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CTRI Number  CTRI/2024/09/074336 [Registered on: 25/09/2024] Trial Registered Prospectively
Last Modified On: 23/12/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Ayurveda
Nutraceutical 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effectiveness and safety of 206B Topical Oil on Patients with Osteoarthritis. 
Scientific Title of Study   Evaluation of Efficacy and Safety of Topical Oil Formulation (206B) Containing Cannabis Sativa and Boswellia Serrata in Patients with Osteoarthritis of Hip, Spine, and Knee: A Prospective, Randomized, Double-blind, Placebo-Controlled Study 
Trial Acronym  NA 
Secondary IDs if Any  
Secondary ID  Identifier 
206B-1075-2024-01, Version 1; dt. 19 th January 2024  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Mohan Desai 
Designation  HOD of Orthopedics- Principal Investigator 
Affiliation  KEM Hospital 
Address  Department of Orthopaedics, KEM Hospital, Acharya Donde Marg, Parel, Mumbai.

Mumbai
MAHARASHTRA
400012
India 
Phone  02224107463  
Fax    
Email  md1964@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ashraf Shaikh 
Designation  M.S, Assistant Professor- Co-Principal Investigator 
Affiliation  KEM Hospital 
Address  Department of Orthopaedics, KEM Hospital, Acharya Donde Marg, Parel, Mumbai.

Mumbai
MAHARASHTRA
400012
India 
Phone  9930214974  
Fax    
Email  ashrafshaikh123@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mr Yash Kochar 
Designation  Director 
Affiliation  Pillcraft Private Limited 
Address  Pillcraft Private Limited, 501 Palm Court Link Road, Malad West Mumbai 64, India.

Mumbai
MAHARASHTRA
400064
India 
Phone  9619503971  
Fax    
Email  yash@pillcraft.com  
 
Source of Monetary or Material Support  
Pillcraft Private Limited, 507, I Wing, Palm Court, Link Road, next to Infiniti Mall, Malad West, Mumbai-400064, India 
 
Primary Sponsor  
Name  Pillcraft Private Limited, India. 
Address  507, I Wing, Palm Court, Link Road, next to Infiniti Mall, Malad West, Mumbai-400064 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NA  N/A 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mohan Desai  KEM Hospital   Room no. 604, 6th floor, Department of orthopaedics, KEM Hospital, New Building, KEM hospital,Mumbai, Acharya Donde Marg, Parel
Mumbai
MAHARASHTRA 
02224107463

md1964@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KEM Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition:M15-M19||Osteoarthritis. Ayurveda Condition: Osteoarthritis,  
 
Intervention / Comparator Agent  
snoIntervention/ComparatorTypeDrug-TypeProcedure NameDetails
1Intervention ArmDrugOther than Classical(1) Medicine Name: 206 B, Reference: NA, Route: Topical, Dosage Form: Taila, Dose: 1.5(ml), Frequency: tds, Bhaishajya Kal: Muhurmuhu, Duration: 4 Weeks, anupAna/sahapAna: No, Additional Information: - None
2Comparator Arm (Non Ayurveda)-MCT OilMedium-Chain Triglyceride (MCT) Oil containing MCT (100%)
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Adults (male and female) aged between 50 and 75 years.
2. Participants must have a confirmed diagnosis of osteoarthritis, as determined by clinical evaluation and relevant imaging studies.
3. Participants with osteoarthritis affecting major weight-bearing joints, such as the hip, spine, and knee.
4. Participants on stable doses of analgesic or anti-inflammatory medications for at least two weeks prior to the study.
5. No plan to commence new treatments over the study period.
6. Participants should be willing to adhere to the study protocol, including the use of topical Cannabis and Boswellia oil.
7. Participants must provide informed consent after being thoroughly informed about the study objectives, procedures. 
 
ExclusionCriteria 
Details  1. Known allergies or hypersensitivity to cannabis, Boswellia, or any components of the topical formulations.
2. Participants with severe osteoarthritis or joint deformities that may require surgical intervention during the study period.
3. Participants with chronic pain conditions unrelated to osteoarthritis, such as rheumatoid arthritis, fibromyalgia, or neuropathic pain.
4. Recent changes in medication related to osteoarthritis treatment within the last two weeks.
5. Participants with active skin infections or dermatological conditions in the areas where the topical treatments will be applied.
6. History of substance abuse or dependence within the past year.
7. Patients who had participated in other clinical trials during the previous 3 months.
8. Patients who have any clinical condition, according to the investigator who does not allow safe fulfilment of clinical trial protocol.
9. Uncontrolled medical conditions, such as uncontrolled hypertension or diabetes, that may interfere with study participation. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Double Blind Double Dummy 
Primary Outcome  
Outcome  TimePoints 
Mean change in pain scores assessed on a 0-10 Visual Analog
Scale (VAS) from baseline. 
Baseline, Week 2, Week 4 
 
Secondary Outcome  
Outcome  TimePoints 
Mean change in scores for WOMAC-24 scale from baseline.  Baseline, Week 2, Week 4 
Mean change in scores for Short Form (SF-12) quality of life
questionnaire from baseline.  
Baseline, Week 2, Week 4 
Number and proportion of patients who required rescue.
medications. 
Week 2, Week 4 
Number and proportion of rescue medications given to patients.  Week 2, Week 4 
Patient Global Assessment (PGA) for efficacy and tolerability at
end of treatment. 
Week 4 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="100" 
Phase of Trial   N/A 
Date of First Enrollment (India)   04/10/2024 
Date of Study Completion (India) 23/12/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
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 this study, a total of 100 patients will be enrolled. At the initial visit, prospective patients would be screened for enrollment based on the requirements of the study, history, and clinical examination. Before starting any study-related procedures, patients would be explained about the study in detail and written informed consent would be obtained to participate in this study. A detailed medical history including the associated conditions will be recorded. A general and physical examination would be done to see any abnormal parameters. After satisfying the eligibility criteria, patients will be enrolled in the study. After enrollment in the study, Subjects will be asked to apply 206B topical oil containing Boswellia serrata gum-resin extract (50%), Cannabis sativa leaf extract (3%), and MCT Oil (47%) and identical placebo oil containing MCT (100%) thrice daily for 4 weeks. All the subjects will be asked to continue their routine diet and physical activities during the whole study period. All subjects will be followed up during the study period (visit 1 (screening visit/ enrolment visit/ baseline visit- day 1), visit 2 (week 2) ± 4 days, visit 3 (week 4) ± 4 days.The Adverse events, either spontaneously reported by the patient, or noticed by the clinician will be recorded during the study.
 
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