CTRI Number |
CTRI/2022/06/043143 [Registered on: 09/06/2022] Trial Registered Prospectively |
Last Modified On: |
03/06/2022 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Homeopathy |
Study Design |
Single Arm Study |
Public Title of Study
|
Homoeopathy in treatment of Lumbar Spondylosis |
Scientific Title of Study
|
Effectiveness of individualized homoeopathic medicines in the
treatment of pain and stiffness in middle aged Lumbar Spondylosis
patients: A single group, pre- post interventional study |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Nabanita Kundu |
Designation |
Post Graduate Trainee |
Affiliation |
Mahesh Bhattacharyya Homoeopathic Medical College and Hospital |
Address |
Department of Homoeopathic Materia Medica. Mahesh Bhattacharyya Homoeopathic Medical College and Hospital. Dr B.N Chakraborty sarani. Dumurjola, Howrah-711104
Haora WEST BENGAL 711104 India |
Phone |
7908659741 |
Fax |
|
Email |
kundunabanitanih25@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Baishakhi Ghosh |
Designation |
Lecturer |
Affiliation |
Mahesh Bhattacharyya Homoeopathic Medical college and Hospital |
Address |
Department of Homoeopathic Materia Medica. Mahesh Bhattacharyya Homoeopathic Medical College and Hospital. Dr B.N Chakraborty sarani. Dumurjola, Howrah-711104
Haora WEST BENGAL 711104 India |
Phone |
8442992146 |
Fax |
|
Email |
drbaishakhibhatt@gmail.com |
|
Details of Contact Person Public Query
|
Name |
Dr Baishakhi Ghosh |
Designation |
Lecturer |
Affiliation |
Mahesh Bhattacharyya Homoeopathic Medical college and Hospital |
Address |
Department of Homoeopathic Materia Medica. Mahesh Bhattacharyya Homoeopathic Medical College and Hospital. Dr B.N Chakraborty sarani. Dumurjola, Howrah-711104
Haora WEST BENGAL 711104 India |
Phone |
8442992146 |
Fax |
|
Email |
drbaishakhibhatt@gmail.com |
|
Source of Monetary or Material Support
|
|
Primary Sponsor
|
Name |
Dr Nabanita Kundu |
Address |
Department of Homoeopathic Materia Medica. Mahesh Bhattacharyya Homoeopathic Medical College and Hospital. Dr.B.N Chakraborty Sarani. Dumurjola, Howrah-711104 |
Type of Sponsor |
Other [] |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
DrNabanita Kundu |
Mahesh Bhattacharyya Homoeopathic Medical College and Hospital |
Department of Homoeopathic Materia Medica. Mahesh Bhattacharyya Homoeopathic Medical College and Hospital. Dr.B.N Chakraborty Sarani. Dumurjola, Howrah-711104 Haora WEST BENGAL |
7908659741
kundunabanitanih25@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
INSTITUTIONAL ETHICS COMMITTEE |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: M478||Other spondylosis, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Intervention |
Individualized Homoeopathic Medicine |
Homoeopathic Medicine will be selected based on the presenting complaints and the totality of symptoms. The medicine will be prescribed in centesimal potencies. medicines will be prescribed once daily for two days in morning empty stomach. Repeatation of medicine will be done as per prognosis of the cae. All the medicines have been thoroughly proved and the details are written in Materia Medica Pura. |
Comparator Agent |
Not Applicable |
Not Applicable |
|
Inclusion Criteria
|
Age From |
45.00 Year(s) |
Age To |
60.00 Year(s) |
Gender |
Both |
Details |
-Age group is 45-60 years
-Both sexes
-Patient with chief complaint of pain and stiffness in low back region.
-Patient is willing to give consent.
-Patient is willing and able to follow all study instructions and to attend all study visit |
|
ExclusionCriteria |
Details |
-Severe degeneration of lumbar and sacral spine.
-Diagnosed case of unstable psychiatric illness.
-Diagnosed case of uncontrolled life-threatening illness affecting quality of life.
-Patient of pregnancy and lactation
-Patient of malignancy
-Immunocompromised patient
-Inability to comply with the study protocol, alcoholic, drug users |
|
Method of Generating Random Sequence
|
Not Applicable |
Method of Concealment
|
Not Applicable |
Blinding/Masking
|
Not Applicable |
Primary Outcome
|
Outcome |
TimePoints |
Visual Analog scale (VAS) for pain and stiffness is a scale of 0 to 100 mm (“0†score indicate no
symptoms, whereas 100 mm indicates worst possible symptoms, before and after treatment |
Outcome will be assessed initially at the baseline 4 weeks interval up to 6 months. |
|
Secondary Outcome
|
Outcome |
TimePoints |
Oswestry Disability Index Questionnaire. The scores of all questions answered are summed, then
multiplied by two to obtain the index (range 0-100). Where 0%-20%: minimal disability, 21%-40%:
moderate disability, 41%-60%: severe disability, 61%-80%: crippling back pain,81%-100%: these patients
are either bed-bound or have an exaggeration of their symptoms. |
Outcome will be assessed initially at the baseline 4 weeks interval up to 6 months. |
|
Target Sample Size
|
Total Sample Size="50" Sample Size from India="50"
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
|
N/A |
Date of First Enrollment (India)
|
19/06/2022 |
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
|
None yet |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report
- Who will be able to view these files?
Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response - Proposals should be directed to [kundunabanitanih25@gmail.com].
- For how long will this data be available start date provided 12-12-2023 and end date provided 13-12-2028?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
Brief Summary
|
Lumbar Spondylosis is a degenerative process affecting the vertebral disc and facet joint of lumbar and sacral spine which at time causes nerve root compression, lumbar radicular pain, as well as musculoskeletal back pain, and stiffness in the low back region along with muscle spasm and tightness. The 2010 Global Burden of Disease Study estimated that low back pain is amongst the top 10 diseases that account for the highest no of disability adjusted life years worldwide. [6] Lumbar Spondylosis is responsibl for 10% of all low back pain. [2] Now a days it is very common in elder people but it has been found to be as high in athletes that is in middle age group. It is very frequently seen in middle aged to elderly population due to postural defect, in which the curves are emphasized and this result in the joint, muscle and vertebrae being in stressful position [7] In modern medicine, palliation through NSAID and EPIDURAL STEROID INJECTION can be done but this medication have side effects such as ulcer, bleeding, perforation etc. [2] Other physical therapy management can be beneficial but that only is not enough to manage lumbar spondylosis. There is no such study in the treatment of pain and stiffness in middle aged lumbar spondylosis patient and also as we know it is a degenerative condition of vertebral disc and facet joints of bones. Hence, I have decided to choose the topic lumbar spondylosis in middle age group of people if we can halt the degenerative process before hand with our individualized Homoeopathic medicine and also to see the effectiveness in treating the pain and stiffness in middle aged lumbar spondylosis patient. Research Question -Do Individual Homoeopathic Medicines have role in the treatment of pain and stiffness in middle aged lumbar spondylosis patient?
Hypothesis
Null Hypothesis (H0) There will be no significant changes in VAS scale and Oswestry Disability Index score in the treatment of pain and stiffness in middle aged lumbar spondylosis patient. Alternative Hypothesis (HA) There will be significant changes in VAS scale and Oswestry Disability Index score in the treatment of pain and stiffness in middle aged lumbar spondylosis patient. |