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CTRI Number  CTRI/2019/06/019586 [Registered on: 10/06/2019] Trial Registered Prospectively
Last Modified On: 22/06/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Siddha
Other (Specify) [Varma Manipulation]  
Study Design  Other 
Public Title of Study   Clinical trial on Koarai vatham  
Scientific Title of Study   An Open labelled double arm non-randomised phase II clinical trial to compare the efficacy of VARMA MANIPULATION with KARUNKURINJI KUDINEER (INTERNAL)and ETTI PATTAI ENNAI (EXTERNAL) in the treatment of KOARAI VATHAM  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  KAVITHA 
Designation  PG SCHOLAR  
Affiliation  GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI  
Address  DEPARTMENT OF VARMA MARUTHUVAM OP NO 4 GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI
DEPARTMENT OF VARMA MARUTHUVAM OP NO 4 GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI
Tirunelveli
TAMIL NADU
627002
India 
Phone  9445816706  
Fax    
Email  ezhilmano93@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  S SUJATHA 
Designation  LECTURER 
Affiliation  GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI  
Address  DEPARTMENT OF VARMA MARUTHUVAM OP NO 4 SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI
DEPARTMENT OF VARMA MARUTHUVAM OP NO 4 GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI
Tirunelveli
TAMIL NADU
627002
India 
Phone  9442331462  
Fax    
Email  rajasekarsujatha@gmail.com  
 
Details of Contact Person
Public Query
 
Name  S SUJATHA 
Designation  LECTURER 
Affiliation  GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI  
Address  DEPARTMENT OF VARMA MARUTHUVAM OP NO 4 GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI
DEPARTMENT OF VARMA MARUTHUVAM OP NO 4 GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI
Tirunelveli
TAMIL NADU
627002
India 
Phone  9442331462  
Fax    
Email  rajasekarsujatha@gmail.com  
 
Source of Monetary or Material Support  
GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI  
 
Primary Sponsor  
Name  KAVITHA 
Address  DEPARTMENT OF VARMA MARUTHUVAM GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI  
Type of Sponsor  Government medical college 
 
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 
S Kavitha  GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI   PG DEPARTMENT OF VARMA MARUTHUVAM OP NO 4 GOVT SIDDHA MEDICAL COLLEGE AND HOSPITAL PALAYAMKOTTAI TIRUNELVELI
Tirunelveli
TAMIL NADU 
9445816706

ezhilmano93@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC Govt Siddha Medical College Palayamkottai  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M472||Other spondylosis with radiculopathy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  nil  nil 
Intervention  varma manipulation for 48 days intermittently With internal medicine and external oil  Varma manipulation intermittently for 48 days With karunkurinji kudineer internal Dose-90ml bd(before food) Duration-12days Etti pattai ennai external application Dose-30ml Duration-48 days  
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients having symptoms of Pain in the lumbar region, Radiating pain to buttocks and lower limbs ,stiffness present in lumbar region, Exacerbation of pain on movements, Pain increased on forward bending, Tingling sensation.(Numbness)

Patients who are willing to give radiological investigation and provide blood for lab investigation.

Patient willing to sign the informed consent stating that he/she will conscientiously stick to the treatment during 48 days but can option out of the trial of his/her own conscious discretion.
 
 
ExclusionCriteria 
Details  Auto immune diseases like Rheumatoid arthiritis, SLE, Psoriasis, Mixed connective tissue disorder.

Spina bifida


Pregnancy and lactation

Osteo myelitis

Renal Disease

Tuberculosis in spine

Patient with any other serious illness
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Assessment of change from baseline in QUEBEC BACK PAIN DISABILITY SCALE at day of between Group I and Group II for varma manipulation and internal and external medicine  Group I Intermittent varma manipulation within 48 days
1st sitting 50 percentage of symptoms will reduce
2nd sitting 80 percentage of symptoms will reduce
Group II After giving internal and external medine for 12 days with varma manipulation 50 percentage of primary symptoms will reduce
within 48 days 80 percentage of symptoms will reduce 
 
Secondary Outcome  
Outcome  TimePoints 
Assessment of OSWESTRY LOWBACK PAIN DISABILITY QUESTIONNAIRE.
Assessment of safety parameters 
Group I Intermittent varma manipulation within 48 days
1st sitting 50 percentage of symptoms will reduce
2nd sitting 80 percentage of symptoms will reduce
Group II After giving internal and external medine for 12 days with varma manipulation 50 percentage of primary symptoms will reduce
within 48 days 80 percentage of symptoms will reduce 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "40"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)
Modification(s)  
20/06/2019 
Date of Study Completion (India) 06/04/2020 
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  

 LUMBAR SPONDYLOSIS is the term given to the occurrence of degenerative disc disease and osteoarthritic change in the lumbar spine. Within the literature, lumbar spondylosis  encompasses numerous associated pathologies including spinal stenosis, degenerative spondylolisthesis, osteoarthritis and many others.spondylosis is not aclinical diagnosis but instead a descriptive term utilized to designate spinal problems.
The lumbar spine carries most of the body’s weight. therefore degenerative changes affect its structure causes pain with activity such as walking and standing ,lifting objects or after a long period of rest.  The manipulation of varma points for treating diseases is called varma therapy.
According to varma text the signs and  symptoms of  koarai vatham mentioned in vatha noi nithanam can be  correlated with lumbar spondylosis    (Ref. Vaadha Noi Nidhanam – 800(42/800).
This  study is  to evaluate the therapeutic efficacy of Varma Manipulation and clinical efficacy of  karunkurinji kudineer (Internal) and ulunthennai (External).on koarai vatham (lumbar spondylosis).
  The manipulation of varma points for treating diseases is called varma therapy.
According to varma text the signs and  symptoms of  koarai vatham mentioned in vatha noi nithanam can be  correlated with lumbar spondylosis    (Ref. Vaadha Noi Nidhanam – 800(42/800).
This  study is  to evaluate the therapeutic efficacy of Varma Manipulation and clinical efficacy of  karunkurinji kudineer (Internal) and ulunthennai (External).on koarai vatham (lumbar spondylosis).

 
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