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A phase II/III study of the anti-inflammatory activity of Rasna sapthakaya decoction in patients with rheumatoid arthritis

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SLCTR Registration Number

SLCTR/2015/028


Date of Registration

30 Nov 2015

The date of last modification

Mar 03, 2019



Application Summary


Scientific Title of Trial

A phase II/III study of the anti-inflammatory activity of Rasna sapthakaya decoction in patients with rheumatoid arthritis


Public Title of Trial

A study on therapeutic efficacy of the herbal decoction Rasna sapthakya in patients with rheumatoid arthritis


Disease or Health Condition(s) Studied

Rhematoid arthritis


Scientific Acronym

None


Public Acronym

None


Brief title

Phase II/III study on Anti-inflammatory activity of Rasna sapthakaya decoction


Universal Trial Number

U1111-1175-4724


Any other number(s) assigned to the trial and issuing authority

ERC Sri Jayewardenepura Ref: 46/14


Trial Details


What is the research question being addressed?

What is the anti-inflammatory effect of the traditional Ayurvedic decoction Rasna sapthakaya in patients with rheumatoid arthritis?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Masking not used


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Treatment


Study Phase

Phase 2-3


Intervention(s) planned

The seven constituents of Rasna Sapthakaya (RS) decoction are
Alpinia calcarata - root
Tinospora cordifolia- stem
Cassia fistula- bark of the root
Boerhavia diffusa- root
Cedrus deodara – wood
Ricinus communis - root
Tribulus testretris- whole plant/root

The ingredients for the decoction (mentioned above) will be authenticated and the decoction prepared according to the conventional Ayurveda method.

60 patients with rheumatoid arthritis attending the clinic at the Ayurvedha Teaching Hospital, Borella will be recruited by advertisement displayed in the notice boards of the Hospital. Participants meeting inclusion/exclusion criteria will be randomised into two arms.

The patients in the intervention arm will be given 14 packets of ingredients of RS decoction. They will be instructed on the method of preparation of the decoction by the principal investigator and the method of preparation also will be provided in writing in their preferred languages. The patients will be advised to take ½ cup which is approximately 120 ml, in the morning and at night, daily for 14 days.

The patients on the control arm will receive the standard Ayurveda anti-inflammatory drug (Rumalaya tablet /500mg/ twice daily for 14 days) at a standard therapeutic dose


Inclusion criteria

  1. Patients with rheumatoid arthritis, of either sex diagnosed according to the American College of Rheumatology (ACR) criteria for classification of Rheumatoid arthritis (RA)
  2. Those who have no history of drug allergy (Ayurvedic or Western).

Exclusion criteria

  1. Those who are receiving any other anti- inflammatory drugs (Western /Ayurveda)
  2. Pregnancy
  3. Breast feeding


Primary outcome(s)

1.
  1. Full blood count
  2. ESR
  3. Rheumatoid factor (RF)
  4. Serum anti cyclic citrulinated peptide (Anti-CCP) antibody
  5. Serum cyclo-oxygenase 2 (COX 2)
  6. Presence of fever
  7. Odema (measured at predetermined location using a standard measuring tape
  8. Joint mobility (using a goniometer)
[

At baseline, day 15 and day 56 (end of two months)

]

Secondary outcome(s)

1.

Selected side effects as recorded in a patient diary, including headache, nausea, vomiting, diarrhoea and allergic reactions ( itching, sneezing)

[

At baseline, day 15 and day 56 (end of two months)

]

Target number/sample size

60 (30 in each arm)


Countries of recruitment

Sri Lanka


Anticipated start date

2015-12-15


Anticipated end date

2016-02-29


Date of first enrollment

2015-12-01


Date of study completion


Recruitment status

Recruiting


Funding source

University Grants Commission (Grant number UGC/ICD/RG/02/2012/05)


Regulatory approvals



State of Ethics Review Approval


Status

Approved


Date of Approval

2015-10-29


Approval number

46/14


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medical Sciences, University of Sri Jayewardenepura
Institutional Address:Gangodawila, Nugegoda Sri Lanka
Telephone:+94-112758000 (Extension: 4075)
Email: erc.fms.usjp@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Dr.J.M. Dahanayake
Senior Lecturer
Department of Ayurveda Pharmacology and Pharmaceutics Institute of Indigenous Medicine University of Colombo.

Mob: 071-5347043

jdahanayake@yahoo.com

Contact Person for Public Queries

Dr. Pathirage Kamal Perera
Senior Lecturer and Consultant in Pharmacology, Immune-medicine and Clinical products development and Head / Department of Ayurveda Pharmacology and Pharmaceutics
Institute of Indigenous Medicine, University of Colombo, Rajagiriya, Sri Lanka

Mob: 071-6419072

drkamalperera@yahoo.com


Primary study sponsor/organization

University Grants Commission

No. 20, Ward Place, Colombo 07 Sri Lanka
Tel: +94 11 2695301
Fax: +94 11 2688045

http://www.ugc.ac.lk/

Secondary study sponsor (If any)

None





Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?


IPD sharing plan description


Study protocol available


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results