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CTRI Number  CTRI/2021/02/031113 [Registered on: 09/02/2021] Trial Registered Prospectively
Last Modified On: 24/01/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical study to compare the effect of two varieties of alkali thread (Pongamia pinnata and Plumbago zylenica ) in fistula. 
Scientific Title of Study   An open label double arm study on the effect of karanja kshara sutra and chitraka kshara sutra in bhagandara vis a vis Fistula-in-ano. 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Manoj D C 
Designation  PG scholar 
Affiliation  Sri kalabyraveshwara swamy ayurvedic medical college hospital and research center 
Address  Department of PG studies in Shalya Tantra, Sri kalabyraveshwara swamy ayurvedic medical college hospital and research center no 10, pipeline road, RPC layout, vijaynagar second stage, Bengaluru
Sri kalabyraveshwara swamy ayurvedic medical college hospital and research center no 10, pipeline road, RPC layout, vijaynagar second stage, Bengaluru
Bangalore
KARNATAKA
560104
India 
Phone  8050943402  
Fax    
Email  manoj.dc39@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr S V Shailaja 
Designation  Professor and HOD 
Affiliation  Sri kalabyraveshwara ayurvedic medical college hospital and research center 
Address  Department of PG studies in Shalya Tantra, Sri kalabyraveshwara swamy ayurvedic medical college hospital and research center no 10, pipeline road, RPC layout, vijaynagar second stage, Bengaluru
Sri kalabyraveshwara swamy ayurvedic medical college hospital and research center no 10, pipeline road, RPC layout, vijaynagar second stage, Bengaluru
Bangalore
KARNATAKA
560104
India 
Phone  9880917253  
Fax    
Email  shailajaramkumar@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr S V Shailaja 
Designation  Professor and HOD 
Affiliation  Sri kalabyraveshwara ayurvedic medical college hospital and research center 
Address  Department of PG studies in Shalya Tantra, Sri kalabyraveshwara swamy ayurvedic medical college hospital and research center no 10, pipeline road, RPC layout, vijaynagar second stage, Bengaluru
Sri kalabyraveshwara swamy ayurvedic medical college hospital and research center no 10, pipeline road, RPC layout, vijaynagar second stage, Bengaluru
Bangalore
KARNATAKA
560104
India 
Phone  9880917253  
Fax    
Email  shailajaramkumar@yahoo.com  
 
Source of Monetary or Material Support  
Self sponsored Dr Manoj DC, Department of PG studies in Shalya Tantra, Sri kalabyraveshwara swamy ayurvedic medical college hospital and research center no 10, pipeline road, RPC layout, vijaynagar second stage, Bengaluru 
 
Primary Sponsor  
Name  Dr Manoj D C 
Address  Sri kalabyraveshwara swamy ayurvedic medical college hospital and research center no 10 pipeline road RPC layout vijaynagar second stage Bengaluru 
Type of Sponsor  Other [Self sponsored] 
 
Details of Secondary Sponsor  
Name  Address 
Nil  Not applicable 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Kiran M Goud  Sri kalabyraveshwara swamy ayurvedic medical college hospital and research center   Department of PG studies in Shalya Tantra.
Bangalore
KARNATAKA 
9845109556

kiranmgoud@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SKAMCH &RC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K605||Anorectal fistula. Ayurveda Condition: Bhagandhara,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Chitraka kshara sutra  Chitraka kshara sutra to Fistulous tract, Duration depends on the length of Fistulous tract. 
Intervention  Karanja kshara sutra  Karanja kshara sutra to Fistulous tract, Duration depends on the length of Fistulous tract. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Subjects with parisravi suitable for kshara sutra karma
Subjects with low anal fistula
 
 
ExclusionCriteria 
Details  Subjects having bhagandara with any systemic disease interfering with the course of treatment
Subjects having bhagandara with more than 2 openings in perianal region 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Comparison of effect of karanja kshara sutra and chitraka kshara sutra  Before Treatment- Day 1.
After treatment- After complete cutting of the tract.
At followup- 7 Days after complete cutting of the tract. 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Not applicable 
 
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 2 
Date of First Enrollment (India)   18/02/2021 
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="2"
Months="1"
Days="27" 
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 - NO
Brief Summary   Bhagandara is told as mahagada due to its grave nature in sushruth samhitha pidaka formed at bhagaguda and basti pradesha undergoes suppuration burst open and makes an opening externally known as bhagandara bhagandara described in classics represents fistula in ano with overall prevalence of about 9 cases per 1 lakh population per year fistulotomy and fistulectomy have prolonged hospitalization and infection and incontinence in order to avoid these problems kshara sutra ligation which is explained in management of nadi vrana can be adopted in bhagandara as well Karanja and chitraka are mentioned as dravyas for kshara preparation so a study of the same as take up and the results will be analyzed 
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