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CTRI Number  CTRI/2020/05/025388 [Registered on: 27/05/2020] Trial Registered Prospectively
Last Modified On: 23/05/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Unani 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of Unani formulation (Joshanda) on Iltihab Tajawif al-Anf Muzmin (Chronic Sinusitis) 
Scientific Title of Study   A Clinical Study of the Effects of Unani Formulation (Joshanda) with Reference to the Standard Control in the Management of Iltihab Tajawif al-Anf Muzmin (Chronic Sinusitis) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mohd Tauseef Alam 
Designation  PG Scholar 
Affiliation  Regional Research Institute of Unani Medicine  
Address  Department of Moalajat, RRIUM, Naseem Bagh Campus University of Kashmir, Hazratbal

Srinagar
JAMMU & KASHMIR
190006
India 
Phone  8791311019  
Fax    
Email  tauseef0690@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Mohammad Sheeraz 
Designation  Lecturer 
Affiliation  Regional Research Institute of Unani Medicine  
Address  Department of Moalajat, RRIUM, Naseem Bagh Campus University of Kashmir, Hazratbal

Srinagar
JAMMU & KASHMIR
190006
India 
Phone  9797750472  
Fax    
Email  sheeraz.rrium@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shameem Ahmad Rather 
Designation  Reader 
Affiliation  Regional Research Institute of Unani Medicine 
Address  Department of Moalajat, RRIUM, Naseem Bagh Campus University of Kashmir, Hazratbal

Srinagar
JAMMU & KASHMIR
190006
India 
Phone  7889584083  
Fax    
Email  Shameem.rather.sr@gmail.com  
 
Source of Monetary or Material Support  
Central council for Research in Unani Medicine New Delhi 
 
Primary Sponsor  
Name  Central council for Research in Unani Medicine New Delhi 
Address  Regional Research Institute of Unani Medicine (RRIUM), University of Kashmir, Srinagar. CCRUM, New Delhi. 
Type of Sponsor  Research institution 
 
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 
Mohd Tauseef Alam  Regional Research Institute of Unani Medicine (RRIUM).   Moalajat OPD-2, Ground Floor, Dept. of Moalajat, RRIUM, Naseem Bagh Campus University of Kashmir, Hazratbal
Srinagar
JAMMU & KASHMIR 
8791311019

tauseef0690@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, RRIUM, Srinagar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J329||Chronic sinusitis, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Joshanda (Decoction) of Nuskha Nazla barid   Ingredients : Gul-e-banfsha (7gm), Tukhm-e-Khatmi (7gm), Tukhm-e-khubazi (7gm), Barg-e-Gaozaban (5gm), Unnab (5 in numbers), Misri (20gm). Method of preparation: Joshanda (Decoction) of the all ingredients will be prepared as per standard procedure. Dose: 100 ml. Frequency: Twice daily before meal. Route of administration: Oral. Duration of therapy: 45 days 
Intervention  Joshanda (Decoction) of Unani Formulation   Ingredients: Badiyan (4.5gm), Banafshan (4.5gm), Hansraj (4.5gm), Asl-us-soos (4.5gm), Gaozaban (4.5gm), Sapistan (15 in number), Maveez munaqqa (15 in number), Misri (18gm). Method of preparation: Joshanda (Decoction) of the all ingredients will be prepared as per standard procedure. Dose: 100 ml. Frequency: Once a day early in the morning before meal. Route of administration: Oral. Duration of therapy: 45 days 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  -Clinically diagnosed patients of chronic sinusitis of more than 12 weeks duration.
-Patients Irrespective of gender.
-Patients in the age group of 20-60 years.
-SNOT 22 (Sinonasal Obstruction Test) more than 7.
-Patients who have agreed to sign the informed consent form and follow up the protocol
 
 
ExclusionCriteria 
Details  -Subjects below the age of 20 years and above the age of 60 years
-Atrophic rhinitis.
-Deviated Nasal Septum.
-Nasal polyps / Nasal growth / Adenoids.
-Patients with systemic diseases like diabetes, cardiovascular, impaired renal and hepatic functions, HIV, T.B., COPD.
-Patients who refuse to give the written consent for the study.
-Pregnancy and lactating women.
-Any of them not covered under inclusive criteria 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Relief in signs and symptoms of Chronic sinusitis (Nazla Barid)   45 days 
 
Secondary Outcome  
Outcome  TimePoints 
Haematological and biochemical assessment for safety   45 days 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   28/05/2020 
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)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Sinusitis is inflammation of the sinus or nasal passage . It is classified as acute and chronic sinusitis. Sinusitis is also called Rhinosinusitis . Chronic sinusitis is chronic inflammation of the sinus or nasal passage occurring for more than 12 weeks at a time or ( chronic rhinosinusitis is defined as more than 12 weeks of symptoms without complete resolution of symptoms and can be subdivided into chronic sinusitis with nasal polyp and without nasal polyp. It is a specific clinical symptoms complex. Approximately 20% of the patients with chronic sinusitis have nasal polyposis. Chronic rhinosinusitis affects approx 5-15% of the general population. The prevalence was found to be 2-4%. According to the national health interview survey of 1996 chronic rhinosinusitis was second most prevalent health condition affecting 12.5% of the US population or 31 million patients each year. Affecting individual of all ages.There are no racial differences in prevalence but the presence of nasal polyps’ increases with age and more commonly found in men.Acute viral sinusitis is the most common cause of chronic sinusitis. According to an analysis of the 2008 National Health interview survey data, rhinosinusitis affected 1 in 7 adults. The symptoms of chronic sinusitis include purulent nasal dischargeConstant sinus pressure, chronic cough, halitosis. Since chronic rhinosinusitis is not fatal disease but its outcome is orbital cellulitis, subperiosteal abscess, cavernous sinus thrombosis, brain abscess etc.

In Unani system of medicine sinusitis is not described as such but when we go through the definitions of Nazla wa Zukam these seem to be quite similar to the clinical feature of sinusitis. Medical therapy is effective in reducing the symptoms but allopathic medicines do have various side effects. Unani physicians are treating the symptoms of sinusitis for centuries with safe herbal remedies. Need of the hour is to validate these safe drugs scientifically. So, in order to provide safe and effective drug for chronic sinusitis, the present study is therefore designed at investigating the effect of Unani formulation on chronic sinusitis patients.

 
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