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CTRI Number  CTRI/2020/02/023090 [Registered on: 03/02/2020] Trial Registered Prospectively
Last Modified On: 05/02/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study
Modification(s)  
STUDY OF KARNA NAAD ( TINITUES ) BY APAMARGAKSHAR TAILA KARNAPOORANA AND GOGHRITA PAANA (ORALY )  
Scientific Title of Study   “A CLINICAL STUDY OF APAMARGAKSHARA TAILA KARANPOORANA AND GOGHRITA PAANA IN THE MANAGEMENT OF KARAN NAAD W.S.R. TO TINNITUS” 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pramod Tukaram Borghare 
Designation  PhD Scholar 
Affiliation  Bharati Ayurveda College and Hospital 
Address  Bharati Vidyapeeth Deemed to Be University College of Ayurveda and Hospital Dhankawadi Katraj Pune Maharashtra 411043 India

Pune
MAHARASHTRA
411043
India 
Phone  9881225532  
Fax    
Email  drpramodborghare@hotmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Dhananjay Kadam 
Designation  Head of the Department and Professor 
Affiliation  Bharati Ayurveda College and Hospital 
Address  Bharati Vidyapeeth Deemed to Be University College of Ayurveda and Hospital Dhankawadi Katraj Pune Maharashtra 411043 India

Pune
MAHARASHTRA
411043
India 
Phone  9850704820  
Fax    
Email  dr.kadam66@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pramod Diwan 
Designation  Associate Professor 
Affiliation  Bharati Ayurveda College and Hospital 
Address  Bharati Vidyapeeth Deemed to Be University College of Ayurveda and Hospital Dhankawadi Katraj Pune Maharashtra 411043 India

Pune
MAHARASHTRA
411043
India 
Phone  9822284347  
Fax    
Email  pramod_diwan@yahoo.com  
 
Source of Monetary or Material Support  
Department of Shalakya Tantra Bharati Vidyapeeth deemed to be university college of Ayurveda dhankawadi pune 411043  
 
Primary Sponsor  
Name  Bharati Vidyapeeth Medical Foundation Ayurveda Hospital Pune 
Address  Bharati Vidyapeeth deemed to be university college of Ayurveda Dhankawadi Pune Department of Shalakya Tantra OPD NO 27 
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 
Pramod Borghare  BHARATI VIDYAPEETH COLLEGE OF AYURVED PUNE  Bharati Vidyapeeth College of Ayurved and Hospital Dhankawadi, Pune 411003, Department of shalakya Tantra (ENT) OPD no. 27
Pune
MAHARASHTRA 
9881225532

drpramodborghare@hotmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
BVDU Ccollege of Ayurved   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H931||Tinnitus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Karnapoorna with Apamargkshar Tail & Goghrita paana ( Oral )  Apamargkshar Tail, 2ml each ear 2 Time in a day , Karnapoorna 300 Matra Uccharan Kaal (10Min.) & Goghrita paana every day 10gm 2 times in day with Ushna Jala.2 months (60 Days) Follow up 1 month after Tretment Total 90 days  
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1.Patients presenting with symptoms of Karna naad irrespective of gender, caste and religion.
2.Patients in the age group of 25 to 75 years with intact Tympanic Membrane. 
 
ExclusionCriteria 
Details  1.Congenital Deformity. (Related to ear)
2.Perforation of Tympanic membrane.
3.Patient of Otosclerosis and fluid in the middle ear.
4.Blockage due to stenosis of external auditory canal/wax.
5.Pregnant, immune compromised patients.
6.Tinnitus due to non Otologic factors (Diabetes mellitus, Hypertension, Thyroid disease etc.) and glomus tumors, aneurysm of carotid artery, palatal myoclonus and tumors of auditory nerve.
7.Patients not willing to be registered for the trial.
8.Cases which required surgical intervention. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Patients relieve from all sign and symptoms with the help of (Tinnitus Severity Index Questionnaire)
Hematology: Hb%, TC, DC, ESR
2. Otoscopy.
3. Tuning fork test.
4. Audiometry.
(clinical examination ) 
60 days(3 follow ups of every 15 days duration) 
 
Secondary Outcome  
Outcome  TimePoints 
Patients relieve from all sign and symptoms with the help of (Tinnitus Severity Index Questionnaire)
Hematology: Hb%, TC, DC, ESR
2. Otoscopy.
3. Tuning fork test.
4. Audiometry.
(clinical examination ) 
Assessment to Recurance Folloe up 1 month 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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   Phase 1/ Phase 2 
Date of First Enrollment (India)   03/02/2020 
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="1"
Months="6"
Days="20" 
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
Modification(s)  
Karna naad which happens when Vata gets localized in the siras or channels which convey sounds. The sounds may vary and may be constant or intermittent. If left untreated, it may gradually give rise to hearing difficulties even for loud sounds and ultimately leads to deafness. 

The prevalence of tinnitus in adults with hearing problems is very high (59 to 86%), and it is estimated that tinnitus is present in 50% of patients with sudden hearing loss, 70% with Presbycusis, and 50 to 90% with noise-induced hearing loss.The prevalence of tinnitus increases significantly with aging, but people of all ages experience tinnitus. Tinnitus is also experienced by those with normal hearing; 18% of tinnitus patients were reported to have normal hearing.

Karnapoorana; - Karna being one of the Adhisthana of Vata- Dosha, Snehana becomes important to control the localized Increased Vata Dosha. Hence, Karnapoorana gains importance in the management of Karan naad Vata predominant diseases.The ingratents of apamargkshar tail are murchit sesame oil, water , apamargkshar and apamarg. To preper properly medicatet oil murchit sessarm oil mejuring 1 letter , water treted with apamarkshar mejuring 4 latter and kalka of apamarg mejuring 250gm should be taken this. oil is used in karnanad (Noice inside the ear) and deffenss.

Goghrita pana- Goghrita having property “Samskarasya Anuvartanatva” When processed with Vatashamaka drugs and having Rasayana Guna becomes the best line of treatment for Karna naad. Hence Goghrita Paana was selected.

Karan naad is a Madhyama marga gata Vata Vyadhi in which Prakupita Vata dosha settles in Shabdavaha Shrotas as a result of Vimargagamana. Hence the drugs need to have Vatahara properties in order to normalize vitiated vata dosha. Snehana is described as an important procedure in treatment of vata dosha. Apamargkshar Taila is used for snehana in the form of karnapoorana. Apamargkshar Taila mainly contains ushna virya (65.78%) drugs and til taila is its main ingredient which is considered best for treatment of vata. Til Taila is an essential analgesic and useful for wound healing, skin, ear, dental and hair problems, useful in dryness by acting as Vatashamak. Local application of oil pack in ear reduces pain. 

No. Of Patients Total :-  60

Singal Group Treated with Apamargkshar tail and goghritpaana, 2 m Months with 1 months folloup  (

Assessment  :- Day1 befor tretment , day 15 , day 30, day 45, day 60 last folloup after tretment Recurance Folloup up 1 month)


 
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