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CTRI Number  CTRI/2025/06/088463 [Registered on: 10/06/2025] Trial Registered Prospectively
Last Modified On: 04/06/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Post approval, observational study 
Study Design  Other 
Public Title of Study   The impact for fixed dose CombinatiOn of trypsin, chyMotrypsin, Aceclofenac, Paracetamol for MinOr SurgEries (COMPOSE II)  
Scientific Title of Study   A post approval observational study to assess the impact for fixed dose CombinatiOn of trypsin, chyMotrypsin, Aceclofenac, Paracetamol for MinOr SurgEries (COMPOSE II)  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sanjay B Londhe 
Designation  MS Orthopedic 
Affiliation  Nanavati super speciality Hospital 
Address  Ground Floor room no. 4 departmeent of orthopedic Satidham Bldg Subhash Road Vile Parle east Mumbai 400 057

Mumbai
MAHARASHTRA
400057
India 
Phone  9821260453  
Fax    
Email  sanlondhe@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sanjay B Londhe 
Designation  MS Orthopedic 
Affiliation  Nanavati super speciality Hospital 
Address  Ground Floor room no. 4 departmeent of orthopedic Satidham Bldg Subhash Road Vile Parle east Mumbai 400 057

Mumbai
MAHARASHTRA
400057
India 
Phone  9821260453  
Fax    
Email  sanlondhe@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Altaf Makwana 
Designation  Assistant General Manager 
Affiliation  Torrent Pharmaceuticals Ltd 
Address  Torrent House Off Ashram Road department of management room no.6 Ahmedabad 380009

Ahmadabad
GUJARAT
380009
India 
Phone  7069000569  
Fax    
Email  AltafMakwana@TorrentPharma.com  
 
Source of Monetary or Material Support  
Torrent Pharmaceuticals Ltd Torrent House Off Ashram Road Ahmedabad 380009 
 
Primary Sponsor  
Name  Torrent Pharmaceuticals Ltd 
Address  Torrent House Off Ashram Road Ahmedabad 380009 Gujarat India 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 6  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rajesh Rohira  Ananda Hospital  Ananda Hospital room no.6 department of orthopedic Krimson Park SV Road Amboli Andheri West Mumbai
Mumbai
MAHARASHTRA 
9820143494

Rajeshtrohira@yahoo.com  
Dr Sanjay B Londhe  Dr Sanjay Londhe Clinic  Ground Floor room no. 4 department of orthopedic Satidham Bldg Subhash Road Vile Parle east Mumbai 400 057
Mumbai
MAHARASHTRA 
9821260453

sanlondhe@yahoo.com 
Dr Tanay Ram Prabhoo   Dr. Prabhoos Ortho Spine and Gynec Care Clinic  Dr Prabhoos Ortho Spine and Gynec Care Clinic room no. 4 deparment of orthopedic Rajiv Royals Chakala Andheri East Mumbai
Mumbai
MAHARASHTRA 
9819010221

tanayprabhoo@gmail.com 
Dr Sunil Shetty   Sai Asha Hospital  Sai Asha Hospital 1st Floor room no. 5 department of orthopedic Laxcon Plaza Nerul Navi Mumbai
Mumbai
MAHARASHTRA 
9821288076

dr.sunilshetty@yahoo.com 
Dr Amin Shah  Sapna Healthcare Center  Sapna Healthcare Center room no. 6 department of orthopedic Ghatkopar west Mumbai
Mumbai
MAHARASHTRA 
9821010047

aminshah22@gmail.com  
Dr Girish Bakshi  Satyam Multi Speciality Hospital  Satyam Multi Speciality Hospital Plot 12 room no.5 department of orthopedic Sector 14 Landmark Opposite DMart Navi Mumbai
Mumbai
MAHARASHTRA 
9820218198

gdbakshi@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 6  
Name of Committee  Approval Status 
Suraksha Ethics Committee  Approved 
Suraksha Ethics Committee  Approved 
Suraksha Ethics Committee  Approved 
Suraksha Ethics Committee  Approved 
Suraksha Ethics Committee  Approved 
Suraksha Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M708||Other soft tissue disorders related to use, overuse and pressure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  95.00 Year(s)
Gender  Both 
Details  Male or female patients of equal to and greater than 18 years
Treatment naïve patients with Orthopedic surgery General surgery and Soft tissue injuries requiring
Debridement which qualify for NSAID plus oral enzyme combination at discretion of physician  
 
ExclusionCriteria 
Details  Patients treated with gabapentanoids pregabalin gabapentin for neuropathic pain
Cases with hepatic enzyme elevation of 5xULN or CKD with proteinuria greater than Stage 3
Active or history of recurrent peptic ulcer/haemorrhage (two or more distinct episodes of proven ulceration or bleeding)
Hypersensitivity reactions (eg. Asthma rhinitis angioedema or urticaria) in response to ibuprofen aspirin or other non-steroidal anti-inflammatory drugs
Uncontrolled status for congestive heart failure (NYHA II-IV) ischaemic heart disease peripheral arterial
disease and/or cerebrovascular disease
History of gastrointestinal bleeding or perforation related to previous NSAIDS therapy
Active bleedings or bleeding disorders
Hypersensitivity to trypsin-chymotrypsin paracetamol Aceclofenac or any of the other constituents
Pregnancy and Lactation
Patients who have any condition or medicine that in the opinion of the investigator did not the justify their inclusion in the study.  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Visual analogue scale (VAS) for pain, inflammation and/or swelling assessed at 24 hrs. Day 3 and Day 7 (± 2
days)  
at 24 hrs. Day 3 and Day 7 (± 2
days)  
 
Secondary Outcome  
Outcome  TimePoints 
Functional assessment scale score for impact on Personal care Daily activities Sleep and Affected area or limb
movement assessment at 24 hrs. and Day 3 and Day 7 (± 2 days)
Clinical global impression for Efficacy assessed at Day 7 (± 2 days)
Clinical global impression for Tolerability assessed at Day 7 (± 2 days)
hs-CRP assessment at Day 3 and 7 (± 2 days) in the overall group
CBC with DLC assessment at Day 3
Safety assessment for Common Adverse events greater than 1 percent  
at 24 hrs. Day 3 and Day 7 (± 2
days)  
 
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   N/A 
Date of First Enrollment (India)   24/06/2025 
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="3"
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  
 
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