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CTRI Number  CTRI/2024/06/068528 [Registered on: 06/06/2024] Trial Registered Prospectively
Last Modified On: 01/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   CAROVERINE Versus AMITRIPTYLINE in treatment of tinnitus 
Scientific Title of Study   EFFICACY AND SAFETY OF CAROVERINE VERSUS AMITRIPTYLINE IN TREATMENT OF TINNITUS. 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Archana mishra 
Designation  Post graduate trainee 
Affiliation   
Address  Department of ENT KALINGA INSTITUTE OF MEDICAL SCINNCES PATIA BHUBHANESWAR

Khordha
ORISSA
751024
India 
Phone  8018931758  
Fax    
Email  2287036@kims.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Kabikanta samantaray 
Designation  Proffesor 
Affiliation   
Address  DEPT OF ENT KALINGA INSTITUTE OF MEDICAL SCINNCES PATIA BHUBHANESWAR

Khordha
ORISSA
751024
India 
Phone  9437080638  
Fax    
Email  kabikanta.samantaray@kims.ac.in  
 
Details of Contact Person
Public Query
 
Name  Archana mishra 
Designation  Post graduatee trainee 
Affiliation   
Address  DEPT OF ENT KALINGA INSTITUTE OF MEDICAL SCINNCES PATIA BHUBHANESWAR

Khordha
ORISSA
751024
India 
Phone  8018931758  
Fax    
Email  2287036@kims.ac.in  
 
Source of Monetary or Material Support  
Kalinga institute of medical sciences 
 
Primary Sponsor  
Name  self 
Address  Department of ENT KALINGA INSTITUTE OF MEDICAL SCIENECES PATIA BHUBHANESWAR ODISHA 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
ARCHANA MISHRA  KALINGA INSTITUTE OF MEDICAL SCIENCES  KIMS PATIA BHUBHANESWAR
Khordha
ORISSA 
8018931758

2287036@kims.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H931||Tinnitus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  AMITRIPTYLINE  10MG ONE TAB ONCE DAILY FOR 1 MONTH 
Comparator Agent  CAROVERINE  40mg TWICE daily for 1 month 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  The patients complaining of tinnitus affecting quality of life i.e. THI scoring more than 38.
Idiopathic tinnitus

 
 
ExclusionCriteria 
Details  Vascular lesions of head and inner ear, ICSOL.
Secondary causes of tinnitus.
Eg.external ear and middle ear pathologies, patient on ototoxic drugs.
Patients not willing to give written consent after receiving due instructions.
Contra-indication for caroverine therapy (e.g. severe hypertension)
Pregnancy or plan for having children
Status post psychiatric therapy.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
The change in the severity of tinnitus after treatment in patients with tinnitus according to THI scoring at 2 months.
 
8 Weeks
 
 
Secondary Outcome  
Outcome  TimePoints 
THI scoring at 1 month
The safety of caroverine versus amitriptyline according to CTCAE (Common Terminology Criteria for Adverse Events)
 
1 MONTH 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2/ Phase 3 
Date of First Enrollment (India)   15/06/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
•Tinnitus may be defined as conscious awareness of a sound in the absence of an external auditory stimulus.
•Tinnitus may be categorised as subjective, objective, primary or secondary. The assessment of tinnitus begins by determining which of these types the patient present with.
•Being described its prevalence has been estimated to be as high as 32% in the adult population, with approximately 13%-17% reporting bothersome tinnitus.
•A wide variety of drugs have been used off-label to treat tinnitus sufferers, with limited effect.
•NMDA (N-methyle-D-aspartate)and AMPA(alpha-amino-3-hydroxy-5-methyle-4-isoxazolepropionic acid) receptors both are ionotropic glutamate receptor subtypes which are present in afferent nerve fibers of inner hair
cell are targeted for the therapy of tinnitus.
•Caroverine, is a class B calcium-channel-blocker that exhibits competitive AMPA antagonism, and noncompetitive NMDA antagonism.
•The pharmacologic effects of Amitriptyline a tricyclic antidepressants-act on various neurotransmitter receptors and endorphin pathways decreases the cochlear potential and decreased production of endolymph.
 
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