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CTRI Number  CTRI/2019/09/021220 [Registered on: 12/09/2019] Trial Registered Prospectively
Last Modified On: 01/02/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Whole system approach Ayurveda interventions in the management of Oldage Constipation 
Scientific Title of Study   Efficacy of whole system approach Ayurveda interventions in Vibhanda W.S.R Oldage Constipation - A Randomized Control Clinical Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ramesh S Killedar 
Designation  Assistant Professor 
Affiliation  KAHERs Shri B. M. Kankanwadi Ayurveda Mahavidyalaya, Shahpur, Belagavi 
Address  Assistant Professor, Dept of Shalyatantra, KAHERs Shri B M Kankanwadi Ayurveda Mahavidyalaya, Shahpur, Belagavi

Belgaum
KARNATAKA
590003
India 
Phone  9035987505  
Fax    
Email  drramesh39@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ramesh S Killedar 
Designation  Assistant Professor 
Affiliation  KAHERs Shri B. M. Kankanwadi Ayurveda Mahavidyalaya, Shahpur, Belagavi 
Address  Assistant Professor, Dept of Shalyatantra, KAHERs Shri B M Kankanwadi Ayurveda Mahavidyalaya, Shahpur, Belagavi

Belgaum
KARNATAKA
590003
India 
Phone  9035987505  
Fax    
Email  drramesh39@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ramesh S Killedar 
Designation  Assistant Professor 
Affiliation  KAHERs Shri B. M. Kankanwadi Ayurveda Mahavidyalaya, Shahpur, Belagavi 
Address  Assistant Professor, Dept of Shalyatantra, KAHERs Shri B M Kankanwadi Ayurveda Mahavidyalaya, Shahpur, Belagavi

Belgaum
KARNATAKA
590003
India 
Phone  9035987505  
Fax    
Email  drramesh39@gmail.com  
 
Source of Monetary or Material Support  
KAHER Shri B M Kankanwadi Ayurveda Mahavidyalaya 
 
Primary Sponsor  
Name  KAHER Shri B M Kankanwadi Ayurveda Mahavidyalaya 
Address  Near Nath Pai circle, Shahpur, Belagavi. Pin - 590003 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
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 Ramesh Killedar  KAHER’s Shri B M K Ayurveda Mahavidyalaya  Department of Ayurveda Medical Education / Hospital office
Belgaum
KARNATAKA 
9035987505

drramesh39@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Oldage 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Group 1: Kalyanaka kshara   Group 1: Kalyanaka kshara Anupana : with Ghee. Dose : Patients will be treated with Kalyanaka Kshara 1gm twice a day for 10 days.  
Intervention  Group 2 - whole system Ayurveda approach.  Group 2 - whole system Ayurveda approach.Oral administration based on Kostha assesment  
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1.Patients fulfilling the “Rome III diagnostic criteria for functional constipation”.
2.Age – 60 to 80 years of either sex.
 
 
ExclusionCriteria 
Details  1.Patients on chronic laxative medication (>60 days) and/or who are on medications known to cause constipation (like Opioid analgesics, Antidepressants,i.e. Amitriptyline and Imipramine, Anticonvulsants and Aluminum-containing antacids).
2.Those with functional gastrointestinal disorders other than Functional constipation (i.e., IBS, mucous colitis, crohn’s disease, Belching disorders, etc.)
3.Patients with a history of abdominal or anorectal surgery in the past one year and H/O those uncontrolled systemic ailments (like HIV, Diabetes mellitus, and Tuberculosis) and neurological conditions (like Parkinson’s disease and Paraplegia or Autonomic neuropathy) will be excluded.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Whole system approach will give significant result in the management of vibandha (old age constipation)  After two years 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in the Patient Quality of life   Assessed after intervention 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   01/01/2020 
Date of Study Completion (India) 31/03/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Published 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

Title of the Research Project: Efficacy Of Whole System Approach Ayurveda Interventions In Vibhanda W.S.R Oldage Constipation - A Randomized Control Clinical Trial

Summary of the proposed research 

Constipation is a common gastrointestinal complaint in apparently healthy population as well as in patients with various predisposing disorders with approximately 12 to 19% global prevalence.The prevalence of constipation rises dramatically with age, with some estimates approaching 50% among adults over 80 years of age. Up to 40% of seniors living in the community and 60% of those in institutions are affected. Lower socioeconomic class, non-white race, regular medication use, female sex, and symptoms of anxiety and depression have all been associated with increased prevalence of constipation among older people.Thehigh prevalence rate, economic burden and adverse implications on the quality of life makes constipation a major public health issue.Functional constipation is the most common form of constipation. The “Rome III criteria” is a widely accepted for diagnosis of Functional constipation.

Vibandha is a clinical condition which is especially bounded in the intestine and characterized by pain in abdomen, dry stools, indigestion etc hence, it is correlated to constipation. Today in contemporary science many of the  established Treatment options are available with their own limitation.

It is evident from WHO report that more than 80% of world population especially in developing countries dependent on herbal medicine. A large number of herbs/formulations have been mentioned for the treatment of vibandha. In ayurveda the preparations are given based on Kostha assesment hence the Whole system approach is necessary to prescribe the suitable drugs to patients. . Hence this study has been undertaken to evaluate the efficacy of Whole system approach in the management of Vibandha.

Anticipated Outcome–

1)  Whole system approach will give significant result in the management of vibandha (old age constipation)

2)  Improving the patient Quality of life in old age

Previous Published research article by Our department PG Scholar on Kalyanaka kshara.

1)      Gupta SB, Shindhe PS, Hiremath R R. Evaluation of effect of kalyanaka kshara in vibandha with special reference to constipation: An open clinical trial. Indian J Health Sci Biomed Res 2019;12:44-9

 
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