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A Clinical Trial to Study the Safety and Efficacy of Chandrakanthi Choornam in Patients With Low Sperm Count

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StatusCompleted
Sponsors
Tamil Nadu Dr.M.G.R.Medical University

Keywords

Abstract

This is an Open clinical trial to study the safety and efficacy of Chandrakanthi Choornam in 40 patients with Oligospermia. Chandrakanthi choornam is a formulation consisting of 25 ingredients. They are Curculigo orchioides -rhizome, Madhuca longifolia - flower, Cinnamomum verum -bark,Cinnamomum tamala-Leaf, Syzygium aromaticum - flower bud,Coscinium fenestratum-stem bark,Mesua ferrea-flower, Maerua arenaria-tuber, Adhatoda vasica- seed, Moringa oleifera-seed, Lawsonia inermis-seed, Vitis vinifera- fruit, Bombax ceiba- gum, Bambusa aurundinaceae-salt,Phoenix dactilifera- fruit,Ilicium verum- flower, Mucuna prurita-seed, Cyperus rotundus- rhizome, Glycyrrhiza glabra-root, Tribulus terrestris-fruit, Cuminum cyminum-seed,Costus speciosus-root,Myrsitica fragrans-seed, Alternanthera sessilis-seed and asphaltum-mineral. Treatment duration is three months.Study is conducted in India (Chennai). Primary outcome measure is to see the changes in sperm count, motility and morphology. Secondary Outcome measure is to see the impact on the harmone level.

Description

METHODOLOGY OF PROPOSED RESEARCH:

I. Preclinical study II. Clinical study

I. PRECLINICAL STUDY:

Standardization Of The Study Drug

1. Botanical Identification

2. Chemical Identification

3. Preparation of the study drugs:

Formulation: Chandrakanthi choornam Source : Chikicharathna deepam Part II. Pg-168 (Approved sastric book as per drugs & cosmetic act 1940.

4. Chemical methods of testing

5. Pharmacological study : A. Spermotogenic Activity

6. Toxicological study : A. Acute Toxicity B. Long term Toxicity

II. CLINICAL STUDY

Conducted as per the guidelines of GCP accepted by Ayush adapted from the ICH.

A. Pilot study B. Main study

Dates

Last Verified: 07/31/2014
First Submitted: 08/26/2014
Estimated Enrollment Submitted: 09/03/2014
First Posted: 09/08/2014
Last Update Submitted: 09/03/2014
Last Update Posted: 09/08/2014
Actual Study Start Date: 11/30/2012
Estimated Primary Completion Date: 03/31/2014
Estimated Study Completion Date: 07/31/2014

Condition or disease

Oligospermia

Intervention/treatment

Drug: Chandrakanthi choornam

Phase

Phase 2

Arm Groups

ArmIntervention/treatment
Experimental: Chandrakanthi choornam
Chandrakanthi Choornam (CKC) - 12gm in milk OD dose; Oral route 3 Months - duration Intervention Drug: Chandrakanthi Choornam (CKC)
Drug: Chandrakanthi choornam
12gm in milk - OD dose; Oral route; 3 Months ( 90days) - duration Preparation from approved sastric book as per drugs & cosmetic act 1940

Eligibility Criteria

Ages Eligible for Study 21 Years To 21 Years
Sexes Eligible for StudyMale
Accepts Healthy VolunteersYes
Criteria

Inclusion criteria:

- Male infertile Patients with age between 21-45 yrs

- Marriage history for >1 year

- Abnormal Sperm count 1-15 million/ml

- Patients with normal Liver & Renal function test

- Willing to give specimen of semen before & at the end of the clinical trial

- Informed patients giving written consent

Exclusion criteria:

- Azoospermia - complete absence of sperm cells in the ejaculate

- Aspermia - complete lack of semen

- Necrospermia- Spermatozoa in semen are either immobile or dead.

- Clinical diagnosis of Varicocele & Hydrocele

- History of Undescended testis

- Inguinal hernia on physical examination

- Male accessory gland infection

- History of DM, Hypertension and Cardiac disease

- Any recent medical or surgical illness

- Underwent treatment for promoting Spermatogenic fertility in last 3 months

- Other Systemic disease requiring specific therapies

- Known Thyroid disease

- Past history of Renal, Hepatic or any other chronic illness in the Patient

Outcome

Primary Outcome Measures

1. Sperm concentration per milliliter of seminal fluid [90 days]

Changes in the total number of sperm cells per milliliter of seminal fluid were evaluated from baseline to three months

2. Proportion of Sperm motility [90 days]

Changes in the percentage of total and progressive motility of sperm were evaluated from baseline to three months

3. Proportion of Sperm morphology [90 days]

Changes in the percentage of sperm cells with normal forms were evaluated from baseline to three months

Secondary Outcome Measures

1. Impact on the hormonal level due to the clinical trial [90 days]

Changes in serum Testosterone, LH and FSH were estimated from baseline to three months

Other Outcome Measures

1. Assessment on Safety parameters [90 days]

Safety parameters: Liver function test ,Renal function test , Lipid profile, Haematological profile , Blood Glucose, Urinary parameters were assessed from baseline to three months

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