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CTRI Number  CTRI/2024/03/063534 [Registered on: 04/03/2024] Trial Registered Prospectively
Last Modified On: 23/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Effect of N-Acetyl Cysteine in Rheumatoid arthritis 
Scientific Title of Study   A Comparative study on efficacy and safety of N-Acetyl Cysteine as an add on therapy with standard therapy in patients with Rheumatoid arthritis- A Randomised Open Labelled Prospective study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr S Meena 
Designation  PG student 
Affiliation  Government Kilpauk Medical College 
Address  Department of Pharmacology,Second floor,Govt Kilpauk medical college,Barnaby Road,Kilpauk

Chennai
TAMIL NADU
600010
India 
Phone  8012237348  
Fax    
Email  tssmeena@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr T Aruna 
Designation  Professor and Head of Department-Pharmacology 
Affiliation  Government Kilpauk Medical College 
Address  Department of Pharmacology,Second floor,Govt Kilpauk medical college,Barnaby Road,kilpauk

Chennai
TAMIL NADU
600010
India 
Phone  9444276923  
Fax    
Email  arunabala511@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr T Aruna 
Designation  Professor and Head of Department-Pharmacology 
Affiliation  Government Kilpauk Medical College 
Address  Department of Pharmacology,Second floor,Govt Kilpauk medical college,Barnaby Road,kilpauk

Chennai
TAMIL NADU
600010
India 
Phone  9444276923  
Fax    
Email  arunabala511@gmail.com  
 
Source of Monetary or Material Support  
Government Kilpauk Medical College and Hospital,barnaby road ,Kilpauk, chennai- 10 
 
Primary Sponsor  
Name  Government Kilpauk Medical College 
Address  Government Kilpauk Medical College and Hospital,Kilpauk 
Type of Sponsor  Government 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 SMeena  Government kilpauk medical college and hospital  Room no.2, OP block, Department of Rheumatology,
Chennai
TAMIL NADU 
8012237348

tssmeena@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Government Kilpauk Medical College Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M057||Rheumatoid arthritis with rheumatoid factor without organ or systems involvement,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Methotrexate, Hydroxychloroquine  7.5 mg / week 400 mg / day for 12 weeks 
Intervention  N- ACETYL CYSTEINE  600 mg twice a day for 12 weeks 
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Newly diagnosed as rheumatoid arthritis within 2 years by ACR criteria and having DAS 28-ESR score more than 3.2 who are not responding to standard therapy 
 
ExclusionCriteria 
Details  Newly diagnosed Rheumatoid arthritis patients having DAS 28-ESR score less than 3.2
History of Psychiatric illness or drug abuse
History of seizure disorder.
Known case of hypersensitive to N acetyl cysteine.
Pregnant and lactating females
History of any autoimmune disease other than rheumatoid arthritis
Patient taken biological agent therapy in last 6 months
Patients taking N acetyl cysteine for any other cause. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Disease activity assessed using DAS 28 ESR score and CRP  at baseline and 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
particpants will be assessed by CBC,LFT, RFT,CRP, ESR, RF  at baseline , 4 ,8,12, 16 weeks 
 
Target Sample Size   Total Sample Size="54"
Sample Size from India="54" 
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 4 
Date of First Enrollment (India)   11/03/2024 
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 Applicable 
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   This study is aimed to assess the safety and efficacy of  N acetyl- cysteine as an add on therapy with standard therapy in patients with Rheumatoid arthritis.Patients with Rheumatoid arthritis  fulfilling the inclusion criteria will be included in the study.All the participants will be assessed for DAS28 ESR score & CRP at baseline , 12 weeks and safety parameters using  CBC,RFT,LFT,RF,CRP at baseline , 4,8,12,16 weeks 
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