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CTRI Number  CTRI/2020/04/024953 [Registered on: 30/04/2020] Trial Registered Prospectively
Last Modified On: 28/04/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Enema in Irregular Menstrual Cycles 
Scientific Title of Study   A Randomised Controlled Clinical study to evaluate the efficacy of Arkapushpa taila matra basti in the management of Artava Kshaya with special reference to Oligomenorrhea 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pavitra 
Designation  PG Scholar 
Affiliation  Sri Sri College Of Ayurvedic Science and Research 
Address  PTSR Class room, Second floor, Department of PG Studies in Prasooti Tantra and Stree roga, Sri Sri College of Ayurvedic Science & Research 21st KM Kanakapura road PO Udayapura Bangalore

Bijapur
KARNATAKA
560082
India 
Phone  8951382785  
Fax    
Email  pavitrabmanaguli@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sharon Samuel 
Designation  Associate Professor 
Affiliation  Sri Sri College of Ayurvedic Science and Research 
Address  Faculty, Department of PG Studies in Prasooti Tantra and Stree Roga. Sri Sri College of Ayurvedic Science & Research 21st KM Kanakapura road PO Udayapura Bangalore

Bangalore
KARNATAKA
560082
India 
Phone  9884832050  
Fax    
Email  sharon.avp@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pavitra 
Designation  PG Scholar 
Affiliation  Sri Sri College Of Ayurvedic Science and Research 
Address  PTSR Class room, Department of PG Studies in Prasuti Tantra and Stree Roga, Sri Sri College of Ayurvedic Science & Research 21st KM Kanakapura road PO Udayapura Bangalore

Bijapur
KARNATAKA
560082
India 
Phone  8951382785  
Fax    
Email  pavitrabmanaguli@gmail.com  
 
Source of Monetary or Material Support  
Sri Sri College Of Ayurvedic Science and Research Hospital Bengaluru Karnataka-560082 
 
Primary Sponsor  
Name  Dr Pavitra B 
Address  Sri Sri College Of Ayurvedic Science and Research Hospital Bengaluru, Karnataka- 560082 
Type of Sponsor  Other [Self] 
 
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 
Dr Pavitra B  Sri Sri College of Ayurvedic Science and Research Hospital  Room no 10. OPD of Prasuti Tantra and Stree roga, Sri Sri College of Ayurvedic Science and Research Hospital, 21st km, Udayapura post, Kanakapura road, Bangalore-82
Bangalore
KARNATAKA 
8951382785

pavitrabmanaguli@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRI SRI INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N915||Oligomenorrhea, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Arka pushpa taila matra basti  dose - 1.5 pala (70ml) frequency- Once a day/ 7 days route of administration - Rectal duration of therapy - 7 days 
Comparator Agent  Shatapushpa taila matra basti  dose - 1.5 pala (70ml) frequency- Once a day/ 7 days route of administration - Rectal duration of therapy - 7 days 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  - Subjects age between 21 to 35 years
- Subjects presenting the classical symptoms
- subjects presenting with symptoms of oligomenorrhea
- spotting/ bleeding less than 2 days
- Both married and unmarried
- subjects willing for Basti karma
 
 
ExclusionCriteria 
Details  - Pregnant women
- Lactating women
- Haemoglobin less than 8 gm%
- Subjects with other systemic illness
- Subjects with any ano-rectal complaints
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1)Number of pads used per day
2)Duration of menstrual cycle

Grading
Duration of menstrual cycle
Grade 0 4-7 days
Grade 1 3-4 days
Grade 2 2-3 days
Grade 3 1-2 days




Number of pads used per day
Grade 0 - 3-4 pads/day
Grade 1 - 2-3 pads/day
Grade 2 - 1-2 pads/day
Grade 3 - Spotting 
31st day adn 60th day of study period 
 
Secondary Outcome  
Outcome  TimePoints 
1) Interval between two cycles
Grade 0 - 28-32 days
Grade 1 - 32-36 days
Grade 2 - 37-41 days
Grade 3 - 41 days

2) Pain during menstruation (yoni vedana)
Grade 0 - No pain
Grade 1 - Mild pain
Grade 2 - Moderate pain
Grade 3 - Severe pain
 
31st day, and 60th day of study period 
 
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 3 
Date of First Enrollment (India)   01/05/2020 
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="7"
Days="28" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   study under process 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Woman’s health is the primary factor to be considered for wellbeing of family, society and culture. Any physical, physiological disorder disturbs the woman’s life. Physiological changes and development occur from birth but markedly during reproductive period. Stress and change in lifestyle leads to many gynaecological problems. Among all the Gynaecological problems, the most common one is menstrual irregularities i.e. in the form of ar- tava kshaya.

Artava kshaya is that condition in which menstruation fails to occur at appropriate time (delayed) with scanty flow and does not last for 3 days.

A similar entity in modern classics where menstrual bleeding occurs more than 35days apart and which remains constant at that frequency is called Oligomenorrhea.

About 30% women in their reproductive life suffer from irregular periods. Among these menstrual irregularities

Oligomenorrhea accounts to 18.3%.

The treatment opted in modern system of medicine is Hormonal therapy, which may have adverse effect on body like obesity, nausea, vomiting, endometrial cancer and breast cancer.

So, to prevent these hazards and to maintain healthy life, safe ayurvedic non-hormonal therapy is required. In this regard, the treatment principle explained by Kashyapa for Artava kshaya is taken for study. He considers it as an Anuvasana sadhya vyadhi. Matra basti is a type of Anuvasana basti in which the quantity of Sneha for Matra basti is 1/4th of Sneha basti. It can be given at any time without any strict restriction on diet and activity. Arkapushpa taila is artavapravartaka,laghu in guna, has ushnavirya and katuvipaka. Thus, taking the treatment principle into consideration an agneya dravya i.e. Arkapushpa taila is chosen for Matra basti in Artava kshaya.

OBJECTIVES OF THE STUDY:

•          To evaluate the effect of Arkapushpa taila matra basti in the management of Artava kshaya.

•          To evaluate the effect of Shatapushpataila matra basti in the management of Artava kshaya.

•          To compare the efficacy of Arkapushpa taila and Shatapushpa taila matra basti in the management of Artava kshaya.




 
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