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CTRI Number  CTRI/2023/04/051931 [Registered on: 24/04/2023] Trial Registered Prospectively
Last Modified On: 21/11/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda
Nutraceutical 
Study Design  Single Arm Study 
Public Title of Study   A clinical study to evaluate the efficacy and safety of URAL tablet 
Scientific Title of Study   A Open label Clinical Study to Evaluate the Efficacy and Safety of URAL Tablet in Urolithiasis 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
TG/CLI/068, Dated 30 Oct 2023, version 3.1  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Chandrashekar S Ratkal 
Designation  Principal Investigator 
Affiliation  Rescue Urology Center 
Address  Ratkal Speciality Hospital Pvt. Ltd. Rescue Urology Center 458, 6th Main Road, Stage I , Kengeri Satellite Town, Bengaluru , Karnataka

Bangalore Rural
KARNATAKA
560060
India 
Phone  9845255378  
Fax    
Email  dr.csratkal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Chandrashekar S Ratkal 
Designation  Principal Investigator 
Affiliation  Rescue Urology Center 
Address  Ratkal Speciality Hospital Pvt. Ltd. Rescue Urology Center 458, 6th Main Road, Stage I , Kengeri Satellite Town, Bengaluru , Karnataka


KARNATAKA
560060
India 
Phone  9845255378  
Fax    
Email  dr.csratkal@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Meena Dalal 
Designation  CRO Representative  
Affiliation  TrialGuna Pvt Ltd 
Address  467, 1st Main Rd, Royal County, 8th Phase, Gottigere, Bengaluru, Karnataka

Bangalore Rural
KARNATAKA
560083
India 
Phone  9972636265   
Fax    
Email  meena@trialguna.com  
 
Source of Monetary or Material Support  
Vasu Research Centre A2/624-625/2, G.I.D.C., Makarpura, Vadodara 390010 (Gujarat) India  
 
Primary Sponsor  
Name  Vasu Research Centre 
Address  Vasu Research Centre A2/624-625/2, G.I.D.C., Makarpura, Vadodara 390010 (Gujarat) India  
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Chandrashekar S Ratkal  Ratkal Speciality Hospital Pvt. Ltd.  Ratkal Speciality Hospital Pvt. Ltd. Rescue Urology Center Ground Floor 458, 6th Main Rd, Stage I, Kengeri Satellite Town, Bengaluru, Karnataka 560060
Bangalore Rural
KARNATAKA 
9845255378

dr.csratkal@gmail.com 
Dr Shankar S  SDM Institute of Ayurveda and Hospital  Anchepalya, Kumbalagodu post, Bangalore-Mysore Highway, Bangalore, Karnataka 560074
Bangalore
KARNATAKA 
9844669713

shankarsswamy@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
ACE Independent Ethics commitee  Approved 
Pranav Diabetes Center Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:N200||Calculus of kidney. Ayurveda Condition: ASMARI,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugOther than Classical(1) Medicine Name: Boerhaavia diffusa (Punarnava) Dry Extract, Reference: NA, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/Tablets, Dose: 800(mg), Frequency: bd, Bhaishajya Kal: Muhurmuhu, Duration: 60 Days, anupAna/sahapAna: No, Additional Information: -
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1.Subject with Urolithiasis as diagnosed by clinical with calculi measuring < 10mm. Hematologic and Biochemical parameters within normal limits (Study specific parameters: calcium, uric acid cannot be more than 2 times upper limit of normal value).
2. Aged between ≥18 to ≤ 50 years.
3. Subjects willing to sign informed consent and follow the study
procedure and instructions.
4. Subjects who are diagnosed of diabetes mellitus, whose blood
glucose level is under good control with consumption of
Anti-hyperglycemic medications and the Random Blood Sugar
(RBS) reading is ≤ 200mg/dl during the screening period, can
be included in the study.
 
 
ExclusionCriteria 
Details  1. Subjects with severe obstructive uropathy, those with serious
systemic medical disorder- uncontrolled hypertension and
diabetes mellitus, other metabolic disorders, endocrinal
disorders and cardiac illness.
2. The subjects not to have used any drugs, for at least 1 week
prior to the study for concurrent illness with diabetes and
Hypertension.
3. Subjects with a strong history of food or drug allergy of any
kind 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.Reduction in calculi deposit/kidney stone size
2. Recovery in clinical symptoms and signs like Colicky pain at the loin, Hematuria,
Dysuria, Nausea/vomiting, frequency of micturition, fever.
3. Improvement in laboratory parameters: Hematological, Serological, Urine,
Radiological.
 
Day 1, Week 4, Week 8, Week 12 
 
Secondary Outcome  
Outcome  TimePoints 
1.Safety profile and overall compliance
2. Self-reported AEs & SAEs 
Day 1, Week 4, Week 8, Week 12 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   26/04/2023 
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="0"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   none yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Renal Calculi is a common condition experienced by individuals across the world population. Renal calculi are also known as Urolithiasis and commonly called Kidney stones. Kidney stones are mainly composed of calcium salts, uric acid, cysteine, and struvite. Calcium oxalate and calcium phosphate are the most common types accounting for >80% of stones, followed by uric acid (8–10%) and cysteine, struvite in remainders.The main aim of the present study is to evaluate the safety and efficacy of URAL tablets in reduction in size of calculi deposits and recovery from the clinical signs and symptoms of renal calculi.This is a randomized, open labelled clinical study to evaluate efficacy and safety of URAL tablets in subjects with Urolithiasis. The potential subjects will be screened as per the inclusion and exclusion criteria only after obtaining written informed consent from the subjects.  
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