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CTRI Number  CTRI/2019/12/022472 [Registered on: 20/12/2019] Trial Registered Prospectively
Last Modified On: 26/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Non-randomized, Placebo Controlled Trial 
Public Title of Study   Effect Of Saubhagya Sunthi Granules in Sutika. 
Scientific Title of Study   Puerperal Care (Sutika Paricharya) Of Women Inhabiting Within Tribal Region Through Ayurvedic Herbal Formulation. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rahulkumar Ramkrushna Kamde 
Designation  Assistant Professor, PhD (Scholar) 
Affiliation  Bharati Vidyapeeth (Deemed to be University), College of Ayurved, Pune-Satara Road, Pune-411043  
Address  Department of Prasuti tantra & Stree rog, 2nd floor, New building Room No.128 College Of Ayurved, Bharti Vidyapeeth (Deemed to be University), Katraj, Pune (MS)

Pune
MAHARASHTRA
411043
India 
Phone  9422815205  
Fax    
Email  kamderahul77@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rahulkumar Ramkrushna Kamde 
Designation  Assistant Professor, PhD (Scholar) 
Affiliation  Bharati Vidyapeeth (Deemed to be University), College of Ayurved, Pune-Satara Road, Pune-411043  
Address  Department of Prasuti tantra & Stree rog, Ground floor, OPD building Room No.1 KVTR Ayurved Corllege Boradi Tal- Shirpur

Dhule
MAHARASHTRA
425428
India 
Phone  9422815205  
Fax    
Email  kamderahul77@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Swati Surendra Mohite 
Designation  Professor & HOD (Prasuti tantra evum Striroga) 
Affiliation  Bharati Vidyapeeth (Deemed to be University), College of Ayurved, Pune-Satara Road, Pune-411043  
Address  Department of Prasuti tantra & Stree rog, 2nd floor, New building Room No 128 College Of Ayurved, Bharti Vidyapeeth (Deemed to be University), Katraj, Pune (MS)

Pune
MAHARASHTRA
411043
India 
Phone  9822004562  
Fax    
Email  dr.ssmohite@gmail.com  
 
Source of Monetary or Material Support  
College Of Ayurved, Bharti vidyapeeth (Deemed to be University), Katraj, Pune (MS)- 411043 
 
Primary Sponsor  
Name  Dr Rahulkumar Ramkrushna Kamde 
Address  KVTR Ayurved College, Boradi, Tal: Shirpur, Dist: Dhule (MS) Pin code: 425428 
Type of Sponsor  Other [Private Ayurved Medical college & Hospital] 
 
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 Rahulkumar Ramkrushna Kamde  College of Ayurved, Bharti Vidyapeeth  Department of Prasuti tantra & Striroga, COA, BV(DU), Pune-Satara road, Katraj, Pune 411043
Pune
MAHARASHTRA 
9422815205

kamderahul77@gmail.com 
Dr Rahulkumar Ramkrushna Kamde  KVTR Ayurved College, Boradi  At post- Boradi, Tal- Shirpur, Dist- Dhule 425428
Dhule
MAHARASHTRA 
9422815205

kamderahul77@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Bharti Vidyapeeth(DU) College of Ayurved Ethics Committee  Approved 
Institutional Ethics committee, KVTR Ayurved College, Boradi  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O909||Complication of the puerperium, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  No Medicinal Intervention  Tribal Patients will follow their traditional diet and routine  
Intervention  Saubhagya Sunthi Granules  Saubhagya Sunthi Granules 5 gram BD Per Oral From First to 42nd day Post natal 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Volunteers willing to participate as a clinical trial subject and giving written consent.
Age between 18 to 45 years.
Woman with uncomplicated vaginal delivery with or without episiotomy.
Woman with mild anemia Hb% 7 gm or more, will be included.
 
 
ExclusionCriteria 
Details  Volunteers not willing to participate or not giving consent will be excluded.
Woman with serious post natal complications namely Severe PPH, Shock, Eclampsia, Uterine Inversion.
Severe anemia Hb% less than 7 gm.
Woman with known sensitivity or allergy to any of the ingredient(s) of the Study drug.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1)Effect of Study drug on Involution of Uterus, assessed by Symphysis Fundal Height (Day: 0-3; 10-14 post natal)
2)Effect on color and amount of lochia (Day: 0-3; 10-14; 24-28 post natal)sanitary pad examination.
3)Effect on After Pains (Day: 0-3; 10-14; 24-28; 41-45 post natal) assessed by VAS scale 
Day: 0-3; 10-14; 24-28; 41-45 post natal 
 
Secondary Outcome  
Outcome  TimePoints 
1) Effect on Lactation (Day: 0-3; 10-14; 24-28; 41-45 post natal) assessed by Neonatal weight gain, urine, stool & sleep pattern
2) Anti-inflammatory effect on wound; if present (Day: 0-3; 10-14; 24-28; 41-45 post natal)
3) Global assessment of Overall safety and tolerability of study drug by investigator and the subject at the end of trial.
 
Day: 0-3; 10-14; 24-28; 41-45 post natal 
 
Target Sample Size   Total Sample Size="800"
Sample Size from India="800" 
Final Enrollment numbers achieved (Total)= "1071"
Final Enrollment numbers achieved (India)="1071" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   29/12/2019 
Date of Study Completion (India) 29/05/2024 
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)  
1)WORLD JOURNAL OF PHARMACEUTICAL AND MEDICAL RESEARCH (ISSN:2455-3301) Vol6 Issue5. "THEORETICAL ESTABLISHMENT OF MAINENANCE OF HEALTH OF SUTIKA THROUGH BIOACTIVE INGREDIENTS OF SAUBHAGYA SUNTHI PAK" Manuscript no. WJPMR/3533/6/2020. SJIF impact factor: 5.922, ICV 78.6 2) THE JOURNAL OF ORIENTAL RESEARCH MADRAS ISSN:0022-3301; Vol. XCIII-XV: 2022, November 2022 (P.No. 45-51)UGC CARE Group-1:369 (Year 2022) "SAUBHAGYA SUNTHI PAK- KEY TO HEALTH FOR NEW MOTHERS"  
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
This study is an open labeled, non-randomized, controlled clinical trial for assessment of efficacy and safety of Saubhagya Sunthi Granules in tribal women during puerperium. The sample population is from tribal region of district Dhule, Maharashtra, India. The primary outcome measure will be the effect on involution of uterus, color & amount of lochia and after pains of delivery. The secondary outcome measure will be the effect on lactation and anti-inflammatory effect assessed regularly on Day: 0-3; 10-14; 24-28; 41-45 post natal, as well as Global assessment of safety and efficacy by subjects and investigator at the end of trial.
Due to Lockdown imposed in pandemic of COVID 19, Preperation of investigational product was abandoned. After conditions got better the trial is underway. Trial is open for recruitment since 18/10/2020.

Present clinical trial was planned to reach out such deprived population. Control group was the one which practiced their traditionally practiced puerperal regimen {sutika paricharya (aahar & vihar)} and experimental group was supplemented with Saubhagya Sunthi Granules (SSG) along with traditionally practiced puerperal regimen {sutika paricharya (aahar & vihar)}. A total 1071 subjects were screened during Oct 2020 to May 2022. 196 met exclusion criteria, 875 included to trial by alternate allocation in both groups. The number of subjects dropped out from experimental and control group was 30 & 25 respectively. Completers (400 from either groups) were evaluated statistically on the basis of various demographic as well as subjective and objective parameters. The quest was to find out effect of consumption of Saubhagya Sunthi Granules (SSG) by puerpera (sutika). The results obtained were discussed in comparison with available previous authentic research conclusions and officially published records available on internet.

The large sample size was adequate to reach authentic conclusions. The final conclusions derived are as follows:

      Consumption of SSG made a brisk and sustained positive impact on digestive power of subjects in experimental group whereas in control group the digestive power raised at a gradual physiological rate over a period of 6 weeks postpartum. This demarcation between both groups is found statistically significant.

      Breast secretions (Lactation) in subjects of experimental group shown more improvement, which is statistically significant.

      Neonatal weight gain was evaluated more significant in babies of subjects in experimental group. Thus indicating better quality and quantity of breast milk in subjects of experimental group.

      Neonatal urine output, stool output and sleep trajectories was found better in babies of subjects in experimental group which is conclusive of better amount of breast milk received.

Among laboratory parameters, statistically significant rise in Hemoglobin% was noted in experimental group and reversal of the Total Leucocyte Count to normal limits is found more effectively in subjects of experimental group.

      The subjects in experimental groups has better reversal of post-natal obese belly.

      The subjects in experimental group has a lower rate of post natal weight retention hence the BMI recorded was also inclined more towards healthier limits.

      Observed percentage of improvement in after pains assessed by VAS scale, is almost identical for both the groups. Hence SSG is not found much effective in post natal after pains.

      There was no statistically significant distinction observed between the control and experimental groups concerning the recovery of the perineal wound. But in control group 4 (3.39%) subjects reported with perineal wound dehiscence and another 6 (5.08%) suffered from tender perineal scar. Whereas in experimental group no such adverse event detected.

      The vital parameters like temperature, pulse and blood pressure were identical in both groups and mostly noted unaffected.

      Blood sugar random were found within limits of normal. No significant variation was observed in both groups.

      There was no statistically significant distinction observed between the control and experimental groups with respect to pattern & amount of lochial discharge and relief from after pains.

The conclusions are summarized as, major role of Saubhagya Sunthi Granules (SSG) was assumed to aid for involution of genital organs, prevention of post-natal ailments and facilitate lactation. All these actions are found affirmative in the present clinical trial.

Consumption of SSG during puerperal stage has shown excellent effect on digestive power, lactation, enhanced haemoglobin percentage, reversal of leucocytosis, neonatal weight gain, better neonatal urine-stool output and better sleep trajectories of neonate.

Moderate efficacy of SSG is seen in reversal of post natal obese belly, lower rate of post natal weight retention and healing of perineal wound.

No alteration was noted in temperature, pulse, blood pressure, random blood sugar, pattern & amount of lochia and after pains.

Good to excellent grades were awarded for Saubhagya Sunthi Granules on the Global Assessment of overall safety & tolerability by the subjects in the experimental group.
 
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