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
|
|
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
|
|
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
- 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).
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- 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.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response (Others) - FOR DESSERTATION WORK OF THE INSTITUTE
- 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.
- 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 UP: Patients 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. |