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CTRI Number  CTRI/2023/09/057846 [Registered on: 19/09/2023] Trial Registered Prospectively
Last Modified On: 18/09/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Treatment for hypothyroidism with herbal medicine 
Scientific Title of Study   An Open Labelled Comparative RCT Study On Assessment Of Combined Efficacy Of Gomutra Mandooram,Ayugma Aragwadadhi Kashaya Basti and Guda Haritaki Rasayana In the Management Of Hypothyroidism(Kaphavataja Vikara) 
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 Jaishree 
Designation  kayachikitsa post graduate scholar 
Affiliation  Taranath goverment ayurvedic medical college and hospital,bellary.583101 
Address  Department of PG Studies in Kayachikitsa Room Number 1 Taranath Government Ayurvedic Medical College and Hospital Dr Rajkumar Road Bellary 583101 Bellary Karnataka 583101 India

Bellary
KARNATAKA
583101
India 
Phone  8050047304  
Fax    
Email  jaishreebiradar18@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DrRamling S Hugar 
Designation  MD(ayu)Assistant professor 
Affiliation  Taranath goverment ayurvedic medical college and hospital,bellary.583101 
Address  Department of PG Studies in Kayachikitsa Room Number 1 Taranath Government Ayurvedic Medical College and Hospital Dr. Rajkumar Road Bellary 583101 Bellary Karnataka 583101 India

Bellary
KARNATAKA
583101
India 
Phone  8971311520  
Fax    
Email  ramshugar22@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jaishree 
Designation  Kayachikitsa Post Graduate Scholar 
Affiliation  Taranath Government Ayurvedic Medical College and Hospital,Bellary.583101 
Address  Department Of PG Studies in Kayachikitsa Room Number 1 Taranath Government Ayurvedic Medical College and Hospital Dr Rajkumar Road Bellary 583101 Bellary Karnataka 583101 India

Bellary
KARNATAKA
583101
India 
Phone  8050047304  
Fax    
Email  jaishreebiradar18@gmail.com  
 
Source of Monetary or Material Support  
Taranath Government Ayurvedic Medical College and Hospital Dr. Rajkumar Road Bellary 583101 Bellary Karnataka 583101 India 
 
Primary Sponsor  
Name  Taranath Goverment Gyurvedic Medical college and hospital bellary 
Address  Department of PG Studies in Kayachikitsa Room Number 1 Taranath Government Ayurvedic Medical College and Hospital Dr. Rajkumar Road Bellary 583101 Bellary Karnataka 583101 India 
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 Jaishree  Taranath goverment ayurvedic medical college and hospital bellary 583101  Department of PG Studies in Kayachikitsa Room Number 1 Taranath Government Ayurvedic Medical College and Hospital Dr. Rajkumar Road Bellary 583101 Bellary Karnataka 583101 India
Bellary
KARNATAKA 
8050047304

jaishreebiradar18@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Taranath Government Ayurvedic Medical College Institutional Ethical committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E018||Other iodine-deficiency related thyroid disorders and allied conditions. Ayurveda Condition: GALAGANDAH, (2) ICD-10 Condition:E018||Other iodine-deficiency related thyroid disorders and allied conditions. Ayurveda Condition: GALAGANDAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmProcedure-bastikarma/vastikarma, बस्तिकर्म/वस्तिकर्म (Procedure Reference: Asthanga Hradaya, Procedure details: Poorvakarma : Sthanika Patra Pinda Sweda Pradhana karma : Aragwadadhi Kashaya-250-300ml prepared basti dravya will be put into a clean sterile polythene bag then disposable basti netra will be tied using a thread. Then nozzle will be closed after the complete evacuation of the air. After sthanika patrapindasweda patient should lie down in left lateral posture, folding the right knee & extending left. After lubrication nozzle will be administered slowly, then vasti dravya will be pushed gentl)
(1) Medicine Name: Gomutra mandooram, Reference: Yogaratnakara Shotharoadhikara, Route: Oral, Dosage Form: Capsules, Dose: 500(mg), Frequency: bd, Duration: 63 Days
(2) Medicine Name: Guda Haritaki Rasayana, Reference: Yogaratnakara shotharogadhikara, Route: Oral, Dosage Form: Avleha/Leha/Paka/Raskriya, Dose: 10(g), Frequency: bd, Duration: 21 Weeks
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Subjects who are diagnosed with Hypothyroidism with or without medicine and with or without washout period.
TSH value more than 5mIU/ml
Subjects between the age of 18 to 60 years.
Subjects who are fit for Basti Karma.
Those subjects who are ready to sign informed consent form. 
 
ExclusionCriteria 
Details  Diagnosed cases of cardiac disease, congenital anomalies.
Patients suffering from congenital Hypothyroidism and carcinoma of the thyroid gland, Thyroid nodules,goiter, Thyroiditis, myxedema, and its complication, thyrotoxicosis, post-operative hypothyroidism, hypothyroidism post radio iodine therapy, hypothyroidism in pregnancy,lactating woman.
Also the subjects suffering from severe systemic disorders which interferes with course of intervention will be excluded.
Those who are not fit for Basti karma 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
correction of TSH level
qualitive of life improvements 
8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Correction of TSH level
Imrovement in QOL 
8 weeks 
Improvement of Hb%
Improvement of subjective parameters  
8 weeks 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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/ Phase 3 
Date of First Enrollment (India)   28/09/2023 
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="2"
Days="3" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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  
summary of the study

Hypothyroidism refers to any state that results in the deficiency of thyroid hormone, including hypothalamic or pituitary disease and generalized tissue resistance and autoimmunity to thyroid.it affects approximately one in 10 adults in the study population.female gender and older age were found to have significant association with hypothyroidism
Basti helps to convert dysbiotic state of intestinal flora in symbiotic stae so for that region considered basti in this study for intervention.basti acts at enteric nervous system and influences cellular level and stimulate HPT axis by virtue of thyroid gut connection by gut microbiota modulation.gomutra mandooram contains mandoora triphala, trikatu,chavya which are kaphavatajara,does amapachana,agnideepana and shothahara.guda haritaki is rasayana, promotes anabolism of healthy dhatu,does deepana ,doshanulimana so study is undertaken for assessment of combined efficacy of gomutra mandooram, ayugma aragwadhadi kashaya basti and guda haritaki rasayana in the management of Hypothyroidism

Objective of the study
  1. To evaluate the combined efficacy of gomutra mandooram, ayugma aragwadhadi kashaya basti and guda haritaki rasayana in the management of Hypothyroidism
  2. To assess the effect of modern ongoing treatment in the management of Hypothyroidism
  3. To compare the combined effect of gomutra mandooram, ayugma aragwadhadi kashaya basti and guda haritaki rasayana over modern ongoing treatment for hypothyroidism
Study design

Study type: randomised clinical trial, comparative prospective
Estimated enrollment -80
Interventional model-2 group assignment
Allocation -Randomized
Study duration -63 days
Masking-open
Follow up after-15 days

Assessment criteria
  1. High TSH level(as per report/evaluator)
  2. Symptoms like kesha chyuthi,klama,angamarda,aniyata arthava etc
  3. Correct of thyroid profile 

 
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