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CTRI Number  CTRI/2024/02/062761 [Registered on: 16/02/2024] Trial Registered Prospectively
Last Modified On: 13/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare the two drugs - one applied on the skin and the other given in the vein - in post operative pain management in patients who underwent Laparoscpoic Appendicectomy  
Scientific Title of Study   To compare efficacy of transdermal Diclofenac (Nu Patch 200mg) with conventional analgesia in post operative pain management after Laparoscopic Appendicectomy - a Randomised Control Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Rhythm Uppal 
Designation  Post Graduate 
Affiliation  Jawaharlal Nehru Medical College, Nehru Nagar, Belagavi 
Address  Jawaharlal Nehru Medical College, Nehru Nagar, Belagavi, 590010 Department of General Surgery rhythmuppal@gmail.com

Belgaum
KARNATAKA
590010
India 
Phone  9501903266  
Fax    
Email  rhythmuppal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Prashant Hombal 
Designation  Associate Professor 
Affiliation  Jawaharlal Nehru Medical College, Nehru Nagar, Belagavi 
Address  Jawaharlal Nehru Medical College, Nehru Nagar, Belagavi, 590010 Department Of General Surgery hombalp@yahoo.com


KARNATAKA
590010
India 
Phone  6364506981  
Fax    
Email  hombalp@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Rhythm Uppal 
Designation  Post Graduate 
Affiliation  Jawaharlal Nehru Medical College, Nehru Nagar, Belagavi 
Address  Jawaharlal Nehru Medical College, Nehru Nagar, Belagavi, 590010 Department Of General Surgery rhythmuppal@gmail.com


KARNATAKA
590010
India 
Phone  9501903266  
Fax    
Email  rhythmuppal@gmail.com  
 
Source of Monetary or Material Support  
Jawaharlal Nehru Medical College, KLE University, Belagavi 
 
Primary Sponsor  
Name  Jawaharlal Nehru Medical College, Belagavi 
Address  Jawaharlal Nehru Medical College, Nehru Nagar, Belagavi, 590010 
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 
Dr Rhythm Uppal  KLE Dr. Prabhakar Kore Hospital And Medical Research Centre  KLE Dr. Prabhakar Kore Hospital And Medical Research Centre, Department Of General Surgery, Nehru Nagar, Belagavi, Karnataka, 590010
Belgaum
KARNATAKA 
9501903266

rhythmuppal@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JNMC Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K358||Other and unspecified acute appendicitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Diclofenac  Transdermal Diclofenac Patch containing 200mg Diclofenac has to be used for post operative pain management in patients undergoing Laparoscopic Appendicectomy. Route of administration - Transdermal Duration of intervention - 1 day 
Comparator Agent  Paracetamol  Intravenous Paracetamol 1000mg as the analgesic agent in post operative pain management of Laparoscopic Appendicectomy patients. Route of administration - Intravenous Duration of administration - 1 day 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1. Patients undergoing laparoscopic appendicectomy with 3 ports (two ports of 10mm at periumbilical region and Suprapubic region and one of 5mm at left iliac fossa)
2. Patients more than 18 years and equal to or less than 40 years
3. Patients with no comorbid condition
4. Patients who are willing to participate in the study. 
 
ExclusionCriteria 
Details  1. Laparoscopic converted to open procedure
2. Patients allergic to Diclofenac or any other NSAIDS
3. Difference in number and location of port sites
4. Patients less than 18 years and more than 40 years
5. Patients with comorbid conditions
6. Patients with appendicular mass/abscess/peritonitis
7. Patients with renal diseases
8. Patients with associated conditions like- pelvic abscess/collection, Meckel’s diverticulitis, pelvic inflammatory disease, any other pelvic condition.
 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Postoperative pain management for 1 day  1 day 
 
Secondary Outcome  
Outcome  TimePoints 
Post Operative pain management for 2-3 days  2-3 days 
 
Target Sample Size   Total Sample Size="112"
Sample Size from India="112" 
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)   21/02/2024 
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)   Not Yet Recruiting 
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   The Randomised Control Trial is going to be conducted for comparing the efficacy of Transdermal Diclofenac patch with the conventional analgesia that is Intravenous Paracetamol in post-operative pain management of patients undergoing Laparoscopic Appendicectomy.  There will be two groups- 56 Control group and 56 Test Group. In the test group, the Transdermal Patch will be applied at the back on the non hairy skin at zero hour post-operatively and the patient will be given the Visual Analog Score to evaluate pain. If VAS > 4 then rescue analgesia (Intravenous Tramadol) will be given. The other group will receive Intravenous Paracetamol. The VAS will be measured at 0, 6, 12, 18, 24 hours. 
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