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CTRI/2026/XX/SYN001SyntheticActivePhase 3Musculoskeletal

Efficacy of Ashwagandha Ghrita in Sandhivata (osteoarthritis of the knee)

A randomised, parallel-group, open-label comparative clinical trial of Ashwagandha Ghrita versus standard Ayurvedic care in Sandhivata (osteoarthritis of the knee joint)

Sponsor
All India Institute of Ayurveda (intramural)
Principal investigator
Dr. A. Krishnamurthy · Professor, Kayachikitsa
Condition studied
Osteoarthritis of knee (Sandhivata)
Design
Randomised, parallel group, open label
Intervention
Ashwagandha Ghrita 10 g twice daily, 12 weeks
Comparator
Standard Ayurvedic care (Rasnasaptaka Kwatha)

Study lifecycle

Protocol through close-out. Completed stages are filled, the current stage pulses.

Protocol

06 Mar 2025

EC Approval

25 Apr 2025

CTRI Registration

14 Jun 2025

Site Activation

03 Aug 2025

Screening

22 Sept 2025

6

Enrolment

11 Nov 2025

current
7

Follow-up

—

8

Close-out

—

Enrolment against target

38 of 40 participants (95%)

On track

Screening funnel

Screened through to follow-up completion

Site-wise enrolment

Real institutes from the NPvCC network

SiteTierHFR idEnrolledShare
All India Institute of Ayurveda, New DelhiNew Delhi · AyurvedaNPvCCIN071000012319
National Institute of AyurvedaJaipur · AyurvedaIPvCIN081000024119

Consent tracking

Versioned, specific and withdrawable — the DPDP requirement

Participants consented

38

Current consent version

v2.1

Re-consent required

3

Withdrawn

1

3 participants consented on an earlier version and must be re-consented against v2.1 before their next visit.

Protocol deviations

0 open of 4 recorded

Procedure

Shodhana procedure sequence altered on clinical grounds, not pre-documented

DEV-SAN-01 · 23 Apr 2026

MinorClosed

Randomisation

Allocation envelope opened out of sequence at satellite site

DEV-SAN-02 · 23 Jul 2026

MinorClosed

Randomisation

Allocation envelope opened out of sequence at satellite site

DEV-SAN-03 · 25 May 2026

MajorClosed

Eligibility

Participant enrolled with HbA1c 0.2% above the inclusion ceiling

DEV-SAN-04 · 30 Jun 2026

MinorClosed

Data queries

7 open · 4 answered · 38 closed

AE onset date precedes the first dose date. Please verify.

Adverse events · AESTDTC · AIIA-SAN-DEL-027

Open22d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-SAN-DEL-001

Open25d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-SAN-JAI-023

Open34d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-SAN-DEL-012

Open7d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-SAN-JAI-014

Open10d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-SAN-JAI-030

Open4d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-SAN-JAI-036

Open27d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-SAN-JAI-028

Answered40d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-SAN-JAI-008

Answered33d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-SAN-JAI-008

Answered76d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-SAN-JAI-024

Answered37d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-SAN-JAI-002

Closed23d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-SAN-JAI-011

Closed13d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-SAN-DEL-006

Closed111d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-SAN-DEL-001

Closed115d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-SAN-DEL-026

Closed116d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-SAN-JAI-013

Closed82d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-SAN-DEL-025

Closed92d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-SAN-JAI-024

Closed58d

Birth date inconsistent with the age recorded at screening — please confirm.

Demographics · BRTHDTC · AIIA-SAN-JAI-023

Closed14d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-SAN-DEL-037

Closed44d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-SAN-DEL-026

Closed54d

AE onset date precedes the first dose date. Please verify.

Adverse events · AESTDTC · AIIA-SAN-DEL-005

Closed117d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-SAN-JAI-023

Closed50d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-SAN-JAI-028

Closed86d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-SAN-DEL-001

Closed64d

AE onset date precedes the first dose date. Please verify.

Adverse events · AESTDTC · AIIA-SAN-DEL-037

Closed43d

Concomitant medicine entered as a brand name — please give the generic.

Concomitant meds · CMTRT · AIIA-SAN-JAI-038

Closed101d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-SAN-DEL-027

Closed35d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-SAN-JAI-024

Closed39d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-SAN-DEL-007

Closed92d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-SAN-DEL-025

Closed20d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-SAN-JAI-024

Closed64d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-SAN-JAI-031

Closed74d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-SAN-DEL-006

Closed40d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-SAN-DEL-026

Closed88d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-SAN-DEL-015

Closed62d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-SAN-JAI-013

Closed24d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-SAN-JAI-002

Closed118d

Birth date inconsistent with the age recorded at screening — please confirm.

Demographics · BRTHDTC · AIIA-SAN-DEL-019

Closed53d

Systolic BP of 210 mm[Hg] not flagged as an AE — clinically significant?

Vital signs · VSORRES (SYSBP) · AIIA-SAN-DEL-003

Closed32d

Dose recorded as 0 for Visit 4 with no interruption reason.

Exposure · EXDOSE · AIIA-SAN-JAI-024

Closed76d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-SAN-JAI-034

Closed46d

Result outside reference range with no interpretation recorded.

Laboratory · LBORRES (SGPT) · AIIA-SAN-DEL-019

Closed15d

Hospitalisation noted in the narrative but AESER recorded as N. Please reconcile.

Adverse events · AESER · AIIA-SAN-DEL-007

Closed86d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-SAN-JAI-023

Closed54d

Subject marked completed but Visit 6 is missing.

Disposition · DSDECOD · AIIA-SAN-JAI-033

Closed16d

Birth date inconsistent with the age recorded at screening — please confirm.

Demographics · BRTHDTC · AIIA-SAN-JAI-034

Closed73d

Concomitant medicine entered as a brand name — please give the generic.

Concomitant meds · CMTRT · AIIA-SAN-JAI-029

Closed22d

Enrolled participants

De-identified by construction — identifier, sex and age only. No name, address or contact data exists in this system.

38 participants
USUBJIDSiteStatusSexAgePlanned armConsent (RFICDTC)Ref. start (RFSTDTC)Visits
AIIA-SAN-DEL-001DELon-study-interventionF66Comparator arm2026-06-142026-06-202/8
AIIA-SAN-JAI-002JAIon-study-interventionM32Interventional arm2026-06-122026-06-182/8
AIIA-SAN-DEL-003DELon-studyF24Comparator arm2026-04-052026-04-106/8
AIIA-SAN-DEL-004DELwithdrawnF47Interventional arm2026-04-192026-04-221/8
AIIA-SAN-DEL-005DELon-studyF63Comparator arm2026-05-112026-05-148/8
AIIA-SAN-DEL-006DELon-study-interventionF38Interventional arm2026-05-292026-05-316/8
AIIA-SAN-DEL-007DELon-studyM64Comparator arm2026-07-102026-07-127/8
AIIA-SAN-JAI-008JAIon-studyF26Interventional arm2026-05-292026-05-313/8
AIIA-SAN-JAI-009JAIwithdrawnF58Comparator arm2026-04-022026-04-076/8
AIIA-SAN-DEL-010DELon-study-interventionF58Interventional arm2026-05-042026-05-073/8
AIIA-SAN-JAI-011JAIon-study-interventionM54Comparator arm2026-05-022026-05-033/8
AIIA-SAN-DEL-012DELon-studyF24Interventional arm2026-03-102026-03-148/8
AIIA-SAN-JAI-013JAIon-study-interventionM46Comparator arm2026-05-142026-05-153/8
AIIA-SAN-JAI-014JAIon-study-interventionF51Interventional arm2026-03-142026-03-158/8
AIIA-SAN-DEL-015DELfollow-upM28Comparator arm2026-06-022026-06-034/8
AIIA-SAN-DEL-016DELfollow-upF66Interventional arm2026-03-172026-03-221/8
AIIA-SAN-DEL-017DELon-study-interventionM54Comparator arm2026-04-242026-04-257/8
AIIA-SAN-DEL-018DELon-study-interventionM31Interventional arm2026-05-022026-05-048/8
AIIA-SAN-DEL-019DELon-study-interventionM44Comparator arm2026-07-062026-07-073/8
AIIA-SAN-JAI-020JAIwithdrawnF49Interventional arm2026-04-122026-04-145/8
AIIA-SAN-DEL-021DELon-study-interventionM61Comparator arm2026-06-212026-06-237/8
AIIA-SAN-JAI-022JAIon-studyM24Interventional arm2026-07-092026-07-134/8
AIIA-SAN-JAI-023JAIfollow-upF53Comparator arm2026-07-112026-07-158/8
AIIA-SAN-JAI-024JAIon-studyM41Interventional arm2026-04-102026-04-135/8
AIIA-SAN-DEL-025DELwithdrawnM63Comparator arm2026-03-102026-03-135/8
AIIA-SAN-DEL-026DELon-studyF65Interventional arm2026-05-082026-05-114/8
AIIA-SAN-DEL-027DELon-study-interventionM64Comparator arm2026-08-032026-08-057/8
AIIA-SAN-JAI-028JAIfollow-upM66Interventional arm2026-05-302026-06-057/8
AIIA-SAN-JAI-029JAIon-study-interventionF34Comparator arm2026-07-022026-07-073/8
AIIA-SAN-JAI-030JAIon-study-interventionF42Interventional arm2026-05-232026-05-271/8
AIIA-SAN-JAI-031JAIfollow-upF60Comparator arm2026-04-302026-05-015/8
AIIA-SAN-DEL-032DELwithdrawnF26Interventional arm2026-03-112026-03-154/8
AIIA-SAN-JAI-033JAIon-studyF63Comparator arm2026-06-252026-06-262/8
AIIA-SAN-JAI-034JAIfollow-upF65Interventional arm2026-05-112026-05-162/8
AIIA-SAN-JAI-035JAIon-study-interventionM36Comparator arm2026-04-132026-04-195/8
AIIA-SAN-JAI-036JAIon-studyM64Interventional arm2026-04-152026-04-185/8
AIIA-SAN-DEL-037DELon-studyF50Comparator arm2026-03-272026-04-025/8
AIIA-SAN-JAI-038JAIon-study-interventionM35Interventional arm2026-08-242026-08-304/8

10 adverse events recorded on this study · 1 serious — open in Pharmacovigilance