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CTRI Number  CTRI/2019/07/020392 [Registered on: 29/07/2019] Trial Registered Prospectively
Last Modified On: 25/07/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   A clinical trial to see the effects of Pathyadi Kwatha and Anu Taila Nasya in Patients with Ardhavabhedaka (Migraine) 
Scientific Title of Study   Clinical evaluation of Pathyadi Kwatha and Anu Taila Nasya in the management of Ardhavabhedaka (Migraine). 
Trial Acronym  Migraine 
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Srinibash Sahoo 
Designation  Research Officer (Ayurveda), Scientist-3 
Affiliation  Central Council for Research in Ayurvedic Sciences (CCRAS), New Delhi 
Address  Advanced Center for Ayurveda in Mental Health and Neuro Sciences (CCRAS),NIMHANS Campus, Hosur Road, Bengaluru

Bangalore
KARNATAKA
560029
India 
Phone  08026995323  
Fax    
Email  srinibash1970@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Srinibash Sahoo 
Designation  Research Officer(Ayurveda), Scientist-3 
Affiliation  Central Council for Research in Ayurvedic Sciences (CCRAS), New Delhi 
Address  Advanced Center for Ayurveda in Mental Health and Neuro Sciences(CCRAS),NIMHANS Campus, Hosur Road, Bengaluru

Bangalore
KARNATAKA
560029
India 
Phone  08026995323  
Fax    
Email  srinibash1970@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Srinibash Sahoo 
Designation  Research Officer(Ayurveda), Scientist-3 
Affiliation  Central Council for Research in Ayurvedic Sciences (CCRAS), New Delhi 
Address  Advanced Center for Ayurveda in Mental Health and Neuro Sciences(CCRAS),NIMHANS Campus, Hosur Road, Bengaluru

Bangalore
KARNATAKA
560029
India 
Phone  08026995323  
Fax    
Email  srinibash1970@gmail.com  
 
Source of Monetary or Material Support  
Central Council for Research in Ayurvedic Sciences Jawahar lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan 61-65, Institutional Area, Opposite D-Block, Janakpuri, New Delhi - 110058 
 
Primary Sponsor  
Name  Central Council For Research In Ayurvedic SciencesCCRAS 
Address  Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan 61 65 Institutional Area Opposite D Block Janakpuri New Delhi 110058.  
Type of Sponsor  Government funding agency 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Srinibash Sahoo  Advanced Center for Ayurveda in Mental Health and Neuro Sciences(CCRAS)  NIMHANS Campus Hosur Road Bangalore 560029 Bangalore KARNATAKA
Bangalore
KARNATAKA 
09448941203

srinibash1970@gmail.com 
Dr Kishor Patel  Central Ayurveda Research Institute for Cardiovascular Diseases(CCRAS)  Punjabi Bagh New Delhi 110026
New Delhi
DELHI 
07405403106

kishoreworld007@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
IEC ACAMHNS NIMHANS BENGALURU  Approved 
IEC CARID PUNJABI BAGH NEW DELHI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G431||Migraine with aura, (2) ICD-10 Condition: G430||Migraine without aura,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not applicable  Not applicable 
Intervention  Pathyadi Kwatha Anu Taila  1) Pathyadi Kwatha- [Ref.-A.F.I, Part-2, Vol.4:15.] Ingredients- Haritaki, Bibhitaki, Amalaki, Kiratatikta, Haridra, Nimba and Guduchi. Dose : 50 ml. Dosage form : Kwatha (Decoction) Route of Administration : Oral Time of Administration : Twice a day; before food. Anupana : Guda Duration of therapy : 84 days (12 weeks) (Add 16 times of potable water in 25 g Kvatha churna and boil till it is reduced to 1/8, filter and consume) 2) Anu Taila- Nasya-[Ref.-A.F.I Part 1,Vol.8:1 Page 365,366.] Dose : 2 drops in each nostril. Dosage form : Oil. Route of administration : Nasal oleation (Nasya). Time of administration : Early morning. Duration of therapy : 84 days (12 weeks.)  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients of either sex aged in between 18 to 60 years.
2. Diagnosed cases of Migraine with aura /without aura as per as per International Headache Society-ICHD-III (International classification of Headache Disorders 3rd version).
3. Patients with up to Grade III on MIDAS Scale.
4. Frequency of headache is > two times in a month.
5. Willing and able to participate for 3 months (consent to be obtained from patients).
 
 
ExclusionCriteria 
Details  1. Patients who were suffering with headache due to space occupying lesions and other secondary reasons.
2. Patients with severe infection and/or clinically significant respiratory, cardiac or haematological disorders.
3. Hypertensive patients who are on β blockers.
4. Patients with uncontrolled Diabetes mellitus (HbA1C>8%).
5. Patients with uncontrolled Hypothyroidism (S.TSH>10mIU/ml).
6. Patients with concurrent serious Hepatic Dysfunction (defined as AST and/or ALT >3 times of the upper normal limit) or Renal Dysfunction (defined as S. creatinine > 1.4 mg/dl)
7. Alcoholics and/or drug abusers.
8. Known cases of malignancy.
9. Pregnant women or planning to conceive or lactating woman.
10. Patients in whom another investigational drug was used within 3 months prior to entry in this study.
11. Any other condition, which the PI thinks, may jeopardize the study.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess the Clinical Efficacy of Pathyadi Kwatha and Anu Taila Nasya in the management of Ardhavabhedaka (Migraine)  12 WEEKS 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the Clinical Safety of Pathyadi Kwatha and Anu Taila Nasya in patients suffering with Ardhavabhedaka (Migraine)  12 WEEKS 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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)   01/08/2019 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   It will publish after completion of the study 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Migraine is a chronic neurological disorder characterized by headache often unilateral and accompanied by nausea or vomiting as well as photosensitivity and phonosensitivity. Migraine causes great physical, and emotional burden and is considered as one of the most disabling disease among all diseases. The disease is correlated with Ardhavabhedaka. It is considered to be a tridoshaja Vyadhi. The conventional healthcare system provides temporary relief in headache within hours. The Ayurvedic Pharmacopeia of India has laid standards of Ayurvedic formulations appeared in Ayurvedic Formulary of India. Oral administration of Pathyadi and Anu Taila Nasya are the formulations commonly used by Ayurvedic physicians in the management of Ardhavabhedaka and the pharmacopeial standards are available for both these formulations. Anu  Taila  Nasya has been taken as Nasya is  considered as the remedy for Urdhvajatru gata Vikara.

 
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