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CTRI Number  CTRI/2014/08/004931 [Registered on: 26/08/2014] Trial Registered Retrospectively
Last Modified On: 22/08/2014
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Siddha 
Study Design  Single Arm Study 
Public Title of Study   A CLINICAL TRIAL TO STUDY THE SAFETY AND EFFICACY OF "IRUKAARA PARPAM" IN PATIENT WITH KIDNEY STONE 
Scientific Title of Study   A CLINICAL STUDY ON AZHAL KALLADAIPPU (RENAL CALCULI)AND THE DRUG OF CHOICCE IS IRUKAARA PARPAM (INTERNAL). 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR B SIVARAJA MANICKAM 
Designation  PG SCHOLAR 
Affiliation  NATIONAL INSTITUTE OF SIDDHA 
Address  DEPARTMENT OF MARUTHUVAM NATIONAL INSTITUTE OF SIDDHA TAMBARAM SANATORIUM CHENNAI-47
TAMBARAM SANATORIUM CHENNAI47
Kancheepuram
TAMIL NADU
600047
India 
Phone  9585695147  
Fax  04422381314  
Email  sivarajamanickam87@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR T LAKSHMIKANTHAM 
Designation  LECTURER 
Affiliation  NATIONAL INSTITUTE OF SIDDHA 
Address  DEPARTMENT OF MARUTHUVAM NATIONAL INSTITUTE OF SIDDHA TAMBARAM SANATORIUM CHENNAI 47
TAMBARAM SANATORIUM CHENNAI47
Kancheepuram
TAMIL NADU
600047
India 
Phone  9444466880  
Fax  04422381314  
Email  drlakshmiramaswamy@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR S MOHAN 
Designation  DEAN 
Affiliation  NATIONAL INSTITUTE OF SIDDHA 
Address  DEPARTMENT OF MARUTHUVAM NATIONAL INSTITUTE OF SIDDHA TAMBARAM SANATORIUM CHENNAI47
TAMBARAM SANATORIUM,CHENNAI-47
Kancheepuram
TAMIL NADU
600047
India 
Phone  9443972173  
Fax  04422381314  
Email  drmohan139@gmail.com  
 
Source of Monetary or Material Support  
NATIONAL INSTITUTE OF SIDDHA 
 
Primary Sponsor  
Name  NATIONAL INSTITUTE OF SIDDHA 
Address  TAMBARAM SANATORIUM CHENNAI47 TAMILNADU  
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 
DR B SIVARAJA MANICKAM  NATIONAL INSTITUTE OF SIDDHA,DEPARTMENT OF MARUTHUVAM,BRANCH I,OPD NO 1  TAMBARAM SANTORIUM CHENNA47
Kancheepuram
TAMIL NADU 
9585695147
04422381314
sivarajamanickam87@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  AZHAL KALLADAIPPU(RENAL CALCULI),  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  IRUKAARA PARPAM  IT IS A MINERAL FORMULATION,130Mg with HONEY,BID,ORAL ROUTE ADMINISTRATION,24days 
Comparator Agent  NOT APPLICABLE  NOT APPLICABLE 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  • Patients who are having the classical symptoms of abdominal pain and distensión, pain from loin to groin, pain in urethra, agonizing pain, dysuria, oliguria, yellow coloured urination, burning micturition, haematuria, nausea and vomiting.
• Stone size: ≥4mm and ≤10mm
• Patient with renal calculus detected on X-ray KUB or USG abdomen.
• History of Recurrence of Renal calculi.
• Patient willing to sign the informed consent stating that he/she will conscientiously stick to the treatment during 24days but can opt out of the trial of his/her own conscious discretion.
• Patients who are willing to take Ultrasonography Investigation (USG- abdomen / KUB) and provide blood and urine samples for laboratory investigation.
 
 
ExclusionCriteria 
Details  • Stone size 10mm
• Pregnancy and lactation
• Presence of any associated severe systemic illness, e.g.CA
• Patient taking any other lithotriptic agent in the recent past
• History of Diabetes/ Hypertension
• Renal diseases
• Cardiac diseases
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1complete clearance/ reduction in the size of renal calculus in X-ray KUB or USG abdomen.  24 DAYS 
 
Secondary Outcome  
Outcome  TimePoints 
2. Complete reduction of clinical symptoms and improvement in the lab investigation  24DAYS 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   27/01/2014 
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)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   STILL NO PUBLICATION 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

                Renal calculus or Nephrolithiasis is one of the most common diseases of the renal system. It occurs more frequently in men than in women and in whites than in blacks. It is rare in children. Urinary calculus is a stone-like body composed of urinary salts bound together by a colloid matrix of organic materials. It consists of a nucleus around which concentric layers of urinary salts are deposited. Nephrolithiasis occurs in all parts of the world, with a lower lifetime risk of 2-5 percentages in Asia, 8-15 percentages in the West, and 20 percentages in Saudi Arabia.[9].

 In India,the incidence of upper and lower urinary tract calculi is more. With its multifactorial etiology and high rate of recurrence, urinary tract stone disease  becomes a medical challenge. The new approach in diagnosis and management like Extra-corporeal shock wave lithotripsy (ESWL) and endoscopy surgery are not cost effective to the lower socio- economic groups, who are mostly affected by urinary calculus,[2] when compared to the treatment with traditional system of medicine, which is cost effective.its give me a motivation to do a study on IRUKAARA PARPAM in the treatment of azhal kalladaippu.

   In the text Siddha vaithiya Patharthaguna vilakkam-Thaathu Jeeva Vaguppu ‘IRUKAARA PARPAM” a Siddha formulation has been specifically indicated for  kalladaippu. The mode of preparation seems to be simple and cost effective.The main  ingrediants of the  above said formulation are vengaram (borax) and padikaaram( alum). Vengaram(Borax) is well known for its karkaraichi(lithotriptic),Siruneer perukki(diuretic) and Azhukalakatri (antiseptic) actions as per Siddha literature[15]. Padikaaram (Alum) has Isivakatri(antispasmodic),Azhukalakatri(antiseptic) and Kuruthi pokkadaki(haemostatic) actions as per Siddha literature[16].

    The above said drug formulation has not yet  undergone any safety studies and yet to be documented clinically. Hence I have selected the siddha formulation   “ IRUKAARA PARPAM” for further clinical evaluation  in AZHAL KALLADAIPPU.

IRUKAARA PARPAM

 

METHOD OF PREPARATION:

INGREDIENTS:

  • Purified Vengaram                   - 1palam(35gms)
  • Purified Alum                           - 1palam(35gms)
  • Lemon juice                               - Required quantity
  • PURIFICATION OF TRIAL DRUGS:
  • 1.Vengaram:                   

                 Purification will be done by frying the Vengaram in a mud vessel until the water content evaporates.

  • 2.Padikaaram:

                     Alum will be mixed  well with water and will be filtered. The filtrate will be boiled again and allowed to cool.

 
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