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CTRI Number  CTRI/2020/05/024974 [Registered on: 01/05/2020] Trial Registered Prospectively
Last Modified On: 21/04/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Apamarga and Arka Kshar-Lepa in Arsha(Haemorrhoids) 
Scientific Title of Study   Comparitive Study of Apamarga and Arka Pratisarniya Kshar-Lepa in Arsha(IInd Degree Haemorrhoids) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Poornima Yadav 
Designation  P.G.Scholar 
Affiliation  Rishikul Campus Haridwar 
Address  Department of Shalya tantra,Room no-07,Rishikul Campus Haridwar,Utterakhand Ayurveda University
Department of Shalya tantra ,Room no-07 Rishikul Campus Haridwar,Utterakhand Ayurveda University
Hardwar
UTTARANCHAL
249401
India 
Phone  8791427280  
Fax    
Email  ms.poornimayadav@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrVishal verma  
Designation  professor 
Affiliation  Rishikul Campus Haridwar 
Address  Department of Shalya tantra Room no 07 Rishikul Campus Haridwar Utterakhand Ayurveda University
Department of Shalya tantra Room no 07 Rishikul Campus Haridwar Utterakhand Ayurveda University
Hardwar
UTTARANCHAL
249401
India 
Phone  9719314634  
Fax    
Email  vishalverma100@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Poornima Yadav 
Designation  P.G.Scholar 
Affiliation  Rshikul Campus Haridwar 
Address  Department of Shalya tantra Room no 07 Rishikul ayurvedic college Haridwar Uttarakhand
Department of Shalya tantra Room no 07 Rishikul ayurvedic college Haridwar Uttarakhand
Hardwar
UTTARANCHAL
249401
India 
Phone  8791427280  
Fax    
Email  ms.poornimayadav@gmail.com  
 
Source of Monetary or Material Support  
Department of Shalya tantra Room no 07 Rishikul campus Haridwar Uttarakhand Ayurvedic University 
 
Primary Sponsor  
Name  Utterakhand ayurvedic university 
Address  Rishikul Campus Haridwar,Utterakhand Ayurvedic University Haridwar 
Type of Sponsor  Government medical college 
 
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 
Poornima Yadav  Rishikul Campus Haridwar  Department of Shalya tantra Room no 07
Hardwar
UTTARANCHAL 
8791427280

ms.poornimayadav@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K641||Second degree hemorrhoids,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Apamarga and Arka Pratisarniya kshar lepa on IInd degree Haemorrhoids  Apamarga kshar lepa will be locally applied on each pile mass according to its size with the protection of normal mucosa and the process will be repeated at the interval of 7 days until the size of pile mass is reduced and same therapy will be done for the next 18 no of the patient having IInd degree internal haemorrhoids and will locally apply Arka kshar lepa on each pile mass according to its size at the interval of 7 days until the size of pile mass is reduce.  
Comparator Agent  Comparitive study of Apamarga and Arka Pratisarniya kshar lepa on Arsha(IInd degree Haemorrhoids)  Apamarga kshar lepa will be locally applied on each pile mass according to its size with the protection of normal mucosa and the process will be repeated at the interval of 7 days until the size of pile mass is reduced and same therapy will be done for the next 18 no of the patient having internal haemorrhoids and will locally apply Arka kshar lepa on each pile mass according to its size at the interval of 7 days and then compare results of both kshar lepa application.  
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Having internal piles of IInd degree. 
 
ExclusionCriteria 
Details 
3rd and 4th Degree of Haemorrhoids
Arsha associated with other conditions like CA Rectum Rectal Prolapse and fistula in ano
Hepatitis B
HIV
HCV and VDRL
Secondary Arsha associated with other conditions like Ulcerative colitis and Crohns disease

 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Recovery from the symptoms.
Reduction in the size of pile mass.  
2 month maximum 
 
Secondary Outcome  
Outcome  TimePoints 
Recovery from the symptoms.
Reduction in the size of pile mass.  
2 month maximum 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
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)   04/05/2020 
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="0"
Months="2"
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  

Arsha (hemorrhoids) can be included as one of the lifestyle disorder caused due to sedentary lifestyle. Haemorrhoids also called as piles, are clumps of dilated veins in the anus and lower rectum. These become swollen and inflamed causing pain and rectal bleeding while defecation. Acharya Sushruta has basically mentioned four types of treatments, i.e., Bheshaja, Ksharakarma, Agnikarma and Shastrakarma for Arsha . As per the available treatment modalities of Arsha, the Kshara karma modality is the best one, taking into the consideration its convenience, easy adaptability, cost-effectiveness and curative results. both the kshara will be prepared as per the standard method described in Ayurvedic texts. Under this parasurgical procedure,  Pratisarniya  kshara -Lepa will be used in treating the Arsha (IInd degree Haemorrhoids) , according to degree of pile mass and different signs and symptoms. In this present study, we compare the effect of Apamarga and Arka kshara-Lepa in Arsha (IInd degree haemorrhoids) After the apllication of kshar -Lepa , their may occure reduction in size,and relief in symptoms beucause of its chedana(excision), Bhedan(incision) Lekhana(scraping)  and  Tridoshagna properties .Lastly, we will be assuming that  kshar - Lepa show significant improvement in 2nd degree of pile masses without any side effect.

 
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