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CTRI Number  CTRI/2020/03/023705 [Registered on: 02/03/2020] Trial Registered Prospectively
Last Modified On: 02/03/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Ayurvedic treatment of breathlessness and cough. 
Scientific Title of Study   A Single Arm Clinical Study To Evaluate The Efficacy Of Madhuyastikalp (Titrated Dose)And Rasayan Chikitsa In The Management Of Bronchiectasis Vis-A-Vis Kshataksheena  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Mithlesh Meena 
Designation  P.G.Scholar 
Affiliation  All India Institute Of Ayurveda  
Address  Department of Kayachikitsa 6th Floor, Academic Block All India Institute of Ayurveda Gautampuri, Sarita Vihar, Mathura Road, New Delhi

South
DELHI
110076
India 
Phone  7974915048  
Fax    
Email  mithleshmeena2606@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Divya Kajaria 
Designation  Assistant professor 
Affiliation  All India Institute Of Ayurveda  
Address  Department of Kayachikitsa 6th Floor, Academic Block All India Institute of Ayurveda Gautampuri, Sarita Vihar, Mathura Road, New Delhi

South
DELHI
110076
India 
Phone  8826167515  
Fax    
Email  divyakajaria@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Mithlesh Meena 
Designation  P.G.Scholar 
Affiliation  All India Institute Of Ayurveda  
Address  Department of Kayachikitsa 6th Floor, Academic Block All India Institute of Ayurveda Gautampuri, Sarita Vihar, Mathura Road, New Delhi

South
DELHI
110076
India 
Phone  7974915048  
Fax    
Email  mithleshmeena2606@gmail.com  
 
Source of Monetary or Material Support  
All India Institute Of Ayurveda Gautampuri,Sarita Vihar,Mathura Road,New Delhi 110076 
 
Primary Sponsor  
Name  All India Institute of Ayurveda 
Address  All India Institute of Ayurveda, gautampuri,Sarita Vihar,Mathura Road, New Delhi 110076 
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 
DrMithlesh Meena  All India Institute Of Ayurveda   Room no-001, Unit Kayachikitsa, hospital block AIIA Gautampuri Sarita vihar Mathura road New Delhi 110076
South
DELHI 
7974915048

mithleshmeena2606@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J00-J99||Diseases of the respiratory system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Madhuyasti churna. Jivantyadi ghrita with prakshep of trikatu churna,anupana of triphala kwath and tankan bhasma.  madhuyasti churna- 6gm churna given empty stomach with milk Everyday successive increase of madhuyasti churna till it reaches 48gm and from that the dose tapered by 6gm for 15 days. 2.Then followed by Jivantyadi ghrita 20ml once in a day for one month. prakshep dravya- 3gm trikatu churna. Anupana- 50ml triphala kwath and 125mg tankan bhasm. 
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 having classical sign and symptoms of Kshataksheen
2.The study will include individuals with known diagnosis of Bronchiectasis by high resolution computed tomography (HRCT) scan
3.Clinically being stable minimum from one month
4.Not under going excercise training programme or nay other lung rehabilitation therapy
5.No acute exacerbation of Bronchiectasis 
 
ExclusionCriteria 
Details  1.Severe obstructive airway disease (FEV1 <50%, FEV1/FVC<70%)
2.Patients who are unable or unwilling to provide informed consent
3.Diagnosis of other active lung diseases (i.e. ABPA, active tuberculosis)
4.Patient taking steroid therapy from long duration (systemic or inhaled)
5.Past or current malignancy within 5 years
6.Pregnant ladies and lactating mothers
7.History of any adverse drug reaction
8.Patients having positive HIV1 and 2 or positive Hepatitis B
9.Patients with severe cardiovascular disease
10.Patients with poorly controlled Hypertension (>160/100mmhg)
11.Patients with cystic fibrosis or history of cystic fibrosis
12.Patients having Diabetes Mellitus 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Changes in sign and symptoms of Bronchiectesis (Kshataksheen)  105 days 
 
Secondary Outcome  
Outcome  TimePoints 
1.Chnages in MRC dyspnoea scale
2.Changes in HRCT scan
3.Change in PFT
4.Bronchiectasis health questionnaire
5.Change in quality of life 
105 days 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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 4 
Date of First Enrollment (India)   10/03/2020 
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="21"
Months="1"
Days="1" 
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     Bronchiectasis is characterised by permanent and abnormal dilatation of the lung airways (bronchi). It arises from  persistent bacterial airway infection on a background of a deficient immune response .the classical presenting complaints in patients of post tubercular bronchiectasis  are cough with copious sputum –mucoid,  mucopurulent or purulent. dyspnea, haemoptysis is, chest pain and fever may be present  in varying proportions.
 Bronchiectasis is seen in 30–60% of patients with active postprimary form TB and in 71–86% of patients with inactive disease. In Ayurveda, signs and symptoms of Urakshata are very similar to bronchiectasis of modern medicine. 
The cardinal features  are (cough) kasa with yellowish-black, foul smelling sputum and (haemoptysis) shonitachhardi. Ayurveda also considers interrelation-ship between bronchiactasis (Urakshata) and tuberculosis (Rajyakshma). 
According to Charaka, Urakshta if not treated appropriately, may further lead to Rajyakshma. 
In Ayurveda jivantyadi ghrita has good efficacy in reducing productive cough, haemoptysis, dyspnea and thus it is in bronchiectasis.  

 
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