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CTRI Number  CTRI/2024/02/063169 [Registered on: 26/02/2024] Trial Registered Prospectively
Last Modified On: 29/01/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Unani 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Evaluation of efficacy and safety of a topical polyherbal Unani formulation in Acne Vulgaris.  
Scientific Title of Study   Evaluation of efficacy and safety of a topical Unani formulation in ButhuÖ¿r Labaniyya (Acne Vulgaris).  
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 Atoofa 
Designation  MD Scholar 
Affiliation  Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital  
Address  Department of Amraze Jild Wa Tazeeniyat,OPD No.5 Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital Ayush Campus Kolar Bypass Road Bhopal Madhya Pradesh

Bhopal
MADHYA PRADESH
462003
India 
Phone  8826016465  
Fax    
Email  atufakhalid2212@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Dilshad Ali 
Designation  Associate Professor 
Affiliation  Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital 
Address  Department of Amraze Jild Wa Tazeeniyat,OPD No.5 Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital Ayush Campus Kolar Bypass Road Bhopal Madhya Pradesh

Bhopal
MADHYA PRADESH
462003
India 
Phone  9827140209  
Fax    
Email  dilshadali28@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Atoofa 
Designation  MD Scholar 
Affiliation  Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital  
Address  Department of Amraze Jild Wa Tazeeniyat,OPD No.5 Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital Ayush Campus Kolar Bypass Road Bhopal Madhya Pradesh

Bhopal
MADHYA PRADESH
462003
India 
Phone  8826016465  
Fax    
Email  atufakhalid2212@gmail.com  
 
Source of Monetary or Material Support  
Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital and Madhya Pradesh Medical Science University Jabalpur 
 
Primary Sponsor  
Name  Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital 
Address  Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital Ayush Campus Kolar Bypass Road Bhopal Madhya Pradesh 462003 
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 Atoofa  Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital  OPD No.5 Department of Amraze Jild Wa Tazeeniyat Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital Ayush Campus Kolar Bypass Road Bhopal Madhya Pradesh 462003
Bhopal
MADHYA PRADESH 
8826016465

atufakhalid2212@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Instituitional Ethics Committe Hakim Syed Ziaul Hasan Government Unani Medical College and Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L700||Acne vulgaris,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Clindamycin 1% gel  Marketed formulation of Clindamycin 1% gel provided to the patient and will be instructed to wash face and after drying the affected part by the clean towel, patients will be instructed to apply Clindamycin 1% gel topically only on the affected area, once at night and will be asked to leave it overnight followed by washing in the morning for 6 weeks. 
Intervention  Ṭilā’ (Thin paste) consists of fine powder of Irsa (Root of Iris ensata), Post-e-Siras (Bark of Albizia lebbeck), and Barg-e-Neem (Leaves of Azadirachta indica) in equal proportion, mixed with Arq-e-Gulab to make tila a thin homogenous paste.   A topical unani formulation, tila (Thin paste) which consists of fine powder of Irsa (Root of Iris ensata), Post-e-Siras(Bark of Albizia lebbeck), and Barg-e-Neem (Leaves of Azadirachta indica) in equal proportion, mixed with Arq-e-Gulab to make thin homogenous paste and then patient will be asked to wash face and after drying the affected part by the clean towel, then patients will be instructed to apply the test drug (Ṭilā’) 5-10gram (keeping in view of the area involved) of this formulation mixed with Arq-e-Gulab on the acne-affected area once at night and will be asked to leave it overnight followed by washing in the morning for 6 weeks. 
 
Inclusion Criteria  
Age From  13.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1) Patients of either sex.
2) Patients of 13 to 40 years of age.
3) Mild to moderate acne as defined by the Global Acne Grading System (GAGS) scale.
4) Patients willing to sign the informed consent form.  
 
ExclusionCriteria 
Details  1) Patients suffering from any skin disease like vitiligo, psoriasis, eczema, etc.
2) Immunocompromised condition.
3) Any active psychiatric illness.
4) Pregnant and lactating women.
5) Patients with any systemic illness such as the known case of DM, HTN, etc. which might interfere with the follow-up and assessment during our study.
 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Change in Global Acne Grading System Scale (GAGS) of Acne
vulgaris, from baseline to end of treatment. 
Baseline,2nd week,4th week,6th week 
 
Secondary Outcome  
Outcome  TimePoints 
DLQI (Dermatology Life Quality Index)  Baseline and 6th week 
 
Target Sample Size   Total Sample Size="44"
Sample Size from India="44" 
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)   01/03/2024 
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)   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  
Buthuֿr Labaniyya (Acne vulgaris) is a chronic inflammatory disease of the pilosebaceous units and is characterized by seborrhea, the formation of comedones, erythematous papules and pustules, less frequently by nodules, and, in some cases, is accompanied by scarring. The main cause of acne is excessive sebum production, and microbial colonization by Propionibacterium acne. According to classical Unani literature, the main cause of Buthuֿr Labaniyya is the hyperactivity of Ghudud-e-Dohniya (sebaceous glands), which results in increased production of oily material, which gets clogged into the openings of these glands, and then inflamed, which remains unresolved in the skin. It is estimated to affect 9.4% of the global population, making it the eighth most prevalent disease worldwide.In India, acne is prevalent in 72.3% of adolescents and 27% of the adult age group. In modern system of medicine, which includes topical and systemic antibiotics, such as benzoyl peroxide, doxycycline, clindamycin, etc. and retinoids are also infrequently used. These drugs have several limitations, long-term use of these medications causes serious adverse effects such as erythema, peeling, burning, and drying of the skin. Additionally, Propionibacterium acne drug resistance may restrict the use of topical antibiotics and producing only symptomatic relief. In the classical literature of Unani, a number of formulations and single drugs are mentioned for the management of acne and also very effective in scar prevention. These polyherbal medications mainly have Jali (Detergent), Muhalil (Resolvent), and Mujaffif (Desiccative) properties and have been used by ancient Unani physicians for centuries to treat Buthuֿr Labaniyya.This polyherbal topical Unani formulation is selected from Al-Qarabadin and Ḥāziq which includes, Irsa (Iris ensata), Post-e-Siras (Albizia lebbeck) and Barg-e-Neem (Azadirachta indica) will be evaluated in the management of Buthuֿr Labaniyya.
 
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