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CTRI Number  CTRI/2025/05/086856 [Registered on: 13/05/2025] Trial Registered Prospectively
Last Modified On: 08/05/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Ayurveda
Radiation Therapy 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   AYURVEDIC INTERVENTIONS IN RADIOTHERAPY INDUCED ORAL MUCOSITIS IN ORAL CANCER PATIENTS 
Scientific Title of Study   RANDOMIZED CLINICAL CONTROLLED TRIAL TO EVALUATE THE EFFICACY AND SAFETY OF AYURVEDA INTERVENTIONS (TRIPHALA RASAYANA, HARIDRADI TAILA GANDUSHA) IN CHEMO /RADIOTHERAPY INDUCED ORAL MUCOSITIS IN ORAL CARCINOMA 
Trial Acronym  CHEMO- Chemotherapy 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sunita Gupta 
Designation  Sr. Prof & Head of the Department 
Affiliation  Maulana Azad Institute of Dental Sciences 
Address  Room No. 10 Department of Oral Medicine and Radiology Maulana Azad Institute of Dental Sciences MAMC Campus BS Zafar Marg New Delhi

Central
DELHI
110002
India 
Phone  9810192165  
Fax    
Email  profsunitamamc@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sunita Gupta 
Designation  Sr. Prof & Head of the Department 
Affiliation  Maulana Azad Institute of Dental Sciences 
Address  Room no. 10 Department of Oral Medicine and Radiology Maulana Azad Institute of Dental Sciences MAMC Campus BS Zafar Marg New Delhi

Central
DELHI
110002
India 
Phone  9810192165  
Fax    
Email  profsunitamamc@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sunita Gupta 
Designation  Sr. Prof & Head of the Department 
Affiliation  Maulana Azad Institute of Dental Sciences 
Address  Room no. 10 Department of Oral Medicine and Radiology Maulana Azad Institute of Dental Sciences MAMC Campus BS Zafar Marg New Delhi

Central
DELHI
110002
India 
Phone  9810192165  
Fax    
Email  profsunitamamc@gmail.com  
 
Source of Monetary or Material Support  
Indian Medicines Pharmaceutical Corporation Ltd 
 
Primary Sponsor  
Name  Ministry of AYUSH 
Address  AYUSH Bhawan B-Block G.P.O Complex INA New Delhi-110023 
Type of Sponsor  Government funding agency 
 
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 Sunita Gupta  Maulana Azad Institute of Dental Sciences  Room No. 1 Department of Oral Medicine and Radiology Maulana Azad Institute of Dental Sciences Bahadur Shah Zafar Marg New Delhi 110002
Central
DELHI 
9654700955

profsunitamamc@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MAIDS Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:C01||Malignant neoplasm of base of tongue. Ayurveda Condition: MUKHAROGAH, (2) ICD-10 Condition:C050||Malignant neoplasm of hard palate. Ayurveda Condition: MUKHAROGAH, (3) ICD-10 Condition:C108||Malignant neoplasm of overlappingsites of oropharynx. Ayurveda Condition: MUKHAROGAH, (4) ICD-10 Condition:C090||Malignant neoplasm of tonsillar fossa. Ayurveda Condition: MUKHAROGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Comparator ArmDrugClassical(1) Medicine Name: Bhavaprakasha Madhyamakhanda Mukharogadhikar , Reference: 66/165, Route: Topical, Dosage Form: Taila, Dose: 450(ml), Frequency: bd, Bhaishajya Kal: , Duration: , anupAna/sahapAna: No, Additional Information:
(2) Medicine Name: 12 Weeks, Reference: No, Route: -, Dosage Form: Taila, Dose: (), Frequency: , Bhaishajya Kal: , Duration: , anupAna/sahapAna: No, Additional Information:
(3) Medicine Name: Triphala Rasayana, Reference: Ch.Chi.1/1 62-74, Route: Oral, Dosage Form: Churna/ Powder, Dose: 50(g), Frequency: bd, Bhaishajya Kal: , Duration: , anupAna/sahapAna: No, Additional Information:
(4) Medicine Name: 12 Weeks, Reference: Yes, Route: -, Dosage Form: Churna/ Powder, Dose: (), Frequency: , Bhaishajya Kal: , Duration: , anupAna/sahapAna: No, Additional Information:
2Comparator Arm (Non Ayurveda)-Conventional 1. Topical Application of 20% Benzocaine Gel B.D for 12 weeks 2. 0.15% Benzydamine Mouthwash Swish and Spit 5 ml B.D foe 12 weeks
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Oral, Oropharynx & Laryngeal Cancer patients diagnosed as Squamous Cell Carcinoma (Stage I to Stage IV).

2. Participants who are on conventional therapy (post-surgery radiotherapy and or chemotherapy with radiation, and chemotherapy).

3.Patients having Karnofsky Performance Status between 90-60.

4.Patients who will voluntarily give consent to participate in the study 
 
ExclusionCriteria 
Details  Evidence of immediate life-threatening disease or a life expectancy of less than 3 months

Evidence of significant renal, hepatic, hematologic, or immunologic disease.

Inability to eat soft solid food at baseline

Patients who are judged by the investigators to be unsuitable to participate in the study. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Clinical evaluation for changes in grading of oral Mucositis according to WHO Scale

Change in Quality of life in terms of EORTC QLQ C30. 
Baseline, 4 weeks, 8 weeks, 12 weeks, 16 weeks, 20 weeks, 24 weeks, 36 weeks, 48 weeks, 60 weeks and 72 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Change in sleep quality in terms of Pittsburgh Sleep Quality Index (PSQI)  Baseline, 12 week, 20 week & 60 week 
Change in anxiety and depressive symptoms in terms of Hospital Anxiety and Depression Scale (HADS)  Baseline, 12 week, 20 week & 60 week 
Change in Pain in terms of Brief Pain Inventory (BPI)  Baseline, 12 week, 20 week & 60 week 
Change in ECOG Performance Status and Karnofsky Performance Status  Baseline, 12 week, 20 week & 60 week 
Change in Hematological & Inflammatory markers  Baseline, 4 weeks, 12 weeks, 20 weeks & 60 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 4 
Date of First Enrollment (India)   23/05/2025 
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="2"
Months="0"
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   1. A total of 80 Patients will be recruited in the project titled ’’A RANDOMIZED CONTROLLED CLINICAL TRIAL TO EVALUATE THE EFFICACY AND SAFETY OF TRIPHALA RASAYANA AND HARIDRADI TAILA GANDUSHA IN CHEMO /RADIOTHERAPY INDUCED ORAL MUCOSITIS IN ORAL CARCINOMA’’ after taking into consideration the inclusion & exclusion criteria.

2. The participants will be randomly allocated into two groups: 
Group A: 40 patients
Group B: 40 patients

3. Detailed Clinical evaluation, blood investigations and the necessary questionnaire will be filled.

4. After the mucositis develops patients will be treated according to the allotted group:
Group A : Participants receiving Ayurvedic Treatment
Group B: Participants receiving Conventional Treatment

5. Patients will be followed up at regular intervals: 4 weeks, 8 weeks, 12 weeks, 16 weeks, 20 weeks, 24 weeks, 36 weeks, 48 weeks, 60 weeks and 72 weeks.
 
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