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CTRI Number  CTRI/2020/06/025601 [Registered on: 04/06/2020] Trial Registered Prospectively
Last Modified On: 27/02/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Efficacy of a pain relief formulation RHULEAVE-K in Adults with Exercise Induced Acute Musculoskeletal Pain. 
Scientific Title of Study   A Randomized Placebo Controlled Double Blinded Multicenter Study to Assess the Efficacy of RHULEAVE-K in Adult Subjects with Exercise Induced Acute Musculoskeletal Pain 
Trial Acronym  MSP232 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Binu T Kuruvilla 
Designation  DGM, Research and Development 
Affiliation  Arjuna Natural Private Ltd (formerly Arjuna Natural Ltd) 
Address  Arjuna natural Pvt Ltd Bank Road, Aluva

Ernakulam
KERALA
683101
India 
Phone  09447818432  
Fax    
Email  drbinu@arjunanatural.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Binu T Kuruvilla 
Designation  DGM, Research and Development 
Affiliation  Arjuna Natural Private Ltd (formerly Arjuna Natural Ltd) 
Address  Arjuna natural Pvt Ltd Bank Road, Aluva


KERALA
683101
India 
Phone  09447818432  
Fax    
Email  drbinu@arjunanatural.com  
 
Details of Contact Person
Public Query
 
Name  Dr Binu T Kuruvilla 
Designation  DGM, Research and Development 
Affiliation  Arjuna Natural Private Ltd (formerly Arjuna Natural Ltd) 
Address  Arjuna natural Pvt Ltd Bank Road, Aluva


KERALA
683101
India 
Phone  09447818432  
Fax    
Email  drbinu@arjunanatural.com  
 
Source of Monetary or Material Support  
Arjuna Natural Pvt Ltd, Bank Road, Aluva 
 
Primary Sponsor  
Name  Arjuna Natural Private Ltd 
Address  Arjuna Natural Pvt Ltd, Bank Road, Aluva 
Type of Sponsor  Other [Nutraceutical company] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr KareSanjeev Kumar  Government Medical College & General Hospital  Department of Ortho Hudco Colony, Balaga, Srikakulam, Andhra Pradesh 532001
Srikakulam
ANDHRA PRADESH 
7702288992

drsanjeevkumarkare@yahoo.com 
Dr Ajay Gupta  Nirmal Hospital  Department of Ortho Opp. MLB Medical College, gate no. 3,Jhansi-284128 Jhansi
Jhansi
UTTAR PRADESH 
9005665599

ajaygupt70@yahoo.com 
Dr Girish  Rajalakshmi Hospital  21/1, Lakshmipura Main Road, Vidyaranyapura Post,560097
Bangalore
KARNATAKA 
9845516613

girirudra@yahoo.co.in 
DrSanthosh Saklecha  Santosh Hospital  6/1, Promenade road, Behind coles Park, bangalore - 560005
Bangalore
KARNATAKA 
9845306703

ssaklecha@gmail.com 
Dr Siddhartha Singh  Sudbhawana Hospital   Department of General medicine, B31/80-23B, bhogabir, Lanka, varanasi-221005
Varanasi
UTTAR PRADESH 
9415262714

dr.siddharthasingh@gmail.com 
Dr Meghana Murthy  Vagus Hospital  8,4th Main Rd, Malleshwaram,560003
Bangalore
KARNATAKA 
917259214727

meggydoc@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Institutional Ethics Committee Government Medical College  Approved 
Institutional Ethics Committee Nirmal Hospital  Approved 
Rajalakshmi Hospital Institutional Ethics Committee  Approved 
Santhosh Hospital Institutional Ethics Committee  Approved 
Sudbhawana Hospital Ethics Committee  Approved 
Vagus Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Excercise induced musculoskeletal pain  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Placebo   500 mg capsules (Maltodextrin, polysorbate-80, propylene glycol, PEG400) twice daily as single dose. 
Intervention  RHULEAVE-K   500 mg capsules (Turmeric Extract 95% (28%), Boswellia serrata extract 10%) twice daily as single dose.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Adult subject, Male or female between 18-65 years of age.
2.A score of 5cm or above on the NRS ( at rest).
3.Subjects having Exercise Induced Acute Musculoskeletal Pain which occurred within 24 hours before presentation. (musculoskeletal injuries, myalgia, neck pain, limb pain, low back pain, joint pain, widespread musculoskeletal pain, painful uncomplicated acute soft tissue injury of the upper or lower extremity, including acute injuries of ligaments, tendons, or muscles (including Grade 1 sprain or strain), not requiring admittance to hospital.
4.Willing to give voluntary informed consent.
 
 
ExclusionCriteria 
Details  1.Subject with acute muscle spasms who need parenteral therapy, surgery or hospital admission for management of acute injuries of ligaments, tendons, or muscles, painful complicated acute soft tissue injury of the upper or lower extremity, including. Subjects with Grade 2 & 3 sprain or strain or Muscle cramps due to dehydration.
2.Subjects with known history of osteoarthritis and rheumatoid arthritis.
3.Subjects with uncontrolled hypertension (Diastolic blood pressure more than or equal to 110 mmHg and/or systolic blood pressure; more than or equal to 180 mmHg).
4.Subjects with open wounds infected skin or other conditions of broken skin, skin affected by infection with inflammations at the site of proposed action.
5.Subjects underlying dermatitis or dermatosis associated with the injury.
6.Use of any oral or topical analgesic, antipyretic, sedative or anti-inflammatory treatment, Use of any topical products, including topical medications, sunscreens, lotions, moisturizers, and cosmetic products at the site of pain within 1 week prior to study or during the study.
7.Prior use within 1 week of study any Ayurvedic, siddha, Unani or proprietary products for pain and inflammation.
8.Any kind of neuralgic pain, headache and/or chronic pain
9.Previous adverse reaction or known allergy to herbal, NSAID, steroids or any other severe food allergies.
10.A known pregnancy or lactation
11.Previous history of gastro-intestinal haemorrhage or perforation, active or recurrent peptic ulceration or peptic bleeding.
12.Subjects who are severe smokers and drinkers
13.Received an investigational product or participated in an investigational study within a period of 30 days prior to receiving study medication.
14.Scheduled elective surgery or other invasive procedures during the period of study participation.
15.Subjects had a history of diabetes, cardiovascular, renal, pulmonary, endocrine, or neurological disorders, ulcers, dermatologic disorders, autoimmune diseases an active infectious disease (HBV, HCV, HIV).
16.A current diagnosis or a history of relevant depressive episodes or of panic attacks, psychosis, bipolar or eating disorders.
 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
SPID6 (Sum of Pain intensity difference) using NRS (at rest)   Time Frame: each 30 min post-dose censored at 6hrs  
 
Secondary Outcome  
Outcome  TimePoints 
Earliest onset of analgesia (perceived pain relief and meaningful pain relief)  From post-dose to censored at 6hrs  
SPID6 (Sum of Pain intensity difference) using NRS (at movement and pressure)  Time Frame: each 30 min post-dose censored at 6hrs  
TOTPAR6 (Total Pain Relief) 4. PRS (at rest, movement and pressure)   each 30 min post-dose censored at 6hrs  
McGill Short Form Questionnaire   Screening and after 6h. 
 
Target Sample Size   Total Sample Size="232"
Sample Size from India="232" 
Final Enrollment numbers achieved (Total)= "232"
Final Enrollment numbers achieved (India)="232" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   08/06/2020 
Date of Study Completion (India) 21/10/2020 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

The potential participants who are willing to provide a written informed consent form will be asked to come for screening. The main inclusion criteria of the screening procedure will be an NRS score (at rest) of 5 or above. McGill –SFQ will also be taken at the screening which will be considered as the baseline score. The subjects will be asked specific history of pain like date of occurence, time of onset, duration of pain, part of the body affected, history of similar pain in the past during exercise (<24h, 24-48h, >48h), its severity, duration of pain, any treatment taken etc. Any underlying condition which will affect the current pain or evaluation of treatment will be sought for and excluded by history and physical examination. The participants will then be randomized into either the treatment group or the placebo group.


Post dose for every 30 minutes interval up to 6hrs the participant will be asked to indicate their resting pain intensity and pain relief, and also their pain on movement and pressure using the NRS and PRS scale.  McGill-SF questionnaire will be taken at the end of the study to evaluate quality of pain.

 
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