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CTRI Number  CTRI/2020/12/030135 [Registered on: 30/12/2020] Trial Registered Prospectively
Last Modified On: 29/12/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   MANAGEMENT OF FIRST TRIMESTER OF PREGNANCY WITH AYURVEDIC RASAYANA THERAPY AND MICRONIZED PROGESTERONE. 
Scientific Title of Study   MANAGEMENT OF FIRST TRIMESTER PREGNANCY WITH RASAYANA THERAPY AND MICRONIZED PROGESTERONE– A COMPARATIVE CONTROLLED CLINICAL TRIAL  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  PATEL URVASHIBEN KISHORBHAI 
Designation  MS SCHOLAR 
Affiliation  IPGT AND RA ,JAMNAGAR 
Address  DEPARTMENT OF PRASUTITANTRA EVAM STREEROGA,5TH FLOOR,IPGT AND RA,JAMNAGAR-361008 GUJARAT

Jamnagar
GUJARAT
361008
India 
Phone  8140418875  
Fax    
Email  urvashikp6@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  PROF LAXMIPRIYA DEI 
Designation  PROFESSOR-HOD OF PTSR DEPT. 
Affiliation  IPGT AND RA,JAMNAGAR 
Address  DEPARTMENT OF PRASUTITANTRA EVAM STREEROGA,5TH FLOOR,IPGT AND RA,JAMNAGAR-361008 GUJARAT

Jamnagar
GUJARAT
361008
India 
Phone  9228198366  
Fax    
Email  deilaxmipriya@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  PROF LAXMIPRIYA DEI 
Designation  PROFESSOR-HOD OF PTSR DEPT. 
Affiliation  IPGT AND RA,JAMNAGAR 
Address  DEPARTMENT OF PRASUTITANTRA EVAM STREEROGA,5TH FLOOR,IPGT AND RA,JAMNAGAR-361008 GUJARAT
DEPARTMENT OF PRASUTITANTRA EVAM STREEROGA,5TH FLOOR,IPGT AND RA,JAMNAGAR-361008 GUJARAT
Jamnagar
GUJARAT
361008
India 
Phone  9228198366  
Fax    
Email  deilaxmipriya@yahoo.com  
 
Source of Monetary or Material Support  
IPGT AND RA,GUJARAT AYURVEDA UNIVERSITY,JAMNAGAR-368001 
 
Primary Sponsor  
Name  IPGT AND RA  
Address  IPGT AND RA,JAMNAGAR,JAMNAGAR-361008,GUAJARAT 
Type of Sponsor  Research institution 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 
PROF LAXMIPRIYA DEI  PG HOSPITAL,IPGT AND RA   PG HOSPITAL,DEPARTMENT OF PRASUTITANTRA EVAM STREEROGA,IPGT AND RA,JAMNAGAR-361008 GUJARAT
Jamnagar
GUJARAT 
09228198366

deilaxmipriya@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O092||Supervision of pregnancy with other poor reproductive or obstetric history,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  MICRONIZED PROGESTERONE  micronized progesterone will be given by orally in the dose of 200 mg of 1 tablet 2 times in morning and evening after meal with water for 2 months. 
Intervention  RASAYAN GRANULES  Rasayana granules will be given orally in the dose of 10gm twice a day with Godugdha in morning and evening time in empty stomach for 2 months.  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  1. Married females of age between 20 - 40 years in first trimester of pregnancy having Hb > 7gm/dl.
2. Pregnancy confirmed by urine pregnancy test and ultrasonography.
3. All the UPT +ve cases between 6-8 weeks of pregnancy with or without these conditions:Primigravida/ multigravida with BOH, pregnancy after infertility, H/o threatened abortion, H/o habitual abortion, H/o blighted ovum, delayed fetal pole development, choriodecidual hemorrhage, IUFD, still birth, congenital deformity, previous preterm birth.
 
 
ExclusionCriteria 
Details  1. Married females of age < 20 years and >40 years age in first trimester of pregnancy.
2. Women in 2nd trimester or more trimester of pregnancy. Multigravida without BOH.
3. Women with severe systemic disease.
4. Diagnosed cases of disorders of reproductive tract like tuberculosis, carcinoma, and uterine fibroid and STDs. Incompetent Os and congenital deformities of uterus.


 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
It is expected that the trial drug will help in achieving healthy progeny without any trouble shooting  9-12 WEEKS AND 20 WEEKS OF PREGNANCY 
 
Secondary Outcome  
Outcome  TimePoints 
Drug may have effect in reducing the minor ailments and complications of first trimester of pregnancy.  9-12 WEEKS AND 20 WEEKS OF PREGNANCY 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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 3 
Date of First Enrollment (India)   04/01/2021 
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="1"
Months="6"
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)?  

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) -  FOR DESSERTATION WORK OF THE INSTITUTE

  6. For how long will this data be available start date provided 04-05-2022 and end date provided 04-05-2025?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

INTRODUCTION:Pregnancy means the beginning of a new stage in a women’s life, with all the changes that a new stage can bring. This, 9 months period of pregnancy is clinically divided in to three trimesters. 1st trimester is most crucial period for embryo that needs high qualitative micronutrient for development. The main complication seen during first trimester of pregnancy is abortion which has various causes like genetic factor, endocrinal factors, infections like TORCH, immunological factors, maternal systemic disease like hypertension, severe anaemia etc. Good quality antenatal care is one of the most effective ways to prevent pregnancy complications both in mother as well as foetus. For continuation of pregnancy many hormonal drugs are given in modern practice. One of them is micronized progesterone. A recent study of progesterone supplements found that they did not result in improved pregnancy outcomes and have some side effects too. There is a great scope of research to find out safe, potent, less costly and effective remedies from Ayurveda for the management of ailments and complications in 1st trimester of pregnancy. So, here an effort in this direction has been put by this research work. Keeping these points in view, Rasayana granules a combination of 8 Rasayana drugs are selected to see its efficacy and action on women in first trimester of pregnancy.

In Ayurveda, Acharya Charaka defined Rasayana as a therapy used to form all the Dhatus properly. Rasayana not only provides longer, healthier life but also helps to prevent some of the dreadful diseases. It is the unique therapy which provides qualitative micronutrients to both fetus and mother for healthy progeny. We will register 40 married females, having delayed Mc with UPT +ve between 6-8 weeks of pregnancy. Ultrasonography showing gestational sac with fetal pole and presence of cardiac activity. Age from 20-40 years. Patients will be divided in two groups by computer randomization. INTERVENTION: One group of the patients will be treated with Rasayana granules. Another group of the patients will be treated with micronized progesterone. Rasayana granules will be given orally in the dose of 10gm twice a day with Godugdha in morning & evening time in empty stomach for 2 months. micronized progesterone will be given by orally in the dose of 200 mg of 1 tablet 2 times in morning and evening after meal with water for 2 months. FOLLOW UPPatients will be advised to visit the hospital every week during the treatment and at 5th month of pregnancy after the treatment as follow up. In first meeting, Blood sample is to be taken for examination. Early morning first urine sample is to be taken approx. 10 ml for routine and microscopic examination. Both collections will be repeated at the end of study also. USG reports  will be done before treatment in first visit, at 5th month of pregnancy(18-20 weeks), USG may be repeated in between the trial, if necessary depending on patient’s condition. All the outcomes will be noted in tabular form and appropriate statistical tests will be applied to compare the effect.

 
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