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CTRI Number  CTRI/2023/06/054040 [Registered on: 16/06/2023] Trial Registered Prospectively
Last Modified On: 11/06/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda
Other (Specify) [Para- surgical ]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Treatment of Fistula-in-Ano using Guggulu Apamarga Kshara-Sutra & Guggulu Karvira Kshara-Sutra 
Scientific Title of Study   A Comparative Clinical Study of Guggulu Apamarga Kshara-Sutra & Guggulu Karvira Kshara-Sutra in Bhagandara 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ajay Kumar Gupta 
Designation  Professor 
Affiliation  Rishikul Campus, Uttarakhand Ayurved University, Haridwar 
Address  OPD No-7, Department of Shalya Tantra, Rishikul Campus, Haridwar, Uttarakhand Ayurved University Haridwar Uttarakhand 249401 India

Hardwar
UTTARANCHAL
249401
India 
Phone  9412856414  
Fax    
Email  akg1409@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ajay Kumar Gupta 
Designation  Professor 
Affiliation  Rishikul Campus, Uttarakhand Ayurved University, Haridwar 
Address  OPD No-7, Department of Shalya Tantra, Rishikul Campus, Haridwar, Uttarakhand Ayurved University Haridwar Uttarakhand 249401 India


UTTARANCHAL
249401
India 
Phone  9412856414  
Fax    
Email  akg1409@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Basant Mohan Negi 
Designation  PG Scholar 
Affiliation  Rishikul Campus, Uttarakhand Ayurved University, Haridwar 
Address  OPD No-7, Department of Shalya Tantra, Rishikul Campus, Haridwar, Uttarakhand Ayurved University Haridwar Uttarakhand 249401 India

Hardwar
UTTARANCHAL
249401
India 
Phone  7351763096  
Fax    
Email  basantnegi1@gmail.com  
 
Source of Monetary or Material Support  
OPD No-7, Rishikul Campus, Haridwar 
 
Primary Sponsor  
Name  Uttarakhand Ayurved University 
Address  Uttarakhand Ayurved University, Railway Road, Harrawala, Dehradun 
Type of Sponsor  Government medical college 
 
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 Basant Mohan Negi  Rishikul Campus, Haridwar  OPD No-7, Department of Shalya Tantra, Rishikul Campus, Haridwar, Uttarakhand Ayurved University Haridwar Uttarakhand 249401 India
Hardwar
UTTARANCHAL 
7351763096

basantnegi1@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Uttarakhand Ayurved University, Rishikul Campus, Haridwar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:K605||Anorectal fistula. Ayurveda Condition: BAGANDARAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-kShArasUtra, क्षारसूत्र (Procedure Reference: Chakradutta Arshodhikar, Procedure details: Guggulu Karvira Kshara-Sutra will be ligated in fistula-in-ano and it will be changed every 7 days until it heals completely)
2Comparator ArmProcedure-kShArasUtra, क्षारसूत्र (Procedure Reference: Chakradutta Arshodhikar, Procedure details: Guggulu Apamarga Kshara-Sutra will be ligated in fistula-in-ano and it will be changed every 7 days until it heals completely)
 
Inclusion Criteria  
Age From  0.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Clinical signs and symptoms of all types of Bhagandara 
 
ExclusionCriteria 
Details  01.Known Patient with Malignancy of Anus, Rectum, Prostate
02.HIV, HCV and HBsAg positive patients
03.Covid-19 positive patients
04.Secondary fistula due to Crohns disease, Ulcerative colitis, Tuberculosis etc. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Outcome will be measured with the parameters-
01.Pain
02.Burning sensation
03.Itching
04.Discharge
05.Unit cutting time 
It will be assessed every 7th day(weekly), Until
fistula track heals completely 
 
Secondary Outcome  
Outcome  TimePoints 
unit cutting time  It will be assessed every 7th day(weekly), Until
fistula track heals completely 
 
Target Sample Size   Total Sample Size="36"
Sample Size from India="36" 
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   N/A 
Date of First Enrollment (India)   22/06/2023 
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   Not Yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   The disease causing Darana of Bhaga , Guda and Basti Pradesha is known as Bhagandara. In apakvaavastha it is known as Pidika whereas in Pakvavastha it is called Bhagandara.
A Fistula-in-ano or Anal fistula, is a chronic abnormal communication, usually lined to some degree by granulation tissue, which runs outward from the anorectal  lumen to an external opening on the skin of the perineum or buttock. 
Kshara Sutra Therapy is a minimally invasive Ayurvedic Parasurgical procedure and time-tested Ayurvedic technique in the management of Anorectal disorders. It is a safe, sure and cost effective method of treatment for Fistula-in-ano, Haemorrhoids and other sinus diseases.

Aim and objectives are-

1.  To evaluate the effect of Guggulu Apamarga Kshara-Sutra in Bhagandara.

2.  To evaluate the effect of Guggulu Karvira  Kshara-Sutra in Bhagandara.

3. To compare the effect of both these Kshara-Sutra in the treatment of two different groups of patients of Bhagandara.

4.  To enhance the rate of healing.


 
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