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CTRI Number  CTRI/2012/01/002348 [Registered on: 18/01/2012] Trial Registered Retrospectively
Last Modified On: 06/01/2012
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 an Ayurvedic formulation in the patients of Irritable Bowel Syndrome 
Scientific Title of Study   Clinical Evaluation of Bilvadi Leha in the Management of Irritable Bowel Syndrome (IBS) 
Trial Acronym  ACT- IBS-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
Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opposite D Block, Janakpuri, New Delhi
West
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
Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opposite D Block, Janakpuri, New Delhi
West
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
Jawahar Lal Nehru Bhartiya Chikitsa Evam Homoeopathy Anusandhan Bhawan, 61-65, Institutional Area, Opposite D Block, Janakpuri, New Delhi
West
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. National Institute of Ayurveda (NIA), Jaipur 2. Rajiv Gandhi Government Post-Graduate Ayurvedic College, Paprola 3. Institute of Post-Graduate Training & Research in Ayurveda (IPGT&RA), Jamnagar 
 
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 M S Baghel Ramanand Tiwari   Institute of Post-Graduate Training & Research in Ayurveda (IPGT&RA)  Office of the Director and the Department of Kayachikitsa, Gujarat Ayurved University, Jamnagar-361001
Jamnagar
GUJARAT 
9427207964
91-288-2676856
baghelayu@rediffmail.com 
Dr Daya Shankar Mishra Dr Gurpreet Kaur   National Institute of Ayurveda (NIA)   Department of Kayachikitsa, Amer Road, Madhav Vilas Palace, Jaipur-302002
Jaipur
RAJASTHAN 
9414240060
0141-2635709
nagarmishra@yahoo.com 
Prof YK Sharma Dr Uzma Siddiqui   Rajiv Gandhi Government Post-Graduate Ayurvedic College  Department of Kayachikitsa, Paprola, District Kangra-176115
Kangra
HIMACHAL PRADESH 
9418007291
01894242064
dryks2@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, IPGT&RA, Jamnagar, Gujarat, India  Approved 
Institutional Ethics Committee, Rajiv Gandhi Government Post-Graduate Ayurvedic College, Paprola  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Irritable Bowel Syndrome,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bilvadi Leha  Dose – 10 gm twice daily Dosage form - Avleha- Route of Administration – Oral Time of Administration-Twice a day after food Anupana-Lukewarm Water Packing form- 300 gm pet jar Duration of therapy-12 weeks  
Comparator Agent  Not applicable  Not applicable 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Patients of either sex with age between 18 and 65 years
2. Known case of IBS as per Rome III criteria :
(Symptoms of recurrent abdominal pain or discomfort and a marked change in
bowel habit for atleast six months, with symptoms experienced on atleast 3
days/month in the last 3 months associated with two or more of the following:
· Pain is relieved by defecation
· Onset associated with change of frequencey of stools
· Onset assoicated with a change in form (appearance) of stools.
(Diagnosis to be confirmed by using the IBS module questionnaire)
3. Willing and able to participate in the study 
 
ExclusionCriteria 
Details  1. Patients with bleeding per rectum.
2. Mixed infection with parasites like round worms, hook worms etc.
3. Patients with evidence of malignancy
4. Patients with Diabetes Mellitus {B.S. (F) > 126 mg% and / or B.S. (2 hr. PP)
>200 mg% OR HbA1c> 6.5%}.
5. Patient with poorly controlled Hypertension (> 160 / 100 mm Hg)
6. Patients on prolonged (> 6 weeks) medication with corticosteoids, antidepressants,
anticholinergics, etc. or any other drugs that may have an influence on the
outcome of the study.
7. Patients suffering from major systemic illness necessitating long term drug
treatment (Rheumatoid arthritis, Tuberculosis, Psycho-Neuro-Endocrinal
disorders, etc.)
8. Patients who have a past history of Atrial Fibrillation, Acute Coronary Syndrome,
Myocardial Infarction, Stroke or Severe Arrhythmia in the last 6 months.
9. Symptomatic patient with clinical evidence of Heart failure.
10. Patients with concurrent serious hepatic disorder (defined as Aspartate Amino
Transferase (AST) and / or Alanine Amino Transferase (ALT), Total Bilirubin,
Alkaline Phosphatase (ALP) > 2 times upper normal limit) or Renal Disorders
(defined as S. Creatinine >1.2mg/dL), Severe Pulmonary Dysfunction
(uncontrolled Bronchial Asthma and / or Chronic Obstructive Pulmonary Disease
[COPD]), or any other condition that may jeopardize the study.
11. Alcoholics and/or drug abusers.
12. H/o hypersensitivity to the trial drug or any of its ingredients.
13. Pregnant / lactating woman.
14. Patients who have completed participation in any other clinical trial during the
past six (06) months.
15. Any other condition which the Principal Investigator 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 
Global Improvement in signs and symptoms of IBS (IBS severity score)
 
At Baseline, 14th day-28th day-42nd day-56th day-70th day-84th day and at the end of follow up after 16th week.
 
 
Secondary Outcome  
Outcome  TimePoints 
Proportion of patients who achieve improvement in Diarrhoea / Constipation.  At Baseline, 14th day-28th day-42nd day-56th day-70th day-84th day and at the end of follow up after 16th week. 
 
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)   20/01/2011 
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 July-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.

Bilvadi Leha is a poly herbal preparation containing Bilva (Aegle marmelos), Musta (Cyperus rotundus), Dhanyaka (Coriandrum sativum), Jiraka (Cuminum cyminum), Sukshma ela (Elettaria cardamomum), Tvak (Cinnamomum zeylanicum), Nagkesara (Mesua ferrea), Sunthi (Zingiber officinale), Marica (Piper nigrum), Pippali (Piper longum) and Jirna Guda (Old Jaggery).

Bilvadi leha has been in use since ages, and has been found to be useful in treating Irritable Bowel Syndrome and promoting the health. The present study is being undertaken in three post graduate Ayurveda colleges involving the post graduate scholars who are  doing the clinical trials to scientifically study and validate the clinical efficacy and safety of this Ayurvedic formulation as a part of their Post Graduate (PG) Thesis.

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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