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CTRI Number  CTRI/2021/09/036829 [Registered on: 24/09/2021] Trial Registered Prospectively
Last Modified On: 22/09/2021
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Yoga & Naturopathy 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Yoga for lung functions in COVID-19 survivors 
Scientific Title of Study   Effect of Yoga-based Rehabilitation on pulmonary function in COVID-19 survivors with respiratory sequelae: A PROBE trial 
Trial Acronym  Re-Cover 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Randeep Guleria 
Designation  Director 
Affiliation  AIIMS, New Delhi 
Address  Director Office, AIIMS, New Delhi
Director Office, AIIMS, New Delhi
New Delhi
DELHI
110029
India 
Phone  9810184738  
Fax    
Email  randeepguleria2002@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Randeep Guleria 
Designation  Director 
Affiliation  AIIMS, New Delhi 
Address  Director Office, AIIMS, New Delhi
Director Office, AIIMS, New Delhi
New Delhi
DELHI
110029
India 
Phone  9810184738  
Fax    
Email  randeepguleria2002@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Randeep Guleria 
Designation  Director 
Affiliation  AIIMS, New Delhi 
Address  Director Office, AIIMS, New Delhi
Director Office, AIIMS, New Delhi
New Delhi
DELHI
110029
India 
Phone  9810184738  
Fax    
Email  randeepguleria2002@yahoo.com  
 
Source of Monetary or Material Support  
All India Institute of Medical Sciences, New Delhi.  
 
Primary Sponsor  
Name  All India Institute of Medical Sciences 
Address  Ansari Nagar, New Delhi-110029 
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 Randeep Guleria  All India Institute of Medical Science  Ansari Nagar, New Delhi
New Delhi
DELHI 
9911110487

randeepguleria2002@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute ethics committee,AIIMS New Delhi-110029  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B972||Coronavirus as the cause of diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Standard Care  Standard care provided by the treating physican at AIIMS, New Delhi 
Intervention  Yoga Based Rehabilitation including loosening exercises, breathing exercises, asanas, pranayama and guided relaxation  First 3 sessions will be contact session with in the first week of recruitment at CIMR following online session, twice a week for12 weeks. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  a)Known case of COVID patients with respiratory symptoms on screening (RT-PCR negative or 4 weeks to 8 weeks from the onset of first symptom)
b)Patients with forced vital capacity(FVC)<80%
c)Patients of both sex and age of18-75years
d)Patients who are able and willing to practice any form of exercise when recruited under the study
e)Patients who are not engaged in regular and structured yoga practice.
 
 
ExclusionCriteria 
Details  a)Patients with forced vital capacity FVC<40 %
b)Previous pulmonary complications like severe asthma, COPD, bronchiectasis, interstitial lung disease(IL)
c)Known cases of CAD with moderate to severe LV dysfunction, patients with a history of CV or neurodegenerative diseases.
d)Lactating and pregnant women.
e)Patients currently participating in any other clinical trials with intervention. 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Pulmonary Function: Diffusion lung capacity for carbon monoxide (DLCO), Forced Vital capacity (FVC), Forced expiratory volume in first second (FEV1), Total lung capacity (TLC) using Pulmonary function test  Baseline, after 6 weeks and at the end of 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Severity of dyspnea using UCSD Shortness of Breath Questionnaire.
Exercise capacity using 6-minute walk test
Inflammatory markers such as Interleukin-6(IL-6) and C-reactive protein (CRP).
Total severity score, presence of significant extension of fibrotic abnormalities, ground glass
Opacities (GGO) and consolidation, lobar distribution and linear opacities using HRCT of lungs Psychological assessment using general Anxiety Disorder-7(GAD-7), Patient Health Questionaire9 (PHQ-9)
Health related quality of life (QOL) using short form (SF-36) 
Baseline, after 6 weeks and at the end of 12 weeks 
 
Target Sample Size   Total Sample Size="104"
Sample Size from India="104" 
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)   30/11/2021 
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="0"
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 - NO
Brief Summary  

Coronavirus disease recovered cases reveal the varying degrees of radiological abnormalities associated with the deterioration of the pulmonary function which could manifest in a cascade of cardiopulmonary consequences and abnormal lung function. Also, unprecedented change, fear, and uncertainty during the COVID era has implicated in emotional distress, psychosocial dysfunction, and a surge of mental health problems. Yoga improvement in pulmonary function, rehabilitation, Health-Related Quality of Life and reduces Anxiety & Depression, several types of research have demonstrated the benefits of yoga. The current study attempts to explore yoga-based rehabilitation using a validated and customized yoga module. Keeping this in consideration, a randomized controlled open-label, endpoint blind, a clinical trial is planned to evaluate Yoga therapy as an add-on to standard care in Post covid patients.The proposed study design is a prospective randomized open label blinded endpoint trial with 1:1 allocation ratio. The study participant may fall into the intervention arm will give Yoga for 30 mint for 12 weeks.outcome measures on Baseline, after 6 weeks and at the end of 12 weeks of study.

 
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