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CTRI Number  CTRI/2023/06/054110 [Registered on: 19/06/2023] Trial Registered Prospectively
Last Modified On: 16/06/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   A Clinical Trial to study the effect of tablet Vyoshadi guggulu along with the Vaitarana Basti protocol in Rheumatoid Arthritis. 
Scientific Title of Study   Clinical evaluation of Vyoshadi guggulu with Vaitarana Basti in the management of Amavata (Rheumatoid Arthritis): A Controlled Clinical study. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Nagashree N 
Designation  Postgraduate Scholar 
Affiliation  Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Anchepalya, Bengaluru 
Address  Department of PG studies in Kayachikitsa, Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Anchepalya, Kumbalgodu post, Bengaluru, Karnataka

Bangalore
KARNATAKA
560074
India 
Phone  8217862736  
Fax    
Email  nagashreen@sdmayurbangalore.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Srinivasa S 
Designation  Professor and Head of the Department 
Affiliation  Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Anchepalya, Bengaluru 
Address  Department of PG studies in Kayachikitsa, Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Anchepalya, Kumbalgodu post, Bengaluru, Karnataka

Bangalore
KARNATAKA
560074
India 
Phone  9448211053  
Fax    
Email  ssomayaji78@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nagashree N 
Designation  Postgraduate Scholar 
Affiliation  Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Anchepalya, Bengaluru 
Address  Department of PG studies in Kayachikitsa, Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Anchepalya, Kumbalgodu post, Bengaluru, Karnataka

Bangalore
KARNATAKA
560074
India 
Phone  8217862736  
Fax    
Email  nagashreen@sdmayurbangalore.in  
 
Source of Monetary or Material Support  
Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Anchepalya, Kumbalgodu post, Bengaluru-560074 
 
Primary Sponsor  
Name  Dr Nagashree N 
Address  Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Anchepalya, Kumbalgodu post, Bengaluru, Karnataka 
Type of Sponsor  Other [] 
 
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 Nagashree N  Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Anchepalya, Bengaluru  Out Patient Department of Kayachikitsa and Panchakarma, Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Anchepalya, Kumbalgodu post, Bengaluru, Karnataka
Bangalore
KARNATAKA 
08217862736

nagashreen@sdmayurbangalore.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Sri Dharmasthala Manjunatheshwara Institute of Ayurveda and Hospital, Anchepalya, Kumbalgodu post, Bengaluru.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M059||Rheumatoid arthritis with rheumatoid factor, unspecified. Ayurveda Condition: AMAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugClassical(1) Medicine Name: Vyoshadi Guggulu, Reference: Ashtanga Hridaya, Chikitsasthana 21/50, Route: Oral, Dosage Form: Guggulu , Dose: 500(mg), Frequency: tds, Bhaishajya Kal: Adhobhakta, Duration: 31 Days, anupAna/sahapAna: Yes(details: luke warm water), Additional Information: -
2Intervention ArmProcedure-vaitaraNa-bastiH, वैतरण-बस्तिः (Procedure Reference: Chakradatta, Niruhadhikara 73/33-34, Procedure details: 1. Vaitarana Basthi- Vaitarana basti Protocol in the Yoga Basti pattern which includes alternate 5 Anuvasana basthi with Bruhat Saindhavadi taila and 3 Niruha basti, starting from Anuvasana basti is given on consecutive days respectively ending with two Anuvasana basti for about 8 days (From Day 8- Day 15 of the trial period).)
3Comparator ArmDrugClassical(1) Medicine Name: Simhanada Guggulu, Reference: Bhiashajya rathnavali, Amavatadhikara, 130-131, Route: Oral, Dosage Form: Guggulu , Dose: 500(mg), Frequency: tds, Bhaishajya Kal: Adhobhakta, Duration: 31 Days, anupAna/sahapAna: Yes(details: luke warm water), Additional Information: -
4Comparator ArmProcedure-vaitaraNa-bastiH, वैतरण-बस्तिः (Procedure Reference: Chakradatta, Niruhadhikara 73/33-34., Procedure details: 1. Vaitarana Basthi- Vaitarana basti Protocol in the Yoga Basti pattern which includes alternate 5 Anuvasana basthi with Bruhat Saindhavadi taila and 3 Niruha basti, starting from Anuvasana basti is given on consecutive days respectively ending with two Anuvasana basti for about 8 days (From Day 8- Day 15 of the trial period).)
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  American College of Rheumatology/ European League against Rheumatism classification criteria for Rheumatoid Arthritis 2010, Subjects who fulfills a score of greater than or equal to 6/10 with Duration of symptoms greater than or equal to 6 weeks and Lesser than or equal to 10 years. 
 
ExclusionCriteria 
Details  Subjects,
1.On drug therapy such as DMRAD’s.
2.With Severe joint deformity.
3.Diagnosed with Spine, Gout, Ankylosing spondylosis, Osteoarthritis, Traumatic arthritis, Psoriatic arthritis, Infective Arthritis, Septic arthritis and Pyogenic Osteomyelitis.
4.With associated co-morbidities such as Cardiac disease, Pulmonary Tuberculosis, Uncontrolled Diabetes Mellitus, Malignant Hypertension, Renal Function Impairment.
5.Pregnant and Lactating Women.
6.Contraindicated for Basthi procedure. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Alternation 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1.Simple Disease Activity Index (SDAI) of Rheumatoid Arthritis.
2.Pratyatma Lakshanas Of Amavata.
 
Day-0 & Day-32 
 
Secondary Outcome  
Outcome  TimePoints 
QoL- RA (Quality of Life- Rhematoid Arthritis) Questionnaire  Day-0 & Day-32 
 
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 1/ Phase 2 
Date of First Enrollment (India)   25/06/2023 
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   NIL 
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 Open label Controlled Clinical trial  to evaluate the Combined Clinical effect of Vyoshadi Guggulu along with Vaitarana Basti protocol in the Disease Activity of Rheumatoid arthritis. Subjects are allocated in to study and control groups respectively.

Study group includes 15 subjects Qualifying the Inclusion Criteria of the current study with Oral administration of Tab. Vyoshadi guggulu 500mg TID with lukewarm water After food for 31 days starting from Day-1 of the trial along with Vaitarana basti Protocol in the Yoga Basti pattern which includes alternate 5 Anuvasana basthi with Bruhat Saindhavadi taila and 3 Niruha basti, starting from Anuvasana basti which is given on consecutive days respectively ending with two Anuvasana basti for about 8 days (From Day 8- Day 15 of the trial period).

Control group includes 15 subjects Qualifying the Inclusion Criteria of the current study with Oral administration of Tab. Simhanada guggulu 500mg TID with lukewarm water After food for 31 days starting from Day-1 of the trial along with Vaitarana basti Protocol in the Yoga Basti pattern which includes alternate 5 Anuvasana basthi with Bruhat Saindhavadi taila and 3 Niruha basti, starting from Anuvasana basti which is given on consecutive days respectively ending with two Anuvasana basti for about 8 days (From Day 8- Day 15 of the trial period).

The Primary Outcome measure will be Simple Disease Activity Index (SDAI) of Rheumatoid Arthritis after 31 days. 

The Secondary Outcome measure will be QoL- RA (Quality of Life- Rhematoid Arthritis) Questionnaire after 31 days.

 
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