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CTRI Number  CTRI/2019/06/019781 [Registered on: 20/06/2019] Trial Registered Prospectively
Last Modified On: 17/06/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Unani
Other (Specify) [Unani Regimen (Leech therapy)]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Efficacy of Leech therapy in Ringworm  
Scientific Title of Study   Long Term Efficacy evaluation of Irsal-i-Alaq (Leech Therapy) in Qooba (Dermatophytosis)- A Randomised Standard Controlled Open Clinical Study. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Jamil Ahmad 
Designation  PG Scholar 
Affiliation  national institute of unani medicine kottigepallya magadi main road, bengaluru  
Address  Deptt of IBT, academic building national institute of unani medicine kottigepallya magadi main road, bengaluru

Bangalore
KARNATAKA
560091
India 
Phone  9412108238  
Fax    
Email  jamilji2k11@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Abdul Azeez 
Designation  Assistant prof. 
Affiliation  national institute of unani medicine kottigepallya magadi main road, bengaluru  
Address  Deptt of IBT, academic building national institute of unani medicine kottigepallya magadi main road, bengaluru

Bangalore
KARNATAKA
560091
India 
Phone  9035417278  
Fax    
Email  aafaris@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Abdul Azeez 
Designation  Assistant prof. 
Affiliation  national institute of unani medicine kottigepallya magadi main road, bengaluru  
Address  Deptt of IBT, academic building national institute of unani medicine kottigepallya magadi main road, bengaluru


KARNATAKA
560091
India 
Phone  9035417278  
Fax    
Email  aafaris@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Unani Medicine, Kottigepallya, Magadi Main Road, Bengaluru, 560091, Karnataka, India  
 
Primary Sponsor  
Name  National Institute of Unani Medicine  
Address  Kottigepallya Magadi Main Road, Bengaluru, 560091, Karnataka, India 
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 
Jamil Ahmad  National Institute of Unani Medicine  Room No. 28, Dept. ILAJ BIT TADBEER, Room No. 04, Dept. AMRAZ-i-JILD of National Institute of Unani Medicine Hospital, Kottigepallya Magadi Main Road, Bengaluru, 560091
Bangalore
KARNATAKA 
9412108238

jamilji2k11@gmail.com 
 
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  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B359||Dermatophytosis, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Clotrimazole (1%) cream.   control group will apply Clotrimazole (1%) cream twice daily over the affected site continuously for 28 days.  
Intervention  Leech therapy  Five sittings of leech therapy will be applied, with intervals of one week. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Clinically Diagnosed patient of Qooba (Tinea corporis and Tinea pedis only, as leech application will be more feasible to these sites)
Willing to participate in the study and follow the
instructions
 
 
ExclusionCriteria 
Details  Uncontrolled Diabetes mellitus
Bleeding disorder & anaemia
Acute infection & septicaemia
Patients on concomitant therapy
Immuno-compromised patients

 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
KOH smear
Erythema and Scaling will be graded on a 4 point scale (0 Absent, 1 Mild, 2 Moderate and 3 Severe)
Pruritus will be assessed on 10 cm long Visual Analogue Scale (VAS).
Photographs of the affected site in a fixed location and controlled illumination. 
At Baseline, on 21st day and on 35th day.
Follow ups on 35th day in person and over phone on 45th, 60th and 90th day. 
 
Secondary Outcome  
Outcome  TimePoints 
nil  nil 
 
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)   24/06/2019 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   none yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
 Dermatophytosis refers to superficial fungal infection of keratinized tissues caused by keratinophilic dermatophytes. According to observations worldwide, dermatophytosis is the most common superficial fungal infections. It is common in tropics and may present in epidemic proportions in areas with high rates of humidity.
In Unani system of medicine, a disease mentioned with name of Qooba, is characterized by roughness of the surface of the skin associated with itching, scaling, dryness, and shedding of scales like fish.It may be black or red in colour, usually periphery is red and occasionally there may be oozing of yellowish fluid. All these conditions develop according to pathogenic substances, as per Unani philosophy. Dermatophytosis is given name according to the sites involved Tinea capitis, Tinea corporis, Tinea faciei, Tinea manuum, Tinea pedis, Tinea ungum, Tinea cruris, Tinea incognito. Treatment of dermatophytosis is often dependent on the clinical setting ideally, mycological confirmation of the clinical diagnosis should be gained before systemic antifungal treatment is commenced. Oral treatment options for dermatophytosis are Itraconazole, Fluconazole, Terbinafine, and Griseofulvin.
In Unani system of medicine there are number of treatments for Qooba, in which Irsal-i-Alaq (Leeching) is one of the best treatment described by the Unani physicians. Irsal-i-Alaq is used to evacuate the pathological humour from the body to treat the various ailments. According to Ahmad bin Muhammad Tabri Irsal-i-Alaq over affected site will eliminate the disease completely. Inspired by all these facts, this study was design to evaluate not only the efficacy but long-term effects of Irsal-i-Alaq in Qooba, comparing with standard antifungal treatment for the same.
 
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