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CTRI Number  CTRI/2019/12/022278 [Registered on: 06/12/2019] Trial Registered Prospectively
Last Modified On: 11/06/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   ayurvedic management of Janusandhigata Vata (Osteoarthritis of Knee joint) with Trayodashanga Guggulu and Yogaraja Guggulu. 
Scientific Title of Study   “Evaluation of Trayodashanga Guggulu and Yogaraja Guggulu in management of Janusandhigata Vata (Osteoarthritis of Knee joint).” 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR DHARA NILESHKUMAR DELIWALA 
Designation  PG SCHOLAR 
Affiliation  J S AYURVEDA MAHAVIDHYALAYA 
Address  Department of Kayachikitsa, J S AYURVEDA MAHAVIDYALAYA, COLLEGE ROAD NADIAD,KHEDA

Kheda
GUJARAT
387001
India 
Phone  9426712776  
Fax    
Email  drdhara.deliwala@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  VD TAPAN M VAIDYA 
Designation  PROFESSOR  
Affiliation  J S AYURVEDA MAHAVIDYALAYA 
Address  J S AYURVEDA MAHAVIDYALAYA COLLEGE ROAD NADIAD

Kheda
GUJARAT
387001
India 
Phone  9924304388  
Fax    
Email  vdtapan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  VD TAPAN M VAIDYA 
Designation  PROFESSOR  
Affiliation  J S AYURVEDA MAHAVIDYALAYA 
Address  J S AYURVEDA MAHAVIDYALAYA COLLEGE ROAD NADIAD

Kheda
GUJARAT
387001
India 
Phone  9924304388  
Fax    
Email  vdtapan@gmail.com  
 
Source of Monetary or Material Support  
SUNDAR AYURVEDA PHARMACY J S AYURVEDA COLLEGE NADIAD 
 
Primary Sponsor  
Name  J S AYURVEDA MAHAVIDYALAYA 
Address  J S AYURVEDA MAHAVIDYALAYA COLLEGE ROAD NADIAD 387001 
Type of Sponsor  Private 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 
DR DHARA NILESHKUMAR DELIWALA  P D PATEL AYURVEDA HOSPITAL  KAYACHIKITSA AND PANCHAKARMA OPD OF P D PATEL AYURVEDA HOSPITAL
Kheda
GUJARAT 
9426712776

drdhara.deliwala@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE FOR HUMAN RESEARCH  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M179||Osteoarthritis of knee, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  TRAYODASHANGA GUGGULU   THERE WILL BE 2 GROUPS EACH WITH 15 PATIENTS ONE GROUP WILL BE GIVEN TRAYODASHANGA GUGGULU ORALLY 3 TABLET THRICE A DAY FOR 6 WEEKS AND OTHER WILL BE GIVEN YOGARAJA GUGGULU WILL ALSO BE GIVEN ORALLY 3 TABLETS THRICE A WEEK FOR 6 WEEKS 
Comparator Agent  YOGARAJA GUGGULU   YOGARAJA GUGGULU ORALLY 3 TABLETS FOR 6 WEEKS WILL BE GIVEN TO 15 PATIENT IN COMPARE TO TRAYODASHANGA GUGGULU. 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1.Patient who fulfilling the diagnostic criteria as which will be on the basis of presence of signs and symptoms of Sandhisula, Sandhisotha, Sandhigraha, Akunchana prasaranajanya vedana, Sandhisphutana
2.Patients having age of both genders between 40 to 80 years.
 
 
ExclusionCriteria 
Details  1.Female patients have pregnancy or lactating period.
2.Patient with associated disease which affects the outcomes or completion of the treatment i.e. cardiovascular disorders, osteoporosis, hyperthyroidism or hypothyroidism, cancer, tuberculosis, heart diseases, psoriatic arthritis, kidney and liver disorders.
3.Patients who have taken medication of corticosteroids within last 3 months and anti-inflammatory, analgesics medicine within last 7 days.
4.Patients having age less than 40 and more than 80 years.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
EFFECT OF AYURVEDIC MANAGEMENT IN PATIENT OF JANUSANDHIGATA VATA  patient will be assessed every week for 6 week duration 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NOT APPLICABLE 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= "30"
Final Enrollment numbers achieved (India)="27" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/12/2019 
Date of Study Completion (India) 28/04/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
THIS WILL BE SUBMITTED IN A FORM OF DISSERTATION AND MAY PUBLISHED IN ANY PEER REVIEW JOURNAL WITH PRIOR PERMISSION OF GUJARAT AYURVEDA UNIVERSITY 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
THE PRESENT RESEARCH WORK WAS PERFORMED TO FIND THE EFFECTIVENESS OF AYURVEDIC MANAGMENT IN PATIENT OF JANU SANDHIGATA VATA (OSTEOARTHRITIS OF KNEE JOINT). SANDHIGATAVATA IS ONE OF THE MAJOR CAUSES OF CHRONIC DISABILITY AND AFFECTING THE QUALITY OF LIFE. BOTH AYURVEDA AND MODERN HAVE TYPICAL CLINICAL SYMPTOMS SUCH AS PAIN, STIFFNESS AND INFLAMMATION. TRAYODASANGA GUGGULU AND YOGARAJA GUGGULU BOTH ARE THE ORAL MEDICAMENTS MENTIONED IN MOST AYURVEDIC CLASSIC FOR TREATMENT OF SANDHIGATAVATA.
MAIN AIM OF THIS STUDY WAS TO FIND OUT THE DIFFERENCE IN EFFECT OF BOTH THE GROUP WITH THE HELP OF CHANGES OBTAINED IN SIGN AND SYMPTOMS OF SANDHIGATAVATA AS WELL AS WOMAC SCALE, VAS SCALE AND X-RAY.
STUDY SHOWED THAT ELDERLY PERSON, OBESE AND PREDOMIENATELY FEMALE WERE MORE PRONE TO OSTEOARTHRITIS. THE ULTIMATE RESULT FOR OA PATIENTS WERE REDUCTION IN SCORE OF WOMAC SCALE, VAS SCALE AND X RAY SCORE. THERE WAS IMPROVEMENT IN THERE DAY TO DAY ACTIVITY. THERE WAS STASTISTICALLY HIGHLY SIGNIFICANT RESULT FOUND IN BOTH GROUP WITH PAIRED AND UNPAIRED T TEST. BOTH MEDICAMENTS WERE VERY EFFECTIVE ON SANDHIGATAVATA BUT IT WAS OBSERVED THAT TRAYODASANGA GUGGULU WAS MORE EFFECTIVE FOR SULA(PAIN). ACCORDING TO X RAY FINDING PATIENTS OF 3 OR 4 GRADES DID NOT GET MUCH RESULTS BUT IN PATIENTS WITH 1 AND 2 GRADES GOT MORE SATISFACTORY RELIEF IN PAIN AND SYMPTOMS. IT SUGGESTS THAT PATIENT WITH LOW GRADES HAVE HIGHER CHANCE OF PROGNOSIS.

 
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