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CTRI Number  CTRI/2020/06/025768 [Registered on: 09/06/2020] Trial Registered Prospectively
Last Modified On: 22/04/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Siddha 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   An open label Randomized Controlled Clinical trial to Evaluate the Safety and Efficacy of selected Siddha formulations in patients diagnosed with COVID-19 
Scientific Title of Study   An open label Randomized Controlled Clinical trial to Evaluate the Safety and Efficacy of selected Siddha formulations in patients diagnosed with COVID-19 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr MEENAKUMARI R 
Designation  DIRECTOR 
Affiliation  NATIONAL INSTITUTE OF SIDDHA,  
Address  NATIONAL INSTITUTE OF SIDDHA, TAMBARAM SANATORIUM, CHENNAI - 47
NATIONAL INSTITUTE OF SIDDHA, TAMBARAM SANATORIUM, CHENNAI - 47
Chennai
TAMIL NADU
600047
India 
Phone  9176534465  
Fax    
Email  mkumari474@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr G J CHRISTIAN 
Designation  Head of the department, Department of Noi Naadal  
Affiliation  NATIONAL INSTITUTE OF SIDDHA,  
Address  NATIONAL INSTITUTE OF SIDDHA, TAMBARAM SANATORIUM, CHENNAI - 47
NATIONAL INSTITUTE OF SIDDHA, TAMBARAM SANATORIUM, CHENNAI - 47
Kancheepuram
TAMIL NADU
600045
India 
Phone  9962545930  
Fax    
Email  christianvijila@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr G J CHRISTIAN 
Designation  Head of the department, Department of Noi Naadal  
Affiliation  NATIONAL INSTITUTE OF SIDDHA,  
Address  NATIONAL INSTITUTE OF SIDDHA, TAMBARAM SANATORIUM, CHENNAI - 47
NATIONAL INSTITUTE OF SIDDHA, TAMBARAM SANATORIUM, CHENNAI - 47
Kancheepuram
TAMIL NADU
600045
India 
Phone  9962545930  
Fax    
Email  christianvijila@gmail.com  
 
Source of Monetary or Material Support
Modification(s)  
Ministry of AYUSH, New Delhi 
National Institute of Siddha, Tambaram Sanatorium chennai - 47 
SKM Siddha and Ayurvedha Company (India) Private Limited 
 
Primary Sponsor  
Name  National Institute of Siddha 
Address  National Institute of Siddha, Tambaram Sanatorium,Chennai -47 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
Chengalpattu Medical College Hospital  Chengalpattu Medical College Hospital, Chengalpattu - 603001. 
Food Safety Department District Administration  Collectorate of Chengalpattu, Chengalpattu 603001 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr G J CHRISTIAN   Chengalpattu Medical College Hospital  Chengalpattu Medical College Hospital, Chengalpattu - 603001.
Kancheepuram
TAMIL NADU 
9962545930

christianvijila@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Institutional Ethics Committee- Chengalpattu Medical College  Approved 
Instuitional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B342||Coronavirus infection, unspecified,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  In Mild & Asymptomatic COVIDs Standard of care Kabasura Kudineer (5g) Nilavembu kudineer (5g) - 60ml tid in symptomatics & bid in asymptomatics Amukkura churnam 2g Thalisathi Churnam (2g) – 4g tid with honey or milk (in diabetics) Adathodai Manappagu 20ml bid with water Karuppu Vishnu chakram 2 pills bd with honey Nellikkai Leghyam 5g bid Herbal tea with diet For Moderate and Severe patients Along with Standard of care, Adathodai Kudineer (5g) Nochi Kudineer (5g) – 60ml tid Amukkura churnam 2g Thalisathi Churnam (2g) – 4g tid with honey or milk (in diabetics) Maldevi (Thaalaga) chenduram 100 mg bid with honey Pavala parpam 100mg bd with honey Thippili rasayanam 5g bid Herbal tea with diet  Duration Test drug will be given till clinical recovery or 30 days whichever is earlier and the general conventional management and the Siddha convalescent advisory medicines (Nellikai legiyam, Amukkra chooranam) will be continued as deemed necessary. Single Dose Kudineer 10gms of drug boiled with 240ml of water will be reduced to 60 ml, filtered and consumed within 3 hours. Decoction will be freshly prepared for every dose. 
Comparator Agent  Reference treatment (Standard of Care)   High flow O2 with Nasal Prongs/ Mask; O2 with C-PAP; Non Invasive ventilation; Remdesivir; Dexamethasone; Enoxaparin; Antibiotics (Azithromycin / Ceftriaxone), Zinc, Vitamin C 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  Male, Female and Transgenders.
ï‚· Age between 18 to 85 years
ï‚· COVID 19 positive asymptomatic / pre symptomatic, mild, moderate and severe COVID patients.
ï‚· Willing to consent to the study. 
 
ExclusionCriteria 
Details  Patients who cannot take food or drugs orally. High risk groups (Patients with Complications of Diabetes – DKA, DN, Severe Heart diseases and Pregnancy)
Patients with other severe medical conditions requiring intensive management.
Other viral pneumonia
Patients who have received organ transplantation in the past 6 months or planning surgery
Patients with severe or critical covid-19 infections.
Patients with any active malignancy
Patients who have severe underlying diseases that affects survival, including blood diseases,
dyscrasia, active bleeding, severe malnutrition, etc.
Patients with allergic constitution, or patients allergic to investigational products
Patients with a history of positivity for HIV, Hepatitis B and Hepatitis C at screening.
Critical patients with life expectancy <48 hours
Septicemia / Multi-organ failure Syndrome (MODS).
Patients whose ALT/AST levels are 5 times higher than the normal upper limit and total bilirubin is 3 times higher than the upper limit of normal.
Patients participating in other COVID 19 trials. 
 
Method of Generating Random Sequence
Modification(s)  
Stratified randomization 
Method of Concealment
Modification(s)  
Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Primary Outcome would be measured through Resolution of symptoms and Recovery of patients from COVID 19 disease compared to patients taking only standard of care treatment at specific time points. RT PCR conversion within first week with accelerated recovery as compared to control group  6 months 
 
Secondary Outcome  
Outcome  TimePoints 
Possible reduction of viral load data in subsets of both groups both at baseline and at 7 days, and14 days or at recovery or 30 days whichever is earlier..
ï‚· Sub group analysis for male, female and Age groups will also be studied in each group. Number of days on treatment before recovery and case fatality rate if any will be documented. 
6 MONTHS 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="215" 
Phase of Trial
Modification(s)  
Phase 2/ Phase 3 
Date of First Enrollment (India)
Modification(s)  
20/07/2020 
Date of Study Completion (India) 11/12/2020 
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)?  

Response - NO
Brief Summary
Modification(s)  
COVID 19 has almost entered every part of the world. Treatments proposed are ineffective or minimally effective. Hence, it is important to find drugs in appropriate time. Various Siddha drugs are  proposed by the Siddha fraternity to combat COVID 19 disease after analyzing its nature. They are to be analyzed and proven clinically through this study.

 
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