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CTRI Number  CTRI/2023/07/054967 [Registered on: 10/07/2023] Trial Registered Prospectively
Last Modified On: 03/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   An Open Label Single Arm Clinical Study To Evaluate The Combined Effect of Virechana And Trayantyadi Kashaya In Alcoholic Liver Disease  
Scientific Title of Study   An Open Label Single Arm Clinical Study To Evaluate The Combined Effect of Virechana And Trayantyadi Kashaya In Alcoholic Liver Disease 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Rakshith M M 
Designation  PG SCHOLAR 
Affiliation  JSS Ayurveda Medical college 
Address  Department of Kayachikitsa OPD 1 41/E JSS Ayurveda Medical College Lalithadripura road Alanahalli Mysore

Mysore
KARNATAKA
570028
India 
Phone  8951051997  
Fax    
Email  rakshithparashar97@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Deepa C Patil 
Designation  Professor  
Affiliation  JSS Ayurveda Medical college 
Address  Department of PG studies in Kayachikitsa 41/E JSS Ayurveda Medical College Lalithadripura road Alanahalli Mysore

Mysore
KARNATAKA
570028
India 
Phone  9886485005  
Fax    
Email  deepsmysore@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rakshith M M 
Designation  PG SCHOLAR 
Affiliation  JSS Ayurveda Medical college 
Address  Department of PG Studies in Kayachikitsa OPD 1,41/E JSS Ayurveda Medical College Lalithadripura road Alanahalli Mysore


KARNATAKA
570028
India 
Phone  8951051997  
Fax    
Email  rakshithparashar97@gmail.com  
 
Source of Monetary or Material Support  
JSS Ayurveda Medical College #41/ E, Lalithadripura Road, Mysuru, Karnataka 570028 
 
Primary Sponsor  
Name  Dr Rakshith MM 
Address  41/ E Lalithadripura Road Mysuru Karnataka 570028 
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 Rakshith M M  Jss Ayurveda Medical College  41/ E Lalithadripura Road Mysuru Karnataka 570028
Mysore
KARNATAKA 
8951051997

rakshithparashar97@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JssAyurveda Medical college  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K709||Alcoholic liver disease, unspecified. Ayurveda Condition: YAKRUDDALYUDARAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-virecana-karma, विरेचन-कर्म (Procedure Reference: Charaka chikitsa stana chapter 16 sloka No 39 40, Procedure details: Virechana for 13 to 17 days)
(1) Medicine Name: TrayantyadiKashaya, Reference: Ashtanga Hridaya chikitsa chapter 13 sloka no 11, Route: Oral, Dosage Form: Kwatha/Kashaya, Dose: 15(ml), Frequency: tds, Duration: 30 Days
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.subjects having Alcohol dependence 1 year or more
2.Subjects full filling the diagnostic criteria
3.Subjects with or with out raised billirubin levl (0.1-10 mg/dl )
4.Subjects not suffering from Alcoholic withdrawal symptoms
5.Subjects between the age group of 20-60 years irrespective of gender
6.Subjects with elevated LFT values 
 
ExclusionCriteria 
Details  1.Subjects diagnosed with HIV, HBV, Tuberculosis, Myocardial infarction, other systemic diseases which interfere with the course of treatment.
2.Subjects diagnosed with Cirrhosis of liver, Ascites, Viral hepatitis, Severe Alcoholic Hepatitis, and other Psychiatric diseases which interfere with the course of treatment.
3.Subjects diagnosed with other Psychoactive drug dependance.
4.Subjects under active administration of hepato-toxic drugs.
5.Pregnant Women and Lactating Mothers.
6.Subjects not fit for Virechana. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Reduction in the LFT Values  Pre-test: 0th day.
Post-test- After treatment: (Shamanaushadhi) 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in the Ultrasound of Abdomen   Pre-test: 0th day.
Post-test- After treatment: (Shamanaushadhi) 
 
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)   20/07/2023 
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="1"
Months="6"
Days="30" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   Alcoholic associated Liver Disease (ALD) comprise a spectrum of diseases associated with chronic Alcohol consumption ranging from Alcohol associated Fatty Liver Disease and Steatohepatitis (Alcoholic Hepatitis) to move advanced liver diseases including from fibrosis to cirrhosis.A high daily intake of Alcohol (>60g) in males and (>20 g) in females taken for more than 6 to 8 years, significantly increases the risk of ALD Alcoholic Fatty Liver is the earliest change and is almost universally present in heavy alcoholics. Among the Alcoholic Fatty Liver, 34.3% may end up with Cirrhosis. It is generally a benign condition with abstinence . Alcoholic Hepatitis occurs in 10% to 35% of heavy drinkers who develop necro inflammation with or without fat infiltration. Virechana is the first line of management for Pitta, Pittakapha, and Pittashayagata vikara.Trayantyadi Kashaya include Trayanti  as one of the main ingredient which is directly indicated in Yakrit Vikaras as mentioned in Priyanighantu. 
So present study an effort has been put forth to evaluate efficacy of Virechana and Trayantyadi Kashaya in Alcoholic liver disease.

 
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