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CTRI Number  CTRI/2023/07/055051 [Registered on: 11/07/2023] Trial Registered Prospectively
Last Modified On: 13/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda 
Study Design  Single Arm Study 
Public Title of Study   An Ayurvedic Management of Allergic Rhinitis  
Scientific Title of Study   A Study To Evaluate The Effectiveness Of Lashunadi Avapidana Nasya And Shrungavera Swarasa Internally In The Management Of Kaphaja Prathishyaya W.R.T Allergic Rhinitis 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ravindrakumar 
Designation  Pg Scholar 
Affiliation  Government Ayurvedic Medical College Bangalore 
Address  Department Of Pg Studies In Shalakya Tantra ,Shalakya Tantra Opd, Room No.11, Government Ayurveda Medical College,Dhanvantari Road.

Bangalore
KARNATAKA
560009
India 
Phone  9740481313  
Fax    
Email  Monika.raj1997@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Syed Munawar Pasha 
Designation  Professor  
Affiliation  Government Ayurvedic Medical College Bangalore 
Address  Department Of Pg Studies In Shalakya Tantra , Shalakya Tantra Opd, Room No.11, Government Ayurveda Medical College, Dhanvantari Road,

Bangalore
KARNATAKA
560009
India 
Phone  9886593932  
Fax    
Email  smpasha78@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ravindrakumar 
Designation  Pg Scholar 
Affiliation  Government Ayurvedic Medical College Bangalore 
Address  Department Of Pg Studies In Shalakya Tantra Shalakya Tantra Opd, Room No.11, Government Ayurveda Medical College,Dhanvantari Road.

Bangalore
KARNATAKA
560009
India 
Phone  9886593932  
Fax    
Email  smpasha78@gmail.com  
 
Source of Monetary or Material Support  
Dr Ravindrakumar Sri Jayachamarajendra institute Of Indian Medicine Hospital, Government Ayurveda Medical College Campus Bangalore 
 
Primary Sponsor  
Name  Dr Ravindrakumar  
Address  Department Of Pg Studies In Shalakya Tantra , Shalakya Tantra Opd, Room No.11, Government Ayurveda Medical College, Dhanvantari Road, Bangalore, Karnataka  
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 Ravindrakumar   Sri Jayachamarajendra Institute Of Indain Medicine Hospital  Department Of Pg Studies In Shalakya Tantra ,Shalakya Tantra Opd, Room No.11, Government Ayurveda Medical College,Dhanvantari Road. Bangalore
Bangalore
KARNATAKA 
9740481313

Monika.raj1997@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRI JAYACHAMARAJENDRA INSTITUTE OF INDIAN MEDICINE HOSPITAL BANGALORE   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:J309||Allergic rhinitis, unspecified. Ayurveda Condition: KAPAJA-PRATISYAYAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-Nasya (Procedure Reference: Sharangadhara , Procedure details: After snehana & swedana to face 4 drops to each nostrils for 14 days)
(1) Medicine Name: Lashunadi Avapidana nasya, Reference: Caraka cikista 26/150-151, Route: Nasal, Dosage Form: Bindu/ Drops/ Spray (Karna/ Nasa/ Netra/ Mukha), Dose: 4(drops), Frequency: od, Duration: 14 Days
2Intervention ArmDrugClassical(1) Medicine Name: Shrungavira swarasa with madhu, Reference: Sahasrayoga, Route: Oral, Dosage Form: Swaras/ Juice, Dose: 18(ml), Frequency: od, Bhaishajya Kal: Abhakta, Duration: 14 Days, anupAna/sahapAna: Yes(details: Honey), Additional Information: -
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1) Irrespective of Gender, Occupation, Religion, Socio-Economic status
2) Subjects presenting with classical features of kaphoja prathishyaya.
3) Age group between 18-60 years. 
 
ExclusionCriteria 
Details  1) Subjects contraindicated for Nasyakarma

2) Subjects suffering from other systemic and infectious disease like Uncontrolled Diabetes, HTN, TB, HIV shall be excluded

3) Subjects suffering with polyps, DNS requiring surgical intervention

4) Pregnant and lactating women 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1) Absolute Eosinophil Count

2) Erythrocyte Sedimentation. Rate 
58 days 
 
Secondary Outcome  
Outcome  TimePoints 
1) Nasal discharge
2) Itching in Nose, Eyes & Pharynx
3) Nasal obstruction
4) Heaviness of head
5) Sneezing
6) Cough
7) Oedema around eyelids 
58 days 
 
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="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
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   Prathishaya is one among the common diseases affecting respiratory system. Kaphaja prathishaya is characterised by snigdha Shukla kapha sruthi, Kandu in nasa thalu gala,shiro guruthva, shoonakshi, kasa

Based on above symptoms it can be compared with Allergic Rhinitis. It is a disorder of nose induced by an IgE mediated inflammation after Allergen exposure leading to Rhinorrhea, nasal pruritus, bilateral nasal stuffiness associated with cough,

In conventional medicinal system it is treated with antihistamines, nasal decongestants, corticosteroids, topical steroids which causes different side effects like drowsiness, thinitis medicamentosa, mucosal atrophy, several systemic disorders etc By considering these facts there is a need to develop a treatment which aims at reducing symptoms and improving immunity to overcome this condition

Nasya is a line of treatment for most of the urdhwa Jatru vikaras thus it is equally beneficial in treating kaphaja prathishyaya it is one among nasagata roga, and easily administrable in less duration of time.

In kaphaja prathishyaya, nasya with theekshna dravyas can give positive results hence Lashunadi Avapidana nasya is taken. It can improve nasal mucosa function by direct cleansing, removal of inflammatory mediators and enhancing mucociliary function. Shrungavira swarasa is taken with honey as anupana internal medication will boost the immunity as the drugs mentioned in this yoga is theekshna, ushna and rooksha which act as kapha hara

The drugs which are mentioned are cost effective, simple, easily available Considering above facts these treatment procedure expected to yield better results, hence the present study has been taken
 
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