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CTRI Number  CTRI/2010/091/000081 [Registered on: 12/04/2010]
Last Modified On:
Post Graduate Thesis   
Type of Trial   
Type of Study    
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical trial to study the effects of a fixed dose combination of two drugs Diacerein + Aceclofenac and aceclofenac on patients with osteoarthritis 
Scientific Title of Study   Comparative Assessment Of The Efficacy, Safety And Tolerability Of Fixed Dose Combination Of Diacerein Plus Aceclofenac With Aceclofenac In Adult Patients With Osteoarthritis Of The Knee 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
009/07;Version:GL/CAADOK /07  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name   
Designation   
Affiliation   
Address 

Not Applicable
N/A

India 
Phone    
Fax    
Email    
 
Details of Contact Person
Scientific Query
 
Name  Dr Chandrashekhar Bolmall 
Designation   
Affiliation  Medical Services 
Address  Glenmark Pharmaceuticals Ltd. Glenmark House
B D Sawant Marg, Chakala, Andheri(East)
Mumbai
MAHARASHTRA
400099
India 
Phone  91-22-40189999  
Fax  91-22-401989990  
Email  chandrashekharb@glenmarkpharma.com  
 
Details of Contact Person
Public Query
 
Name  Dr Chandrashekhar Bolmall 
Designation   
Affiliation   
Address  Glenmark Pharmaceuticals Ltd. Glenmark House
B D Sawant Marg, Chakala, Andheri(East)
Mumbai
MAHARASHTRA
400099
India 
Phone  91-22-40189999  
Fax  91-22-401989990  
Email  chandrashekharb@glenmarkpharma.com  
 
Source of Monetary or Material Support  
Glenmark Pharmaceuticals Ltd 
 
Primary Sponsor  
Name  Glenmark Pharmaceuticals Ltd 
Address   
Type of Sponsor   
 
Details of Secondary Sponsor  
Name  Address 
Nil   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr H B Shivakumar  Ashwini Hospital  B B Road,Yelahanka-560029

 
91-9845009961

ubsk_67@rediffmail.com 
Dr Latchoumibady  East Coast Hospital  90 Thiruvallular Salai,-605013
Pondicherry
PONDICHERRY 
09443376050

latchoumibady@yahoo.co.in 
Dr Sanjay Jagtap  Grant Medical College and Sir J J Hospital  Department of Orthopedics, Sir J J Road,-400008
Mumbai
MAHARASHTRA 
91-9892265018

drjagtapsanjay165@gmail.com 
Dr A S Ramasamy  Krishna Hospital  MG/Chittor Cross Road, -682011

 
09846333544

ram2268@gmail.com 
Dr K J Mathiazhagan  M R Hospital  Govindan Street, Ayyavoo Colony,Aminikarai, -600029
Chennai
TAMIL NADU 
91-9841040433

profkjm@rediffmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
Ashwini Hospital  Approved 
East Coast Hospitals  Approved 
Institutional Ethics Committee, Grant Medical College and Sir J J Hospital   Approved 
Krishna Hospital  Approved 
MR Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Osteoarthritis Of The Knee,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Aceclofenac 100 mg  One tablet twice daily after meals  
Intervention  Diacerein 50 mg plus aceclofenac 100 mg  One tablet twice daily after meals for 6 weeks 
 
Inclusion Criteria  
Age From   
Age To   
Gender   
Details  Males and non-pregnant females (with negative beta-human chorionic gonadotropin test). Female patients on adequate contraceptive control;Age: 30 to 70 years;Clinical and radiological diagnosis of osteoarthritis of the knee based on the American College of Rheumatology (ACR) Clinical Classification Criteria; Patients with a baseline Patient's Assessment of Arthritis Pain-VAS score of > 40mm / 4cm, and both Patient's and Physicians' Global Assessment of Arthritis of poor or very poor; Patient willing to comply with study procedures and requirements.  
 
ExclusionCriteria 
Details  Pregnant and nursing women;Patients hypersensitive to any study medications and ingredients;Inflammatory arthritis, gout, pseudogout, Paget's disease or any chronic pain syndrome that may interfere with assessment of the Index hip and/or knee; Symptomatic bursitis or acute joint trauma of the Index hip and/or knee;Conditions predisposing to gastrointestinal dysfunction (eg, history of peptic ulcer, upper gastrointestinal disease, ulcerative colitis; smoking; advancing age; concurrent corticosteroids; alcohol abuse; etc.),History of bleeding tendencies, cirrhosis and esophageal varices;History of hypersensitivity or allergy to NSAIDs, other COX-2 inhibitors and/or sulphonamides;Pre-existing asthma;Patients who would require concomitant therapy with drugs e.g. low dose aspirin, warfarin, anti-epileptics, fluconazole (inhibitor of CYP 2C9/3A4), ketoconazole (a known inhibitor of CYP 3A4) etc.;Immunocompromised states and patients with systemic infections;Patients with severe cardiac, hepatic, renal, or cerebrovascular disease, malignancy, chronic uncontrolled systemic diseases e.g., diabetes, hypertension, collagen disorders, etc. or any other serious medical illness;Patients who have participated in a new drug study in the past 3 months;Any other condition that in the opinion of the investigator does not justify the patient's participation in the study.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Improvement in -Western Ontario and McMasters (WOMAC) individual osteoarthritis (OA) indices and Composite Index (for pain, stiffness and physical function). -Visual Analog Scale (VAS) scores (for pain)   Baseline, Weeks 2, 4 and 6 
 
Secondary Outcome  
Outcome  TimePoints 
Improvement in Patient?s and Physician?s Global Assessment of Arthritis.  Baseline, Weeks 2, 4 and 6 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="" 
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)   Date Missing 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  01/09/2007 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Completed 
Recruitment Status of Trial (India)   
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   Objective: The aim of this study was to compare the effectiveness and tolerability of a fixed ?dose combination (FDC) of diacerein 50 mg + aceclofenac 100 mg BID and aceclofenac 100 mg BID in adult Indian patients with Osteoarthritis(OA) of the knee. Methods: This 6-week, double-blind, randomized, comparative, multicenter study was undertaken to compare oral diacerein +aceclofenac and aceclofenac alone in patients with OA after obtaining their informed consent. Participants completed the WOMAC-OA, WOMAC ?CI (for pain, stiffness, and physical function), and a visual analog scale (VAS) at each study visit. The primary end points were the WOMAC-OA, the WOMAC -CI, and VAS scores for pain among the patients who completed the study. The fixed ?dose combination of diacerein + aceclofenac was better than aceclofenac in effectiveness  
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