Clinical Trial Report of LIVGOOD In Liver Disorder
INTRODUCTION :
The LIVER is the largest gland of the body. It is situated in
the right hypochondrium. It plays a central and varied role in
many essential physiological process. The liver is essential for
life and it is the chemical factory of the body. It may viewed
as serving a regulatory and protective functions for whole
organism. To the extent of that such biotransformation results
in the formation of toxic product as in the case of certain
drugs, the liver may be bear attack as their adverse effects.
LIVER helps in all shorts of metabolism, blood formation,
bile secretion, vitamins synthesis, heat regulation and many
other performances are generally done in all the times. So the
careful assessment is equally important in the patients with
obvious liver diseases. In this study the "LIVGOOD"
capsule was trailed in the patients of liver disorders to know
the efficiency of the drug clinically.
AIM AND OBJECT :
To evaluate the therapeutic value of "Livgood"
Capsules in the patients of liver disorders, the present
clinical trial was under taken. Total 55 cases have been
registered for this study. But out of these cases only 50 cases
were included in the drug trial, who had followed the full
treatment schedule.
MATERIAL AND METHOD :
Total 55 patients of liver disorders were registered during the
course of trial. The study consists clinical patterns in the
management of the particulars condition with the "LIVGOOD"
capsules. out of 55 cases had followed full term (90 days)
treatment schedule. The rest of the cases had discontinued the
course of treatment.
This study consisted of clinical pattern, the liver disorders
and the management of the particular condition with "Livgood"
capsules.
The clinical pattern were studied in all the 55 cases for
incidence of age, sex, religion, occupation, economic status,
education and social status and symptoms of liver disorders
following the incidence of L.F.T.
SELECTION OF CASES :
All the patients selected for the study were interrogated and
details history recorded in the case record form. All the
patients were thoroughly examined and findings were recorded.
After the clinical examination patients were subjected for
laboratory investigation, routine examination of blood, stool
and urine were done and to establish the final diagnosis, liver
function test (L.F.T.) were done. The individual who have
symptoms of liver disorders with or without raised Bilirubin
level, S.G.P.T, S.G.O.T. and Alkaline phosphatase etc. were
subjected to clinical trial.
METHODS OF DRUG
ADMINISTRATION :
The drug "Livgood" was administered in the form of
capsules prepared and supplied by "GOOD CARE PHARMA PVT.
LTD., 1, Gupta Lane, kolkata - 700006. The patients liver
disorder taken for the study, were administered 2 capsule (500
MG Each) twice daily orally morning and evening with water for a
period of 90 days.
DIET :
All the patients selected for the trial were advised to avoid
butter, ghee and spicy food.
FOLLOW UP :
Follow up study was conducted in all cases at interval of one
month for 3 months (90 days), L.F.T. was done in each cases in
every month.
CLINICAL PATTERN :
The present study consists of total 50 cases who have symptoms
of liver disorders and completed the full course
of treatment schedule (i.e., 90 days). But we had registered 55
cases for the present study, out of which 5 cases had not
completed the full course of treatment. So the clinical pattern
will be discussed on 55 cases. But the result will be analyzed
on observation of the findings of 50 cases.
Age Incidents :
Patient of the present study were from 20 to 60 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
|
21-35
|
25
|
45.45
|
|
2
|
36-50
|
24
|
43.64
|
|
3
|
51& Above
|
06
|
10.91
|
|
Total
|
55
|
100.00
|
Sex Incidnts :
Patients of both sexes were registered for the present study.
The sex groups are given in Table No. 2.
Table No. 2 showing the incidence of Sex
|
Sl. No.
|
Sex
|
No. of Patients
|
Percentage
|
|
1
|
Male
|
35
|
63.63
|
|
2
|
Female
|
20
|
36.37
|
|
Total
|
55
|
100.00
|
Religion Incidents :
Patients of various religions were included in this study.
Patients belonging to different religion are shown in Table No.
3.
Table No. 3 showing the incidence of Religion
|
Sl. No.
|
Religion
|
No. of Patients
|
Percentage
|
|
1
|
Muslim
|
30
|
54.54
|
|
2
|
Hindu
|
20
|
36.36
|
|
3
|
Christian
|
05
|
10.91
|
|
Total
|
55
|
100.00
|
Occupation Incidents :
In this study patients belonging to various occupations were
included and shown in Table No. 4.
Table No. 4 showing the incidence of Occupation
|
Sl. No.
|
Religion
|
No. of Patients
|
Percentage
|
|
1
|
Service
|
13
|
23.64
|
|
2
|
House-Wives
|
12
|
21.82
|
|
3
|
Labour
|
10
|
18.18
|
|
4
|
Cultivator
|
05
|
9.09
|
|
5
|
Student
|
05
|
9.09
|
|
6
|
Businessman
|
08
|
14.54
|
|
7
|
Retired
|
02
|
3.64
|
|
Total
|
55
|
100.00
|
Economic Status :
In this study patients of different income groups were recorded
and shown in Table No. 5.
Table No. 5: Showing the incidence of Income Status
|
SI. No.
|
Income Status
|
No. of Patients
|
Percentage
|
|
1 .
|
L.I.G.
|
37
|
67.27
|
|
2.
|
M.I.G.
|
18
|
32.73
|
|
Total
|
44
|
100.00
|
Educational Status :
When educational status was enquired, patients of both literate
and illiterate were found in this series. The educational status
as found are given in Table No. 6
Table No. 6 showing the incidence of Educational Status
|
Sl. No.
|
Religion
|
No. of Patients
|
Percentage
|
|
1
|
Illiterate
|
10
|
18.18
|
|
2
|
Primary
|
20
|
36.37
|
|
3
|
Madhyamik
|
10
|
18.18
|
|
4
|
Higher Secendary
|
04
|
7.27
|
|
5
|
Graduate
|
09
|
16.36
|
|
6
|
Post Graduate
|
02
|
3.64
|
|
Total
|
55
|
100.00
|
Rural and urban
Incidents :
This study included patients from urban and rural areas shown in
Table no. 7.
Table No. 7: Showing the Incidence of Rural and Urban
|
SI. No.
|
Rural / Urban
|
No. of Patients
|
Percentage
|
|
1.
|
Rural
|
20
|
36.36
|
|
2.
|
Urban
|
35
|
63.64
|
|
Total
|
55
|
100.00
|
Incidence of Diet Habits
:
Patients included in the
present study were found to have both types of diet habits
(Vegetarian & Non-Vegetarian), which are presented in Table
No. 8.
Table No. 8 showing the incidence of Diet Habits
|
SI. No.
|
Diet Habits
|
No. of Patichts
|
Percentage
|
|
1.
|
Non Vegetarian
|
37
|
67.27
|
|
2.
|
Vegetarian
|
18
|
32.73
|
|
Total
|
55
|
100.00
|
Incidence of Nature of Work :
In this trial study nature of work were studied which are
presented in Table No. 9.
Table No. 9: Showing the Incidence of Nature of Work
|
Sl. No.
|
Nature of Work
|
No. of Patients
|
Percentage
|
|
1
|
Secondary
|
26
|
47.27
|
|
2
|
Moderate
|
17
|
30.91
|
|
3
|
Hard worker
|
12
|
21.82
|
|
Total
|
55
|
100.00
|
RESULT AND OBSERVATION :
The results of 50 patients who had completed the treatment
schedule (i.e., 90 days) were observed in terms of subjective
improvements, which are presented bellow in Table No. 10.
Table No.10 showing the response of treatment on subjective
features of sexual disorder
|
Sl. No.
|
Symptoms
|
No. of Pt. before treatment
|
No. of Pt. after treatment
|
Percentage of relief
|
|
1
|
Anorexia
|
50
|
42
|
84.00
|
|
2
|
Yellow Urine
|
30
|
25
|
83.33
|
|
3
|
Yellow eyes / Palms
|
20
|
18
|
90.00
|
|
4
|
Upper Abdominal Discomfort
|
46
|
36
|
78.27
|
|
5
|
Fever
|
34
|
28
|
82.36
|
|
6
|
Nausea
|
32
|
25
|
78.12
|
|
7
|
Vomiting
|
20
|
16
|
82.36
|
|
8
|
Loss of Weight
|
42
|
21
|
50.00
|
|
9
|
Headache
|
35
|
26
|
74.29
|
|
10
|
Skin Rashes
|
11
|
09
|
81.82
|
|
11
|
Bleeding Nose
|
08
|
06
|
75.00
|
|
12
|
Weakness
|
44
|
30
|
68.18
|
|
13
|
Loss Libido
|
30
|
30
|
00.00
|
In all patients who had
complete the treatment schedule of 90 (Ninety) days were also
observed in terms of objective improvements which are presented
in Table No. 11.
Table No.11 showing the response of treatment on objective
features of Liver Disorders (Mean effects, n=50)
|
Sl. No.
|
|
B.T
|
A.T
|
|
1
|
Serum Bilirubin Mg / d1
|
2.82 + 0.40
-
|
0.90 + 0.04
-
|
|
2
|
Alkaline Phosphatase
|
271.09 + 10.05
-
|
214.92 + 7.80
-
|
|
3
|
SGOT
|
104.20 + 36.97
-
|
34.36 + 1.70
-
|
|
4
|
SGPT
|
108.47 + 38.32
-
|
35.66 + 1.37
-
|
DISCUSSION:
55 patients suffering from liver disorders were included in the
present series of clinical study. The clinical study was under
taken to evaluate the efficacy, the drug "Livgood"
capsule were given in these cases. Out of 55 cases 50 cases
could be followed up properly.
To all the patients in the trial "Livgood" capsules
was given in the dose of 2 cap (500 mg each) twice orally,
morning and evening with water for a period of 90 days. The
effects of the drug on 50 patients was observed in consideration
of subjective and objective improvements. At the end of
treatment the result was assessed in terms of excellent
response, good response and poor response. The patient were
included in the excellent response group, when the objective
criteria's become normal and showed 75% relief from classical
clinical features within 3 months.
The patients were included under the good response group, when
they showed more than 50% relief of subjective features and
normal objective parameters. The patients were included in poor
response group when they showed less than 50% relief of
subjective criteria's and negligible improvements of objective
criteria's.
When the total effects of the drug on the subjective criteria's
and subjective criteria's were taken into consideration, 28%
cases were included in excellent response group, 58% cases in
good response group and 14.00% in poor response group to the
treatment in the "Livgood" capsule.

During study of the "Livgood" capsules none of
the patients had shown any side effects.
CONCLUSION:
The drug "Livgood" capsules had been found to be a
hepatoprotective drug with definite effects in the treatment of
liver disorders. The results in the trial group has shown
encouraging result after 30 days of treatment. After 90 days of
the treatment the statistical data has shown the significant
response in the objective criterias like Serum Bilirubin, SGOT,
SGPT and Alkaline Phosphatase. So "Livgood" can safely
be given in liver disorders.
ACKNOWLEDGEMENT:
We sincerely acknowledge Dr. P.K.Mukherjee, Project officer and
Asst. Director (Ayurveda) for sanctioning permission to conduct
the trial at IPGAE & Research at Shyamadas Vaidyasastrapith
Hospital, Kolkata - 700006. We further acknowledge M/s Goodcare
Pharma Ltd., 1, Gupta Lane, Kolkata - 700006, for their
financial support for this trial.
Research
Scholar
Dr. Mofizuddin Ahmed |
Co-investigator
Dr. P.C. Tripathi
|
Principal
Investigator
Dr. B. P. Shaw
|
|