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CTRI Number  CTRI/2023/07/055850 [Registered on: 28/07/2023] Trial Registered Prospectively
Last Modified On: 15/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Vaitarana Basti and Shatpushpadi lepa in Arthritis (Amavata) 
Scientific Title of Study   Comparative clinical evaluation of Vaitarana Basti and Shatpushpadi lepa in Amavata (Rheumatoid Arthritis) 
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 KK Sharma 
Designation  Professor & H.O.D 
Affiliation  Rishikul Campus Haridwar 
Address  Department of Panchkarma, Rishikul Campus, UAU, Haridwar

Hardwar
UTTARANCHAL
249401
India 
Phone  9758264164  
Fax    
Email  kripayanam@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr KK Sharma 
Designation  Professor & H.O.D 
Affiliation  Rishikul Campus Haridwar 
Address  Department of Panchkarma, Rishikul Campus, UAU, Haridwar

Hardwar
UTTARANCHAL
249401
India 
Phone  9758264164  
Fax    
Email  kripayanam@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Sanjna Sharma 
Designation  PG Scholar 
Affiliation  Rishikul Campus Haridwar 
Address  Department of Panchkarma, Rishikul Campus, UAU, Haridwar

Hardwar
UTTARANCHAL
249401
India 
Phone  8557904727  
Fax    
Email  superbsanjna@gmail.com  
 
Source of Monetary or Material Support  
Rishikul Campus, Haridwar , Uttarakhand Ayurved University 
 
Primary Sponsor  
Name  Rishikul Campus 
Address  Department of Panchkarma Rishikul Campus Haridwar 
Type of Sponsor  Research institution and hospital 
 
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 
DrSanjna Sharma  Rishikul campus, UAU, Haridwar  Department of Panchakarma, OPD no. 20 (249401)
Hardwar
UTTARANCHAL 
8557904727

superbsanjna@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  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
1Comparator ArmProcedure-lepa, लेप (Procedure Reference: yogratnakara amavata chikitsa adhikara, Procedure details: Poorva karma: Firstly Koshtha Shodhana with Eranda Sneha will be done on previous day. Then next day washing affected joint with lukewarm water. Pradhan karma: Application of Lepa on the affected joint. Paschat karma: Removal of Lepa after it get dried & washing it with lukewarm water. )
(1) Medicine Name: Shatpushpadi , Reference: Yogratnakar amavata chikitsa adhikar, Route: Topical, Dosage Form: Lepa Churna, Dose: 40(g), Frequency: od, Duration: 21 Days
2Intervention ArmProcedure-vaitaraNa-bastiH, वैतरण-बस्तिः (Procedure Reference: chakradutta niruhadhikara, Procedure details: Poorva karma: Kostha Shodhana with Eranda Sneha on next day Sthanika Abhyanga and Swedana will be done. Pradhana karma: Vaitarana Basti will be given in left lateral position. Paschat karma: Gluteal region will be strike with palms & Patient will be advised to follow Pathya Ahara-Vhihara. ))
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1. Patients having sign and symptoms of Amavata (Rheumatoid arthritis).
2. Patients of age between 20 years to 50 years will be included.
3. Patients with less than 5 years of chronicity.
4. Patients able to participate in study and ready to follow the instruction. 
 
ExclusionCriteria 
Details  1. Patients with joint deformity.
2.Uncontrolled diabetes mellitus, Hypertension & life threatening disease.
3. Patients having dermatomyositis, scleroderma, acute rheumatic fever , gouty arthritis.
4. Patients having Skin allergy and hypersensitivity.
5. Pregnant and lactating women
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Complete remission: 100%
Marked improvement: 75%
Moderate improvement: 51%-75%
Mild improvement: 26%-50%
No improvement: 0-25%

 
0th, 30th, 60th day 
 
Secondary Outcome  
Outcome  TimePoints 
Exacerbation in sign & symptoms  60 days 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   30/07/2023 
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="11"
Days="0" 
Recruitment Status of Trial (Global)   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   Amavata is progressive sporadic disorder found in general population with complaints of doing routine work due to dysfunction of joints. Amavata was first expained in Madhav Nidana.  Clinical presentation of Pravriddha Amavata closely resembles with Rheumatoid arthritis which is chronic multisystem disease of unknown cause. The characteristic feature of RA are persistent inflammatory synovitis, usually involving peripheral joints in symmetrical distributions. Now a days rheumatoid arthritis is more common and distressing among all joints problems. The prevalence of rheumatoid arthritis in worldwide is 0.8% and in India it is 0.7%.  
Patients of amavata presents with complaints of angamarda, aruchi, trishna, gaurava along with complaints of sandhishoola, sandigraha and sandhisotha. Symptoms of RA  includes pain and swelling in affected joints and morning stifness.
The therapy chosen for this study is Vaitarana basti in comparison with Shatpushpadi lepa. Vaitarana basti is mentioned in Chakradutta and is said to having shoola, anaha and amavatahara properties. Shatpushpadi lepa is mentioned in Yogratanakara. Lepa contols doshas at localized level and offers instant relief as skin provides large surface area and is easy to use.
 
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