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CTRI Number  CTRI/2025/06/089684 [Registered on: 27/06/2025] Trial Registered Prospectively
Last Modified On: 20/06/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Ayurveda
Nutraceutical 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Two group clinical study to know the effect of Amalaki fortified biscuits as a nutritional suppliment in adolescents with iron deficiency anaemia 
Scientific Title of Study   A comparative clinical study to evaluate the effectiveness of Amalaki fortified biscuits as a nutritional suppliment in adolescents with iron deficiency anaemia 
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 Manjula Heggai 
Designation  Part time PhD Scholar 
Affiliation  Sri Dharmasthala Manjunatheshwara college of Ayurveda and Hospital Hassan 
Address  Department of Swasthavritta Sri Dharmasthala Manjunatheshwara college of Ayurveda and Hospital, B M Road Tanniruhalla Hassan 573201 Karnataka
Assistant Professor Department of Swasthavritta SBSS Krishna Ayurvedic Medical College and Hospital Sankeshwar
Hassan
KARNATAKA
573201
India 
Phone  8722729458  
Fax    
Email  manjulabhashini.heggai@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Kavita MB 
Designation  HOD and Professor 
Affiliation  Sri Dharmasthala Manjunatheshwara college of Ayurveda and Hospital Hassan 
Address  Department of Swasthavritta Sri Dharmasthala Manjunatheshwara college of Ayurveda and Hospital, B M Road Tanniruhalla Hassan 573201 Karnataka
HOD and Professor Department of Swasthavritta Sri Dharmasthala Manjunatheshwara college of Ayurveda and Hospital, B M Road Tanniruhalla Hassan
Hassan
KARNATAKA
573201
India 
Phone  9986432954  
Fax    
Email  drmbkavita@sdmcahhassan.org  
 
Details of Contact Person
Public Query
 
Name  Dr Manjula Heggai 
Designation  Part time PhD Scholar 
Affiliation  Sri Dharmasthala Manjunatheshwara college of Ayurveda and Hospital Hassan 
Address  Department of Swasthavritta Sri Dharmasthala Manjunatheshwara college of Ayurveda and Hospital, B M Road Tanniruhalla Hassan 573201 Karnataka
Assistant Professor Department of Swasthavritta SBSS Krishna Ayurvedic Medical College and Hospital Sankeshwar
Hassan
KARNATAKA
573201
India 
Phone  8722729458  
Fax    
Email  manjulabhashini.heggai@gmail.com  
 
Source of Monetary or Material Support  
nil 
 
Primary Sponsor  
Name  Dr Manjula Heggai 
Address  Assistant professor Department of Swasthavritha SBSS Krishna Ayurvedic Medical College and Hospital Sankeshwar 591313 
Type of Sponsor  Other [self funding] 
 
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 Manjunath Gavimath  SBSS Krishna Ayurvedic Medical College and Hospital Sankeshwar  Physiology and Swasthavritha department, clinical laboratory room no-7,8
Belgaum
KARNATAKA 
9008312978
-
kamchsnk@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
SBSS Krishna Ayurvddic Medical college and Hospital  No Objection Certificate 
Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital Hassan  No Objection Certificate 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:E638||Other specified nutritional deficiencies. Ayurveda Condition: PANDUROGAH,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugOther than Classical(1) Medicine Name: amalaki fortified biscuit, Reference: NA, Route: Oral, Dosage Form: Modaka, Dose: 40(g), Frequency: od, Bhaishajya Kal: Madhyabhakta, Duration: 3 Months, anupAna/sahapAna: Yes(details: -jala), Additional Information: -nil
2Comparator ArmDrugClassical(1) Medicine Name: punarnava mandura, Reference: Charaka Samhita , Chikitsa Sthana, chapter16, shloka 93-95, Route: Oral, Dosage Form: Gutika/Vati/Ghana Vati/ Tablets, Dose: 1000(mg), Frequency: od, Bhaishajya Kal: Madhyabhakta, Duration: 90 Days, anupAna/sahapAna: Yes(details: -jala), Additional Information: -nil
 
Inclusion Criteria  
Age From  10.00 Year(s)
Age To  19.00 Year(s)
Gender  Both 
Details  1.Mild to Moderate Iron deficiency anaemia(7-11.9gm% of Hb),Reduced RBC, Reduced Haematocrit and reduced serum iron, reduced ferritin and raised TIBC.
2.Volunteers irrespective of gender, place, climate and religion
3.Volunteers whose parents/themselves(as per age)are ready to give written consent 
 
ExclusionCriteria 
Details  1.Known case of Hemolytic anaemia,Aplastic anaemia, Pernicios Anaemia, Thalassemia and Sickle cell anaemia.
2.Known case of severe and life threatening anaemia.
3.Known case of chronic disease anaemia. 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Effect of Amalaki fortified biscuits as a nutritional supplement in iron deficiency anaemia  Total duration 90days
assessment willbe before treatment,on 30th day,on 60th day and on 90th day. 
 
Secondary Outcome  
Outcome  TimePoints 
Nutritional analysis of amalaki fortified biscuits in terms of micronutrients and macronutrients in context of iron deficiency  three years 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   05/01/2026 
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="3"
Months="0"
Days="0" 
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   It is a comparative clinical trial. Total number of sample is 100  . With alternate allocation samples are grouped into two groups. Group A with 50 samples will be screened for iron deficiency anaemia and  given Amalaki fortified biscuits for 90 days. two biscuits weighing 20grams each will be given afternoon in the empty stomach after confirming the dewormin treatment within 6 months. Group B with 50 samples will be screened for iron deficiency anaemia and given control drug punarnava mandura for 90 days  Two tablets of 500mg each will be given in the afternoon empty stomach. The volunteers will be assessed for subjective and objective parameters. The symptoms will be assessed before intervention, on 30th day, 60th day and after completion of intervention. The biochemical parameters will be assessed before and after completion of intervention.Assessment will be done based on grading and improvements/changes in subjective as well as objective parameters before during and after treatment. Panduta, Hatanala Dourbalya, Shrama, Aarohanaayasa, Bhrama, Hrudrava, Karnakshweda, Aruchi, Agnimandyam, Shirnalomata, Pindikodweshtanam, Tama darshana, Hridayaspandanadhikya  will be evaluated for their presence. Hb%, serum iron, Serum ferritin and TIBC (if possible in randomly few cases) will be assessed pre and post intervention. Frequency tables and crosstabs would be generated for all the variables considered. Association with demographic and exposure variables would be worked out using the chi-square test. If the variable is a scale variable paired t-test, ANOVA, student’s t-test, and repeated measures ANOVA would be used to test the effect of the intervention. If in case the variable is ordinal nominal, the Wilcoxon sign rank test, Friedman and Mann-Whitney U test would be used.  Advanced statistics tests would be conducted based on the data availability.




 
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