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CTRI Number  CTRI/2023/05/052675 [Registered on: 16/05/2023] Trial Registered Prospectively
Last Modified On: 15/05/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Unani 
Study Design  Single Arm Study 
Public Title of Study   Unani treatment for renal stones 
Scientific Title of Study   Therapeutic evaluation of Sharbat Aalu Balu in patients of Ḥasāt-ul-Bawliya (Urolithiasis) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shaikh Muzaffar Imamsab 
Designation  P.G. Scholar, Department of Ilmul Jarahat 
Affiliation  National Institute of Unani Medicine 
Address  National Institute Of Unani Medicine,Kottigepalya, Magadi Main Road Bangalore-560091

Bangalore
KARNATAKA
560091
India 
Phone  9481302668  
Fax    
Email  shaikhmuzaffar44@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Prof Syed Shah Alam 
Designation  HOD and Professor, Dept. of Ilmul Jarahat 
Affiliation  National Institute of Unani Medicine 
Address  National Institute Of Unani Medicine,Kottigepalya, Magadi Main Road Bangalore-560091

Bangalore
KARNATAKA
560091
India 
Phone  8792683039  
Fax    
Email  shahalam1971@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prof Syed Shah Alam 
Designation  HOD and Professor, Dept. of Ilmul Jarahat 
Affiliation  National Institute of Unani Medicine 
Address  National Institute Of Unani Medicine,Kottigepalya, Magadi Main Road Bangalore-560091

Bangalore
KARNATAKA
560091
India 
Phone  8792683039  
Fax    
Email  shahalam1971@gmail.com  
 
Source of Monetary or Material Support  
National Institute Of Unani Medicine,Kottigepalya, Magadi Main Road Bangalore-560091 
 
Primary Sponsor  
Name  NATIONAL INSTITUE OF UNANI MEDICINE 
Address  National Institute Of Unani Medicine,Kottigepalya, Magadi Main Road Bangalore-560091 
Type of Sponsor  Research institution and hospital 
 
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 
Shaikh Muzaffar Imamsab  National Institute of Unani Medicine   National Institute Of Unani Medicine,Kottigepalya, Magadi Main Road Bangalore-560091
Bangalore
KARNATAKA 
9481302668

shaikhmuzaffar44@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Communication of Decision of the Institutional Ethics Committee for Biomedical Research  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,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
Intervention  Sharbat Aalu Balu  Soak Aalu Balu(prunus cereus) one part in 4 parts of water for overnight and in the morning boiling will be done till the pulp softens and the volume of water remains half. Then it is cloth filtered. Mix 4 parts of sugar and citric acid (2% of sugar) will be added and the mixture will be heated .When the Qiwam (basic solution of particular consistency) of sharbat will be formed, sodium benzoate (1% of sugar) dissolved in distilled water will be added. The liquor will be filtered again and stocked in bottles. Dosage: 25 ml with 125 ml water BD for 42 days. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients with the urinary stones of size less than 10 mm diagnosed by ultrasonography of whole abdomen & pelvis esp. KUB
2. Both symptomatic & asymptomatic urolithiasis patients.
3. Only stable cases of urolithiasis will be enlisted 
 
ExclusionCriteria 
Details  1. Patients having the stone of size more than 10mm
2. Severe Hydroureteronephrosis
3. Diabetes mellitus
4. Patients having any Severe Systemic Disease
5. Pregnant and lactating Women.
6. Bladder outlet obstruction 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Size of the renal stone  42 days 
 
Secondary Outcome  
Outcome  TimePoints 
1. Pain in abdomen VAS Scale)
2. Burning micturition (Yes/No)
3. Haematuria (Yes/No)
4. Nausea / Vomiting (Yes/No) 
42 days 
 
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 2 
Date of First Enrollment (India)   01/06/2023 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
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   In the past several decades, especially in developed nations, urolithiasis has become one of the most common disorders of the urinary tract across the globe, with an increase incidence and prevalence in all age groups and genders. According to estimates, at least 10% of people in affluent nations have urolithiasis and the southern part is less affected compared to other parts.
UNANI PERSPECTIVE:
Majūsī in his book kāmilus sanā described that the formation of stone or gravel in urinary tract is due to shadīd harārat and Khilt ghalīz. The increased harārat tends to dry the moisture of
the khilt ghalīz resulting in the hardening and crystallization of the material leading to stone formation.
According to Jalinoos, renal stone production is caused by two factors. The first cause is Qarah (ulcer) in which the pus is not be evacuated; instead, it collects in the kidney and aids in the creation of calculi. Another cause he mentions is the rīh which gets entrapped in the crevices of the kidney and condenses into hard material i.e. the stone. According to Razi’s concept in the book kitab al Hawi, whenever the kidney, bladder, or joints stone develop, they are composed of lesdār mawād (a slimy substance) that is acted upon heat. As these substances cannot be excreted, they are deposited in the kidney. Due to heat the material becomes dry and dirty as the moisture gets absorbed and eventually turns it to stone.
Ibn Sina has described that the stones are formed by two causes viz; Ghalīz mādā and retention of this ghalīz mādā. The mādā gets transformed into a stone by the innate heat of the kidneys.
In unani system of medicine, the major methods for the treatment of urolithiasis are lithotriptic (Mufattit-i-Hasāt) and diuretic (Mudirr-i-Bawl) medications. These facilitate the easy removal of morbid material i.e; ghalīz mādā, primarily through the excretory system. Sharbat Aalu Balu is an important unani formulation, being used in urolithiasis. Sharbat Aalu Balu is diuretic and has lithotriptic properties. It also regulates urine output and is nephroprotective in nature.

 
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