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CTRI Number  CTRI/2010/091/000127 [Registered on: 01/09/2010]
Last Modified On: 21/03/2013
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study
Modification(s)  
A clinical study to evaluate the efficacy and safety of FDC of Tolperisone and Paracetamol in patients suffering from acute muscle spasms 
Scientific Title of Study
Modification(s)  
A prospective, controlled, randomized, double blind, comparative, parallel, 2-arm study to evaluate the efficacy and safety of Fixed Dose Combination of Tolperisone 150 mg and Paracetamol 500 mg in patients suffering from acute muscle spasms 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
TOL PCM/TML/07/09  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Harshad Argekar Dr Ramesh Sen Dr Anil Baburao Dhule 
Designation   
Affiliation   
Address  Criticare Hospital & Research Centre,Plot No. 38/39, Main Gulmohar Road, J.V.P.D. Scheme, Andheri (West); Additional Professor, Dept. of orthopedics, PGIMER, Chandigarh;
Lecturer- Dept. of Orthopaedic, Govt. Medical College, Aurangabad
Mumbai
MAHARASHTRA
400 049
India 
Phone  9820654780  
Fax    
Email  argekar@gmail.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Harshad Argekar Dr Ramesh Sen Dr Anil Baburao Dhule 
Designation   
Affiliation   
Address  Criticare Hospital & Research Centre,Plot No. 38/39, Main Gulmohar Road, J.V.P.D. Scheme, Andheri (West); Additional Professor, Dept. of orthopedics, PGIMER, Chandigarh;
Lecturer- Dept. of Orthopaedic, Govt. Medical College, Aurangabad
Mumbai
MAHARASHTRA
400 049
India 
Phone  9820654780  
Fax    
Email  senramesh@rediffmail.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Sumedh M Gaikwad 
Designation   
Affiliation   
Address  Themis Medicare Limited,
11/12, Udyog Nagar, S. V. Road, Goregaon (West),
Mumbai
MAHARASHTRA
400 104
India 
Phone  02267603320  
Fax  02228785393  
Email  sumedh.gaikwad@themismedicare.com  
 
Source of Monetary or Material Support
Modification(s)  
Themis Medicare Limited 
 
Primary Sponsor
Modification(s)  
Name  Themis Medicare Limited  
Address  11/12, Udyog Nagar, S. V. Road, Goregaon (West), Mumbai - 400 104. 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
NIL   
 
Countries of Recruitment
Modification(s)  
  India  
Sites of Study
Modification(s)  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Harshad Argekar  Criticare Hospital & Research Centre,  Plot No. 38/39, Main Gulmohar Road,,J.V.P.D. Scheme, Andheri (West)-400 049
Mumbai
MAHARASHTRA 
9820654780

argekar@gmail.com 
Dr. Anil Baburao Dhule  Government of Medical College  Lecturer - Dept of Orthopaedic,,GMC, Aurangabad-
Aurangabad
BIHAR 
09823078631

 
Dr. Ramesh Sen  Post Graduate Institute of Medical Education and Research  Additional Professor, Dept. of Orthopaedics,,Chandigarh-
Chandigarh
CHANDIGARH 
09815409652

senramesh@rediffmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
C.A.R.E. Independent Ethics Committee, Mumbai  Approved 
Institute Ethics Committee, PGIMER   Approved 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Acute Muscle Spasms ,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  FDC OF TOLPERISONE + PARACETAMOL TABLETS  TOLPERISONE 150 MG + PARACETAMOL 500 MG (FDC), WITH PLACEBO TABLET THRICE DAILY FOR 21 DAYS 
Comparator Agent  TABLET TIZANIDINE AND TABLET PARACETAMOL  TIZANIDINE 2 MG AND PARACETAMOL 500 MG AS SEPERATE TABLETS GIVEN THRICE DAILY FOR 21 DAYS 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Patients of either sex in the age group between 18 to 70 years.
2. Patients presenting with moderate to severe painful muscle spasms and contractions associated with cervical and lumbar spondylosis, rheumatoid arthritis, osteoarthritis, blunt superficial trauma, low back pain.
3. Subjects who provide a written informed consent to abide by the study requirements. 
 
ExclusionCriteria 
Details  1. Patients with acute muscle spasms who need parenteral therapy / surgery / hospital admission for management. 2. Patients treated with any other oral / parenteral muscle relaxants, analgesics (NSAIDS & OPIOIDS) within 1 week prior to the study or will continue to receive these drugs as concomitant medication during the study period. 3. Patients suffering from organic neurological disorders (Upper motor neuron disorders, cerebral palsy, pyramid tract injury, multiple sclerosis, cerebrovascular events, myelopathy, encephalomyelitis, etc), peripheral vascular diseases (arteriosclerosis obliterans, Raynaud's disease, diffuse scleroderma) as well as syndromes developing on the basis of impaired vascular innervation (acrocyanosis, dysbasia angioneurotica intermittent), Little's disease and other encephalopathies accompanied by dystonia. 4. Patients suffering from myasthenia gravis or myopathies with muscle weakness as the prominent symptom. 5. Patients with known hypersensitivity to any of the ingredients of the test / comparator formulation. 6. Patients with severe cardiac, hepatic, gastrointestinal, renal, pulmonary and skin diseases. 7. Pregnant and lactating females. 8. Simultaneous participation in another clinical study. 
 
Method of Generating Random Sequence
Modification(s)  
Computer generated randomization 
Method of Concealment
Modification(s)  
Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking
Modification(s)  
Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
Pain intensity, tenderness, Joint mobility, Spasm relief, Need for rescue medication, Time needed for the patient to be symptom free  0, 4 days, 7 days, 14 days, 21 days 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Digit / alphabet cancellation test, Reaction time :auditory and visual using the reaction time apparatus, Flicker fusion frequency using the flicker fusion apparatus, Measurement of hand grip strength, ADR recording, blood investigations  0, 21 days. 
 
Target Sample Size
Modification(s)  
Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 3 
Date of First Enrollment (India)
Modification(s)  
Date Missing 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  10/02/2010 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
1.Szobor,A.(1991)Mydocalm:30 Years in Therapy. Gyógyszereink41:110-117.RGD 42475 2.Meilinger,M.,Zalaváry I. 2002)Tolperisone in acute low back pain,a randomized, parallel-group,placebo-controlled,double-blind clinical study.(TOLERATE) Clinical Study Report RGD 57710 3.Wilbraham,D./Guy’s Drug Research Unit/(2003)A randomised,double-blind dose-escalating study in healthy male volunteers to examine the safety,tolerability and pharmacokinetics of oral tolperisone hydrochloride in single and repeat doses higher than previously administered to humans. ClinicalTrialReport.RGD:59478 4. A)Pratzel, H.G., Alken, R.-G., Ramm, S. (1996) Efficacy and tolerance of repeated oral doses of tolperisone hydrochloride in the treatment of painful reflex muscle spasm: results of a prospective placebo-controlled double-blind trial. Pain 67: 417-425. RGD 50119 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
A prospective, controlled, randomized, double blind, comparative, parallel, 2-arm study to evaluate the efficacy and safety of Fixed Dose Combination of Tolperisone 150 mg and Paracetamol 500 mg in patients suffering from acute muscle spasms. (200 PATIENTS ENROLLED) 
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