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CTRI Number  CTRI/2023/11/060119 [Registered on: 22/11/2023] Trial Registered Prospectively
Last Modified On: 18/11/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Other (Specify) [Agnikarma With Suvarna Shalaka Along With Oral Administration Of Dashmooladi Kwatha]  
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To Study the efficacy of agnikarma with suvarna shalaka along with oral administration of dashmooladi kwatha in the treatment of Avabahuka (frozen shoulder) 
Scientific Title of Study   Study of efficacy of agnikarma with suvarna shalaka along with oral administration of dashmooladi kwatha in the treatment of Avabahuka with special reference to frozen shoulder- a randomised controlled clinical trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Khakre Lakshmikant Maheshwarappa  
Designation  PG Scholar 
Affiliation  Govt. Ayurved College Nanded 
Address  Dept of Shalyatantra Govt Ayurved College Nanded

Nanded
MAHARASHTRA
431601
India 
Phone  07588178481  
Fax    
Email  lakshmikant.khakre@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vijay P Ukhalkar 
Designation  Professor  
Affiliation  Govt. Ayurved College Nanded 
Address  Dept of Shalyatantra Govt Ayurved College Nanded

Nanded
MAHARASHTRA
431601
India 
Phone  7755921987  
Fax    
Email  ukhalkarvp@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vijay P Ukhalkar 
Designation  Professor  
Affiliation  Govt. Ayurved College Nanded 
Address  Dept of Shalyatantra Govt Ayurved College Nanded

Nanded
MAHARASHTRA
431601
India 
Phone  7755921987  
Fax    
Email  ukhalkarvp@yahoo.com  
 
Source of Monetary or Material Support  
Govt Ayurved College Vazirabad Nanded  
 
Primary Sponsor  
Name  Dr Lakshmikant Maheshwarappa Khakre  
Address  Dept of Shalyatantra Government Ayurved College Vazirabad Nanded  
Type of Sponsor  Other [Self] 
 
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 Lakshmikant Maheshwarappa Khakre   Government Ayurved Hospital Nanded  Department of Shalyatantra Hospital building OPD No. 6 & 7 IPD Ward No. 51 & 63 Nanded MAHARASHTRA
Nanded
MAHARASHTRA 
7588178481

lakshmikant.khakre@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee, Govt. Ayurved College, Nanded  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M750||Adhesive capsulitis of shoulder. Ayurveda Condition: AVABAHUKAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmProcedure-agnikarma, अग्निकर्म (Procedure Reference: Su.Su.12/10 Ambika Datta Shastri ,Sushruta Samhita , Volume 1, Chaukhamba Sanskrit Sansthan; Varanasi: Reprint 2016 (Sutra 12/10 ) page no. 52. Kaviraj Atridev Gupta, Ashtang Sangraha, Volume1, Krushndas Academy; Varanasi: Reprint 1993 (Sutra 40/3 ) page no. 258 Ambika Datta Shastri ,Sushruta Samhita , Volume 1, Chaukhamba Sanskrit Sansthan; Varanasi: Reprint 2016 ( Sutra 12/7 ) page no. 51, Procedure details: Patients will be scheduled to have 4 sessions, 1 week apart, over a period of 4 weeks. In the sitting position, each marked tender point will be touched with the pin point tip of the Panchdhatu Shalaka for approximately 0.3 to 0.5 seconds. The aim will be to produce Samyaka Bindu Vishesh Twaka Dagdha (micro second-degree burn), with an area of about 1-2 mm in diameter, a depth of less than 1 mm & 0.5 cm gap will be left between two points of Dagdha.)
(1) Medicine Name: Dashmooladi kwath, Reference: Bhaishajya Ratnavali by Vd. Siddhinandan Mishra - Vatavyadhi Rogadhikar 26/28, Route: Oral, Dosage Form: Kwatha/Kashaya, Dose: 50(ml), Frequency: od, Duration: 28 Days
2Intervention ArmProcedure-agnikarma, अग्निकर्म (Procedure Reference: Su.Su.12/10 Ambika Datta Shastri ,Sushruta Samhita , Volume 1, Chaukhamba Sanskrit Sansthan; Varanasi: Reprint 2016 (Sutra 12/10 ) page no. 52. Kaviraj Atridev Gupta, Ashtang Sangraha, Volume1, Krushndas Academy; Varanasi: Reprint 1993 (Sutra 40/3 ) page no. 258 Ambika Datta Shastri ,Sushruta Samhita , Volume 1, Chaukhamba Sanskrit Sansthan; Varanasi: Reprint 2016 ( Sutra 12/7 ) page no. 51, Procedure details: Patients will be scheduled to have 4 sessions, 1 week apart, over a period of 4 weeks. In the sitting position, each marked tender point will be touched with the pin point tip of the suvarna Shalaka for approximately 0.3 to 0.5 seconds. The aim will be to produce Samyaka Bindu Vishesh Twaka Dagdha (micro second-degree burn), with an area of about 1-2 mm in diameter, a depth of less than 1 mm & 0.5 cm gap will be left between two points of Dagdha. Suvarna Shalaka will be placed over marked p)
(1) Medicine Name: Dashmooladi kwath, Reference: Bhaishajya Ratnavali by Vd. Siddhinandan Mishra - Vatavyadhi Rogadhikar 26/28, Route: Oral, Dosage Form: Kwatha/Kashaya, Dose: 50(ml), Frequency: od, Duration: 28 Days
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Selection of patient will be done irrespective of sex, religion, occupation, socio-economic status.
2. Patient with classical signs & symptoms of Frozen shoulder with duration up to 2 years.
3. Patient between age Group of 40 and 70 years.
4. Patients with controlled diabetes mellitus(FBS: <140mg/dl, PPBS:<180mg/dl) with or without medication.
5. Patients fit for Agnikarma. 
 
ExclusionCriteria 
Details  1. Patient with Acute Traumatic Disorders of Shoulder Joints.
2. Subluxations or recurrent dislocations of the shoulder joints.
3. Patient suffering from arthritis like Osteoarthritis, Gouty arthritis, etc.
4. Immunocompromised patients such as HIV, HbsAg & RTPCR positive patients.
5. Patients suffering from rotator cuff injuries, other diseases like paralysis, parkinson’s disease, cardiac diseases, renal diseases, endocrine diseases, severe anaemia, malignancy, pregnant & lactating female.
6. Patients with uncontrolled diabetes mellitus.(fasting blood sugar (FBS):>140mg/dl, postprandial blood sugar (PPBS):>180mg/dl) 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
improvement in predefined parameters i.e,
Sandhi shoola (pain), Sandhi graha (stiffness), Bahupraspanda Haratvam (Range of Movements) using
goniometer. 
28days 
 
Secondary Outcome  
Outcome  TimePoints 
1.To achieve relief of pain in Frozen shoulder 2.To evaluate the improvement in the movements of shoulder joint.   28days 
 
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 3 
Date of First Enrollment (India)   20/12/2023 
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="1"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This study is a prospective, randomized, open labelled, controlled clinical study of efficacy of agnikarma with suvarna shalaka along with dashmooladi kwath 50ml once a day in evening for one month with follow up and assessment on 1st , 8th, 15th,22nd and 29th day in the treatment of avabahuka with special reference to frozen shoulder. The primary objective is to study the efficacy of suvarna shalaka along with dashmooladi kwath in the treatment of avabahuka with special reference to frozen shoulder.This study is conucted as PG course at a single centre. 
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