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CTRI Number  CTRI/2013/01/003329 [Registered on: 28/01/2013] Trial Registered Prospectively
Last Modified On: 24/06/2014
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   A clinical trial to study the effect of ARWL12 Capsule in Patients suffering from Internal Hemorrhoids 
Scientific Title of Study   An Open Labeled, Single Centre, Prospective, Clinical Study to Evaluate Efficacy and Safety of ARWL12 Capsule in Patients suffering from Internal Hemorrhoids 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
ARWL12/HE/01/2012, Version 1, 5th November 2012  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Vijay Padmakarrao Ukhalkar 
Designation  Associate Professor 
Affiliation  Government Ayurved College and Hospital Vazirabad Nanded 
Address  Shalyatantra Department Government Ayurved College and Hospital Vazirabad Nanded

Nanded
MAHARASHTRA
431601
India 
Phone  02462234026  
Fax    
Email  ukhalkarvp@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sanjay Tamoli 
Designation  Director 
Affiliation  Target Institute of Medical Education and Research  
Address  Target Institute of Medical Education and Research 205 B Wing Blue Diamond Society Nayagoan, Dahisar West Mumbai

Mumbai (Suburban)
MAHARASHTRA
400068
India 
Phone  02228913701  
Fax    
Email  targetinstitute@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Bhavana Zalavadiya 
Designation  Clinical Trial Manager 
Affiliation  Target Institute of Medical Education and Research 
Address  Target Institute of Medical Education and Research 205 B Wing Blue Diamond Society Nayagoan, Dahisar West Mumbai

Mumbai (Suburban)
MAHARASHTRA
400068
India 
Phone  8080931975  
Fax    
Email  targetinst1@gmail.com  
 
Source of Monetary or Material Support  
Welex Laboratories Pvt. Ltd. 120, T.V. Industrial Estate, 248/A, S.K. Ahire Marg, Worli, Mumbai-400 025 Tel: 022-66150225, 66150226 Email: welex@vsnl.com  
 
Primary Sponsor  
Name  Welex Laboratories Pvt Ltd 
Address  120, T.V. Industrial Estate, 248/A, S.K. Ahire Marg, Worli, Mumbai-400 025 Tel: 022-66150225, 66150226 Email: welex@vsnl.com  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
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 Vijay Padmakarrao Ukhalkar  Shlyatantra Department  Government Ayurved College and Hospital Vazirabad Nanded
Nanded
MAHARASHTRA 
02462234026

ukhalkarvp@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Government Ayurved College and Hospital Vazirabad Nanded   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Internal Hemorrhoids,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  ARWL12 Capsule  Each Capsule contains: Laiwanti Extract (Mimosa pudica), Nilophar (Nymphae raubra), Neem beei Extract (Azadirachta indica), Suran (Amorphophlauls campanautlus), lsabgol (Plantago ovata), Sal (Shorea robusta), Dhania Extract (Coniandrum sativum), Harde Extract (Terminalia chebula), Avla Extract (Emblica officinalis), Nagkeshar (Mesua ferrea), Raktabol (Commiphora myrrha), Kutaj (Holarrhena antidysenterica), Mochras (Salmalia malabarica), Beal Phal (Aegle marmelos), Karanj (Caesalpinia crista) Dosage and Treatment Duration: Two capsules twice daily orally after meals for 60 days.  
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Literate males or non-pregnant females, aged 20 to 60 years (both inclusive).
2.Symptomatic internal hemorrhoids, Grades I & II by direct proctoscopic visualization
3.Bleeding from hemorrhoids for at least two days prior to randomization
4.Body mass index of ≥ 18.5 to ≤ 36 kg/m2.
5.Subjects of female gender or non-pregnant, non-lactating females, at least six weeks postpartum. A urine pregnancy test is required for all female subjects unless subject has had a hysterectomy, tubal ligation, or is > 2 years postmenopausal.
6.Females of child bearing potential who agree to use contraception.
7.Subjects willing to follow the procedures as per the study protocol and voluntarily sign an informed consent form.
 
 
ExclusionCriteria 
Details  1.Patients with protruding or irreducible hemorrhoids (grade IV).
2.Patients with anal fistulas, periproctitis or hemorrhagic diathesis
3.Patients with current history of Type I or Type II diabetes mellitus.
4.Patients with severe hepatic, renal or cardiovascular disorders.
5.Patients with any type of infectious disease.
6.Patients who have been involved with another experimental drug trial within the past 30 days.
7.Patients presently diagnosed with cancer.
8.Patients who have known alcohol and drug abuse.
9.Patients who require the use of suppositories.
10.Use of anticoagulants within 30 days prior to Day 1.
11.Patients on anti-platelet agents or low dose aspirin
12.Use of over the counter or prescription anti-hemorrhoid agents (allopathic, herbal, homeopathic, Unani, Siddha medicines) within 14 days prior to Day 1.
13.Patients with blood or urine laboratory values outside the normal limits or those with values considered abnormal in the opinion of the investigator.
14.Known hypersensitivity to ingredients used in study drug
15.Pregnant and Lactating females.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. Proportion of subjects achieving cessation of per rectal bleeding at the end of the treatment

2. Post treatment reduction in severity of bleeding per rectum
 
2 months

 
 
Secondary Outcome  
Outcome  TimePoints 
1.Post treatment reduction in pile mass
2.Post treatment reduction in other symptoms of hemorrhoids
3.Improvement in Quality of Life at the end of the treatment
4.Global assessment for overall improvement by patient at the end of the treatment
5.Global assessment for overall improvement by physician at the end of the treatment
6.Assessment of pre and post treatment changes in laboratory investigations like LFT RFT Lipid profile CBC ESR Urine Examination Stool Examination and ECG. 
2 months 
 
Target Sample Size   Total Sample Size="38"
Sample Size from India="38" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   28/01/2013 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not applicable 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This is an open labeled, single centre, prospective, clinical study to evaluate efficacy and safety of ARWL12 capsule in patients suffering from Internal Hemorrhoids. Subjects will be advised to take 2 capsules twice daily after meals for 60 days. The study will be carried out in Government Ayurved College and Hospital, Vazirabad, Nanded, India. The study will be carried out in 38 patients of Internal Hemorrhoids. Primary objectives will be to observe proportion of subjects achieving cessation of per rectal bleeding at the end of the treatment and post treatment reduction in severity of bleeding per rectum. Secondary objectives will be to observe post treatment reduction in pile mass, post treatment reduction in other symptoms of hemorrhoids, improvement in Quality of Life at the end of the treatment, Global assessment for overall improvement by patient at the end of the treatment, Global assessment for overall improvement by physician at the end of the treatment and assessment of pre and post treatment changes in laboratory investigations like Liver function tests (LFT), Renal function tests (RFT), Lipid profile, Complete Blood Count (CBC), ESR, Urine Examination, Stool Examination and ECG.   
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