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CTRI Number  CTRI/2019/05/019048 [Registered on: 10/05/2019] Trial Registered Prospectively
Last Modified On: 21/03/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To see the effect of Adityapaka guggulu, Shunthyadi Kwatha and Kati Basti in the Management of Katigatavata Roga (Lumber Spondylosis) 
Scientific Title of Study   Clinical evaluation of Adityapaka guggulu, Shunthyadi Kwatha and Kati Basti in the Management of Katigatavata Roga (Lumber Spondylosis) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ajay Kumar Sahu 
Designation  Assistant Professor 
Affiliation  National Institute Of Ayurveda 
Address  PG Department of Kayachikitsa National Institute Of Ayurveda Madhav Vilas Palace Amer Road Jaipur RAJASTHAN 302002

Jaipur
RAJASTHAN
302002
India 
Phone  9950708106  
Fax    
Email  drajaysahu@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ajay Kumar Sahu 
Designation  Assistant Professor 
Affiliation  National Institute Of Ayurveda 
Address  PG Department of Kayachikitsa National Institute Of Ayurveda Madhav Vilas Palace Amer Road Jaipur RAJASTHAN 302002

Jaipur
RAJASTHAN
302002
India 
Phone  9950708106  
Fax    
Email  drajaysahu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Lalita Verma 
Designation  PG Scholar 
Affiliation  National Institute Of Ayurveda 
Address  PG Department of Kayachikitsa National Institute Of Ayurveda Madhav Vilas Palace Amer Road Jaipur RAJASTHAN 302002

Jaipur
RAJASTHAN
302002
India 
Phone  9694817590  
Fax    
Email  nishaverma8496@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Ayurveda Madhav Vilas Palace Amer Road Jaipur Rajasthan  
 
Primary Sponsor  
Name  National Institute of Ayurveda 
Address  Madhav Vilas Palace Amer Road Jaipur 302002 
Type of Sponsor  Research institution and hospital 
 
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 Lalita Verma   National Institute of Ayurveda Hospital Jaipur  OPD No 1, 7, 18,25 Deprt. of Kayachikitsa , Madhav Vilas Palace Amer Road Jaipur, 302002 RAJASTHAN
Jaipur
RAJASTHAN 
9694817590

nishaverma8496@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE OF NATIONAL INSTITUTE OF AYURVEDA JAIPUR   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M479||Spondylosis, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  GROUP A  10 Patients will be treated by Adityapaka guggulu 2 tab. (each tab. of 500 mg) three times in a day with lukewarm water and Shunthyadi Kwatha 50 ml in morning (one time in a day) for 30 days. 
Intervention  GROUP B  10 patients will be treated by Kati Basti with Ashwagandhadi Taila (Kalpita Yoga) for 45 minutes daily once a day in morning for 14 days. 
Intervention  GROUP C  10 Patients will be treated by Adityapaka guggulu 2 tab. (each tab. of 500 mg) three times in a day with lukewarm water and Shunthyadi Kwatha 50 ml in morning (one time in a day) for 30 days, along with Kati Basti with Ashwagandhadi Taila(Kalpita Yoga) for 45 minutes. 
Comparator Agent  Not Applicable  Not Applicable 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patients willing to signature the consent form for the clinical trial.
2.Patients having sign and symptoms of Katigatavata Roga (Lumber Spondylosis).
3.Patients with chronicity of Katigatavata Roga (Lumber Spondylosis) less than 10 years. 
 
ExclusionCriteria 
Details  1.Patients with chronicity of Katigatavata Roga (Lumber Spondylosis) more than 10 years.
2.Patients suffering with k/c/o potts spine, tumors of spine, focal neuropathy and any septic or infectious disease of spine.
3.Pregnant and lactating mother.
4.Recent cervical, spinal, shoulder surgery or implanted instrumentation or previous surgery for lumber spondylotic myelopathy.
5.K/C/O Stenosis of spinal canal.
6.Patient suffering with Diabetes or Diabetic neuropathy, Gout, Rheumatoid Arthritis and fracture of hip bone, Septic Arthritis and Paralysis. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Changes in their growing feeling of well being or any improvement in the following sign and symptoms of "Katigatavata Roga”(Lumber Spondylosis) like Ruk (Pain), Pain with rest, Pain on movement, Stabdhata (Stiffness), Toda (Tingling Sensation), Anidra (Insomnia), Suptata (numbness), Mansa Balakshya.  1 months 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in
1.Functional Assessment e.g. Lumber movement
2.Walking time e.g. Time taken to cover the distance of 30 meters
3.S.L.R. Test
4.Laboratory and Radiological investigation 
1 months  
 
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   Phase 2 
Date of First Enrollment (India)   03/06/2019 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Suspended 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Ayurveda is most ancient science of life. The aim of Ayurvedic system of medicine is not only to cure the disease but also to maintain the health of healthy person.

It is very potent medical science which not only cures disease but also has the capacity to prevent its replace by breaking down the basic chain of reactions necessary for the pathology of disease through Shodhana and Shamnachikitsa .

Acharya Charaka described the disease of Asthigatavata in Vatavyadhichikitsa and defined this as a disease with the symptoms of Ashthi bheda (breaking pain) Parvabheda, Sandhishoola (pain in joints), Mamsa balakshaya (muscle weakness), Aswapna (diminished sleep) and Santat ruk (continous pain).

The term katigatavata Roga has a clear resemblance with Lumber spondylosis mentioned in modern text books of Orthopaedic. Spondylosis is a degenerative disorder which affects intervertebral discs and facet joint that may cause loss of normal spinal structure and function. Both refer to Single similar. Presentation Low back Pain that is increased with movement and associated with stiffness.

Lumber spondylosis is more common between 30 to 60 yrs. of age. Pain may radiate into the buttocks or legs and aggravated by prolonged sitting or standing.

Spondylosis can affect the lumber (low back) thoracic (mid back), cervical (neck) region of spine. This probably mean by ’Vata Prakopa’ in similar terms.

In this era of globalization due to excessive use of vehicles and increased work load degenerative changes occur more in lumber spine of people so the incidence of Katigatavata Roga (Lumber spondylosis) is increasing.

Since the management of Lumber spondylosis with modern medicine is temporary and many cases require surgical intervension which may produce serious problems and side effects. So Ayurvedic management seems to be more satisfactory because of their long lasting effects and multiple systemic regenerative actions without any harm. 

AIMS AND OBJECTIVES OF STUDY

1.Conceptual and clinical study on Katigatavata Roga (Lumber Spondylosis).

2.To evaluate the efficacy of Adityapaka guggulu and Shunthyadi Kwatha in the management of Katigatavata Roga (Lumber Spondylosis)

3.To evaluate the efficacy of Kati Basti in the management of Katigatavata Rog (Lumber Spondylosis).

4.To evaluate the combined efficacy of Adityapaka guggulu Sunthyadi Kwatha and Kati Basti in the management of Katigatavata Roga (Lumber Spondylosis).

 
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