;Inherited defects[sickle cell anaemia,Thalassemia];Malabsorption syndrome;Patient not willing to give blood sample. 
 
Method of Generating Random Sequence
Modification(s)  
Not Applicable 
Method of Concealment
Modification(s)  
Not Applicable 
Blinding/Masking
Modification(s)  
Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Hemoglobin level  49th day 
 
Secondary Outcome  
Outcome  TimePoints 
1)Reduction in clinical symptoms
2)Changes in complete blood count
3)Changes in Iron supply studies 
Before and After the treatment

 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 2 
Date of First Enrollment (India)   01/01/2011 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
This study is a single arm clinical trial evaluting the efficacy of siddha medicine,one of the Indian systems of medicine,as an effective intervention strategy for the disease PITHA PANDU [Iron Defeciency Anaemia].The medicine SIDDHA MANDOORAM is an unique herbo-mineral combination in which the drug Siddha mandooram is administered at a dose of kazharchi alavu[2 gms]orally, before food ,twice a day with buttermilk,to 40 patients included as per inclusion criteria for a period of 48 days with no further administration thereafter.The primary outcome measure of the siddha medicine is increase in Hemoglobin level of the trial patient. The outcome of the trial are given as follows. 

Ø       Based on the Toxicological studies, 10X dosage [Maximum dose] in Acute [72 mg/animal] and Chronic toxicity study [720 mg/animal] was found to be safe in animals, hence the therapeutic dose of Siddha Mandooram [kazharchi alavu- 2 grams] mentioned in Gunapadam Thaathu Jeeva Vaguppu,Pg-200 is the safety dose level for clinical trial.

 

Ø       From the Biochemical studies, Siddha Mandooram possesses Iron in the form of Ferrous which is a readily absorbable form of iron and it is in the amount of 13.859 mg /L.Particle Per Million of the drug molecule is 5micron.

 

Ø        From the Stastical studies, the Mean ± Standard deviation for Hemoglobin before treatment is 8.835 ± .8929 and after treatment is 9.813 ± 1.3595 which is statistically significant (p <0.05).

 

Ø       From the  Clinal studies, it is clear that PithaPandu noi is caused due to derangement of Pitham followed by derangement of Vatham and Kabam. Both objective and subjective improvements were observed in the sample of 40 patients.

 

Ø       The Siddha formulation Siddha Mandooram-2 grams, twice a day with buttermilk, before meals [Ref: Gunapadam Thaathu Jeeva Vaguppu, pg-200] have been proved clinically to be haematinic (75%) and it raises the Haemoglobin level in Anaemic patients when given regularly for 48 days with specific diet restrictions.

 

Ø       Hence I conclude, the drug Siddha Mandooram is found to be therepeutically efficacious, and it can be explored in large sample size and in multicentre trials for further research in near future.

 

 
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