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CTRI Number  CTRI/2023/04/051978 [Registered on: 26/04/2023] Trial Registered Prospectively
Last Modified On: 25/04/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparative study between castor oil EMULGEL with clotrimazole vaginal tablet in the treatment of subjects with vulvo-vaginal candidiasis. 
Scientific Title of Study   An open label, randomized, parallel group, comparative study to evaluate efficacy and safety of castor oil EMULGEL compared to clotrimazole vaginal tablet in the treatment of subjects with vulvo-vaginal candidiasis. 
Trial Acronym 
Secondary IDs if Any  
Secondary ID  Identifier 
2022/145_Version1_Dated 16/09/2022  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pramila Yadav 
Designation  Professor 
Affiliation  D.Y.Patil University- School of Medicine 
Address  Room no:2, Department of Pharmacology, 5th floor, D.Y.Patil University- School of Medicine, Sector-5, Nerul, Navi Mumbai, 40070
Navi Mumbai, Maharashtra
Thane
MAHARASHTRA
400706
India 
Phone  9820792968  
Fax    
Email  drpramilayadav10@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sayali Patil 
Designation  1st year PG resident, Department of Pharmacology 
Affiliation  D.Y.Patil University- School of Medicine 
Address  Department of Pharmacology, 5th floor, D.Y.Patil University- School of Medicine Sector-5, Nerul 400706 India
Navi Mumbai, Maharashtra
Thane
MAHARASHTRA
400706
India 
Phone  9158960386  
Fax    
Email  patilsayali5796@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sayali Patil 
Designation  1st year PG resident, Department of Pharmacology 
Affiliation  D.Y.Patil University- School of Medicine 
Address  5th floor, Department of Pharmacology, D.Y.Patil University- School of Medicine Sector-5, Nerul Navi Mumbai, Maharashtra Thane MAHARASHTRA 400706 India
Navi Mumbai, Maharashtra
Thane
MAHARASHTRA
400706
India 
Phone  9158960386  
Fax    
Email  patilsayali5796@gmail.com  
 
Source of Monetary or Material Support  
D.Y.PATIL UNIVERSITY-SCHOOL OF MEDICINE, NAVI MUMBAI 
ORIENTAL COLLEGE OF PHARMACY, SANPADA 
 
Primary Sponsor  
Name  D Y Patil University School of Medicine Navi Mumbai 
Address  SECTOR-5, NERUL, NAVI MUMBAI- 400706 
Type of Sponsor  Private 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 SAYALI PATIL  D.Y.Patil Hospital  Gyneacology OPD, First floor, D.Y.Patil Hospital, SECTOR-5, NERUL, NAVI MUMBAI, 400706
Thane
MAHARASHTRA 
9158960386

patilsayali5796@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IECBH D.Y.PATIL MEDICAL COLLEGE, NAVI MUMBAI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:N760||Acute vaginitis. Ayurveda Condition: KAPAJA-YONIROGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator Arm (Non Ayurveda)-CLOTRIMAZOLE200 mg clotrimazole vaginal tablet once daily for 3 days intravaginal regimen
2Intervention ArmDrugOther than Classical(1) Medicine Name: Castor oil EMULGEL, Reference: NA, Route: Vaginal, Dosage Form: Varti/ Suppository, Dose: 50(mg), Frequency: bd, Bhaishajya Kal: Grasa bhakta/Sagrasa, Duration: 5 Days, anupAna/sahapAna: Yes(details: -), Additional Information: Cator oil EMULGEL will be applied topically in the vagina twice daily for a period of 5 days.
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1. Female patients in reproductive age group (18-45 years).
2. Patients willing to give written informed consent.
3. Patients with clinical signs and symptoms of vulvovaginal candidiasis (complaints of vaginal pruritus, burning sensation, vulvar soreness or thick curdy discharge).
 
 
ExclusionCriteria 
Details  1. Pregnant or lactating women.
2. Patients with history of previous treatment with systemic antifungal agents within past four weeks or previous topical antifungal treatment within one week.
3. Having any sexually transmitted disease or gynecological abnormality requiring treatment.
4. History of diabetes mellitus or other chronic illness.
5. Immunocompromised patients or patients on immunosuppressant therapy.
6. Presence of concomitant vaginitis caused by other infections (e.g., Bacterial vaginosis, Trichomonas vaginalis, Chlamydia trachomatis or Neisseria gonorrhea).
7. Hypersensitivity to azoles or any component of the formulation.
8. History of drug or alcohol dependency or abuse.
9. Currently enrolled in another clinical study or used any investigational drug or device within 30 days preceding informed consent or scheduled to do the same during the course of this study.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Clinical cure rate (proportion of participants achieving clinical cure)  At baseline, Day-4 for Clotrimazole 200mg & Day 6 for Castor oil EMULGEL 
 
Secondary Outcome  
Outcome  TimePoints 
1. Microbiological cure rate (Direct microscopy/wet smear): Number of positive findings in direct microscopy in comparison to first visit.
2. Therapeutic cure rate: Clinical and microbiological cure combined.
3. Total Severity Score (TSS): Individual clinical signs and symptoms.
4. Vaginal pH: Mean vaginal pH in comparison to first visit.


5. Patients satisfaction: Patient will be asked how satisfied she was with the treatment received based on 8 standardized questions.
 
Castor oil EMULGEL- Day-0 First visit- Day-6 end of treatment.
Clotrimazole 200mg - Day-0 First visit- Day-4 end of treatment. 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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 3 
Date of First Enrollment (India)   01/05/2023 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response (Others) -  patilsayali5796@gmail.com

  6. For how long will this data be available start date provided 01-05-2023 and end date provided 01-12-2023?
    Response (Others) -  6 months

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

This study is a randomized, open label, comparative, parallel-group trial comparing the safety and efficacy of castor oil EMULGEL compared to clotrimazole 200mg vaginal tablet in the treatment of 80 subjects with vulvo-vaginal candidiasis that will be conducted at D.Y.Patil Hospital, Navi Mumbai. The primary outcome measures will be therapeutic cure at follow up visit (Day 4 for clotrimazole and Day 6 for castor oil). The secondary outcomes will be:

1.  Microbiological cure rate (Direct microscopy/wet smear): Number of positive findings in direct microscopy in comparison to first visit.

2. Therapeutic cure rate: Clinical and microbiological cure combined.

3. Total Severity Score (TSS): Individual clinical signs and symptoms.

 

 


 
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