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CTRI Number  CTRI/2023/08/056090 [Registered on: 03/08/2023] Trial Registered Prospectively
Last Modified On: 04/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Other (Specify) [Curative]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of Effect of Therapeutic Heat Burn and Yograja Guggulu In Knee Pain 
Scientific Title of Study   A Comparative Study On Efficacy of Agnikarma And Yograja Guggulu In The Management Of Janu-Sandhigatavata W.S.R To Osteoarthritis of Knee Joint  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Garima Verma 
Designation  MD Scholar 
Affiliation  Shri Krishna Govt. Ayurvedic College and Hospital 
Address  PG Department of Shalya Tantra, Shri Krishna Govt. Ayurvedic College and Hospital, Sector 8, Umri Road, Kurukshetra, 136118, Haryana

Kurukshetra
HARYANA
136118
India 
Phone  7496001218  
Fax    
Email  garimaverma019@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Garima Verma 
Designation  MD Scholar 
Affiliation  Shri Krishna Govt. Ayurvedic College and Hospital 
Address  PG Department of Shalya Tantra, Shri Krishna Govt. Ayurvedic College and Hospital, Sector 8, Umri Road, Kurukshetra, 136118, Haryana

Kurukshetra
HARYANA
136118
India 
Phone  7496001218  
Fax    
Email  garimaverma019@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Garima Verma 
Designation  MD Scholar 
Affiliation  Shri Krishna Govt. Ayurvedic College and Hospital 
Address  PG Department of Shalya Tantra, Shri Krishna Govt. Ayurvedic College and Hospital, Sector 8, Umri Road, Kurukshetra, 136118, Haryana

Kurukshetra
HARYANA
136118
India 
Phone  7496001218  
Fax    
Email  garimaverma019@gmail.com  
 
Source of Monetary or Material Support  
Shri Krishna Govt. Ayurvedic College and Hospital 
 
Primary Sponsor  
Name  Shri Krishna Govt. Ayurvedic College and Hospital 
Address  Shri Krishna Govt. Ayurvedic College and Hospital, Sector 8, Umri Road, Kurukshetra, 136118, Haryana 
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 Rajender Singh  Shri Krishna Govt. Ayurvedic College and Hospital, Sector 8, Umri Road, Kurukshetra, 136118, Haryana  Room No. 104, PG Department of Shalya Tantra, Shri Krishna Govt. Ayurvedic College and Hospital, Sector 8, Umri Road, Kurukshetra, 136118, Haryana
Kurukshetra
HARYANA 
8708866794

drrajendersingh1346@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Shri Krishna Ayush University Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M179||Osteoarthritis of knee, unspecified. Ayurveda Condition: SANDHIGATAVATAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-agnikarma, अग्निकर्म Pradhan Karma(Procedure Reference: Sushruta Samhita, Procedure details: Purva Karma Snigdha Picchila Annapana (rice and curd) will be given prior to the procedure. The site of Agnikarma will be washed with distilled water and wiped with dry sterilized gauze. Panchadhatu Shalaka (Red Hot) Ghritakumari pulp, Haridra Churna kept ready for dressing. Pradhana Karma In Osteoarthritis of the knee joint, supine position will be adopted as it is comfortable to the patient. Irrespective of a specific site, Agnikarma will be done at maximum tender site affected at the knee )
(1) Medicine Name: Yograja Guggulu, Reference: Bhaishajya Ratnawali, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/Tablets, Dose: 500(mg), Frequency: tds, Duration: 21 Days
2Comparator ArmDrugClassical(1) Medicine Name: Yograja Guggulu, Reference: Bhaishajya Ratnawali, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 500(mg), Frequency: tds, Bhaishajya Kal: Adhobhakta, Duration: 21 Days, anupAna/sahapAna: Yes(details: lukewarm water), Additional Information: -
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patients between age group of 30-70 years suffering from classical sign and symptoms of sandhigatavata at knee joints. 
 
ExclusionCriteria 
Details  Age below 30 years and above 70 years.
History of knee joint dislocation/fracture/any surgical procedure of knee joint.
Grade 4- large osteophytes, marked narrowing of joint spcae, severe sclerosis and definite deformity of bone ends.
Co-existence of lesions to knee joint.
Patients suffering from disease like uncontrolled D.M., Carcinoma, Psoriatic arthritis, Gout, S.L.E., Polymyalgia Rheumatica & Tuberculosis will be excluded.
Patients having pacemaker or angiography done.
Malignant and Immuno-compromised patients (AIDS), HBsAg.
Pregnant women and lactating mothers.

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To evaluate the comparative efficacy of Agnikarma & Yograja Guggulu in Janu-Sandhigatavata  After 7 days 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the combined efficacy of Agnikarma & Yograja Guggulu in Janu-Sandhigatavata  After 21 days 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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)   22/08/2023 
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="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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   In Vriddhavastha, all Dhatus undergo Kshaya, thus leading to Vataprakopa and making individual prone to many diseases. Among them Sandhigata Vata stands top in the list.

Sandhigata Anila  predominently affects major weight bearing joints of the body in which knee joint attains first priority.

Comprehensive management of this condition in Ayurveda includes a judicious combination of external therapies (Bahya Chikitsa) and internal medication (Abhyantara Chikitsa). The Bahya Chikitsa include Janu Basti, Abhyanga (massage), Raktamokshana, Agnikarma (cautery), Basti (medicated enema), etc. Abhyantara Chikitsa include the internal medications in the form of Churna (powder of a single herb/combination of herbs), Kashaya (decoction), Vati (pills), etc.

Need of the study is to evaluate the comparative efficacy of agnikarma and yograja guggulu both individually and in combination.
 
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