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CTRI Number  CTRI/2020/05/025161 [Registered on: 13/05/2020] Trial Registered Prospectively
Last Modified On: 27/10/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To study the Effectiveness of herbal formulation - Aayudh Advance as a supplementary treatment for the Corona Virus 2019 (Covid-19) infected patients  
Scientific Title of Study   A Randomized and Comparative Study to assess Safety and Efficacy of Supplemental Treatment of a herbal formulation - Aayudh Advance comprising essential oils in patients with Corona Virus 2019 (Covid-19) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
ARL/CSP/2020/002-01  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Jayesh Dutt 
Designation  Principal Investigator 
Affiliation  Smt. NHL Municipal Medical College & SVPIMSR 
Address  Smt. NHL Municipal Medical College & SVPIMSR, Ellisbridge, Ahmedabad, Gujarat

Ahmadabad
GUJARAT
380006
India 
Phone  9426008607  
Fax    
Email  drjayeshjdutt@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Bhavdeep Ganatra  
Designation  Co-Principal Investigator 
Affiliation  Ganatra Ayurveda & Panchkarma Clinic 
Address  125, Advait complex, B/s Sandesh press, Vastrapur, Ahmedabad

Ahmadabad
GUJARAT
380054
India 
Phone  9825497588  
Fax    
Email  vd.ganatra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Manish Rachchh 
Designation  Study Director  
Affiliation  Accuprec Research Labs Pvt. Ltd.  
Address  Opp. Pharmez, Changodar - Bavla Highway, Near Matoda Patia, Post: Matoda, Ahmedabad, Gujarat, India

Ahmadabad
GUJARAT
382213
India 
Phone  9099981023  
Fax    
Email  manish.rachchh@accuprec.com  
 
Source of Monetary or Material Support  
Shukla Ashar Impex Pvt. Ltd., Rajkot 
 
Primary Sponsor  
Name  Ms Shukla Ashar Impex Pvt Ltd 
Address  205-207, Orbit Plaza, Dr. Yagnik road, Rajkot – 360 001, Gujarat, India. 
Type of Sponsor  Pharmaceutical industry-Indian 
 
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 Jayesh Dutt  Smt. NHL Municipal Medical College & SVPIMSR  Ellisbridge, Ahmedabad, Gujarat 380006
Ahmadabad
GUJARAT 
949426008607

drjayeshjdutt@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Smt. NHL, Municipal Medical College, Ahmedabad (NHLIEC)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B972||Coronavirus as the cause of diseases classified elsewhere,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Comparator Agent  As Standard treatment suggested by WHO  As standard treatment suggested by WHO For Covid-19 Patients. The study shall be from Patients initiation of treatment till complete recovery and discharge from the hospital. 
Intervention  Herbal formulation - Aayudh Advance  Herbal formulation - Aayudh Advanced is a health supplement that helps boost immunity. This product is made from all-natural farm grown extracts. Each essential oil added into this concoction has been specially chosen for its individual immunomodulatory and protective characteristics. When mixed, these oils yield synergistic effect to protect the body from bacteria, viruses and fungi. Their potency is further increased when the mixture is converted into colloids. These colloids provide exponential efficacy that makes the product highly desirable health supplement, immunity booster, bactericide and virucide. Dose is 10 ml three times a day orally before meal. The study shall be from Patients initiation of treatment till complete recovery and discharge from the hospital. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1) Subject willing to sign informed consent.
2) Subject age group of 18 years and above of both gender.
3) All patients with COVID-19 RT-PCR positive (within 7 days)/ any Covid-19 test kit, admitted to the hospital / healthcare center will be eligible.
4) Patients who are having mild to moderate symptoms of Covid-19 disease and tested positive for Covid-19 test.
 
 
ExclusionCriteria 
Details  1) Patient younger than18 years age.
2) Women who are pregnant or who intend to become pregnant for the next three months after taking the drug.
3) Patients allergic to type medications or any of the ingredient of the formulation.
4) Patients with a neurological history (seizures, epilepsy, etc.).
5) Patients with a previous history of psychiatric illnesses (depression, anxiety, suicide attempt).
6) Patients with severe cardiac pathologies or relevant chronic diseases that in the judgment of the clinician recommend the non-inclusion of the patient in the study.
7) Patients who are on artificial ventilation or oxygen supply.
8) Very severe patients of Covid 19.
9) Patients with severe hypertension, diabetes and other chronic diseases shall be excluded.
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking
Modification(s)  
Open Label 
Primary Outcome  
Outcome  TimePoints 
1) Rate of Recovery
2) Symptom Resolution: Fever
3) Symptom Resolution: Cough
4) Symptom Resolution: Shortness of breath
 
Every 3-4 days from patient enrollment till recovery of patient and discharged from hospital 
 
Secondary Outcome  
Outcome  TimePoints 
1) Questioning about any number of supplemental side effects observed.
2) Details of any adjunctive medication required during treatment due to supplemental treatment with herbal formulation - Aayudh Advance.
3) Total number of days till reaching the negative results for Covid-19.
 
Every 3-4 days from patient enrollment till patient recovery and discharged from hospital 
 
Target Sample Size
Modification(s)  
Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "74"
Final Enrollment numbers achieved (India)="74" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   16/05/2020 
Date of Study Completion (India) 15/06/2020 
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
Modification(s)  
Publication is under process 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  

The study product, Aayudh Advance is a herbal liquid formulation containing mixtures of extracts and essential oils in water medium with sweetener. All the ingredients of formulation are mentioned in the scriptures of the Ayurveda.

In the present study, total 74 mild symptomatic COVID 19 patients were enrolled in the study. Out of which 60 patients completed trial as per the protocol while 14 were withdrawn from the study due to early discharge from the hospital.

The Aayudh Advance was found to be 100% safe without any side effects. Further, there was no occurrences of drug to drug interaction when given concomitantly with Standard Care of Treatment in mild symptomatic covid-19 patients. 

The reduction in viral load (inferred by increase in CT value of E gene and RDRP gene) in case of Aayudh Advance treatment was found statistically significant (p<0.01) as compared to Standard of Care alone.

Further % recovery was 15.38 % more in case of Aayudh advance treatment group as compared to Standard of Care alone. 

So we can conclude that, test product “Aayudh Advance”, when given concomitantly with standard of care, was 100% safe, more effective as virucidal to reduce viral load, devoid of any drug-drug interaction and increase recovery rate as compared to standard of care alone when tested in mild symptomatic COVID-19 patients.


 
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