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CTRI Number  CTRI/2025/05/086328 [Registered on: 05/05/2025] Trial Registered Prospectively
Last Modified On: 03/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparing Pain Relief After Tonsil and Adenoid Surgery in Children: Diclofenac vs. Acetaminophen Suppositories 
Scientific Title of Study   Comparative study of post-operative analgesia using Diclofenac sodium suppository vs Acetaminofen suppository in children undergoing Adenotonsillectomy 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Mandava Bharath kumar 
Designation  Junior Resident 
Affiliation  Dr. D.Y.Patil Medical College, Hospital and Research Centre  
Address  Department of Anaesthesia, 5th Floor, Hi-tech building, Dr. D.Y.Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri, Pune

Pune
MAHARASHTRA
411018
India 
Phone  7382129266  
Fax    
Email  teja78488@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sonal Khatavkar 
Designation  Professor,Department of Anesthesiology 
Affiliation  DR. D.Y.PATIL MEDICAL COLLEGE, HOSPITAL AND RESEARCH CENTRE, PIMPRI, PUNE 
Address  Department of Anaesthesia, 5th Floor, Hi-tech building, Dr. D.Y.Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri, Pune

Pune
MAHARASHTRA
411018
India 
Phone  9820434472  
Fax    
Email  ksonal0711@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sonal Khatavkar 
Designation  Professor,Department of Anesthesiology 
Affiliation  DR. D.Y.PATIL MEDICAL COLLEGE, HOSPITAL AND RESEARCH CENTRE, PIMPRI, PUNE 
Address  Department of Anaesthesia, 5th Floor, Hi-tech building, Dr. D.Y.Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri, Pune

Pune
MAHARASHTRA
411018
India 
Phone  9820434472  
Fax    
Email  ksonal0711@gmail.com  
 
Source of Monetary or Material Support  
Central pharmacy,5th floor, Hi-tech building, Dr. D.Y.Patil Medical college, Hospital and Research Centre, Sant Tukaram nagar, Pimpri, Pune, Maharashtra, India Pincode - 411018 
 
Primary Sponsor  
Name  Dr Mandava Bharath Kumar 
Address  Department of Anaesthesia, 5th Floor, Hi-tech building, Dr. D.Y.Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri, Pune Pune MAHARASHTRA 411018 India 
Type of Sponsor  Other [Self] 
 
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 Mandava Bharath Kumar  Dr. D.Y. Patil Hospital and Research Centre  Department of Anaesthesia, 5th Floor, Hi-tech building, Dr. D.Y.Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri, Pune 411018 Pune MAHARASHTRA
Pune
MAHARASHTRA 
7382129266

teja78488@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Sub-Committee  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 
Comparator Agent  Acetaminophen suppository  Dose 20mg/kg Inserted rectally post intubation VAS score post-operatively at 10,20 min then hourly till the patient is given rescue analgesia 
Intervention  Diclofenac sodium suppository  Dose 2mg/kg Inserted rectally post intubation VAS score post-operatively at 10,20 min then hourly till the patient is given rescue analgesia 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  1. ASA grade I or II fit patients.
2. Patients aged between 5 and 12 years of age.
3. Patients undergoing elective adenotonsillectomy pediatric surgery.
4. Written informed consent from the concerned patient guardian 
 
ExclusionCriteria 
Details  1. Patients who are not willing to participate in the study.
2. Patients with ASA grade III and above physical status.
3. Patients who are posted for emergency procedures.
4. Patients with known allergy to the study drugs.
5. Patients who have psychiatric, coagulopathies, neurological, neuromuscular, or
cardiovascular disease or impairment of hepatic or renal function.
6. Patients with inflammatory conditions of rectum and anal canal. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess the Visual Analogue Scale(VAS) score post operatively  At 10 and 20
mins, and then hourly, till patients received rescue analgesic. 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the Visual Analogue Scale(VAS) score post operatively in children undergoing adenotonsillectomy  Duration of analgesia will be assessed post
surgery once the effects of the suppository decrease &
time to rescue to analgesia will be assessed 2
hours after surgery & hourly until intervention is required 
 
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   Phase 4 
Date of First Enrollment (India)   23/05/2025 
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)   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  
It is a prospective, randomized, double blinded comparative study to compare the the post-operative analgesia using diclofenac sodium and acetaminophen suppositories in children undergoing adenotonsillectomy

Parameters that will be compared between the two groups will be the the onset and duration of analgesia and time to rescue analgesia
 
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