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CTRI Number  CTRI/2024/07/071525 [Registered on: 29/07/2024] Trial Registered Prospectively
Last Modified On: 26/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Study of drugs prescribed in Diabetes and their side effects. 
Scientific Title of Study   Analysis of Prescribing pattern and Adverse drug reactions of Anti-diabetic drugs in patients of Type 2 Diabetes Mellitus in a tertiary care teaching hospital - A prospective observational 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 Sheena Sethi 
Designation  Postgraduate student 
Affiliation  Government Medical College, Jammu 
Address  Postgraduate Department of Pharmacology and Therapeutics, Government Medical College and Hospital, Bakshi nagar, Jammu, Jammu and Kashmir.

Jammu
JAMMU & KASHMIR
180001
India 
Phone  7006362654  
Fax    
Email  drsheenasethi21@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shabnam Choudhary 
Designation  Professor 
Affiliation  Government Medical College, Jammu 
Address  Postgraduate Department of Pharmacology and Therapeutics, Government Medical College and Hospital, Bakshi nagar, Jammu, Jammu and Kashmir.

Jammu
JAMMU & KASHMIR
180001
India 
Phone  9697042817  
Fax    
Email  chawdhary.shabnam@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shabnam Choudhary 
Designation  Professor 
Affiliation  Government Medical College, Jammu 
Address  Postgraduate Department of Pharmacology and Therapeutics, Government Medical College and Hospital, Bakshi nagar, Jammu, Jammu and Kashmir.


JAMMU & KASHMIR
180001
India 
Phone  9697042817  
Fax    
Email  chawdhary.shabnam@gmail.com  
 
Source of Monetary or Material Support  
Government Medical College, Jammu, J&K, 180001 India 
 
Primary Sponsor  
Name  Government Medical College, Jammu 
Address  Government medical college, bakshi nagar, jammu, jammu and kashmir, 180001 
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 Sheena Sethi  Government Medical College and Hospital, Jammu  Department of Pharmacology and Therapeutics, Government Medical College and Hospital, Jammu, Jammu and Kashmir, 180001
Jammu
JAMMU & KASHMIR 
7006362654

drsheenasethi21@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Government Medical College, Jammu Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: E118||Type 2 diabetes mellitus with unspecified complications,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  INCLUSION CRITERIA
1. Patients of Type 2 Diabetes Mellitus attending Endocrinology OPD.
2. Patients of either sexes, aged 18 years and above.
3. Patients who are prescribed at least one anti-diabetic medication.
4. Patients willing to give written informed consent. 
 
ExclusionCriteria 
Details  EXCLUSION CRITERIA
1. Patients diagnosed with Type 1 Diabetes Mellitus.
2. Pregnant and lactating patients.
3. Patients with malignancy.
4. Patients with co-existing cause of hyperglycaemia 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
PRIMARY OBJECTIVES
1. To study the prescribing pattern of anti-diabetic drugs in patients of
Type 2 Diabetes Mellitus.
2. To monitor the incidence and pattern of Adverse drug reactions due
to anti-diabetic drugs in patients of Type 2 Diabetes Mellitus. 
Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
SECONDARY OBJECTIVES
1. To study the prescribing pattern of concomitant medications given
along with anti-diabetic drugs in patients of Type 2 Diabetes Mellitus.
2. To assess the sociodemographic profile of patients with Type 2
Diabetes Mellitus 
Baseline 
 
Target Sample Size   Total Sample Size="250"
Sample Size from India="250" 
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   N/A 
Date of First Enrollment (India)   10/08/2024 
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 will be designed to analyse the pattern of anti-diabetic drugs prescribed to the patients. Details of patient related information such as demographic profile, prescribed drug, dose, route of administration, frequency of administration will be recorded on the patient information form. Other drug related information such as number of anti-diabetic drugs per prescription, drugs prescribed by generic name vs branded name, Mono therapy vs Combination therapy, number of anti diabetic drugs prescribed from National List of Essential Medicine (latest) and details of concomitant medications will also be recorded and analyzed.

The rationality of prescriptions will be assessed using the WHO
core prescribing indicators which include :
a)Average number of drugs prescribed.
b)Percentage of encounters with an antibiotic prescribed.
c)Percentage of encounters with an injection prescribed.
d)Percentage of drugs prescribed from National List of Essential Medicines (NLEM).
e)Percentage of drugs prescribed by generic names.

Patients on anti-diabetic drugs will also be screened for suspected Adverse Drug Reactions (ADRs). These ADRs will then be reported using Suspected Adverse Drug Reaction Reporting Form (version 1.4).

The causality assessment of the suspected ADR will be done using “WHO-Uppsala Monitoring Centre (WHO-UMC) causality assessment scale” which categorizes causality of an ADR into 6 categories: certain, probable, possible, unlikely, conditional/unclassified,unassessable/unclassified.

Severity of the ADRs will be assessed using “Modified Hartwig and Siegel Severity Assessment scale” which categorizes severity of ADR into 7 levels (Mild= level 1 and 2, moderate= level 3 and 4, severe= 5, 6 and 7).

Preventability of ADRs will be assessed by using “Modified Schumock and Thornton scale” which categorizes the preventability of an ADR into “Definitely preventable”, “probably preventable” and “not preventable”.

Statistical Analysis of the data will be done using Microsoft Excel and SPSS software. Categorical variables will be presented as numbers and percentages and quantitative variables as mean ± SD.
 
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