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CTRI Number  CTRI/2021/03/032219 [Registered on: 23/03/2021] Trial Registered Prospectively
Last Modified On: 22/03/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Effect of Punarnavadi Guggulu as a treatment of symptoms occuring before menses 
Scientific Title of Study   Open Labeled Single Arm Clinical Trail on Punarnavadi Guggulu in the management of Premenstrual Syndrome  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Megha Rathore 
Designation  PG Scholar 
Affiliation  Parul Institute of Ayurveda 
Address  Room no. 308 Department of Prasuti Tantra Evum Stree Roga Parul Institute of Ayurveda Parul University P O Limda Tal Waghodia Vadodara Gujarat

Vadodara
GUJARAT
391760
India 
Phone  9826962839  
Fax  02668-260201  
Email  rmegha137@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manjusha Karkare 
Designation  Professor 
Affiliation  Parul Institute of Ayurveda 
Address  Room no. 308 Department of Prasuti Tantra Evum Stree Roga Parul Institute of Ayurveda Parul University P O Limda Tal Waghodia Vadodara Gujarat

Vadodara
GUJARAT
391760
India 
Phone  9422515717  
Fax  02668-260201  
Email  mrkarkare@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Manjusha Karkare 
Designation  Professor 
Affiliation  Parul Institute of Ayurveda 
Address  Room no. 308 Department of Prasuti Tantra Evum Stree Roga Parul Institute of Ayurveda Parul University P O Limda Tal Waghodia Vadodara Gujarat


GUJARAT
391760
India 
Phone  9422515717  
Fax  02668-260201  
Email  mrkarkare@gmail.com  
 
Source of Monetary or Material Support  
Parul Ayurveda Hospital, Parul University, Vadodara, 391760 
 
Primary Sponsor  
Name  Parul Institute of Ayurvda 
Address  OP no 104 department of prasuti tantra evum stree roga Parul Institute of Ayurveda Parul University PO Limda Tal Waghodia Vadodara Gujrata 
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 
Dr Manjusha Karkare  Parul Ayurveda Hospital  Room no 308 Department of Prasuti Tantra Evum Stree Roga Parul Institute of Ayurveda Parul University P O Limda Tal Waghodia Vadodara Gujarat
Vadodara
GUJARAT 
9422515717
02668-260201
mrkarkare@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee For Human Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition:Z659||Problem related to unspecified psychosocial circumstances. Ayurveda Condition: not specified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  not applicable  not applicable 
Intervention  Punarnavadi Guggulu   4 tablets (500 mg each) twice a day with luke warm water After meal for 2 cycles and one cycle will be observed without intervention  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Age 18-40 years
Irrespective of marrital status
Regular cycle
Symptoms should appear at definite time in luteal phase of the cycle 
 
ExclusionCriteria 
Details  Women aged below 18 and above 40 years
Diagnosed psychiatric disorder
Irregular cycle
Any organic pelvic pathology
Any known major systemic illness
Diabetes PCOS Metrorrhagia
symptoms should not persist after 5 days of menstrual cycle
symptoms shuold not reoccur within the 1st 13 days 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To subside premenstrual symptoms  30 days 
 
Secondary Outcome  
Outcome  TimePoints 
relief in the symptoms of dysmenorrhea  30 days 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   26/03/2021 
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   will be done after the completion of trial 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Premenstrual syndrome (PMS) encompasses a variety of emotional and physical symptoms that occur from several days to weeks before the onset of menstrual flow. Presently, Premenstrual syndrome is recognized as a psycho-neuroendocrine disorder of unknown etiology.
Symptoms disrupting the premenstrual period if left untreated may lead to PMDD-premenstrual dysphoric disease which is a more severe form of manifestation of the symptoms related to PMS may have disastrous effects in the form of suicidal thoughts, panic disorders, lack of interest in daily activities and relationships. This may have grave consequences on the socio-economic of life thereby reducing the qualiy of life of the patient.
Modern medicine has not zeroed in on a specific cause, but has suggested a number hypothesis to explain the possible pathophysiology. They are as under: Diminished progesterone levels, Decreased synthesis of serotonin, Withdrawal of endorphins from the brain during luteal phase, Reduced Gamma amino butyric acid levels.
By and large symptoms complex bears a similarity to the Samprapti of Shotha mentioned by Ayurvedic classics. The hypothesis therefore is formed that the drugs used in Shotha vyadhi would be helpful in terminating the Samprapti and alleviating the symptoms in PMS. The hypothesis is substantiated by the fact that the intervention drug chosen for this study- Punarnavadi guggulu from Shotha-adhikara of Bhaishajya Ratnawali is indeed found to be useful in treating PMS. It is therefore proposed to undertake this study to create an evidence for its usage by vaidyas.
Assessment criteria- PMTS-OR 
Intervention - Punarnavadi Guggulu 4 tab (500mg each) twice a day with luke warm water, After meal, for 2 cycles and 1 cycle for observation 

 
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