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CTRI Number  CTRI/2025/01/079095 [Registered on: 21/01/2025] Trial Registered Prospectively
Last Modified On: 26/08/2025
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Drug 
Study Design  Single Arm Study 
Public Title of Study   A MultiCenter Post-Marketing Surveillance Study to generate data on Safety and Tolerability of Diclofenac Sodium 75mg/ml Injection in Patients with Acute Painful Conditions. 
Scientific Title of Study   A Prospective, Open-label, Non-Comparative, Non-interventional, Multi-center, Active Post Marketing Surveillance (PMS) study to Assess the safety and tolerability of Diclofenac sodium 75mg/ml Injection manufactured by Themis Medicare Ltd, in patients with acute painful conditions 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
TML/DIL/01 Version 01 Dated 01 MAR 2024   Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ambanna Gowda 
Designation  Consulting physician 
Affiliation  Citizen Hospital  
Address  Citizen Hospital, #14, 2nd Main, Dispensary Road, Kalasipalya, Bangalore 560002
Citizen Hospital, #14, 2nd Main, Dispensary Road, Kalasipalya, Bangalore 560002
Bangalore
KARNATAKA
560002
India 
Phone  9845270377  
Fax    
Email  gowdaambanna@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Balaji More 
Designation  Vice President - Medical 
Affiliation  Themis Medicare Ltd. 
Address  Themis Medicare Ltd. 11/12, Udyog Nagar, S.V.Road Goregaon (W), Mumbai
Themis Medicare Ltd. 11/12, Udyog Nagar, S.V.Road Goregaon (W), Mumbai
Mumbai
MAHARASHTRA
400104
India 
Phone  8452959225  
Fax    
Email  balaji.more@themismedicare.com  
 
Details of Contact Person
Public Query
 
Name  Dr Balaji More 
Designation  Vice President - Medical 
Affiliation  Themis Medicare Ltd. 
Address  Themis Medicare Ltd. 11/12, Udyog Nagar, S.V.Road Goregaon (W), Mumbai
Themis Medicare Ltd. 11/12, Udyog Nagar, S.V.Road Goregaon (W), Mumbai
Mumbai
MAHARASHTRA
400104
India 
Phone  8452959225  
Fax    
Email  balaji.more@themismedicare.com  
 
Source of Monetary or Material Support  
Themis Medicare Ltd. 11/12, Udyog Nagar, S.V. Road Goregaon (W), Mumbai - 400 104 Website: www.themismedicare.com  
 
Primary Sponsor  
Name  Themis Medicare Ltd. 
Address  11/12, Udyog Nagar, S.V. Road Goregaon (W), Mumbai - 400 104  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
Clinical Research Network India Pvt Ltd   B-806, 807 Advant Navis Business Park, Plot #7, Noida-Greater Noida Expressway, Sector 142, Noida, Delhi-NCR, Uttar Pradesh 201305  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ambanna Gowda   Citizen Hospital   Department of General medicine, consultation room, Kalasipalya Extn, Bangalore-Urban Karnataka 560002
Bangalore
KARNATAKA 
9845270377

gowdaambanna@gmail.com 
Dr Vinod Kumar Kapoor  New Leelamani Hospital   Department of General medicine, ground floor,14/116, C-1 Parade Chauraha, Civil lines Kanpur 208001
Kanpur Dehat
UTTAR PRADESH 
9555989176

drvinodkumarkapoor@gmail.com 
Dr Jitendra Singh Kushwaha   Prakhar Hospital Pvt Ltd  Department of General medicine, ground floor, 8/219 Arya Nagar Kanpur, Uttar Pradesh-208002
Kanpur Dehat
UTTAR PRADESH 
7905113329

dr.jskushwahacr@gmail.com 
Dr Azad Khan  Shubharti medical College & Hospital  Department of Orthopedics, Division 1, Room no 5 Shubhartipuram NH-58 Delhi-Haridwar bypass Meerut, U.P -250005
Meerut
UTTAR PRADESH 
9319837319

azd4mrt@gmail.com 
Dr Amjad Khan   Unitree Health Care & Diagnostics  Department of General Medicine, consultant room, 38/1, Church Road, Narappa Garden J.C Nagar, Bangalore, 560006
Bangalore
KARNATAKA 
9886855985

dr.pathan05@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
Citizen Hospital Institutional Citizen Wellness LLP, new 14, 2nd Main Road, Kalasipalya Extn. Bangalore Urban 560002 Ethics Committee  Approved 
Citizen Hospital Institutional Citizen Wellness LLP, new 14, 2nd Main Road, Kalasipalya Extn. Bangalore Urban 560002Ethics Committee   Approved 
Institutional Ethics Committe Prakhar Hospital Pvt. Ltd, 8/219 Arya Nagar Kanpur, Uttar Pradesh-208002 e Prakhar Hospital  Approved 
Institutional Ethics Committe Shubharti Medical College & Hospital, Shubhartipuram NH-58 Delhi-Haridwar bypass, Meerut U.P -250005 e , Shubharti Medical College & Hospital, Meerut  Approved 
Institutional Ethics Committee-Leelamani Hospital New leelamani Hospital, 14/116 B, C, C-1D, 1 Civil Lines, Kanpur, Uttar Pradesh 208001   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M255||Pain in joint,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Diclofenac 75mg/ml Injection (1 ml ampoule)  Diclofenac Sodium BP........... 75 mg Benzyl Alcohol BP…………2% v/v Water for Injections BP………Q.S. Patients will be prescribed/administered Diclofenac injection (study drug)75 mg once or twice daily by IM or IV route as per study investigator’s discretion for 2 days. 
Comparator Agent  Not Applicable  Not Applicable 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Male and female patients of greater than or equal to 18 years of age 2. Patients requiring diclofenac injection for management of painful conditions in post-operative condition 3. Patients/LAR who agree to give informed consent 
 
ExclusionCriteria 
Details  1. Any of the contraindications to use of the study investigational product, as per the Prescribing Information
a. Known hypersensitivity to the active substance or to any of the excipients
b. Active gastric or intestinal ulcer, bleeding or perforation
c. Last trimester of pregnancy
d. History of severe hepatic, renal or cardiac failure
e. Patients in whom attacks of asthma, urticaria, or acute rhinitis are precipitated by acetylsalicylic acid or other NSAIDs
f. Haemostasias disorders or current anticoagulant treatment (for intramuscular route of administration only)
g. Established congestive heart failure (NYHA II-IV), ischemic heart disease, peripheral arterial disease and/or cerebrovascular disease
Specifically, for I.V. use
h. Concomitant NSAID or anticoagulant use (including low dose heparin).
i. History of hemorrhagic diathesis, a history of confirmed or suspected cerebrovascular bleeding
j. Operations associated with a high risk of hemorrhage
k. A history of asthma
l. Moderate or severe renal impairment (serum creatinine greater than 160 µmol/L)
m. Hypovolemia or dehydration from any cause
2. A subject who is judged by the investigator as inappropriate
to participate in the study for any reason other than those mentioned above.


 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Number of adverse events during the study period  1. Number of adverse events from baseline (Day 1) to End of study (Day 3). 
 
Secondary Outcome  
Outcome  TimePoints 
1. Number of SAEs during the study period.
2. Incidence of all SAEs unrelated/related to study drug during the study.
3. Incidence of all Adverse Drug Reactions (AEs related to study drug) during the study.
4. Incidence of Injection Site Reaction (ISR) during the study.
5. Incidence of any Adverse Drug Reactions referring to renal toxicity during the study.
6. Overall Efficacy of study drug (Change in Pain from baseline to end of study as assessed on 100mm VAS scale.)
7. Overall Tolerability reported by physician at the end of the study. 
Safety will be assessed from baseline (Day 1) to End of study (Day 3). 
 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   01/02/2025 
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="0"
Months="11"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
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 is a prospective, Open-label, Non-Comparative, Non-interventional, Multi-center, Active Post Marketing Surveillance (PMS) study under a structured protocol to monitor and assess safety of Diclofenac sodium 75mg/ml Injection during the real-world usage. All treatment and monitoring of the patients will be done at the discretion of the treating physician (Investigator). The study will include 200 subjects including male & female patients of greater than or equal to 18 years of age with acute painful conditions in post operative conditions.
 
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