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CTRI Number  CTRI/2024/11/076805 [Registered on: 14/11/2024] Trial Registered Prospectively
Last Modified On: 13/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   Comparative Evaluation of different transdermal patches and oral painkiller on postoperative pain after root canal treatment in permanent lower molars with irreversible pulpitis 
Scientific Title of Study   Comparative Evaluation of effect of Various Transdermal Patches and Oral NSAID on Post-Operative Endodontic Pain and Quality of Life - A Randomized Controlled 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  Dr A Balaram  
Designation  Post-Graduate Student 
Affiliation  Meenakshi Ammal Dental College and Hospital 
Address  Room No 14, Staff and PG Quarters, Meenakshi Ammal Dental College and Hospital, Alappakkam Main Road, Maduravoyal
Meenakshi Ammal Dental College and Hospital, Alapakkam Main Road, Maduravoyal, Chennai-600095
Chennai
TAMIL NADU
600095
India 
Phone  7397549144  
Fax    
Email  balaram.1997@outlook.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Satish Sundar 
Designation  Associate Professor 
Affiliation  Meenakshi Ammal Dental College and Hospital 
Address  Department of Conservative Dentistry & Endodontics, Room No 9 & 10, Meenakshi Ammal Dental College and Hospital, Alapakkam Main Road, Maduravoyal, Chennai-600095

Chennai
TAMIL NADU
600095
India 
Phone  9884511763  
Fax    
Email  sathsundar87@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr N Velmurugan 
Designation  Head of the Department, Dept of Cons and Endo 
Affiliation  Meenakshi Ammal Dental College and Hospital 
Address  Department of Conservative Dentistry & Endodontics, Room No 9 & 10, Meenakshi Ammal Dental College and Hospital, Alapakkam Main Road, Maduravoyal, Chennai-600095

Chennai
TAMIL NADU
600095
India 
Phone  9840164167  
Fax    
Email  velu9911@gmail.com  
 
Source of Monetary or Material Support  
Self Funded Trial, to be conducted in the outpatient department of Department of Conservative Denstistry and Endodontics, Meenakshi Ammal Dental College and Hospital, MAHER, Maduravoyal, Chennai 
 
Primary Sponsor  
Name  Dr Balaram A 
Address  MADCH, Alapakkam, Maduravoyal, Chennai - 600095 
Type of Sponsor  Other [Self Funded] 
 
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 Satish Sundar  Meenakshi Ammal Dental College and Hospital  Room No 10, Department of Conservative Dentistry and Endodontics,Meenakshi Ammal Dental College and Hospital, Alapakkam, Maduravoyal, Chennai - 600095
Chennai
TAMIL NADU 
9884511763

sathsundar87@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee of Meenakshi Ammal dental college and Hospital.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K040||Pulpitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Ibuprofen Oral 400 mg  Recommeded dose for post treatment pain is 400 mg BD, but in our trial only a single dose is given for 24 hours. Backup medicine will be provided (Ketorol DT 10 mg only in case of severe pain) 
Intervention  Ketoprofen Patch 30mg  30 mg Of Ketoprofen is given as a patch. One patch for 24 hours of action. No patch administration after 24 hours. Only one patch per patient 
Comparator Agent  Placebo Oral Tablet  Vitamin C 500 mg (for 24 hours duration of action) single dose 1 hour before the procedure is given. No other doses are given. 
Comparator Agent  Placebo Patch  Transdermal Placebo Patch with B Complex Vitamins ,1 patch for 1 patient, for 24 hour duration of action. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Systemically Healthy Individuals with symptomatic irreversible pulpitis and apical periodontitis 
 
ExclusionCriteria 
Details  Systemic Disease
Pregnancy
Lactation
PA Abscess
Drug Allergies
Analgesic intake within last 24 hours  
 
Method of Generating Random Sequence   Permuted block randomization, variable 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Post Operative Pain relief   0 hours, 12 hours , 24 hours , 48 hours and 72 hours 
 
Secondary Outcome  
Outcome  TimePoints 
Quality of Life Assessment  2 weeks 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
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 3 
Date of First Enrollment (India)   25/11/2024 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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  

Post-operative pain occurs only in 25-40 % patients and can last up to several days, depending upon peripheral and central mechanisms of hyperalgesia. Pulpal inflammation and necrosis with the corresponding peri radicular tissue changes cause the release of inflammatory mediators, including prostaglandins which are involved in pain medication. The rationale for the pharmacological management of post-endodontic pain is focused on the reduction of chemical inflammatory mediators that activate or sensitize peripheral nociceptors and the subsequent events involved in pain perception. Prostaglandin suppression is important as it lowers the pain threshold (i.e. allodynia) and sensitizes nociceptors to other pain mediators. Ibuprofen is the most frequently used NSAID for control of pain associated with root canal treatment. This trial will compare the efficacy of transdermal and oral analgesic delivery systems in managing post-operative endodontic pain.

 
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