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CTRI Number  CTRI/2020/03/024226 [Registered on: 24/03/2020] Trial Registered Prospectively
Last Modified On: 10/06/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Clinical evaluate of trayodashanga guggulu and sahacharadi kwatha with and without greeva basti in the management of greevasandhigata vata. 
Scientific Title of Study   A randomized comparative clinical study to evaluate the efficacy of Trayodashanga Guggulu and Sahacharadi Kwatha with and without Greeva Basti in the management of Greevasandhigata Vata w.s.r. to Cervical Spondylosis. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr HML Meena 
Designation  Associate Professor 
Affiliation  National Institute of Ayurveda 
Address  PG Department of Kayachikitsa National Institute of Ayurveda Madhav Vilas Palace Amer Road Jaipur

Jaipur
RAJASTHAN
302002
India 
Phone  9461297017  
Fax    
Email  hari_mohan68@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr HML Meena 
Designation  Associate Professor 
Affiliation  National Institute of Ayurveda 
Address  PG Department of Kayachikitsa National Institute of Ayurveda Madhav Vilas Palace Amer Road Jaipur

Jaipur
RAJASTHAN
302002
India 
Phone  9461297017  
Fax    
Email  hari_mohan68@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Ashok Kumar 
Designation  PG Scholar  
Affiliation  National Institute of Ayurveda  
Address  PG Department of Kayachikitsa National Institute of Ayurveda Madhav Vilas Palace Amer Road Jaipur

Jaipur
RAJASTHAN
302002
India 
Phone  9928502551  
Fax    
Email  dr.ashok84@gmail.com  
 
Source of Monetary or Material Support  
National Institute of Ayurveda Jorawar Singh Gate Amer Road Jaipur 302002 
 
Primary Sponsor  
Name  National Institute of Ayurveda 
Address  Madhav Vilas Palace Amer Road Jaipur 302002 
Type of Sponsor  Research institution and hospital 
 
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 Ashok Kumar  National Institute of Ayurveda Hospital Jaipur  OPD No 1, 7, 18, 25 Dept. of Kayachikitsa, Madhav Vilas Palace Amer Road Jaipur, 302002
Jaipur
RAJASTHAN 
9928502551

dr.ashok84@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE OF NATIONAL INSTITUTE OF AYURVEDA JAIPUR   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M479||Spondylosis, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Greeva Basti  Greeva Basti with Prasarini Taila daily for 45 min. once a day for 15 days in 20 Patients. 
Intervention  Trayodashang Guggulu, Sahacharadi Kwatha  20 Patients will be treated by Trayodashang Guggulu 2 tab. (each tab. of 500 mg) after meals twice a day and Sahacharadi Kwatha 40ml Kwatha orally once empty stomach in morning for 30 days. 
Intervention  Trayodashang Guggulu, Sahacharadi Kwatha and Greeva Basti  20 Patients will be treated by Trayodashang Guggulu 2 tab. (each tab. of 500 mg) after meals twice a day. Sahacharadi Kwatha 40ml Kwatha orally once empty stomach in morning for 30 days and Greeva Basti with Prasarini Taila daily for 45 min. once a day for 15 days. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1.Patient willing to participate in trial.
2.The patients in the age group of 18 - 70 years of either sex.
3.The patients having clinical sign and symptoms of Greevasandhigata Vata w.s.r. to Cervical Spondylosis.
4.The patients having chronicity of disease less than 5 years.
5.The patients having radiological finding of Cervical Spondylosis.
 
 
ExclusionCriteria 
Details  1.Recent cervical, spinal, or shoulder surgery or implanted instrumentation or previous surgery for cervical spondylotic myelopathy.
2.Patients with long term history of steroid and cytotoxic treatment.
3.Patients having concomitant illness like uncontrollable Hypertension, Diabetes Mellitus etc.
4.Patients with evidence of malignancy.
5.Patient participated in any clinical trial within last six months.
6.Pregnant or lactating women.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Relief in Shoola (pain) in patients suffering with Greevasandhigata Vata.  30 days 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in Neck Disability Index.  30 days 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "40"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/04/2020 
Date of Study Completion (India) 10/04/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Cervical Spondylosis is a chronic degenerative process of the cervical spine that affects the vertebral bodies and intervertebral disks of the neck and may progress into disk herniation, bone spur formation, compression of the spinal cord, or cervical spondylotic myelopathy.

Cervical Spondylosis is a degenerative joint disorder with the symptoms of pain, restricted movements of the neck and joint instability. It is a slow progressive disorder and occurs usually after the age of 40 years.

Cervical spondylosis is not explained details in Ayurveda but condition can be managed using principle of Ayurveda.

The symptomatology of Sandhigata Vata as described in Ayurveda classics is as follows- Hantisandhigatah (loss of function), Shoola (pain), Aatopa. Vatapurnadriti Sparsha, Shotha, Prasarana Aakunchana Savedana.

So Greevasandhigata Vata can be correlated with Cervical Spondylosis due to similarity in the clinical features.

As mentioned earlier it is increasing health burden in present scenario. Various attempts have been made by many researchers to find out effective solution for treatment of Cervical Spondylosis. The drugs used to treat Cervical Spondylosis in modern medical science have several side effects and have chance of pain again after certain time of termination of medication. The surgical treatment for Cervical Spondylosis is very costly and not a standard solution. Many Ayurveda researcher have tried to find out solution of Cervical Spondylosis treatment, but still could not be established any standard effective guideline. So there is need to assess the efficacy of drugs mentioned in Ayurveda classics and must be revalidated.

Aim:

To compare the efficacy of ‘Trayodashang Guggulu & Sahacharadi Kwatha’ with and without Greeva Basti in the management of ‘Greevasandhigata Vata’ (Cervical Spondylosis).

Objectives:

To evaluate the clinical efficacy of ‘Trayodashang Guggulu & Sahacharadi Kwatha’ with and without Greeva Basti in the management of ‘Greevasandhigata Vata’ (Cervical Spondylosis).

Null hypothesis:

There is no difference between the effects of Trayodashang Guggulu & Sahacharadi Kwatha’ with and without Greeva Basti in the management of Greevasandhigata Vata w.s.r. to Cervical Spondylosis.

Alternative hypothesis:

There is significant difference between the effects of Trayodashang Guggulu & Sahacharadi Kwatha’ with and without Greeva Basti in the management of Greevasandhigata Vata w.s.r. to Cervical Spondylosis.

 
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