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CTRI Number  CTRI/2020/12/029521 [Registered on: 03/12/2020] Trial Registered Prospectively
Last Modified On: 14/06/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Siddha
Other (Specify) [Thokkkanam external theraphy]  
Study Design  Other 
Public Title of Study   A Clinical study on Thandaga vatham (Lumbar Spondylosis) with thokkanam (pidithal murai, External theraphy) Ilagu vida mutti thylam (external medicine) and pirappan kizhangu chooranam (internal medicine) 
Scientific Title of Study   An open labelled double arm non randomized phase-II clinical trial to evaluate the therapeutic efficacy of PIRANPAN KIZHANGU CHOORNAM (INTERNAL) ILAGU VIDA MUTTI THYLAM (EXTERNAL) AND THOKKANAM (PIDITHAL MURAI EXTERNAL THERAPY) in the management of THANDAGA VATHAM (LUMBAR SPONDYLOSIS) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  P Jeyapaul 
Designation  PG Scholar 
Affiliation  Government siddha medical college and hospital Palayamkottai 
Address  Department of pura maruthuvam,OP NO 4 Government siddha medical college and hospital Palayamkottai Tirunelveli Tamil nadu 627002 India

Tirunelveli
TAMIL NADU
627002
India 
Phone  9488856423  
Fax    
Email  jeyapaulsteve@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr M Ahamed mohideen 
Designation  Associate professor 
Affiliation  Government siddha medical college and hospital Palayamkottai 
Address  Department of pura maruthuvam Government siddha medical college and hospital Palayamkottai Tirunelveli Tamil nadu 627002 India

Tirunelveli
TAMIL NADU
627002
India 
Phone  9442542282  
Fax    
Email  dr.ahmed63@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr M Ahamed mohideen 
Designation  Associate professor 
Affiliation  Government siddha medical college and hospital Palayamkottai 
Address  Department of pura maruthuvam Government siddha medical college and hospital Palayamkottai Tirunelveli Tamil nadu 627002 India

Tirunelveli
TAMIL NADU
627002
India 
Phone  9442542282  
Fax    
Email  dr.ahmed63@gmail.com  
 
Source of Monetary or Material Support  
OPD NUMBER-4 GOVERNMENT SIDDHA MEDICAL COLLEGE AND HOSPITAL 
 
Primary Sponsor  
Name  Government siddha medical college and hospital 
Address  Government siddha medical college and hospital palayamkottai  
Type of Sponsor  Other [Government siddha medical college and hospital ] 
 
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 
P Jeyapaul  Government siddha medical college and hospital  op no4, department of pura maruthuvam,Government siddha medical college palayamkottai Tirunelveli Tamil nadu
Tirunelveli
TAMIL NADU 
9488856423

jeyapaulsteve@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC Govt siddha medical college and hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M472||Other spondylosis with radiculopathy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
Intervention  Thokkanam(Pidithal murai) external therapy  Thokkanam(Pidithal murai) external therapy 48 days 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients having symptoms of Pain in the lumbar region, Radiating pain to buttocks and lower limbs, stiffness present in lumbar region, Exacerbation of pain on movements, Pain increased on forward bending, Tingling sensation.(Numbness)

Patients who are willing to give radiological investigation and provide blood for lab investigation.

Patient willing to sign the informed consent stating that he/she will conscientiously stick to the treatment during 48 days but can option out of the trial of his/her own conscious discretion 
 
ExclusionCriteria 
Details  Cardiac disease

Auto immune diseases like Rheumatoid arthiritis, SLE, Psoriasis, Mixed connective tissue disorder.

Spina bifida

Osteo myelitis

Renal Disease

Tuberculosis in spine

Patient with any other serious illness

Other systemic illness

Dislocation 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Assessment of changes from baseline in universal pain assessment scale score at day 48 between Group I (Thokkanam External therapy) and Group II (Medicine and Thokkanam External therapy)

Comparison of efficacy in patient Group I and Group II 
48 Days 
 
Secondary Outcome  
Outcome  TimePoints 
Assessment of quality of life by universal pain score scale
Assessment of safety parameters 
48 days 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= "40"
Final Enrollment numbers achieved (India)="40" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   15/12/2020 
Date of Study Completion (India) 25/05/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
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  
Lumbar spondylosis is a degenerative changes in disc and lumbar spine. Disc degeneration is age related and starts in the 3rd decade.
Reduction in the molecular size of the proteoglycans of the Nucleus Pulposus is associated with loss of viscol elastic properties, increased load bearing by the annulus is followed by focal damage and disc herniation in some cases. Disc prolapse and osteophytosis can formed root compression and indirect ischemic neuronal damage.

Thokkanam signifies a group of therapeutic procedures, usually done with hand on the body in nine different ways, with or without the application of medicated oil (Thailam). These procedures can either be curative or palliative. Normally Thokkanam is done for diseases in which Vaatham is the mostly deranged.
 
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