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CTRI Number  CTRI/2014/09/005058 [Registered on: 25/09/2014] Trial Registered Retrospectively
Last Modified On: 06/11/2017
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Ayurvedic clinical study for the management of Psoriasis  
Scientific Title of Study   Clinical Evaluation of Vajraka Ghrita, Arogyavardhini Vati and Dineshavalyadi Taila in the Management of Kitibha (Psoriasis)  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Maheswar Thugutla 
Designation  Research Officer (Ayurveda) 
Affiliation  National Ayurveda Research Institute for Vector Borne Diseases 
Address  National Ayurveda Research Institute for Vector Borne Diseases, New Rajeev Nagar, Payakapuram, Vijayawada.

Krishna
ANDHRA PRADESH
520015
India 
Phone  9441415266  
Fax  08662402144  
Email  mahesh_rri@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr R Kumara Swamy 
Designation  Assistant Director in charge 
Affiliation  Centra Council for Research in Ayurvedic Sciences 
Address  National Ayurveda Research Institute for Vector Borne Diseases New Rajivnagar Payakapuram Vijayawada

Krishna
ANDHRA PRADESH
520015
India 
Phone  8500064848  
Fax  08662402144  
Email  narivbd.vijayawada@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr R Kumara Swamy 
Designation  Assistant Director in charge 
Affiliation  Centra Council for Research in Ayurvedic Sciences 
Address  National Ayurveda Research Institute for Vector Borne Diseases New Rajivnagar Payakapuram Vijayawada

Krishna
ANDHRA PRADESH
520015
India 
Phone  8500064848  
Fax  08662402144  
Email  narivbd.vijayawada@gmail.com  
 
Source of Monetary or Material Support  
Central Council for Research in Ayurvedic Sciences 
 
Primary Sponsor  
Name  Central Council for Research in Ayurvedic Sciences 
Address  Central Council for Research in Ayurvedic Sciences,JLNBCEH Anusandhan Bhavan No 61-65, Institutional Area, Opp.D Block, Janakpuri,New Delhi 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrHemanta Panigrahi  Ayurvedic Central Research Institute  Road Number - 66, Punjabi Bagh, New Delhi- 110026.
New Delhi
DELHI 
9968074400

drhemanta@sify.com 
DrMaheswar Thugutla   National Ayurveda Research Institute for Vector Borne Diseases  New Rajeev Nagar, Payakapuram, Vijayawada
Krishna
ANDHRA PRADESH 
9441415266
08662402144
mahesh_rri@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Institutional Ethical Committee, ACRI, New Delhi  Approved 
Institutional Ethical Committee, NARIVBD,Vijayawada  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Psoriasis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  nil  nil 
Intervention  Vajraka Ghrita,Arogyavardhini vati,Dineshavalyadi taila  Vajraka Ghrita 6gm twice daily with luke warm water - 12 weeks 2.Arogyavardhini vati 250mg twice daily - 12 weeks 3.Dineshavalyadi taila 20ml twice daily for external application for 12 weeks 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Known cases of psoriasis, without psoriatic arthropathy,
Exhibiting psoriatic triad –
I.Bright pink or red lesions with pronounced edges, covered with silvery white scales, the scales can be easily separated from the lesion
II.Under the scales there appears a pinkish moist tender skin
III.With the scarping of the moist skin there appear tiny blood droplets (Auspitz’s sign)
2.Patients suffering from mild to moderate psoriasis with less than 50 % of the body surface involvement
3.Patients having less than 10 years duration
4.Positive histopathological finding.(Skin-biopsy - optional)
 
 
ExclusionCriteria 
Details  1.Age below 18 years and above 60 years
2.Patients with other forms of Psoriasis like Guttate/ Pustular/ Erythrodermic/ inverse.
3.Patients suffering from severe psoriasis with more than 50% of the body surface involvement
4.Patients having chronic disease i.e. more than10 years duration
5.Patients who cannot report in person every 2 weeks in the OPD
6.Patients with Psoriatic arthropathy
7.Patients with poorly controlled Hypertension ( >160/100 mmHg)
8.Patients with poorly controlled Diabetes Mellitus having Hb A1C of > 7.5%
9.Patients on medication with corticosteroids, phototherapy, biologics, antidepressants any other drugs that may have an influence on the outcome of the study.
10.Patients who have a past history of Atrial Fibrillation, Acute Coronary Syndrome, Myocardial Infarction, Stroke or Severe Arrhythmia in the last 6 months.
11.Symptomatic patient with clinical evidence of Heart failure.
12.Known HIV positive cases
13.Patients with concurrent serious hepatic disorder (defined as Aspartate Amino Transferase (AST) and / or Alanine Amino Transferase (ALT), Total Bilirubin, Alkaline Phosphatase (ALP) > 2 times upper normal limit) or Renal Disorders (defined as S. Creatinine >1.2mg/dL), Severe Pulmonary Dysfunction (uncontrolled Bronchial Asthma and / or Chronic Obstructive Pulmonary Disease [COPD]), or any other condition that may jeopardize the study.
14.Alcoholics and/or drug abusers
15.H/o hypersensitivity to any of the trial drugs or their ingredients
16. Pregnant/lactating woman.
17.Patients who have completed participation in any other clinical trial during the past six months.
18.Any other condition which the Investigator thinks may jeopardize the study.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
•Relief in Signs & Symptoms (Change in baseline in plaque psoriasis) of the disease by Reduction in Psoriasis Area and Severity Index (PASI) Score, PASI 50 (50% improvement in PASI score)  12 Weeks 
 
Secondary Outcome  
Outcome  TimePoints 
•Relief in Signs & Symptoms (Change in baseline in plaque psoriasis) of PASI 25.
•Improvement in Dermatology Life Quality Index (DLQI) Questionnaire.
•Any adverse drug reaction or event noted during the trial  
12 Weeks 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   26/09/2013 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   To be published after completion of the study  
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study is aiming in generating the evidence for the scientific validation of the clinical efficacy and safety of classical Ayurvedic formulations a multi centric clinical trial has been initiated in psoriasis at 2 Institutes of Central Council for Research in Ayurvedic Sciences as an activity under Intra Mural Clinical Research Programme. Ayurvedic medicines Vajraka ghrita 6 gm twice daily, Arogyavardhini vati 250 mg twice daily and  Dineshavalyadi taila 20 ml twice daily for external application will be given for 12 weeks in 120 patients of Psoriasis. This study will be conducted in 2 centres in India and completed in 3 years duration . The primary outcome measures will be relief in Signs & Symptoms (Change in baseline in plaque psoriasis) of the disease by Reduction in Psoriasis Area and Severity Index (PASI) Score, PASI 50 (50% improvement in PASI score). Secondary outcomes will be  Relief in Signs & Symptoms (Change in baseline in plaque psoriasis) of PASI 25. Improvement in Dermatology Life Quality Index (DLQI) Questionnaire.

Compostion of Drugs:

1. Composition of Vajaraka Ghrita: 
   Vasa - Adhatoda Vasaka,  Guduchi - Tinospora cordifolia
 
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