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CTRI Number  CTRI/2013/05/003705 [Registered on: 30/05/2013] Trial Registered Retrospectively
Last Modified On: 06/08/2015
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A comparative clinico-experimental evaluation of Rasayana Drugs administered orally & by Basti in the management of Madhumeha w. s. r. to Type-II Diabetes Mellitus 
Scientific Title of Study   A comparative clinico-experimental evaluation of Rasayana Drugs administered orally & by Basti in the management of Madhumeha w. s. r. to Type-II Diabetes Mellitus 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Swapnil Shivaji Auti 
Designation  Ph.D. Scholar 
Affiliation  Institute for Post Graduate Teaching & Research in Ayurveda, Gujarat Ayurved University 
Address  Department of Panchakarma, I.P.G.T. & R.A., Gujarat Ayurved University, Jamnagar-361008
B/16, staff colony, Gujarat Ayurved University, jamnagar
Jamnagar
GUJARAT
361008
India 
Phone  9277404342  
Fax    
Email  swapn.punarvasu@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anup B Thakar 
Designation  Associate Professor & I/C Head dept. of Panchakarma 
Affiliation  Institute for Post Graduate Teaching & Research in Ayurveda, Gujarat Ayurved University 
Address  Department of Panchakarma, I.P.G.T. & R.A., Gujarat Ayurved University, Jamnagar-361008

Jamnagar
GUJARAT
361008
India 
Phone  9427776660  
Fax    
Email  anup_thakar@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Swapnil Shivaji Auti 
Designation  Ph.D. Scholar 
Affiliation  Institute for Post Graduate Teaching & Research in Ayurveda, Gujarat Ayurved University 
Address  Department of Panchakarma, I.P.G.T. & R.A., Gujarat Ayurved University, Jamnagar-361008
B/16, staff colony, Gujarat Ayurved University, jamnagar
Jamnagar
GUJARAT
361008
India 
Phone  9277404342  
Fax    
Email  swapn.punarvasu@yahoo.com  
 
Source of Monetary or Material Support  
Institute for post graduate teaching and research in Ayurveda, Gujarat Ayurved University, Jamnagar 
 
Primary Sponsor  
Name  Institute for post graduate teaching and research in Ayurveda Gujarat Ayurved University Jamnagar 
Address  Institute for post graduate teaching and research in Ayurveda, Gujarat Ayurved University, Jamnagar 
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 A B Thakar  Institute for post graduate teaching and research in Ayurveda, Gujarat Ayurved University, Jamnagar.  OPD no. 20, Department of Panchakarma, Institute for post graduate teaching and research in Ayurveda, Gujarat Ayurved University, Jamnagar.
Jamnagar
GUJARAT 
9427776660

anup_thakar@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee , IPGT & RA  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Type 2 Diabetes Mellitus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Basti  Madanaphala Taila Anuvasana 160 ml followed by three Rasayana Basti each of 9 Prasruta (Approx. 850ml) & one Anuvasana on last day; in a schedule of 21 days 
Comparator Agent  Placebo  Placebo capsule containing barley powder, one capsule of 500 mg twice a day for 21 days 
Intervention  Rasayana Kashaya  Rasayana Kashaya in a dose of 100ml daily in two divided doses before meal for 21 days 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patient of NIDDM with blood sugar level,
FBS- 126 to 220 mg/dl or
PPBS- 180 to 300 mg/dl.
 
 
ExclusionCriteria 
Details  Patients having age less than 20 years & above 60 years.

Patients of Type-I Diabetes or the patients of Type-II Diabetes taking Insulin.

Patients having complications of Diabetes like Nephropathy, Retinopathy, Diabetic Foot, Carbuncles etc.

Patients having Diabetes in association with other endocrinopathies like Phaeochromocytoma, Acromegaly, Cushing’s syndrome, hyperthyroidism etc.

Patients having drug or chemical induced Type II Diabetes, like glucocorticoids induced or thyroid hormone induced etc.

Patients with genetic syndromes associated with Type II Diabetes like Down’s Syndrome, Klinefelter’s Syndrome, Turner’s Syndrome etc.

Patients complicated with any Cardiovascular diseases, Renal diseases, Carcinoma or any other disease effecting multiple body systems and pregnant women etc.

Patients contraindicated for Bastikarma as per classics
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
blood sugar reduction and reduction in sign and symptoms of diabetes mellitus type 2  21 days 
 
Secondary Outcome  
Outcome  TimePoints 
reduction in sign and symptoms of Madhumeha  21 days 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   26/06/2012 
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="1"
Months="5"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
In present clinical trial patient fulfilling inclusion criteria were randomly divided into three groups viz; group A in which Madanaphala Taila Anuvasana 160 ml  followed by three Rasayana Basti each of 9 Prasruta (850ml) & one Anuvasana on last day; in a schedule of 21 days was given; second group B in which Rasayana Kashaya in a dose of 100ml daily in two divided doses before meal for 21 days was given & in group C placebo capsule of 500 mg twice a day for 21 days was given. Total 91 (91%) patients, i.e. 30 in group A, 30 in group B and 30 in group C completed the course of the therapy. Rasayana Basti has shown 54.55% decrease in polyurea, 50% in turbidity of urine, 53.49% in polyphagia, 60.87% in polydypsia, 90.91% in leg cramps, 69.57% in burning sensation, 68.75% in numbness, 58.54% in excess sweating, 75% in dryness of mouth, 65.52% in the weakness, 67.57% in fatigue, 1.72% in the weight loss & 55.56% in the loss of libido. Rasayana Kashaya has shown 54.90% decrease in polyurea, 50% in turbidity of urine, 52.38% in polyphagia, 60% in polydypsia, 72.22% in leg cramps, 57.58% in burning sensation, 55.56% in numbness, 50% in excess sweating, 100% in dryness of mouth, 58% in the weakness, 65.52% in fatigue, 1.02% in the weight loss & 50% in the loss of libido. Placebo failed to give any relief however the symptoms aggravated by the placebo treatment. In patients treated with Rasayana Basti there was a decrease of 5.4% & 6.36% in FBS & PPBS respectively. These changes were statistically insignificant (p>0.05). In group B there was a statistically significant (p<0.05 & p<0.01 respectively) decrease of 13.02% & 21.60% in FBS & PPBS respectively. In group C there was a statistically insignificant (p>0.05) increase of 8.22% in FBS. However, in PPBS 20.62% increase was seen which was statistically significant (p<0.01).  Results suggest that Rasayana Kashaya is superior in glycemic control as compared to Rasayana Basti. However clinical manifestations of Madhumeha are well managed with both Rasayana Basti & Kashaya 
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