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CTRI Number  CTRI/2025/03/082316 [Registered on: 13/03/2025] Trial Registered Prospectively
Last Modified On: 04/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To assess the effectiveness of oral micronised purified flavanoid fraction tablet versus topical glycerine magnesium sulphate application in surgical management of hemorrhoids 
Scientific Title of Study   A Randomised control study using oral micronised purified flavanoid fraction versus topical glycerine magnesium sulphate application in the surgical management of grade 3 and grade 4 external hemorrhoids 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  S Akash 
Designation  M.S General surgery postgraduate 
Affiliation  SRM medical college hospital and research centre 
Address  SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE - DEPARTMENT OF GENERAL SURGERY - ROOM NO 14

Kancheepuram
TAMIL NADU
603203
India 
Phone  7904816389  
Fax    
Email  akashsivamurugan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  PROF DR.R.LAKSHMANA 
Designation  M.S General surgery FMAS DMAS 
Affiliation  SRM medical college hospital and research centre 
Address  SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE - DEPARTMENT OF GENERAL SURGERY , SRM nagar , potheri , kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  9790828131  
Fax    
Email  drlaksh31@gmail.com  
 
Details of Contact Person
Public Query
 
Name  PROF Dr Lakshmana R 
Designation  M.S General surgery DMAS FMAS 
Affiliation  SRM medical college hospital and research centre 
Address  SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE - DEPARTMENT OF GENERAL SURGERY - ROOM NO 14 , SRM nagar , potheri , kattankulathur

Kancheepuram
TAMIL NADU
603203
India 
Phone  9790828131  
Fax    
Email  drlaksh31@gmail.com  
 
Source of Monetary or Material Support  
self - SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, POTHERI , TAMILNADU - 603203 
 
Primary Sponsor  
Name  SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE Department of General Surgery 
Address  SRM medical college hospital and research centre - POTHERI - TAMILNADU - 603203 
Type of Sponsor  Research institution and hospital 
 
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 S Akash  SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE - Department of General Surgery  SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE - DEPARTMENT OF GENERAL SURGERY - ROOM NO 14
Kancheepuram
TAMIL NADU 
7904816389

akashsivamurugan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Centre of clinical Pharmacology, SRM medical college hospital and research centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Use of oral micronised purified flavanoid fraction (daflon) in surgical management of grade 3 and grade 4 external hemorrhoids  Patients belonging to study group were started on tablet Daflon 500mg – 2tablets twice daily for 4 weeks and were followed up weekly during the study period and proctoscopic examination was conducted at each consultation 
Comparator Agent  Use of topical glycerine magnesium sulphate application in surgical management of grade 3 / 4 external hemorrhoids  Patients belonging to comparator group were started on topical glycerine magnesium sulphate application twice daily for 4 weeks and were followed up weekly during the study period and proctoscopic examination was conducted at each consultation.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients presenting to general surgery opd diagnosed with grade 3 and grade 4 external hemorrhoids 
 
ExclusionCriteria 
Details  patients diagnosed with grade 1 and grade 2 external hemorrhids, internal hemorrhoids, anemia, pregnancy 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
improving pain, heaviness, bleeding, pruritus, and mucosal discharge preoperatively , reduced intraoperative bleeding .  Week 1 , Week 2 , Week 3 , Week 4 
 
Secondary Outcome  
Outcome  TimePoints 
Decreased Postoperative pain and improving overall morbidity  Week 1 , week 2 , week 3 , week 4 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   15/03/2025 
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="1"
Months="2"
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   In surgical management of Grade 3 and grade 4 external hemorrhoids, by using oral micronised purified flavanoid fraction , there is decreased preoperative bleeding, pain , pruritis, mucosal discharge, decreased intraoperative bleeding and decreased postoperative pain and overall morbidity than using topical glyerine magnesium sulphate. 
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