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CTRI Number  CTRI/2020/04/024513 [Registered on: 08/04/2020] Trial Registered Prospectively
Last Modified On: 28/03/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Diagnostic 
Study Design  Single Arm Study 
Public Title of Study   A Study Of Paachana Modality In The Patients Of Dyslipidaemia 
Scientific Title of Study   A Study On Dashavidha Langhana In Perspective Of Autophagy To Assess The Role Of Paachana Modality To Cause Autophagy In Patients Of Medo Dushti (Dyslipidaemia) 
Trial Acronym  autophagy 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anita Choudhary 
Designation  M.D. Scholar 
Affiliation  All India Institute Of Ayurveda 
Address  Room No. 720 Department of Samhita and Siddhanta 7th Floor academic Block, All India Institute Of Ayurveda, Gautampuri, Sarita Vihar, New Delhi

New Delhi
DELHI
110076
India 
Phone  9460321637  
Fax    
Email  anitamundhan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof dr Mahesh K Vyas 
Designation  Professor and HOD 
Affiliation  All India Institute of Ayurveda 
Address  Room No. 716 Department of Samhita and Siddhanta 7th Floor academic Block, All India Institute Of Ayurveda, Gautampuri, Sarita Vihar, New Delhi

New Delhi
DELHI
110076
India 
Phone  8849802005  
Fax    
Email  drmaheshkvyas@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Meera K Bhojani 
Designation  Assistant professor 
Affiliation  All India Institute of Ayurveda 
Address  Room No. 713 Department of Samhita and Siddhanta 7th Floor academic Block, All India Institute Of Ayurveda, Gautampuri, Sarita Vihar, New Delhi

New Delhi
DELHI
11076
India 
Phone  9990247410  
Fax    
Email  ayumeerabhojani@gmail.com  
 
Source of Monetary or Material Support  
All India Institute of Ayurveda, Gautampuri, Sarita Vihar, New Delhi,110076 
 
Primary Sponsor  
Name  ALL INDIA INSTITUTE OF AYURVEDA 
Address  All India Institute Of Ayurveda, Gautampuri, Sarita Vihar, New Delhi 
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 
Prof Dr Mahesh K Vyas  All India Institute Of Ayurveda  OPD No. 7 & 5 All India Institute Of Ayurveda, Gautampuri, Sarita Vihar, New Delhi
New Delhi
DELHI 
8849802005

drmaheshkvyas@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
THE INSTITUTIONAL ETHICS COMMITTEE OF ALL INDIA INSTITUTE OF AYURVEDA, NEW DELHI   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E785||Hyperlipidemia, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  musta churna  Oral Administration Of 3gm twice daily empty stomach  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  Total Cholesterol (201-300 mg/dl)
Serum TGLs (161mg/dl or more)
Serum HDL (below 40mg/dl)
Serum LDL (131mg/dl or more)
Serum VLDL (41mg/dl or more) 
 
ExclusionCriteria 
Details  Patients Who Are Under Conventional Medications.
Subjects With Diabetes.
Patients With Grave Disease,
Psychological Disorders.
Patients With Hypothyroidism And Other Metabolic Disorders.
Patients With Cardio Vascular Diseases Like Hypertension And Other Severe Conditions. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Total Cholesterol Less Then 200mg/dl Along With The Assessment Of Samyaka Of Lakshana Of Langhana  60 days 
 
Secondary Outcome  
Outcome  TimePoints 
To Improve The Quality Of Life  60 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 1 
Date of First Enrollment (India)   15/04/2020 
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="0"
Months="3"
Days="0" 
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   Amongst the Shat Upakarma as explained by Acharya Charaka one is Langhana therapy. Here the word Langhana means Laghu that is the whole procedure of producing lightness in the body at various level like Dosha, Dhatu, Mala or even at Manas i.e. at psychological level. 10 types of Langhana are described by Acharya Charaka in Sutrasthana, one among them is Pachana or it can be understood as Shamana rupi langhana. It is the treatment principle which is adopted for the digestion of Ama Sansrishtha conditions at various entities i.e. Koshtha, Dosha, Dhatu etc.  Furthermore, Autophagy is a normal physiological process in the body that deals with destruction of cells within the body. It maintains homeostasis or normal functioning by protein or Fat degradation. Autophagy mainly maintains a balance between manufacture of cellular components and break down of damaged or unnecessary organelles and other cellular constituents. Autophagy also removes and clears damaged cell organelles. It is the natural, regulated mechanism of the cell that disassembles unnecessary or dysfunctional components. In and all it allows the orderly degradation and recycling of cellular components.4 This mechanism of autophagy can be understood more likely be the same what Pachana Karma performs in our body. Thus, Autophagy may be correlated with Pachana Karma. Pachana karma is indicated in Madhyam Bala Rogas i.e. the diseases with moderate strength or when Doshas are moderately vitiated, or in case of Kapha Pitta Samuttha Vyadhis, and hence, it can be used in Medo Dushti janita Vyadhis viz. Dyslipidaemia. Dyslipidaemia is a disorder of lipoprotein metabolism, which can include overproduction or deficiency of lipoproteins or both. The disorder can manifest as an elevation of plasma cholesterol, triglycerides, or both, or a low high-density lipoprotein level or all three together that contributes to the development of atherosclerosis. World Health Organization (WHO) in 2002 reported that high cholesterol level is one of the main non-communicable disease related risk factor in India. The Indian Council of Medical Research (ICMR) surveillance project reported a prevalence of Dyslipidaemia of 37.5% among adults, with an even higher prevalence of dyslipidaemia (62%) among young male industrial workers.  In Dyslipidaemia, there exists the condition of Ama and in Ayurveda the best line of treatment indicated for Ama is Langhana Karma one if its modality is Pachana Karma where we facilitate the digestion of undigested matter and thus this disease can be overcome by the process of Autophagy that may be considered to be generated through Paachana Karma. 
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