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CTRI Number  CTRI/2014/02/004388 [Registered on: 07/02/2014] Trial Registered Retrospectively
Last Modified On: 17/02/2020
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   A clinical study to see the effect of some Ayurvedic formulations in the management of Arthritis knee. 
Scientific Title of Study   Clinical evaluation of Vatari guggulu, Maharasnadi Kwatha and Narayan taila in the management of Osteoarthritis knee. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Anil Mangal 
Designation  Research Officer (Ayurveda) S-2 
Affiliation  Central council for Research in Ayurvedic Sciences(CCRAS) 
Address  National Research Institute for Ayurveda-siddha Human Resource Development & Hospital, Amkho, Gwalior

Gwalior
MADHYA PRADESH
474009
India 
Phone  9755412502  
Fax  0751-2430317  
Email  dranilmangal1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anil Mangal 
Designation  Research Officer (Ayurveda) S-2 
Affiliation  Central council for Research in Ayurvedic Sciences(CCRAS) 
Address  National Research Institute for Ayurveda-siddha Human Resource Development & Hospital, Amkho, Gwalior

Gwalior
MADHYA PRADESH
474009
India 
Phone  9755412502  
Fax  0751-2430317  
Email  dranilmangal1@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anil Mangal 
Designation  Research Officer (Ayurveda) S-2 
Affiliation  Central council for Research in Ayurvedic Sciences(CCRAS) 
Address  National Research Institute for Ayurveda-siddha Human Resource Development & Hospital, Amkho, Gwalior

Gwalior
MADHYA PRADESH
474009
India 
Phone  9755412502  
Fax  0751-2430317  
Email  dranilmangal1@gmail.com  
 
Source of Monetary or Material Support  
Central Council for Research in Ayurvedic Sciences,Dept.of AYUSH,Ministry of Health and Family welfare, Govt.of India 
 
Primary Sponsor  
Name  Central Council for Research in Ayurvedic Sciences 
Address  Central Council for Research in Ayurvedic Sciences, Jawahar Lal Nehru bhartiya chikitsa evam homoeopathy Anusandhan Bhawan, 61-65, Institutional area, opposite D Block, Janakpuri west, New Delhi-110058 India 
Type of Sponsor  Other [Research Organisation] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr pramila devi  Dr Achanta Lakshmipati Research Centre for Ayurveda (ALRCA) & Hospital  Department of clinical research,Adyar,chennai
Chennai
TAMIL NADU 
044-22541536
044-22541537
alrca.chennai@gmail.com 
Dr Subhashree  National Ayurveda Dietetics Research Institute & Hospital  Department of clinical research,Ashoka pillar,jaya nagar,Bangalore
Bangalore
KARNATAKA 
080-26562030
044-26524478
nadri.bengaluru1@gmail.com 
Dr Anil mangal  National Research Institute for Ayurveda-siddha Human Resource Development & Hospital, Gwalior   Department of Clinical Research ,Room No. 36,Amkho, Gwalior
Gwalior
MADHYA PRADESH 
0751-2323307
0751-2430317
dranilmangal1@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
institutional ethics commiittee, Gwalior  Approved 
Institutional ethics commiittee,Bangalore  Approved 
Institutional ethics commiittee,chennai  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  osteoarthritis knee,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  nil  nil 
Intervention  Vatari guggulu along with Maharasnadi Kwatha and Narayan taila  VATARI GUGGULU (Bhaishjya Ratnavali- Amavatadhikar) dose- 2 tablets thrice daily, dosage form-tablet of 500 mg each, route of administration –oral, time of administration-thrice a day after food, anupana-lukewarm water, duration of therapy -12 weeks MAHARASNADI KWATHA (Bhaishjya Ratnavali- Amavatadhikar)- dose-20ml twice daily, dosage form- kwatha, route of administration- oral, time of administration twice a day after food, anupana-lukewarm water, duration of therapy-12 weeks NARAYAN TAIL (Bhaishjya Ratnavali- Vatavyadhyadhikara)-dose 20 ml twice daily, dosage form-oil, route of administration-local gentle massage on affected joint(s) followed by hot fomentation, type of administration- twice a day at 1 hrs interval, packing form 600 ml plastic bottle 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Patient with Primary Osteoarthritis (knee) fulfilling the diagnostic criteria of osteoarthritis recommended by the American College of Rheumatology.
2. Pain in the affected joint(s) > 3 months (with radiological changes as per Grade I to III of Kellgren & Lawrence Radiological scale).
3. Willing and able to participate in the study for 16 weeks. 
 
ExclusionCriteria 
Details   
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Change in WOMAC total score   at baseline,at 84th day and at the end of follow up after 16 weeks.  
 
Secondary Outcome  
Outcome  TimePoints 
1. Change in WOMAC stiffness Domain Score
2. Change in WOMAC Physical function Domain
3. Global assessment of disease activity
Change in the visual analogue scale (VAS) for pain in last 48 hrs.
5. Assessment of change in Ayurvedic disease specific symptoms of Sandhi vata. 
At baseline,14th day,28th day,42nd day,56th day,70th day,84th day and at the end of follow up after 16 weeks. 
 
Target Sample Size   Total Sample Size="180"
Sample Size from India="180" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   29/09/2013 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
published in Journal of ayurveda in integrative medicine(J-AIM) 2017;8;200-204 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This is an open label interventional study for evaluating the safety and efficacy of classical Ayurvedic therapeutic regimen consisting of Vatari guggulu 500 mg 2 tablets thrice a day, Maharasnadi kwatha 20 ml twice a day, local application of Narayan taila for 12 weeks in 180 patients with Osteoarthritis knee. The trial will be conducted in three centers. In this proposed study the effect  of this combination will be evaluated for clinical response and change in the quality of life by using standard parameters. The primary outcome measures will be change in WOMAC total score. The secondary outcomes will be change in WOMAC stiffness domain score, change in WOMAC physical function Domain, global assessment of disease activity, change in the visual analogue scale(VAS) for pain in last 48 hrs. and Ayurvedic disease specific symptoms at the end of 14th day,28th day,42nd day,56th day, 70th day and 84th day and after 4 weeks of follow-up without the trial regimen.

 
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