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CTRI Number  CTRI/2020/10/028663 [Registered on: 27/10/2020] Trial Registered Prospectively
Last Modified On: 22/08/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Unani 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical study to compare the effect of extract and crude form of Unani drug in the treatment of Gouty Arthritis. 
Scientific Title of Study   A clinical study on the comparative assessment in the treatment of Gouty Arthritis (Niqris) with extract and crude form of the Unani polyherbal formulation, a randomized controlled trial. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Nasir Jamal 
Designation  MD student 
Affiliation  Ayurvedic and Unani Tibbia College Hospital 
Address  Department of Moalijat, OPD no.04, Ayurvedic and Unani Tibbia College Hospital, Ajmal Khan Road, Karol Bagh

Central
DELHI
110005
India 
Phone  8800807510  
Fax    
Email  naasirjamaal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rais Ur Rahman 
Designation  Professor and Supervisor 
Affiliation  Ayurvedic and Unani Tibbia College Hospital 
Address  Department of Moalijat, OPD no.04, Ayurvedic and Unani Tibbia College Hospital, Ajmal Khan Road, Karol Bagh

Central
DELHI
110005
India 
Phone  9313980776  
Fax    
Email  drrahman002@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nasir Jamal 
Designation  MD student 
Affiliation  Ayurvedic and Unani Tibbia College Hospital 
Address  Department of Moalijat, OPD no.04, Ayurvedic and Unani Tibbia College Hospital, Ajmal Khan Road, Karol Bagh

Central
DELHI
110005
India 
Phone  8800807510  
Fax    
Email  naasirjamaal@gmail.com  
 
Source of Monetary or Material Support  
Ayurvedic and Unani Tibbia College Hospital, Karol Bagh, New Delhi 110005 
 
Primary Sponsor  
Name  Ayurvedic and Unani Tibbia College Hospital 
Address  Ayurvedic and Unani Tibbia College Hospital 
Type of Sponsor  Government medical college 
 
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 
Dr Nasir Jamal  Ayurvedic and Unani Tibbia College Hospital  Department of Moalijat,Ayurvedic and Unani Tibbia College Hospital, Ajmal Khan Road, Karol Bagh
Central
DELHI 
8800807510

naasirjamaal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ayurvedic and Unani Tibbia College Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M109||Gout, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Extract of Unani polyherbal formulation {Suranjan talkh (Colchicum luteum),Elva (Aloa barbadensis),Qurtum (Carthamus tinctorious),Halaila-e-zard (Terminalia chebula),Zanjabeel (Zingiber officinalis)} filled in capsule form  1 Capsule of 300mg twice a day orally for 6 weeks. 
Comparator Agent  Crude Powder of Unani polyherbal formulation {Suranjan talkh (Colchicum luteum),Elva (Aloa barbadensis),Qurtum (Carthamus tinctorious),Halaila-e-zard (Terminalia chebula),Zanjabeel (Zingiber officinalis)} filled in a capsule form   2 Capsules of 1 gram each, thrice a day orally for 6 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patient with clinical features of gouty arthritis, Serum uric acid more than 7 mg/dL, Patient willing to discontinue the drugs taking for the treatment of gouty arthritis, Patient willing to participate in the study and sign the informed consent form 
 
ExclusionCriteria 
Details  Patient having Gouty arthritis with its complications such as Tophi and renal stones etc, Pregnant and lactating women, Patient receiving Uric acid elevating drugs eg, Pyrazinamide, Thiazide group of diuretics / Aspirin / NSAIDs and Anti-gouty drugs, Renal insufficiency, Hepatic insufficiency, Cardiovascular disorders, Haemopoietic disorders, Patient suffering from malignancy, taking chemo and radiotherapy  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Serum uric acid and pain (Wong Baker’s Faces rating scale 0-10) will be assesed  6 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Tenderness, joints sweelling, joints movement,CRP, ESR will be assesed  6 weeks 
 
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)   02/11/2020 
Date of Study Completion (India) 17/05/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 17/05/2021 
Estimated Duration of Trial   Years="1"
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   This study is a randomized, parallel group trial to evaluate the efficacy and safety of the extract form of the Unani polyherbal formulation in reducing hyperuricemia and its manifestations by using modern parameters and to compare its  efficacy with crude form of same Unani Polyherbal Formulation. The individuals affected with gout are at increased risk of Hypertension, Diabetes Mellitus, Metabolic Syndrome, Kidney and Cardiovascular disorders and thus are at increased risk of death. Due to these complications, Gout has become a distressing problem, despite advancement of modern science. Several agents are already being used such as NSAIDs (Indomethacin, Ibuprofen etc), Colchicine, Xanthine oxidase inhibitors (Allopurenol, Febuxostat etc) , but long term use of these drugs lead to development of various side effects like, gastrointestinal upset, GI bleeding, skin rashes, anaemia, vomiting, diarrhoea, kidney damage, Stevens-Jonsons syndrome, peripheral neuritis etc. Therefore search for safe and effective drug is the need of the time especially from herbal source. Unani scholars have described Principles of treatment for management of gout and many safe and effective single as well as compound drugs in classical Unani literature for the same purpose. In the recent past, two studies have been conducted in the Moalijat department of A & U Tibbia Hospital and the results of the studies were found very encouraging. i.e: 1. A Placebo control study, conducted in 2008 under supervision of Prof. Rais-ur-Rahman on gouty arthritis resulting in more than 80% of efficacy. 2. A standard control study, done in 2012 in which allopurinol was taken as standard control with more than 80% efficacy in gouty arthritis. In both the studies, the same unani polyherbal formulation was given in crude (powder) form. In the current study, we are planning to use  extract form of the same Unani Polyherbal formulation to compare the effectiveness between powder and extract form. 
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