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CTRI Number  CTRI/2025/09/094079 [Registered on: 02/09/2025] Trial Registered Prospectively
Last Modified On: 20/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To evaluate the effectiveness and Safety of SMUTHTM Capsule in the treatment of patients with Piles. 
Scientific Title of Study   A Prospective Randomized Double blind Comparative Multicentre Phase IV Clinical Trial to evaluate the Efficacy and Safety of SMUTHTM Capsule Calcium Dobesilate Monohydrate IP equivalent to Anhydrous Calcium Dobesilate 500mg Docusate Sodium IP 100 mg in comparison with Calcium Dobesilate 500 mg in the treatment of patients with haemorrhoids. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
AZ-C-ZIR-19-111, Version 03, 25/12/2023  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Manish Maladkar 
Designation  President Medical and Regulatory affairs  
Affiliation  Aristo Pharmaceuticals Private Limited 
Address  Aristo Pharmaceuticals Private Limited 23 A Shah Industrial Estate off Veera Desai road Andheri west

Mumbai (Suburban)
MAHARASHTRA
400053
India 
Phone  02226739999  
Fax    
Email  scientific@aristopharma.co.in   
 
Details of Contact Person
Scientific Query
 
Name  Dr Shrikant Patil  
Designation  Senior DGM Medical  
Affiliation  Aristo Pharmaceuticals Private Limited 
Address  Aristo Pharmaceuticals Private Limited 23 A Shah Industrial Estate off Veera Desai road Andheri west

Mumbai (Suburban)
MAHARASHTRA
400053
India 
Phone  02226739999  
Fax    
Email  aepvc.scientific@aristopharma.co.in   
 
Details of Contact Person
Public Query
 
Name  Dr Mahendra Chaudhari  
Designation  HOD Clinical Research  
Affiliation  Anazeal Analyticals and research private limited.  
Address  Anazeal Analticals and research Private Limited C 404 ttc Industrial area opp JISL MIDC Pawane Navi mumbai

Thane
MAHARASHTRA
400705
India 
Phone  02269060300  
Fax    
Email  ct1@anazeal.com   
 
Source of Monetary or Material Support  
Aristo Pharmaceuticals Private Limited. 23 A shah Industrial estate off veera desai road Andheri west Mumbai 400053 Maharashtra India.  
 
Primary Sponsor  
Name  Aristo Pharmaceuticals Private Limited  
Address  23 A Shah Industrial Estate off Veera Desai road Andheri west Mumbai 400053 Maharashtra India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Khillari Madhu  Government Medical college and govt. General Hospital  Government Medical college and govt General Hospital Srikakulam Andhra Pradesh 532001
Srikakulam
ANDHRA PRADESH 
9912320517

bioexperts21@gmail.com 
Dr Manish Kumar Singh  Heal U Health Care Hospital  Baghdulhan Vishnupur Paltu Hajipur Bihar 844101
Patna
BIHAR 
8960197793

Heal.u.hospital@gmail.com 
Dr Shiv Kumar Bunkar  JLN Medical college  Department of Surgery Jawahar Lal Nehru Medical College and Hospital Kala Bagh Ajmer 305001 Rajasthan India
Ajmer
RAJASTHAN 
7737258659

kkcrc90@gmail.com 
Dr Vijaykumar Barge  Rajarshee Chhatrapati Shahu Maharaj Government Medical College and Chhatrapati Pramila Raje Hospital  Rajarshee Chhatrapati Shahu Maharaj Government Medical College and Chhatrapati Pramila Raje Hospital Town Hall Kolhapur 416012
Kolhapur
MAHARASHTRA 
7969792775

drvijaybarge12@gmail.com  
Dr Vivekanand Rai  Sai Medicity Pvt Ltd Hospital  Varanasi Uttar Pradesh221005 India
Varanasi
UTTAR PRADESH 
9455272710

smplvns@gmail.com  
Dr Sujit Kadam  Sarth Clinic and Research Center  Department of Medicine Sarth Clinic and Research Center College Road Nashik 422005
Nashik
MAHARASHTRA 
9326808994

drsujitkadam@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Ethics Committee of Sai Medicity Pvt.Ltd Sai Medicity Pvt.Ltd  Approved 
Institutional Ethics Committee Govt Medical College Govt General Hospital  Submittted/Under Review 
Institutional Ethics Committee Jawahar Lal Nehru Medical College  Approved 
Muktai Hospital Institutional Ethics Committee.  Approved 
RCSMGMCIEC2 RCSMGMC and CPR Hospital , Kolhapur  Approved 
Savera Cancer and Multispecialty Hospital IEC, Patna  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K641||Second degree hemorrhoids,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  DOBESIL Capsule  Calcium Dobesilate 500 mg Dose One capsule TDS orally per day Duration 35 days 
Intervention  SMUTH Capsule  Calcium Dobesilate Monohydrate IP equivalent to Anhydrous Calcium Dobesilate 500mg plus Docusate Sodium IP 100 mg Dose One capsule TDS orally per day Duration 35 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Patients of either gender between 18 and 65 years of age (inclusive of both).
2. Adult patients with 1° or 2° haemorrhoids diagnosed by clinical symptoms and anoscopy examination.
3. Haemorrhoids that bleed but do not prolapse outside the anal canal. 
 
ExclusionCriteria 
Details  1. Patients with 3° or 4° haemorrhoids, in whom the prolapse needed manual reduction or cannot be reduced.
2. Concurrent fistula or chronic anal fissure, inflammatory bowel disease, diabetes, coagulation disorders, abnormal sexual habits.
3. Previous anorectal surgery or previous treatment of haemorrhoid disease with any method other than diet modification and/or topical agents.
4. Clinically significant abnormalities on physical examination or laboratory tests.
5. Pregnant and lactating women.
6. Patients having known hypersensitivity to the study medications and/or ingredients in capsule.
7. Not willing to comply with the protocol requirements.
8. Non-suitability for enrollment otherwise as decided by investigator.
9. Patients having participated in any type of clinical study within the last three months of the screening date. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the efficacy of SMUTHTM Capsule Calcium Dobesilate Monohydrate IP equivalent to Anhydrous Calcium Dobesilate 500mg plus Docusate Sodium IP 100 mg versus Dobesil500mg Capsule Calcium Dobesilate 500 mg in the treatment of patients with haemorrhoids.  Visit 1 Day 0 Baseline visit
follow up at Visit 2 Day 7, Visit 3 Day 14, Visit 4 Day 21, Visit 5 Day 28 and Visit 6 Day 35 end of study.

 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the safety of SMUTHTM Capsule Calcium Dobesilate Monohydrate IP equivalent to Anhydrous Calcium Dobesilate 500mg Plus Docusate Sodium IP 100 mg versus Dobesil500mg Capsule Calcium Dobesilate 500 mg in the treatment of patients with haemorrhoids.  Visit 1 Day 0 Baseline visit
follow up at Visit 2 Day 7, Visit 3 Day 14, Visit 4 Day 21, Visit 5 Day 28 & Visit 6 Day 35 end of study.
 
 
Target Sample Size   Total Sample Size="220"
Sample Size from India="220" 
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)   15/09/2025 
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="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
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   Study Title - A Prospective, Randomized, Double blind, Comparative, Multicentre, Phase IV Clinical Trial to evaluate the Efficacy and Safety of SMUTHTM Capsule (Calcium Dobesilate Monohydrate IP equivalent to Anhydrous Calcium Dobesilate 500mg + Docusate Sodium IP 100 mg) in comparison with Calcium Dobesilate 500 mg in the treatment of patients with haemorrhoids.

Investigational Product - 

Test Product: SMUTHTM  Capsule(Calcium Dobesilate Monohydrate IP equivalent to Anhydrous Calcium Dobesilate 500mg + Docusate Sodium IP 100 mg) 

Reference Product: Dobesil 500mg Capsule (Calcium Dobesilate 500 mg).

Treatment Duration - 35 days

Study Endpoints - 

Efficacy:

1.      Improvement in the following clinical symptoms from baseline to visit 6

Bleeding per rectum

Anal pain

Anal discomfort

Anal pruritus

Tenesmus

Constipation/irregular bowel habits

2.      Anoscopy examination assessment (Anitis score) visit 1(Day 0), visit 3(3rdweek), visit 6(6th week).

3.      Global assessment of efficacy by the Investigator and Patient.

Safety :

1.      1. Any adverse event reported voluntarily, observed or enquired during the study period based on the evaluation of the following:

Adverse Event (type, number, frequency and proportion of patients)

Concomitant medication.

2.      2. Any clinically significant change in the value of laboratory tests, vital signs and physical examination findings during the study compared to baseline.

3.      3. Global assessment of safety by Investigator and Patient.

 





 
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