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CTRI Number  CTRI/2012/05/002663 [Registered on: 18/05/2012] Trial Registered Retrospectively
Last Modified On: 08/05/2012
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   A clinical study to see the effect of some Ayurvedic formulations in the patients of High Blood Pressure 
Scientific Title of Study   Clinical Evaluation of Ashwagandhadyarishta, Jatamamsi Arka and Sarpagandha Vati in the Management of EssentialHypertension (Uccha Raktachapa) 
Trial Acronym  ACT- HTN-2010 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pradeep Dua 
Designation  Research Officer (co-ordinator ACT project) 
Affiliation  Central Council for Research in Ayurvedic Sciences (CCRAS) 
Address  Central Council for Research in Ayurvedic Sciences (CCRAS), Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opposite D Block, Janakpuri, New Delhi
Central Council for Research in Ayurvedic Sciences (CCRAS), Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opposite D Block, Janakpuri-110058
New Delhi
DELHI
110058
India 
Phone  011-28525831  
Fax  011-28520748  
Email  duadrpradeep@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pradeep Dua 
Designation  Research Officer (co-ordinator ACT project) 
Affiliation  Central Council for Research in Ayurvedic Sciences (CCRAS) 
Address  Central Council for Research in Ayurvedic Sciences (CCRAS), Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opposite D Block, Janakpuri, New Delhi
Central Council for Research in Ayurvedic Sciences (CCRAS), Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opposite D Block, Janakpuri-110058
New Delhi
DELHI
110058
India 
Phone  011-28525831  
Fax  011-28520748  
Email  duadrpradeep@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pradeep Dua 
Designation  Research Officer (co-ordinator ACT project) 
Affiliation  Central Council for Research in Ayurvedic Sciences (CCRAS) 
Address  Central Council for Research in Ayurvedic Sciences (CCRAS), Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opposite D Block, Janakpuri, New Delhi
Central Council for Research in Ayurvedic Sciences (CCRAS), Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opposite D Block, Janakpuri-110058
New Delhi
DELHI
110058
India 
Phone  011-28525831  
Fax  011-28520748  
Email  duadrpradeep@gmail.com  
 
Source of Monetary or Material Support  
Support in terms of infrastructural facilities: 1.Rajiv Gandhi Government Post-Graduate Ayurvedic College, Paprola, District Kangra-176115, Himachal Pradesh, India.2.National Institute of Ayurveda (NIA), Amer Road, Madhav Vilas Palace, Jaipur-302002, Rajasthan, India.3.Tilak Ayurved Mahavidyalaya, 583 / 2, Rasta Peth, Pune-411011, Maharashtra, India. 
 
Primary Sponsor  
Name  Department of AYUSH Ministry of Health Family Welfare Government of India  
Address  Department of AYUSH, Ministry of Health & Family Welfare, Government of India, IRCS Building, Red Cross Road, New Delhi-110001 
Type of Sponsor  Government funding agency 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Prof Ajay Kumar SharmaDr Pratibha Tiwari  National Institute of Ayurveda (NIA)   Department of Kayachikitsa, Amer Road, Madhav Vilas Palace,Jaipur-302002, Rajasthan, India.
Jaipur
RAJASTHAN 
09414250295
0141-2635709
pasharma_jpr@yahoo.com 
Dr Vijay ChaudharyDr Toshi Agarwal  Rajiv Gandhi Government Post-Graduate Ayurvedic College  Department of Kayachikitsa, Paprola, District Kangra-176115, Himachal Pradesh, India
Kangra
HIMACHAL PRADESH 
9418130228
01894242064
drvijaychaudhary@gmail.com 
Dr AJ ShimpiDr Mallesh R Kulal  Tilak Ayurved Mahavidyalaya  Department of Kayachikitsa, 583/2, Rasta Peth, Pune-411011, Maharashtra, India
Mumbai
MAHARASHTRA 
9370097917
02026336428
shriyashimpi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
Institutional Ethics Committee, National Institute of Ayurveda (NIA), Jaipur  Approved 
Institutional Ethics Committee, Rajiv Gandhi Government Post-Graduate Ayurvedic College, Paprola  Approved 
Institutional Ethics Committee, Tilak Ayurved Mahavidyalaya, Pune  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Essential Hypertension,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  ASHWAGANDHADYARISHTA ALONG WITH SARPAGANDHA VATI AND JATAMAMSI ARKA  ASHWAGANDHADYARISHTA: Dose – 25 ml twice daily;Dosage form – Arishta (fermented liquid); Route of Administration –oral; Time of Administration-Twice a day after food;Anupana-Water in equal quantity;Packing form- 400 ml pet bottle; Duration of therapy-12 weeks; Along With SARPAGANDHA VATI: Dose – 1 gm (2 tablets) twice daily; Dosage form – Tablets of 500 mg; Route of Administration – oral; Time of Administration-Twice a day after food; Anupana-Water; Packing form- 30 gm (a plastic jar containing 60 tablets); Duration of therapy-12 weeks; And JATAMAMSI ARKA :Dose – 10 ml twice daily; Dosage form – Arka (liquid); Route of Administration – oral; Time of Administration-Twice a day before food; Anupana-Water; Packing form- 300 ml pet bottle; Duration of therapy-12 weeks 
Comparator Agent  Not applicable  Not applicable 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Patients of either sex aged 18 years and above.
2. Diagnosed patients of essential hypertension with:
S.B.P. < 159 mm. Hg. and ≥ 140 mm Hg.
D.B.P. ≤ 99 mm. Hg. and > 90 mm. Hg
(Hypertension Stage –1, as per JNC VII report, 2004)
3. Willing and able to participate for 16 weeks 
 
ExclusionCriteria 
Details  1. Patients who have a past history of Atrial Fibrillation, Acute Coronary Syndrome, Myocardial Infarction, Stroke or Severe Arrhythmia in the last 6 months.
2. Symptomatic patients with clinical evidence of Heart failure.
3. Secondary hypertension.
4. Patients with concurrent serious Hepatic Dysfunction (defined as AST and/or ALT > 3 times of the upper normal limit) or Renal Dysfunction (defined as S. creatinine > 1.2mg/dl),uncontrolled Pulmonary Dysfunction (asthmatic and COPD patients) or other concurrent severe disease.
5. Patients with Diabetes Mellitus {B.S. (F) > 126 mg% and / or B.S. (2 hr. PP)
>200 mg% OR HbA1c> 6.5%}
6. Women who are pregnant or lactating.
7. Patients on steroids, oral contraceptive pills or estrogen replacement therapy.
8. Alcoholics and/or drug abusers.
9. Serum Triglycerides ≥ 250 mg/dl
10. Patients with evidence of malignancy
11. Patients suffering from major systemic illness necessitating long term drug treatment (Rheumatoid arthritis, Psycho-Neuro-Endocrinal disorders, etc.)
12. H/o hypersensitivity to any of the trial drugs or their ingredients.
13. Patients who have completed participation in any other clinical trial during the past six (06) months.
14. Any other condition which the P.I. thinks may jeopardize the study. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Changes from baseline measurements in mean sitting systolic blood pressure and mean sitting diastolic blood pressure.  at Baseline, 14th day, 28th day, 42nd day, 56th day, 70th day, 84th day and at the end of follow up after 16 weeks. 
 
Secondary Outcome  
Outcome  TimePoints 
• Change in the SF-36-Health Survey Score.
• Change in Hamilton Anxiety Rating Scale (HAM – A) Score. 
SF-36 Survey Score-Baseline, 84th day and at the end of follow up after 16 weeks.
HAM-A score-at Baseline, 14th day, 28th day, 42nd day, 56th day, 70th day, 84th day and at the end of follow up after 16 weeks. 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
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 2 
Date of First Enrollment (India)   24/02/2011 
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="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   To be published after the completion of the clinical trials in all the three centers. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Aimed at scientific validation of the clinical efficacy and safety of twenty nine (29) classical Ayurvedic pharmacopoeial formulations, multicentre clinical trials have been initiated as an activity under the Ayurveda Clinical Trials (ACT) project of the Ayurvedic Pharmacopoeia committee (APC) during August 2010 in eighteen (18) disease conditions involving fifty four (54) M.D/PhD (Ay.) research scholars in eight (08) postgraduate Ayurveda colleges across the country.

 Asvagandhadyarista is a fermented liquid preparation containing Asvagandha (Withania somnifera), Musali (Chlorophytum tuberosum), Manjistha (Rubia cordifolia), Haritaki (Terminalia chebula), Haridra (Curcuma longa), Daruharidra (Berberis aristata), Madhuka (Glycyrrhiza glabra), Rasna (Pluchea lanceolata), Vidari (Pueraria tuberosa), Arjuna (Terminalia arjuna), Musta (Cyperus rotundus), Trivrta (Ipomoea turpethum), Sveta Sariva (Hemidesmus indicus), Krsna Sariva (Cryptolepis buchanani), Sveta Candana (Santalum album), Rakta Candana (Pterocarpus santalinus), Vaca (Acorus calamus), Citraka (Plumbago zeylanica), Dhataki (Woodfordia fruticosa), Shunthi (Zingiber officinale), Maricha (Piper nigrum), Pippali (Piper longum), Tvak (Cinnamomum zeylanicum), Patra (Cinnamomum tamala), Priyangu (Callicarpa macrophylla), Sukshma ela (Elettaria cardamomum), Nagakesara (Mesua ferrea) and Honey.

Jatamamsi Arka is a liquid preparation obtained by hydro-distillation of rhizomes of Nardostachys jatamansi.

Sarpagandha Vati is prepared by air dried root of Rauwolfia serpentina.

 The present study is being undertaken in three post graduate Ayurveda colleges to scientifically study and validate the clinical efficacy and safety of Ashwagandhadyarishta, Jatamamsi Arka and Sarpagandha Vati- classical Ayurvedic formulation. These formulations have been in use since ages and found to be useful in treating Essential Hypertension (Uccha Raktachapa) and promoting the health.

 The Central Council for Research in Ayurvedic Sciences (CCRAS) is the nodal organization to co-ordinate and monitor these trials. CCRAS has provided the necessary infrastructure to the participating colleges, technical inputs (including the clinical trial protocols), trial drugs and training to the researchers involved in the project.

 
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