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CTRI Number  CTRI/2019/06/019881 [Registered on: 26/06/2019] Trial Registered Prospectively
Last Modified On: 05/06/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Clinical trial for safety and efficacy of grassroots leads in the management of Osteoarthritis of knee joints. 
Scientific Title of Study   A randomized controlled single blind clinical trial for safety and efficacy of grassroots leads in the management of Osteoarthritis of knee joints. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sarvesh Kumar Singh 
Designation  Assistant Professor 
Affiliation  National institute of Ayurveda Jaipur 
Address  Room no.2,Department of Panchakarma,National institute of Ayurveda,Jorawar Singh Gate, Jaipur,India Jaipur RAJASTHAN

Jaipur
RAJASTHAN
302004
India 
Phone  8739860237  
Fax    
Email  sarveshksingh21@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sarvesh Kumar Singh 
Designation  Assistant Professor 
Affiliation  National institute of Ayurveda Jaipur 
Address  Room no.2,Department of Panchakarma,National institute of Ayurveda,Jorawar Singh Gate, Jaipur,India Jaipur RAJASTHAN

Jaipur
RAJASTHAN
302004
India 
Phone  8739860237  
Fax    
Email  sarveshksingh21@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Kshipra Rajoria 
Designation  Lecturer 
Affiliation  National institute of Ayurveda Jaipur 
Address  Room no.6,Department of Panchakarma,National institute of Ayurveda,Jorawar Singh Gate, Jaipur,Rajasthan,India

Jaipur
RAJASTHAN
302004
India 
Phone  8739860237  
Fax    
Email  kshiprarajoria@gmail.com  
 
Source of Monetary or Material Support  
National innovation foundation,Grambharti,Amrapur road,Amrapur,Gandhinagar,Gujrat,Pin-328650,India  
 
Primary Sponsor  
Name  National innovation foundation 
Address  National innovation foundation,Grambharti,Amrapur, Gandhinagar,Gujrat,India 
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 
Dr Sarvesh Kumar Singh  Madhav Vilas Hospital, National Institute of Ayurveda,Jaipur,  Room no.2,Department of Panchakarma,National institute of Ayurveda,Jorawar Singh Gate, Jaipur,India Jaipur RAJASTHAN
Jaipur
RAJASTHAN 
8739860237

sarveshksingh21@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee 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: M171||Unilateral primary osteoarthritisof knee,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Group 1-Standard Ayurvedic drug   Lakshadi Guggulu 500 mg twitce a day,orally, after meal for 12 weeks  
Intervention  Group 10 – NIF herbal grassroots lead 2 formulation 2   NIF herbal grassroots lead 2 formulation 2 in higher dose for 12 weeks 
Comparator Agent  Group 2 – Standard Allopathic drug   Acetominophen in a dose of 650 mg thrice a day, orally,after meal for 12 weeks  
Intervention  Group 3 - NIF herbal grassroots lead 1 formulation 1   NIF herbal grassroots lead 1 formulation 1 in lower dose for 12 weeks 
Intervention  Group 4 – NIF herbal grassroots lead 1 formulation 1   NIF herbal grassroots lead 1 formulation 1 in higher dose for 12 weeks 
Intervention  Group 5 – NIF herbal grassroots lead 1 formulation 2   NIF herbal grassroots lead 1 formulation 2 in lower dose for 12 weeks 
Intervention  Group 6 – NIF herbal grassroots lead 1 formulation 2   NIF herbal grassroots lead 1 formulation 2 in higher dose for 12 weeks 
Intervention  Group 7 - NIF herbal grassroots lead 2 formulation 1   NIF herbal grassroots lead 2 formulation 1 in lower dose for 12 weeks 
Intervention  Group 8 – NIF herbal grassroots lead 2 formulation 1   NIF herbal grassroots lead 2 formulation 1 in higher dose for 12 weeks 
Intervention  Group 9 – NIF herbal grassroots lead 2 formulation 2   NIF herbal grassroots lead 2 formulation 2 in lower dose for 12 weeks 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Patients with Primary Osteoarthritis – knee joints (single or both knees)
2. Index knee must be symptomatic for greater than 6 months with a clinical diagnosis of OA and supported by radiological evidence (Kellgren Lawrence Grade II to IV) that is not older than 6 months prior to the date of screening
3. Moderate to moderately-severe OA pain in the index knee (rating of at least 1.5 on the WOMAC Index 5-point Likert Pain Subscale) assessed at screening
4. Moderate to moderately-severe OA pain in the index knee (even if chronic doses of nonsteroidal anti-inflammatory drug (NSAID), which have not changed in the 4 weeks prior to screening, have been/are being used)
5. No analgesia (including acetaminophen [paracetamol]) taken 12 hours prior to an efficacy measure
6. No known clinically significant liver abnormality (e.g. cirrhosis, transplant, etc.).
 
 
ExclusionCriteria 
Details  1. Patient with history of hypersensitivity to any drugs.
2. Presence of tense effusions
3. Patients with Pott’s spine/infections/other systemic diseases
4. Patients with systemic conditions such as Gouty Arthritis, Rheumatoid Arthritis Psoriatic Arthritis, SLE.
5. Patients with Diabetes/Hypertension
6. Bed ridden patients
7. Chondromalacia
8. Any other disease or condition interfering with the free use and evaluation of the index
knee for the duration of the trial (e.g. cancer, congenital defects, spine osteoarthritis)
9. Major injury to the index knee within the 12 months prior to screening
10. Severe hip osteoarthritis ipsilateral to the index knee.
11. Any pain that could interfere with the assessment of index knee pain (e.g. pain in any
other part of the lower extremities, pain radiating to the knee)
12. Any pharmacological or non-pharmacological treatment targeting OA started or changed
during the 4 weeks prior to randomization or likely to be changed during the duration of the study
13. Patients with metallic implants.
14. History of bony or soft tissue injury to knee joint.
15. No human albumin treatment in the 3 months before randomization or throughout the
duration of the study.
16.Pregnant and lactating women.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the efficacy and safety of Grassroots leads with Ayurvedic drug (Lakshadi Guggulu) and Allopathic drug(Acetominophen) in subject with Osteoarthritis of knee joints   12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Mean changes from baseline in Patient’s Global Assessment of response to therapy  12 weeks 
Mean changes from baseline in Physician’s Global Assessment of response to therapy.  12 weeks 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
Final Enrollment numbers achieved (Total)= "300"
Final Enrollment numbers achieved (India)="300" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   01/07/2019 
Date of Study Completion (India) 25/04/2023 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This randomized multi arm controlled,single blind clinical trial will be done for safety and efficacy of two grassroots leads in the management of osteoarthritis of knee joints. Two grassroots leads in two different formulation and in two different doses will be compared against standard Ayurvedic drugs and standard allopathic drug. Each group will be given 12 week of medication and trial will be completed in three years 
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