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CTRI Number  CTRI/2012/05/002671 [Registered on: 21/05/2012] Trial Registered Retrospectively
Last Modified On: 12/04/2017
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   A clinical trial to study the effect of Head Massage with NRCCO Oil in Patients Suffering from Mild to Moderate Anxiety and Stress 
Scientific Title of Study   An Open Labeled, Prospective, Clinical Study to Evaluate Efficacy and Safety of Head Massage with NRCCO OIL in Patients Suffering from Mild to Moderate Anxiety and Stress  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
EM/NRCCO OIL/03/2011  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Meenakshi Revedkar 
Designation  Associate Professor 
Affiliation  R. A. Podar Medical (Ay) College & M. A. Podar Hospital,Dr. Annie Besant Road, Worli, Mumbai 
Address  Dept of Kayachikitsa R. A. Podar Medical (Ay) College & M. A. Podar Hospital,Dr. Annie Besant Road, Worli, Mumbai

Mumbai
MAHARASHTRA
400018
India 
Phone    
Fax    
Email  meenakshirewadkar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Meenakshi Revedkar 
Designation  Associate Professor 
Affiliation   
Address  Dept of Kayachikitsa R. A. Podar Medical (Ay) College & M. A. Podar Hospital,Dr. Annie Besant Road, Worli, Mumbai

Mumbai
MAHARASHTRA
400018
India 
Phone    
Fax    
Email  meenakshirewadkar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Meenakshi Revedkar 
Designation  Associate Professor 
Affiliation   
Address  Dept of Kayachikitsa R. A. Podar Medical (Ay) College & M. A. Podar Hospital,Dr. Annie Besant Road, Worli, Mumbai

Mumbai
MAHARASHTRA
400018
India 
Phone    
Fax    
Email  meenakshirewadkar@gmail.com  
 
Source of Monetary or Material Support  
Emami Limited 5th Floor, Golden Chambers, New Link Road, Andheri (W), Mumbai -400053, India 
 
Primary Sponsor  
Name  Emami Limited 
Address  5th Floor, Golden Chambers, New Link Road, Andheri (W), Mumbai -400053, India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
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 Meenakshi Revadkar  Department of Kayachikitsa  R. A. Podar Medical (Ay) College,& M. A. Podar Hospital,Dr. Annie Besant Road, Worli, Mumbai 18
Mumbai
MAHARASHTRA 
9421291561

meenakshirewadkar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of R.A. Podar Medical College (Ayu) & M.A. Podar Hospital, Worli, Mumbai  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Stress and Anxiety,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  NRCCO  Sr. No. Official name of Ingredients in Sanskrit/Hindi/Common Botanical name Quantity (mg) Each 100 ml cont. 1 Hriber Povania odorata 0.0075 2 Bhringaraj Eclipta alba 0.0075 3 Latakasturi Hibiscus abelmoschus 0.0300 4 Sailaja Parmelia perlata 0.0300 5 Nagarmoyha Cyperus scariosus 0.0300 6 Karchoor Curcuma zedoaria 0.0300 7 Japa Pushpa Hibiscus rosa sinensis 0.0375 8 Kshirkakoli Linium polyphyllum 0.0150 9 Manduaparni Centella asiatica 0.0150 10 Amla Emblica officinalis 0.1500 11 Pudina ka phool Mentha arvensis 2.5000 12 Pudina ka tel Mentha arvensis 0.5000 13 Karpoor Cinnamomum camphora 0.5000 14 Base containing Colour, Mineral oil, vegetable oil and anti-oxidant q.s to 100 Dosage & Treatment Duration: Study subjects will be advised to do head massage by using 15 ml NRCCO Oil in the morning (30 minutes before bath) and in the evening (30 minutes before bedtime) daily for 28 days.  
 
Inclusion Criteria  
Age From  23.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Subjects meeting all of the following criteria will be included to the trial-

1)Subjects suffering from mild to moderate anxiety (who achieve scores between 18 and 24 points on the Hamilton Scale for Anxiety)

2)Subject having age 20 to 65 years, both inclusive.

3)Subjects of female gender or a non-pregnant, non-lactating females, at least six weeks postpartum. A urine pregnancy test is required for all female subjects unless subject has had a hysterectomy, tubal ligation, or is > 2 years postmenopausal.

4)Subjects willing to follow the procedures as per the study protocol and voluntarily sign an informed consent form.
 
 
ExclusionCriteria 
Details  1)Subjects suffering from severe depression, schizophrenia, diabetes mellitus, heart disease, HIV/AIDS, kidney and liver diseases will not be recruited in the trial.

2)Subjects having addiction to any drug, including alcohol will not be recruited in the trial.

3)Subjects who are using any medication such as anxiolytic, anti-stress medication and under psychotherapy will not be recruited in the trial

4)Subjects on any other medications that could interfere with the effect of the drug under study will not be recruited in the study.

5)In addition, subject should have ECG not demonstrating any signs of uncontrolled arrhythmia / acute ischemia.

6)Subjects having a chronic, contagious infectious disease, such as active tuberculosis, Hepatitis B or C, or HIV.

7)Subjects having active metabolic or gastrointestinal diseases that may interfere with nutrient absorption, metabolism, or excretion,

8)Use of any other investigational drug within 1 month prior to randomization

9)Known hypersensitivity to ingredients used in study drug

10)Pregnant and Lactating females.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Mean change from baseline visit to week 4 in Hamilton Rating Scale for Anxiety (HAM-A) Total Score  28 days 
 
Secondary Outcome  
Outcome  TimePoints 
1. Mean change from baseline visit to week 4 in Global assessment for overall improvement assessment by the Investigator


2. Mean change from baseline visit to week 4 in Global assessment for overall improvement assessment by the subject

3. Mean change from baseline visit to week 4 in overall Quality Of Life Enjoyment and Satisfaction Questionnaire (Q-LES-Q)

4. Tolerability of study drugs by assessing the incidence of adverse events (AEs) and discontinuation due to the AEs
 
28 days 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   10/01/2012 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
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
Modification(s)  

Subjects suffering from anxiety and stress, attending outpatient clinic at R. A. Podar Hospital, Worli, Mumbai-18 will be screened for eligibility criteria. Considering 20% dropout rate, 36 subjects will be recruited in the trial to get 30 evaluable cases. On screening visit, a written informed consent will be obtained from subjects for their participation in the study. Subject’s history will be recorded and his/her physical examinations will be done.  Subject will be assessed for severity of Anxiety on Hamilton Anxiety Rating Scale (HAM-A). If Subject’s score is between 18 and 24 points on HAM-A, then subject will be considered eligible for recruitment

 

On baseline visit, subject will be recruited in the study if he/she meets all the inclusion criteria. Subject will be asked to come to hospital for follow up on every week after baseline visit till the completion of the study (Week 4).

 

At baseline visit and at every follow up visit (except last follow up visit), subjects will be given 2 bottles each containing 150 ml of NRCCO Oil (210 ml for 7 days and 90 ml for use if follow up is delayed maximum by 3 days). Subjects will be advised to apply sufficient quantity of NRCCO Oil on scalp and thereafter head massage for 10 minutes. Subjects will be instructed to use NRCCO Oil for head massage two times daily i.e in the morning (30 minutes before bath) and in the evening (30 minutes before bedtime) .

 

On every follow up visit, subjects will undergo general and systemic examinations and assessment of severity of anxiety on HAM-A scale. Subject’s global evaluation for overall improvement and Investigator’s global evaluation for overall improvement will be done on every follow–up visit till the completion of the study. Tolerability of the trial drug will be assessed by the investigator and by the patient at the end of the trial. All the subjects will be closely monitored for any Adverse Events starting from baseline visit till the end of the study visit. 

Summary of Results:

The present study on NRCCO concludes that head massage with NRCCO helps significantly in reducing the symptoms of stress and anxiety as measured on HAMA scale. The common symptoms of stress and anxiety like insomnia, tension, fear, depressed mood, headache were relieved significantly by regular head massage with NRCCO for 28 days. A significant reduction in the symptoms was observed with 7 days of head massage with oil. The improvement in symptoms continued and at the end of the trial i.e. 28 days. It can thus be concluded that head massage with NRCCO can prove to be a useful remedy in the management of stress and anxiety.

 

 
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