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CTRI Number  CTRI/2022/11/047674 [Registered on: 25/11/2022] Trial Registered Prospectively
Last Modified On: 19/12/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   Management of urinary stone with Ayurvedic Calcirex capsule  
Scientific Title of Study   A single group pre and post designed clinical study to determine the effectiveness of Calcirex capsule in the patients of urinary stone. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Manishkumar Patel 
Designation  Professor 
Affiliation  J S Ayurved Mahavidyalaya 
Address  Department of Kayachikitsa, J. S. Ayurved Mahavidyalaya, College Road, Nadiad

Kheda
GUJARAT
387001
India 
Phone  9979589865  
Fax    
Email  manishayu97@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Manishkumar Patel 
Designation  Professor 
Affiliation  J S Ayurved Mahavidyalaya 
Address  Department of Kayachikitsa, J. S. Ayurved Mahavidyalaya, College Road, Nadiad

Kheda
GUJARAT
387001
India 
Phone  9979589865  
Fax    
Email  manishayu97@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Manishkumar Patel 
Designation  Professor 
Affiliation  J S Ayurved Mahavidyalaya 
Address  Department of Kayachikitsa, J. S. Ayurved Mahavidyalaya, College Road, Nadiad

Kheda
GUJARAT
387001
India 
Phone  9979589865  
Fax    
Email  manishayu97@yahoo.com  
 
Source of Monetary or Material Support
Modification(s)  
P D Patel Ayurveda Hospital, Nadiad 
The Punarvasu (Petlad Mahal Arogya Mandal Pharmacy), Nadiad 
 
Primary Sponsor  
Name  The Punarvasu (Petlad Mahal Arogya Mandal Pharmacy) 
Address  Petlad Road, Nadiad - 387002 
Type of Sponsor  Pharmaceutical industry-Indian 
 
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 Manish Patel  P D Patel Ayurveda Hospital  Room no. 102, OPD department of Kayachikitsa, J S Ayurved Mahavidyalaya Campus, College Road, Nadiad
Kheda
GUJARAT 
9979589865

manishayu97@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee for Human Research of J S Ayurved Mahavidyalaya, Nadiad  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:N209||Urinary calculus, unspecified. Ayurveda Condition: MUTRAKRUCCRAM,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugOther than Classical(1) Medicine Name: Calcirex, Reference: NA, Route: Oral, Dosage Form: Capsules, Dose: 1(g), Frequency: tds, Bhaishajya Kal: Abhakta, Duration: 4 Weeks, anupAna/sahapAna: Yes(details: Water), Additional Information: No any
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients having any one or more of the following criteria will be included for the study.
a. Classical pain in the both, renal angle and loin region, radiating (referring)
towards groin.
b. Burning micturition with or without pain.
c. Haematuria.
d. Crystal uria.
e. Nausea or Vomiting
f. USG evidence of the stone. 
 
ExclusionCriteria 
Details  a. Cases of urinary stone with acute severe unbearable abdominal pain.
b. More than 8 mm size of calculus.
c. Cases with moderate/severe hydronephrosis, uremia, recurrent urinary tract
infections (other than calculi), acute retention of urine for more than 24 hours,
hyper parathyroidism, gross developmental defects or structural abnormality of
kidney, other systemic diseases like cardiovascular, endocrinal diseases or
systemic infections, kidney function impairment, stag horn calculus. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Relief in following signs and symptoms -
1. Pain
2. Burning micturition,
3. Frequency of micturition
4. Hematuria  
baseline and 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Decrease in size and number of calculus  base line and after 4 weeks 
 
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 4 
Date of First Enrollment (India)   01/12/2022 
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)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Suspended 
Publication Details   None yet 
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 - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response - Clinical Study Report

  3. 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.

  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 - Proposals should be directed to [manishayu97@yahoo.com].

  6. For how long will this data be available start date provided 01-12-2022 and end date provided 31-12-2027?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary  
Participants (patients) who fulfill the inclusion criteria will be selected from the outpatient and in-patient department of P D Patel Ayurved Hospital attached with J S Ayurved Mahavidyalaya after taking their consent.
Diagnostic procedure: Patients having one or more of the signs and symptoms of urinary stone i.e. pain in abdomen or loin, increased frequency of urine, burning micturition, hematuria and nausea or vomiting will be examined and screened for urine routine and microscopic exam. Presence of crystals, casts, RBC, epithelial cells in urine will be noted. However, confirmation of diagnosis will be on the base of ultrasound scan reports suggesting the presence of stone in urinary tract.
Intervention and dosage of drugs: Calcirex capsule will be an intervention of the study. Each capsule is of 500 mg which contains following ingredients.
Extract of Bergenia ciliate (rhizome of Pashanabheda) - 100 mg
Extract of Crataeva nurvala (stembark of Varuna) - 100 mg
Extract of Boerhavia diffusa (root of Punarnava) - 60 mg
Extract of Tribulus terrestris (fruit of Gokshura) - 60 mg
Hazaul Yahud pishti (Lapis Juidaicus) -100 mg
Shuddha Shilajit (Asphaltum punja- bianum) - 50 mg
Hordeum vulgare (Sarjikakshara) - 30 mg
Two capsules of Calcirex will be given three times in a day with warm water and after the meal.
Diet for all the patients: Mung, mung beans soup, rice, gram flour chapati, vegetables which are easy to digest will be recommended to the patients. Sour tasty, fermented food items and vegetables which contain small seeds i.e. tomatoes, chilies, lady finger will not be allowed.
Duration of treatment: Main assessment period will be after the 4 weeks of the treatment. During the follow-up period, patients will be instructed to continue all the oral medicaments and diet as per the mentioned schedule.
Assessment of patients: Patients will be assessed on the basis of relief in signsymptoms, other invasive investigation and findings of laboratory on the basis of specially designed research Performa through scoring pattern.
Outcome measures: Assessment of therapy was done according to the relief observed in the sign and symptoms with the help of following scoring pattern.
The details of the scores adopted for the chief signs and symptoms (before and after treatment) in the present study are as follows –
1. Pain
   No pain - 0
   Bearable pain (1 or 2 times during study period) - 1
   Bearable pain occasionally (average 2 to 3 times /week) - 2
   Bearable pain Everyday – 3
2. Burning micturition
   No burning micturition – 0
   Burning micturition (1 or 2 times during study period) - 1
   Regular burning micturition (average 2 to 3 times /week) - 2
   Regular burning micturition everyday - 3
3. Haematuria
   No haematuria - 0
   Smoky black coloured urine - 1
   Bright red coloured urine – 2
4. Frequency of micturition (in 24 hours)
   Up to 6 times - 0
   7-9 times - 1
   10-12 times - 2
   >12 times – 3
5. Size of stone (with the help of USG)
6. Number of stones (with the help of USG)

 
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