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CTRI Number  CTRI/2022/05/042916 [Registered on: 30/05/2022] Trial Registered Prospectively
Last Modified On: 15/12/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effect of Turmeric-Boswellia Formulation in Menstrual Cramp Pain 
Scientific Title of Study
Modification(s)  
A Double-Blind, Randomized, placebo-controlled Study to Assess the Efficacy of Turmeric-Boswellia Formulation in Menstrual Cramp Pain Associated with Primary Dysmenorrhea 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
AN-05PFK0422H4-WES09, Version 1.0 dated 19 April 2022  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Binu T Kuruvilla 
Designation  Chief Innovation Officer 
Affiliation  Arjuna Natural Private Limited 
Address  Division of Research and Development, Clinical Trial Department, No.7/8, Bank Road, Aluva

Ernakulam
KERALA
683101
India 
Phone  09447818432  
Fax  04842622612  
Email  drbinu@arjunanatural.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Binu T Kuruvilla 
Designation  Chief Innovation Officer 
Affiliation  Arjuna Natural Private Limited 
Address  Division of Research and Development, Clinical Trial Department, No.7/8, Bank Road, Aluva

Ernakulam
KERALA
683101
India 
Phone  09447818432  
Fax  04842622612  
Email  drbinu@arjunanatural.com  
 
Details of Contact Person
Public Query
 
Name  Dr Giby Abraham 
Designation  Research Associate 
Affiliation  Arjuna Natural Private Limited 
Address  Bank Road, Aluva

Ernakulam
KERALA
683101
India 
Phone  09288004381  
Fax    
Email  giby.a@arjunanatural.com  
 
Source of Monetary or Material Support  
Arjuna Natural Private Limited, Aluva, Kerala 
 
Primary Sponsor  
Name  Arjuna Natural Private Limited 
Address  Bank Road, Aluva, Kerala, India - 683 101 
Type of Sponsor  Other [Neutraceutical company] 
 
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 Divya Agarwal  Mewa Chaudhary Hospital   OPD- Room No. 15 Opp. MLB Medical college, Gate no. 2, Jhansi (U.P) 284128
Jhansi
UTTAR PRADESH 
08004911890

drdivya.nirmal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Nirmal Hospital Institutional Ethics Committe  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Primary dysmenorrhea 
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Comparator Agent  Placebo  2 soft gel capsules of 500 mg as single dose, orally, one day 
Intervention  Turmeric-Boswellia formulation  2 soft gel capsules of 500 mg as single dose, orally, one day 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  1. Healthy female participants between 18 and 35 years of age.
2. Participant has a history of regular menstrual cycles that typically occurs between every 21 to 35 days.
3. Participant has a self-reported history of primary dysmenorrhea with at least moderate menstrual cramp pain (based on the categorical pain intensity scale 0-3).
4. Participant is willing to participate in the study and give voluntary informed consent. 
 
ExclusionCriteria 
Details  1. Participant has a known allergy to any of the ingredients in any of the study medication products;
2. Participant has significant co-existing illness, including gastrointestinal, hepatic, renal, neurologic, cardiovascular, psychiatric, endocrine, respiratory, surgical procedure or other condition that, in the Investigator’s judgment, contraindicates administration of the study medication;
3. Participant has a current or past history of one or more of the following conditions: secondary dysmenorrhea, pelvic inflammatory disease, urinary tract infection (currently acute or recurrent [defined as more than three per year]), adnexal masses, uterine fibroids, endometriosis, adenomyosis that in the opinion of the Investigator would impact participant safety and/or the study data;
4. Participant has an ongoing sexually transmitted disease (except for a history of genital herpes or Human Papillomavirus) or has abnormal vaginal discharge;
5. Participant requires prescription analgesics, narcotic, non-NSAID (i.e., defined as oral use of 5 or more times per week for greater than 3 weeks) or has routinely taken OTC medications in excess of label recommended instructions for control of dysmenorrhea symptoms;
6. Participant is taking mood-altering agents (e.g., antidepressants, sedatives, phenothiazines, or anti-anxiety agents).
7. Participant does not agree to abstain from taking any analgesic and/or anti- inflammatory approximately 72 hours prior to the anticipated treatment period and throughout the dosing/assessment period. All pain and anti-inflammatory medications including supplements, topical heat or cold, and other products of topical application will be discontinued approximately 72 hours prior to the anticipated dosing for treatment period and throughout the dosing/assessment period;
8. Participant is pregnant, lactating, or less than 6 months postpartum;
9. Participant is currently using an oral contraceptive for less than 3 months, has been on an unstable dose within the last 3 months or has switched from one oral contraceptive to another within the last 3 months of the study;
10. Participant has a history of alcohol intake daily or drug abuse.
11. Participant with a medical disorder, condition or history such that could impair the participant’s ability to participate or complete this study in the opinion of the investigator.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Total Pain Relief scores (TOTPAR 6) using pain relief categorical scale (0-4).  Each 30 min post-dose censored at 6 h 
 
Secondary Outcome  
Outcome  TimePoints 
•Summed Pain Intensity Difference (SPID) over the 6-hour study period (SPID 0-6) using 0-10 NRS
•Pain Intensity Difference (PID) scores at each evaluation 
Each 30 min post-dose censored at 6 h 
•Global Evaluation   At 6 hours post-dose or immediately before first intake of rescue medication 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "60"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   N/A 
Date of First Enrollment (India)   31/05/2022 
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="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This is a randomized, double-blind, placebo-controlled study in adolescent and adult female participants with primary dysmenorrhea of at least moderate pain. Qualified participants will be randomized into two groups in 1:1 ratio to a single dose of test product or placebo (two soft gel of 500 mg). The participant takes the assigned study medication when menstrual cramp pain is ≥5 in severity using the 0-10 Numerical Rating Scale (NRS) questionnaire. Before dosing, the participants will complete a baseline (immediately before dosing) 0-10 NRS menstrual cramp pain intensity evaluation. After taking the study medication, the participant will complete the pain/pain relief assessment (0-10 NRS and the 0-4 categorical pain relief scale) at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5-, 5.5- and 6-hours post-dose (30 minutes time intervals). At 6 hours post-dose, the participant will complete the Global Evaluation of her overall satisfaction with the effectiveness of the study medication. If the participant decides to take rescue medication prior to the 6 hours, the participant will be instructed to complete the Global Evaluation prior to taking the rescue medication. 
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