CTRI Number |
CTRI/2023/06/053971 [Registered on: 16/06/2023] Trial Registered Prospectively |
Last Modified On: |
04/10/2023 |
Post Graduate Thesis |
No |
Type of Trial |
Interventional |
Type of Study
|
Ayurveda |
Study Design |
Randomized, Parallel Group, Active Controlled Trial |
Public Title of Study
|
Effect of Chandraprabha Vati along with Gokshuradi Guggulu in patients of Benign Prostatic Hyperplasia (BPH) |
Scientific Title of Study
|
Evaluation of the efficacy & safety of ChandraprabhaVati with Gokshuradi Guggulu in the management of benign prostatic hyperplasia- A randomized, standard controlled clinical trial |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Aaditya Bhavanbhai Shah |
Designation |
Research Officer (Ay.) |
Affiliation |
Regional Ayurveda Research Institute, (Central Council for Research in Ayurvedic Sciences) Jammu |
Address |
Regional Ayurveda Research Institute, Rajinder Nagar, Bantalab, Jammu-181123.
Jammu JAMMU & KASHMIR 181123 India |
Phone |
9033236720 |
Fax |
|
Email |
dr.aaditya.shah@gov.in |
|
Details of Contact Person Scientific Query
|
Name |
Dr Aaditya Bhavanbhai Shah |
Designation |
Research Officer (Ay.) |
Affiliation |
Regional Ayurveda Research Institute, (Central Council for Research in Ayurvedic Sciences) Jammu |
Address |
Regional Ayurveda Research Institute, Rajinder Nagar, Bantalab, Jammu-181123.
Jammu JAMMU & KASHMIR 181123 India |
Phone |
9033236720 |
Fax |
|
Email |
dr.aaditya.shah@gov.in |
|
Details of Contact Person Public Query
|
Name |
Dr Aaditya Bhavanbhai Shah |
Designation |
Research Officer (Ay.) |
Affiliation |
Regional Ayurveda Research Institute, (Central Council for Research in Ayurvedic Sciences) Jammu |
Address |
Regional Ayurveda Research Institute, Rajinder Nagar, Bantalab, Jammu-181123.
Jammu JAMMU & KASHMIR 181123 India |
Phone |
9033236720 |
Fax |
|
Email |
dr.aaditya.shah@gov.in |
|
Source of Monetary or Material Support
|
Central Council for Research in Ayurvedic Sciences, Ministry of AYUSH, Goverment of India |
|
Primary Sponsor
|
Name |
Central Council for Research in Ayurvedic Sciences, Ministry of AYUSH, Goverment of India |
Address |
Jawahar Lal Nehru Bhartiya Chikitsa Avum Homeopathy Anusandhan Bhavan
No.61-65, Institutional Area, Opp. D Block, Janakpuri,
New Delhi - 110058 ( India )
Telephone : 91-011-28525862/28525897/28525852
Fax : 91-011-28520748/28525959 (Office of the DG) |
Type of Sponsor |
Research institution |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Aaditya Bhavanbhai Shah Research Officer Ay |
Regional Ayurveda Research Institute, Jammu |
Room No. 102, first floor (Block A), Regional Ayurveda Research Institute, Central Council for Research in Ayurvedic Sciences, Ministry of AYUSH, Government of India,
Rajinder Nagar, Bantalab, Jammu-181123
Jammu JAMMU & KASHMIR |
9033236720
draaditya.shah@gov.in |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Institutional Ethics Committe, RARI, Jammu |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition:N40||Benign prostatic hyperplasia. Ayurveda Condition: VATASHTHILA, |
|
Intervention / Comparator Agent
|
sno | Intervention/Comparator | Type | Drug-Type | Procedure Name | Details | 1 | Intervention Arm | Drug | Classical | | (1) Medicine Name: Chandraprabha Vati, Reference: AFI, Part-I, 12:10 Pg. 185, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 500(mg), Frequency: tds, Bhaishajya Kal: Pragbhakta, Duration: 90 Days, anupAna/sahapAna: No, Additional Information: -(2) Medicine Name: Gokshuradi Guggulu , Reference: API, Part - II (Formulations) Volume – II First Edition, Pg. 157, Route: Oral, Dosage Form: Guggulu , Dose: 1(g), Frequency: tds, Bhaishajya Kal: Pragbhakta, Duration: 90 Days, anupAna/sahapAna: No, Additional Information: - | 2 | Comparator Arm (Non Ayurveda) | | - | Tamsulosin Hydrochloride | Tab. Tamsulosin Hydrochloride
•Dose: 01Tablet of 0.4 mg tamsulosin hydrocloride
•Route of Administration: Oral
•Time of Administration: once daily after food
•Duration of therapy: Three Months (90 days)
|
|
|
Inclusion Criteria
|
Age From |
40.00 Year(s) |
Age To |
70.00 Year(s) |
Gender |
Male |
Details |
1. Prostate volume > 20 and ≤ 50 gm by Transabdominal ultrasound
2. Newly diagnosed case of BPH or who have discontinued any other medication for BPH or related complaints for minimum three months prior to enrollment
3. Willing and able to give written informed consent and comply with study procedures
4. Willing and able to participate in the study for full three months.
|
|
ExclusionCriteria |
Details |
1. PSA > 4 ng/ml
2. Previous prostatic surgery (including TURP, balloon dilatation, thermotherapy, and stent replacement) or other invasive procedures to treat BPH
3. Post-void residual volume >250mL (Transabdominal ultrasound)
4. history of Acute Urine Retention within three months before screening
5. History of confirmed malignancy or cancer of prostate or bladder or has an imminent need for surgery
6. Participants with uncontrolled Hypertension with or without medication. (BP≥ 160/100 mm of Hg)
7. Participants with uncontrolled Diabetes mellitus with or without medication (HbA1c > 8%).
8. Participants with concurrent serious cardiac dysfunction or Hepatic Dysfunction (defined as AST and/or ALT >two times of the standard upper limit) or Renal Dysfunction as serum creatinine level more than the upper limit of lab value, uncontrolled Pulmonary Dysfunction (Asthmatic and COPD patients) or any other concurrent severe disease.
9. Participants participating in any other clinical study or having participated in any other study 1 month prior to screening in the present study
10. Participants who are taking Ayurvedic treatment/medicine for any disease condition for the last three months
11. Participants with impaired cognition, or with a history or diagnosis of psychiatric illness and neurological disorders, etc
12. Subjects who are already taking any other medication for treatment of BPH or any related complaints
13. Use of Any other condition that PI may think can jeopardize the study.
|
|
Method of Generating Random Sequence
|
Permuted block randomization, variable |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Open Label |
Primary Outcome
|
Outcome |
TimePoints |
•Changes in Lower Urinary Tract Symptoms (LUTS) & quality of life in men with benign prostatic hyperplasia by International Prostate Symptom Score (IPSS)
•Changes in prostate volume, post-void residual (PVR), Maximum flow rate, Mean flow rate
|
03 Months
|
|
Secondary Outcome
|
Outcome |
TimePoints |
•Changes in laboratory parameter viz. CBC, LFT, RFT & Lipid profile |
03 Months |
|
Target Sample Size
|
Total Sample Size="70" Sample Size from India="70"
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/ Phase 3 |
Date of First Enrollment (India)
|
03/07/2023 |
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="2" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Open to Recruitment |
Recruitment Status of Trial (India) |
Open to Recruitment |
Publication Details
|
NA |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
Brief Summary
|
Benign Prostatic
Hyperplasia (BPH) is a common problem that affects the quality of life in
approximately one-third of men older than 50 years. BPH is histologically
evident in up to 90% of men by age 85. The primary symptom of BPH is the
hesitancy of micturition, poor prolonged flow, and a sensation of incomplete
emptying of the Urinary bladder; it is due to increased prostate gland volume.
Alpha-adrenoceptor blockers (e.g., Alfuzocin, tamsulosin) and five
alpha-reductase inhibitors are commonly used to treat LUTS attributed to BPH. They have adverse
effects like dizziness, asthenia, postural hypotension, syncope, sexual
dysfunction, infertility, mood disorders, gynecomastia, highâ€grade prostate
cancer, breast cancer, and cardiovascular morbidity/risk factors. Prostatectomy and TURP are widely used
surgical interventions in treating BPH, it also causes many complications.
Lower Urinary Tract
Symptoms (LUTS) associated with BPH are also described in Ayurveda classical
texts under the heading of Mutraghata. Incomplete emptying
and hesitancy are the symptoms of Vatasthila, Vatakundalika, and Vatabasti;
weak stream and straining are the symptoms of Mutratita, and Urgency
is a symptom of Vatabasti.
Chandraprabha vati and
Gokshuradi Guggulu is very well known medicine in the management for the
disease (Lower urinary tract symtoms) of mutravahastrotas. Chandraprabha vati
is described for the management of Mutraghata in Yogaratnakara as well as
Gokshuradi Guggulu is described for the treatment of Mutraghata in Sarangdhara
Samhita. Combination of Chandraprabha
vati and Gokshuradi Guggulu is used in the management of BPH in General
clinical practice.
this is
a open-labelled randomised clinical trial with active control. Sample size of
the trial is 70. This study will be conducted at RARI, Jammu. |