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CTRI Number  CTRI/2019/09/021431 [Registered on: 27/09/2019] Trial Registered Prospectively
Last Modified On: 25/09/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   An Ayurvedic management in pterygium. 
Scientific Title of Study   A COMPARATIVE STUDY ON EFFECT OF SHASTRAVARTI ANJANA AND NAYANASUKHAVARTI ANJANA IN THE MANAGEMENT OF ARMA 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sudhakar 
Designation  PG scholar 
Affiliation  Government Ayurveda Medical College, Bangalore. 
Address  Department of PG studies in Shalakya tantra, Shalakya tantra OPD, room no. 9, Government Ayurveda Medical College, Bangalore

Bangalore
KARNATAKA
560009
India 
Phone  9448567798  
Fax    
Email  drsudhakarayush@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Syed Munawar Pasha 
Designation  Associate Professor 
Affiliation  Government Ayurveda Medical College, Bangalore. 
Address  Department of PG studies in Shalakya tantra, Shalakya tantra OPD, room no. 9, Government Ayurveda Medical College, Bangalore

Bangalore
KARNATAKA
560009
India 
Phone  9886593932  
Fax    
Email  smpasha78@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sudhakar 
Designation  PG scholar 
Affiliation  Government Ayurveda Medical College, Bangalore. 
Address  Department of PG studies in Shalakya tantra, Shalakya tantra OPD, room no. 9, Government Ayurveda Medical College, Bangalore


KARNATAKA
560009
India 
Phone  9448567798  
Fax    
Email  drsudhakarayush@gmail.com  
 
Source of Monetary or Material Support  
Dr. Sudhakar 
Sri Jayachamarajendra Institute of Indian Medicine Hospital, Government Ayurveda Medical College campus, Bangalore 
 
Primary Sponsor  
Name  Dr Sudhakar 
Address  Department of PG studies in Shalakya tantra, Shalakya tantra OPD, room no. 9, Government Ayurveda Medical college, Bangalore-560009 
Type of Sponsor  Other [Self] 
 
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 Sudhakar  Sri Jayachamarajendra Institute of Indian Medicine Hospital  Shalakya tantra OPD, room no. 9, Government Ayurveda Medical College campus, Dhanvantari road, Bangalore-560009
Bangalore
KARNATAKA 
9448567798

drsudhakarayush@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical committee, Government Ayurveda Medical College, Bangalore  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H110||Pterygium of eye,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nayanasukhavarthi anjana  Nayanasukhavarthi anjana is applied once in a day in morning, daily for 2 months. 
Intervention  Shastravarti anjana  Shastravarti anjana is applied once in a day in morning, daily for 2 months. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Clinical features as per classics
2. Pterygium which limited to limbus
 
 
ExclusionCriteria 
Details  1. Those who suffering from conjunctival Xerosis,Vit-A deficiency and Xeropthalamia.
2. Acute Infections of eye.
3. Pseudopterygium
4. Those contraindicated for Anjana therapy.
5. Subject suffering from any chronic Debilitating disorders.
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Pictorial presentation  2 months 
 
Secondary Outcome  
Outcome  TimePoints 
Visual acuity  2 months 
 
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   N/A 
Date of First Enrollment (India)   28/09/2019 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

6       NEED FOR THE STUDY:
Arma is the shuklagataroga described in classical texts of Ayurveda by AcharyaSushruta and Vagbhata. 
Based on site of manifestation, clinical presentation and surgical method of management Arma can be compared with pterygium which is  common disorder of ocular surface. The epidemiological studies have shown that the prevalence rates of Pterygium range between 0.3% and 37.46% globally.Pterygium prevalence in rural central India is about 13%, among the adult Indian aged above 30 years. Older age, male gender, lower educational level and more time spent outdoors with vigorous were associated factors.

Pterygium is a fibro vascular degeneration of conjunctiva, commonly encroaching on to the cornea. It is usually triangular or wing shaped. It not only affects beautiful outlook of the patient, but also leads refractive astigmatism and is a potentially blinding disease in the advanced stage due to invasion of the visual axis, which can have significant impact on vision.

Basically treatment of pterygium in modern medicine is surgical excision, 90% pterygium surgeries are successful, and complications though rare are more serious. Even though surgical treatments are available, the hardship caused due to the surgery and the cost associated with it is high and recurrence rate is 30-50%. Considering these lacunas in modern science has stressed upon the need for the study for effective measure which can cure the condition and prevent recurrence and hence the present study has been taken up.


HYPOTHESIS:

NULL HYPOTHESIS-

H0: Shastravartianjan has no effect in arma management.

ALTERNATE HYPOTHESIS-

*H1: There will be significant effect of shastravartianjana in the management of arma.

*H2: There will be significant effect of Nayanasukhavartianjana in the management of arma.
            *H3: Both Shastravartianjan and Nayansukhavartianjana have significant effect in the management of arma.

 
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