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CTRI Number  CTRI/2022/08/044853 [Registered on: 23/08/2022] Trial Registered Prospectively
Last Modified On: 06/08/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Randomized Factorial Trial 
Public Title of Study   A clinical trail to study the effect of nebulisation using ayurveda medicine in children with Bronchial asthma  
Scientific Title of Study   A Clinical Study To Evaluate The Efficacy Of Bharngimool Arka Nebulization And Sinhyadi Kwath In The Management Of Tamaka Shwasa In Children  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sunaina 
Designation  PG Scholar 
Affiliation  Shri krishna govt ayurvedic College and hospital, kurukshetra, Haryana  
Address  Room no -99,P.G. Department of kaumarbhritya,Shri krishna govt ayurvedic College and Hospital,Sec -8 ,Umri Road,kurukshetra Haryana

Kurukshetra
HARYANA
136118
India 
Phone  09671423885  
Fax    
Email  324sunaina@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sunaina 
Designation  PG Scholar 
Affiliation  Shri krishna govt ayurvedic College and hospital, kurukshetra, Haryana  
Address  Room no -99,P.G. Department of kaumarbhritya,Shri krishna govt ayurvedic College and Hospital,Sec -8 ,Umri Road,kurukshetra Haryana


HARYANA
136118
India 
Phone  09671423885  
Fax    
Email  324sunaina@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sunaina 
Designation  PG Scholar 
Affiliation  Shri krishna govt ayurvedic College and hospital, kurukshetra, Haryana  
Address  Room no -99,P.G. Department of kaumarbhritya,Shri krishna govt ayurvedic College and Hospital,Sec -8 ,Umri Road,kurukshetra Haryana


HARYANA
136118
India 
Phone  09671423885  
Fax    
Email  324sunaina@gmail.com  
 
Source of Monetary or Material Support  
Shri Krishna Governement Ayurvedic College and Hospital kurukshetra Haryana 136118  
 
Primary Sponsor  
Name  Shri Krishna Governement Ayurvedic College and Hospital kurukshetra  
Address  Shri Krishna Governement Ayurvedic College and Hospital Sec-8 Umri Road kurukshetra Haryana 136118  
Type of Sponsor  Government medical college 
 
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 Amit Kataria   Shri Krishna Governement Ayurvedic College and Hospital   Room No - 99 PG Department of Kaumarbhritya Shri Krishna Governement Ayurvedic College and Hospital kurukshetra Umri Road Sec -8 Haryana 136118
Kurukshetra
HARYANA 
9034001230

dramitkataria@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:J453||Mild persistent asthma. Ayurveda Condition: TAMAKASVASAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugClassical(1) Medicine Name: Simhyadi kwath , Reference: Yog ratnakar , Route: Oral, Dosage Form: Kwatha/ Kashaya, Dose: 10(ml), Frequency: bd, Bhaishajya Kal: Pragbhakta, Duration: 21 Days, anupAna/sahapAna: No, Additional Information: Oral kwath
2Comparator ArmDrugOther than Classical(1) Medicine Name: Bharangi mool arka , Reference: NA, Route: Nasal, Dosage Form: Arka, Dose: 2(ml), Frequency: tds, Bhaishajya Kal: Muhurmuhu, Duration: 21 Days, anupAna/sahapAna: No, Additional Information: -arka nebulization for 15 minutes
3Intervention ArmDrugOther than Classical(1) Medicine Name: Bharangi mool arka , Reference: NA, Route: Nasal, Dosage Form: Arka, Dose: 2(ml), Frequency: tds, Bhaishajya Kal: Muhurmuhu, Duration: 21 Days, anupAna/sahapAna: No, Additional Information: - arka Nebulization for 15 min for 21 days
 
Inclusion Criteria  
Age From  3.00 Year(s)
Age To  16.00 Year(s)
Gender  Both 
Details  1. Children of age group of 3 -16 years irrespective of caste, sex, religion.

2. Presence of classical symptoms of Tamak Shwasa like: Ghurghurkanvitam(wheezing), Shwasakashtata (shortness of breath), Aasino labhyate Saukhayam (relief in sitting position), Kasa(cough), Jawara abhibhut (associated with fever).
3. Parents of children are willing to participate in research trial.
 
 
ExclusionCriteria 
Details  1.Patients presenting with severe symptoms of Tamak Shwasa (Bronchial asthma).
2. Any chronic illness, systemic disease like; TB, Respiratory Distress Syndrome, Chronic lung disease, Bronchiectasis, Pleurisy, CHD, Acute Diarrhoea,Septic Shock etc will be excluded from the study.
3. Children with any congenital abnormality.
4. History of food or drug allergy of any kind.
5. During course of treatment if the patient develops any acute illness requiring acute management, such patients will be excluded from the study and continued with conventional treatment.
6. Patients below age of 3 years and above 16 years 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Change in subjective and objective criterias of Tamaka Shwasa
 
Group A- 15 min of nebulization thrice a day for 21 days.
Route of administration - inhalation
Dose- 2 ml respule
Follow up - Follow up will be done monthly for two months

Group B - 15 min of nebulization thrice a day along with oral medication twice a day for 21 days.
Route of administration - inhalation and oral
Dose- 2 ml respule and 1.2ml/kg/day
Follow up - Follow up will be done monthly for two months . 
 
Secondary Outcome  
Outcome  TimePoints 
1. To develop a safe and effective drug that can be helpful for asthmatic community.
2. To study etiopathogenesis of Tamak Shwasa from Ayurveda and Modern point of view.
3. To evaluate the effect of Pathya and Apathya counselling in the management of Tamak Shwasa.
 
2 months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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/ Phase 3 
Date of First Enrollment (India)   20/09/2022 
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="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   Tamak Shwasa is one of the varities among five types of shwasa.It is mentioned as disease of pranvaha srotas. Environmental pollution comprising of excess smoke, dust particles, seasonal changes,extreem cold, pollen and toxic materials vitiate the prana vayu along with kapha. It can manifest either in vaigika or avaigika state due to presence of kapha vata dosha. With the expulsion of kapha patient gets relief for some time. Shodhana and shaman are used for its treatment. Shamana chikitsa will be used to treat children  as Bharangi mool arka as herbal nebulizer and Sinhyadi kwatha for oral administration. Sinhyadi kwatha  is mentioned in yoga ratnakar and Bharangi mool arka is taken for study. All children of age group 3 to 16 are selected from the opd of shri krishna govt ayurvedic College and hospital. Children below 3 and above 16,other chronic illnesses, children with congenital abnormality are excluded from the study. Maximum 30 patients are taken in two groups, each group has 15 patients. Group A is adviced for inhalation og Bharangi mool arka and group B is adviced for oral ingestion of Sinhyadi kwatha and inhalation of Bharangi mool arka. After completing the trial for 21 days children will be assessed again after 30 days for 2 months to access the efficacy of the trial. 
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