Clinical Trial Report of Prostaid
INTRODUCTION
The prostate is a small
organ about the size of a walnut. It lies below the bladder
(where urine is stored) and surrounds the urethra (the tube that
carries urine from the bladder). The prostate makes a fluid that
becomes part of semen. Semen is the white fluid that contains
sperm. In addition, it secretes fluid into the urethra that
helps to protect against bladder infections.
Enlargement of the prostate
is called Benign Prostatic Hypertrophy. This condition is common
in older men. More than half of men in their 60’s have BPH.
Among men in their 70’s and 80’s, the figure may go as high
as 90%.
Herbal components have been
shown to be as effective as some prostate drugs in clinical
trials, while not producing the side effects of drugs.
Changes in the prostate as
one ages
-
Enlargement
-
Hardening
-
Decreased Fluid Secretions
AIM AND OBJECTS
Different formulations are
developed to treat enlarged prostate. The present clinical trial
was undertaken for –
-
To evaluate the therapeutic value of
“PROSTAID” a poly herbal formulation prepared by M/s.
Shree Baidyanath Ayurved Bhawan Pvt. Ltd, Kolkata – 6, in
the patients of enlarged prostate.
-
To evaluate the effect of “PROSTAID”
on lipid levels of the body to be assessed by bio chemical
study.
-
To observe clinical toxicity or side
effect, if any, during the clinical study.
MATERIALS AND METHODS
Total 66 patients of
obesity were registered during the course of the trial. The
study consists clinical patterns in enlarged prostate and
management of the enlarged prostate with “PROSTAID”. In this
trial 66 cases were registered out of which 42 cases had
completed the total tenure of the treatment rest 24 cases had
discontinued at different point of time.
PLACE OF STUDY
The present clinical study
was undertaken at Shyamadas Vaidya Shastrapith Hospital attached
to the Institute of Post Graduate Ayurvedic Education and
Research, Govt. of West Bengal, Kolkata – 9.
SELECTION OF CASES
All the patients selected
for the present study were interrogated and detail history was
recorded in the case record form. All the patients were
thoroughly examined and findings were recorded. To establish the
final diagnosis the selection criteria as noted below was
followed.
SELECTION CRITERIA
For the purpose of present
study, patients belonging to the age group of 51 – 70 years of
age were selected and the diagnostic criteria was the following.
A) Subjective
Feature
The clinical features as
mentioned in classical Ayurvedic texts regarding enlarged
prostate were observed in the patients. The following symptoms
were also observed during diagnosis and assessment.
-
A frequent need to urinate, causing you
to get up several times during the night to void.
-
A weak, often interrupted urinary stream.
-
A full-bladder feeling, as if you can
never completely empty your bladder.
-
Difficulty initiating a urine stream,
with involuntarily dribbling at the beginning or end.
-
Sudden – sometimes uncontrollable –
urgency to urinate
-
A burning, painful or throbbing sensation
when urinating
-
Loss of libido and sexual potency
-
Blood in the urine and any pain or
discomfort in the urinary tract
B) Objective
Criterias
The following laboratory
investigations were carried out for diagnosis and differential
diagnosis.
-
Lipid profile
-
Blood sugar (F & PP)
-
Routine Hematological Test
-
Prostate Specific Antigen (PSA)
-
Routine Urine examination
-
U.S.G
EXCLUSION CRITERIAS
A)
Patients below 51 years and above 70 years of age.
B)
Diabetes mellitus.
C)
Malignant Enlarged Prostate
D)
Cardiac problem.
E)
Renal Disease.
DRUG SELECTED FOR THE STUDY
For the purpose of the
clinical trial “PROSTAID”, a poly herbal compound formulated
by M/s. Shree Baidyanath Ayurved Bhawan Pvt. Ltd., Kolkata –
6, approved by the Director of Drug Control, West Bengal has
been selected.
METHOD OF DRUG ADMINISTRATION
The present study was
carried out in the patients of enlarged prostate in
consideration with inclusion and exclusion criteria. The
eligible patients were randomly divided in two groups, viz.
-
Group – A (trial Group) – to whom the
trial product (PROSTAID) was given in the dose of two
capsules twice a day morning and evening with water for a
period of 90 days
-
Group – B (Control Group) – to whom
the placebo capsules (containing sugar of milk) was given in
the similar way like trial group.
FOLLOW UP
Follow up study was
conducted in all cases at interval of 30 days for 90 days. Lipid
profile, blood sugar, routine hematological test,
ultrasonography of lower abdomen and routine urine examination,
PSA was done in each case before starting the treatment. All the
subjective criterias also assessed at interval of 30 days for 90
days in all cases.
CLINICAL PATTERN
The present study consists
of total 66 cases who have symptoms of obesity. Among them 42
cases completed the full course of treatment schedule (i.e. 90
days) and 24 cases had not completed the full course of trial.
But the clinical pattern will be discussed in all 66 cases. The
result will be analyzed on observation of the findings of 42
cases.
AGE INCIDENCE
Patients of the present
study were from 51 to 70 years of age Patients of different age
group are given in Table No. 1.
Table No. 1:
Showing the incidence of different age group
|
Sl.
No.
|
Age
groups (Years)
|
No.
of patients
|
Percentage
|
|
1
|
51
– 55
|
16
|
24.24
|
|
2
|
56
– 60
|
24
|
36.36
|
|
3
|
61
– 65
|
17
|
25.76
|
|
4
|
66
– 70
|
9
|
13.64
|
|
Total
|
66
|
100.00
|
RELIGION
INCIDENCE
Patients of
various religions were included in this study. Patients
belonging to different religion are shown in Table No. 2
Table
No. 2: Showing the incidence of religion
|
Sl.
No.
|
Religion
|
No.
of patients
|
Percentage
|
|
1
|
Muslim
|
30
|
45.45
|
|
2
|
Hindu
|
32
|
48.49
|
|
3
|
Christian
|
04
|
6.06
|
|
Total
|
66
|
100.00
|
OCCUPATIONAL
INCIDENCE
In this study
patients belonging to various occupations were included. The
occupation history as recorded are shown in Table No. 3
Table
No. 3: Showing the incidence of occupation
|
Sl.
No.
|
Occupation
|
No.
of patients
|
Percentage
|
|
1
|
Service
|
13
|
19.70
|
|
3
|
Labour
|
2
|
3.03
|
|
4
|
Cultivator
|
6
|
9.10
|
|
5
|
Student
|
4
|
6.05
|
|
6
|
Businessmen
|
12
|
18.18
|
|
7
|
Miscellaneous
|
29
|
43.94
|
|
Total
|
66
|
100.00
|
ECONOMICAL
STATUS INCIDENCE
In
this study patients of different income group were recorded and
shown in Table No. 4
Table
No. 4: Showing the incidence of income status
|
Sl.
No.
|
Income
Status
|
No.
of patients
|
Percentage
|
|
1
|
LIG
|
10
|
15.15
|
|
2
|
MIG
|
36
|
54.55
|
|
3
|
HIG
|
20
|
30.30
|
|
Total
|
66
|
100.00
|
EDUCATIONAL
STATUS
When educational
status was enquired, patients of both literate and illiterate
group were found in this series. The educational status as found
is given in Table No. 5.
Table
No. 5: Showing the incidence of Educational Status
|
Sl.
No.
|
Educational
Status
|
No.
of patients
|
Percentage
|
|
1
|
Illiterate
|
6
|
9.10
|
|
2
|
Literate
a) Primary
b) Madhyamik
c) Higher
Secondary
d) Graduate
e) Post
Graduate
|
60
|
90.90
|
|
9
|
15.00
|
|
11
|
18.33
|
|
9
|
15.00
|
|
18
|
30.00
|
|
13
|
21.67
|
RURAL
URBAN INCIDENCE
This
study included patients from urban and rural areas and shown in
Table No. 6
Table
No. 6: Showing the Rural and Urban Incidence
|
Sl.
No.
|
Rural/
Urban
|
No.
of patients
|
Percentage
|
|
1
|
Rural
|
27
|
40.90
|
|
2
|
Urban
|
39
|
59.10
|
|
Total
|
66
|
100.00
|
INCIDENCE OF
DIET HABIT
Patients
included in the present study were found to have both types of
diet habits (vegetarian and non-vegetarian), which are presented
in Table No. 7.
Table No. 7:
Showing the incidence of diet habits.
|
Sl.
No.
|
Diet
Habits
|
No.
of patients
|
Percentage
|
|
1
|
Non
vegetarian
|
52
|
78.78
|
|
2
|
Vegetarian
|
14
|
21.20
|
|
Total
|
66
|
100.00
|
INCIDENCE OF
NATURE OF WORK
In this trial
nature of work were studied which are presented in Table No. 8.
Table No. 8:
Showing the incidence of nature of work
|
Sl.
No.
|
Nature
of work
|
No.
of patients
|
Percentage
|
|
1
|
Sedentary
|
34
|
51.52
|
|
2
|
Moderate
|
28
|
42.42
|
|
3
|
Hardworker
|
4
|
6.06
|
|
Total
|
66
|
100.00
|
INCIDENCE OF MARITAL STATUS
In this study
married, unmarried, both patients are included which are
presented in Table No. 9
Table No. 9:
Showing the incidence of Marital Status
|
Sl.
No.
|
Marital
Status
|
No.
of patients
|
Percentage
|
|
1
|
Unmarried
|
15
|
22.73
|
|
2
|
Married
|
51
|
77.27
|
|
Total
|
66
|
100.00
|
RESULT AND OBSERVATION
Trial Group:
Trial group consisted of 46
patients, among them 32 cases had completed the full tenure of
trial and 14 cases had not completed the full trial. All the
cases were given the “PROSTAID” capsules in the dose of 2
capsules/tablets twice daily for 90 days, with water.
Patients were observed in
terms of subjective improvements before treatment, during
treatment and after treatment. The response of treatment on
clinical features as observed before treatment and after
treatment in 32 cases in trial group are presented below in
Table No. 10
Table No. 10: Showing the
response of treatment on subjective features of enlarged
prostate.
|
Sl.
No.
|
Chief
complains
|
No.
of patients before treatment
|
No.
of patients relieved after treatment
|
Percentage
of relief
|
|
1
|
Frequent
urination
|
32
|
30
|
93.75
|
|
2
|
Burning
sensation of urine
|
30
|
29
|
96.66
|
|
3
|
Painful
micturation
|
28
|
28
|
100.00
|
|
4
|
Discomfort
in urinary tract
|
30
|
28
|
93.33
|
|
5
|
Sexual
power decreased/ increased
|
28
|
24
|
85.70
|
From the above
table it is revealed that the percentage of relief of different
clinical features was highly satisfactory.

CONTROL GROUP
Control Group consisted of
20 patients, among them 10 cases had completed the full tenure
of trial and 10 cases had not completed the full trial. All the
cases were given the placebo capsules in the dose of 2
capsules/tablets twice daily for 90 days, with water.
Patients were observed in
terms of subjective improvements before treatment, during
treatment and after treatment. The response of treatment on
clinical features as observed before treatment, and after
treatment in 10 cases in control group are presented below in
Table no. 11.
Table No. 11:
Showing the response of treatment on subject features of
enlarged prostate in control group.
|
Sl.
No.
|
Chief
complains
|
No.
of patients before treatment
|
No.
of patients relieved after treatment
|
Percentage
of relief
|
|
1.
|
Frequent
urination
|
7
|
8
|
-14.28
|
|
2.
|
Burning
sensation of urine
|
6
|
8
|
-
33.33
|
|
3.
|
Painful
micturation
|
6
|
7
|
-
12.50
|
|
4.
|
Discomfort
in urinary tract
|
6
|
7
|
-
16.66
|
|
5.
|
Sexual
power decreased/ increased
|
6
|
7
|
-
16.60
|
From the above table it is
clear that there was not any improvement in clinical features on
control group of patients and the clinical features had
deteriorated.
Discussion:
The present trial included
66 patients suffering from enlarged prostate. The total cases
were randomly divided into two groups, viz. trial group and
control group. Trial group consisted of 46 patients to whom
“PROSTAID” was given in the dose of 2 capsules/tablets twice
a day for a period of 90 days. Out of 46 cases of trial group 32
cases could be followed up properly during the treatment
schedule (i.e 90 days) and the rest of the cases had dropped out
at different point of time. Control group included 20 patients
to whom placebo capsule/tablet was given in the dose of two
capsules/tablets twice a day for a period of 90 days. Out of the
total cases in the control group 10 cases could be follow up for
90 days, the total tenure of the treatment and the rest of cases
had discontinued at different times.
The effect of the treatment
on both these group of patients were evaluated during the
treatment and the response was assessed at the end of the
treatment. The response of the treatment was observed on
subjective improvement and objective improvements. At the end of
the treatment, the result was assessed in term of excellent
response, good response and poor response. The patients were
included under excellent response group when they showed more
than 90% relief of subjective features. The patients were
included under good response group when they showed relief of
subjective features between 51 to 90%
Conclusion
The product “PROSTAID”
was found to be an effective product on enlarged prostate and
the result was encouraging for further study for its effect.
“PROSTAID” has shown encouraging result after 6 week of
treatment particularly on the subjective criterias. After 90
days of treatment along with the improvement of subjective
criterias significant response Hence, “PROSTAID” can be
safely prescribed in enlarged prostate for a long time.
.
|