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CTRI Number  CTRI/2017/04/008299 [Registered on: 06/04/2017] Trial Registered Prospectively
Last Modified On: 24/11/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A Clinical Study to Evaluate the Efficacy, Safety and Tolerability of Nepafenac Ophthalmic Suspension 0.3% w/v compared to Bromfenac Ophthalmic Solution 0.09% w/v in the treatment of Pain and Inflammation post Cataract Surgery.  
Scientific Title of Study   A Multicentric, Double Blind, Randomized, Active Control, Parallel Group Comparative Study to Evaluate the Efficacy, Safety and Tolerability of Nepafenac Ophthalmic Suspension 0.3 % w/v Vs. Bromfenac Ophthalmic Solution 0.09% w/v in the treatment of Patients with Pain and Inflammation in the Eye associated with Cataract Surgery. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
APL/CT/16/07  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Kalpit Shah 
Designation  Principal Investigator 
Affiliation  B. J. medical Colloge and Civil Hospital 
Address  M & J Western regional Institute of Ophthalmology, B. J. medical Colloge and Civil Hospital, Asarwa, Ahmedabad - 380016. Gujarat, India

Ahmadabad
GUJARAT
380016
India 
Phone  9825296016  
Fax    
Email  dr_kps@yahoo.co.uk  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shailesh Singh  
Designation  Vice President R&D and Reg. Affairs 
Affiliation  Ajanta Pharma Ltd  
Address  Ajanta Pharma Ltd Advent 43AB/44CD Charkop Industrial Estate Kandivli West, Mumbai MAHARASHTRA.

Mumbai
MAHARASHTRA
400067
India 
Phone  022-66062111  
Fax    
Email  shailesh.singh@ajantapharma.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shailesh Singh  
Designation  Vice President R&D and Reg. Affairs 
Affiliation  Ajanta Pharma Ltd  
Address  Ajanta Pharma Ltd Advent 43AB/44CD Charkop Industrial Estate Kandivli West, Mumbai MAHARASHTRA

Mumbai
MAHARASHTRA
400067
India 
Phone  022-66062111  
Fax    
Email  shailesh.singh@ajantapharma.com  
 
Source of Monetary or Material Support  
Ajanta Pharma Limited Ajanta Pharma Limited, Plot no. 43 AB & 44 BCD, Govt. Industrial Estate, Charkop, Kandivali (W), Mumbai – 400067 
 
Primary Sponsor  
Name  Ajanta Pharma Ltd 
Address  Ajanta Pharma Ltd, Advent 43 AB/44CD, Charkop Industrial Estate, Kandivli (West) Mumbai-400067 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 = 18  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rajesh Parekh  Bhagwan mahaveer Jain Hospital  Department of Opthalmology, Millers Road, Vasathnagar, Bangalore - 560062.
Bangalore
KARNATAKA 
9945544744

eyetrials@gmail.com 
Dr Kalpit Shah  BJ Medical College & Civil Hospital  Department of Ophthalmology M & J Western regional Institute of Ophthalmology, Asarwa, Ahmedabad - 380016. Gujarat, India
Ahmadabad
GUJARAT 
9825296016

dr_kps@yahoo.co.uk 
Dr Saroj Sahdev  BYL Nair Ch. Hospital and TN Medical College  Department of Ophthalmology, Dr. AL Nair road, Mumbai Central, Mumbai- 400008
Mumbai
MAHARASHTRA 
9820512629

sisahdev@hotmail.com 
Dr Nitin Batra  Christian Medical College and Hospital  Department of Ophthalmology, brown Road, Ludhiana, Punjab - 141008.
Ludhiana
PUNJAB 
9815333665

nbatra2001@gmail.com 
Dr VVL Narasimha Rao  Dr. R.S.P.R. Government Regional Eye Hospital   Department of Ophthalmology, 3rd Unit, Opp. Bulliya College, Resavapuvanipalem, Viskhapatnam - 530013, Andhra Pradesh.Visakhapatnam ANDHRA PRADESH
Visakhapatnam
ANDHRA PRADESH 
9885268979

drvvlclinicalresearch@gmail.com 
Dr B Kantha Sree  Gandhi Hospital  Deapartment of ophthalmology, Gandhi Hospital, Musheerabad, Secunderabad-500003.
Hyderabad
ANDHRA PRADESH 
9000986199

kanthasreebugge@gmail.com 
Dr Deepika Singhal  GMERS Medical College and Civil Hospital  Department of Ophthalmology, Sola ophthalmology Department, Nr. Gujarat High Court,S. G. highway, Sola, Alunedabad-380061.Gujarat.
Ahmadabad
GUJARAT 
9426541167

deepika1103@yahoo.com 
Dr Mohua Mazumdar  IPGME&R, SSKM Hospital  Department of Ophthalmology, 244 A J C Bose Road, Kolkata -700020.
Kolkata
WEST BENGAL 
9830682007

mazumder_mahua@yahoo.com 
Dr Vaggu Sree Kumar  Kakatiya Medical College  Department of Ophthalmology, Rangampet Street, Warangal 506007, Telangana, India
Warangal
ANDHRA PRADESH 
9394058999

vaggusreekumar@gmail.com 
Dr Ashish Saxena  Kanoria Hospital & Research Center  Department of Ophthalmology, Airport-gandhi Nagar Highway, Bhat Village, GandhiNagar-382428.
Gandhinagar
GUJARAT 
9824042699

drashishsaxenacr@gmail.com 
Dr Sudhir Kumar Garg  Maharaj Agrasen Hospital  Department of Ophthalmology, West Punjabi Bagh, New Delhi-110026.
New Delhi
DELHI 
981141119

drskgi2610@gmail.com 
Dr Anil Agarwal  Marwari Hospital & Research Centre  Department of Ophthalmology, SJ Road, Athgaon, Guwahati-781 008, Assam
Kamrup
ASSAM 
9864093366

dranil03@gmail.com 
Dr Dinesh Kanth  Rajiv Gandhi Institute of Medical Sciences & RIMS Govt. General Hospital  Department of Ophthalmology, Srikakulam-532001, A.P,India.
Srikakulam
ANDHRA PRADESH 
8500949101

dkmedico17@gmail.com 
Dr Kumudini Sharma  Sanjay Gandhi Postgraduate Institute of Medical sciences  Department of Ophthalmology, Raebareli road, Lucknow - 226014. Uttar Pradesh
Lucknow
UTTAR PRADESH 
7408890080

drpradhyumman@gmail.com 
Dr Jigeesh Nareshbahi Desai  Sanjivani Superspecialty Hospital  Department of Ophthalmology, New Uday Park Society, Nr. Sunrise Park, Vastrapur, Ahmedabad-380015.
Ahmadabad
GUJARAT 
9426001724

dr.jigeeshdesai@gamial.com 
Dr Ashwini K V  Sapthagiri Institute of Medical sciences and research center  Department of Ophthalmology, # 15, Chikkasandra, Hesaraghatta main road, bangalore - 560090. Karnataka
Bangalore
KARNATAKA 
9731799114

ashwini_kulenur@yahoo.com 
Dr Shailendra Deshmukh  Sassoon General Hospital  Department of Ophthalmology, Jayaprakash Narayan Road, Near Pune Railway Station,Pune-411001. Maharashtra.
Pune
MAHARASHTRA 
9822218540

dr.deshmukh.shailendra@gmail.com 
Dr Rajesh Khipar Lohana  Saviour Multispecialty Hospital  Deaprtment of Ophthalmology, Near Bharat petrol Pump, Near Lakhudi talav, Stadium road, Navrangpura, Ahmedabad- 380014.
Ahmadabad
GUJARAT 
9825064890

rajeshluhana@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 18  
Name of Committee  Approval Status 
Ethics Committee, Kanoria Hospital and Research Centre  Approved 
Ethics Committee, Saptahgiri Institute of Medical Sciences and Research Center  Submittted/Under Review 
Institutional Ethics Committee BJ Govt. Medical College & Sassoon General Hospital  Submittted/Under Review 
Institutional Ethics Committee of B.J. Medical College of Civil Hospital,   Submittted/Under Review 
Institutional Ethics Committee, Christian Medical College and Hospital  Approved 
Institutional Ethics Committee, Kakatiya Medical College  Approved 
Institutional Ethics Committee, Maharaj Agrasen Hospital  Approved 
Institutional Ethics Committee, Marwari Hospital & Research Centre  Approved 
Institutional Ethics Committee, Sanjay Gandhi Postgraduate Institute of Medical sciences   Not Applicable 
Institutional Ethics Committee, T.N.Medical College & B.Y.L.Nair Charitable Hospital  Submittted/Under Review 
Institutional Ethics Committee,Rajiv Gandhi Institute of Medical Sciences  Approved 
Institutional Ethics Committee_Bhagwan Mahaveer Jain Hospital  Submittted/Under Review 
Institutional Ethics Committee_Gandhi Medical College   Approved 
Institutional Ethics Committee_GMERS Medical College  Submittted/Under Review 
Institutional Ethics Committee_King George Hospital  Approved 
IPGME&R Research Oversight Committee  Submittted/Under Review 
Sanjivani Hospital Ethics Committee  Submittted/Under Review 
Saviour Hospital Ethics Committee  Submittted/Under Review 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H590||Disorders of the eye following cataract surgery, Pain and Inflammation in the Eye associated with Cataract Surgery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Bromfenac Ophthalmic Solution 0.09% w/v  One drop, once daily for 14 days 
Intervention  Nepafenac Ophthalmic Suspension 0.3 % w/v   One drop, once daily for 14 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Male and Female patients of age 18 - 70 years (Both inclusive).
2. Planned cataract extraction by phacoemulsification with the implantation of a posterior chamber intraocular lens.
3. Voluntary willingness to give written informed consent prior to participation in trial.
 
 
ExclusionCriteria 
Details  1. Use of topical ocular, inhaled or systemic nonsteroidal anti-inflammatory drugs within 7 days of surgery, with the exception of the allowed low dose of aspirin (up to 100 mg) prior to surgery and through study exit.
2. Use of any form of steroids -topical, inhaled or systemic steroids within 14 days prior to surgery or local or oral NSAIDs within 7 days of surgery.
3. History of chronic or recurrent inflammatory eye disease (eg, iritis, scleritis, uveitis, iridocyclitis, rubeosis iridis) in the operative eye.
4. Pregnant and lactating women.
5. Known or suspected allergy or hypersensitivity to non-steroidal anti-inflammatory drugs (NSAIDs), or to any component of the test article.
6. Subjects with bleeding tendency, dry eye, rheumatoid arthritis, ocular surface disease including epithelial problems.
7. Subject with any surgery which converted from phacoemulsification to extra capsular surgery.
8. Patients with history of ocular surgery, inflammatory eye disease, ocular infection, congenital ocular anomalies, ocular trauma or current signs and symptoms that were associated with these or other ocular conditions.
9. Lens pseudoexfoliation syndrome with glaucoma or zonular compromise or previous ocular trauma.
10. Patients were also excluded if their IOP could not be reliably measured or had planned multiple surgical procedures, lens pseudoexfoliation syndrome with glaucoma or zonular compromise in the operative eye, ocular or systemic inflammatory or diabetic disease, or previous ocular trauma to the operative eye.
11. Patient with Diabetic Retinopathy, Glaucoma and any other Neurological condition.
12. Any other condition(s) that may affect the procedure of the study.
 
 
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 
Ocular inflammation as assessed by the investigator during slit lamp examination  Day 1,Day 7,Day 14 
 
Secondary Outcome  
Outcome  TimePoints 
Ocular pain will be assessed using a categorical scale.
Percentage of patients Pain Free at each visit post cataract surgery. 
Day 1,7,14 
 
Target Sample Size   Total Sample Size="278"
Sample Size from India="278" 
Final Enrollment numbers achieved (Total)= "248"
Final Enrollment numbers achieved (India)="240" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   14/04/2017 
Date of Study Completion (India) 04/10/2017 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 04/10/2017 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

This study is A Multicentric, Double Blind, Randomized, Active Control, Parallel Group Comparative Study to Evaluate the Efficacy, Safety and Tolerability of Nepafenac Ophthalmic Suspension 0.3 % w/v Vs. Bromfenac Ophthalmic Solution 0.09% w/v in the treatment of Patients with Pain and Inflammation in the Eye associated with Cataract Surgery.

Primary objective of this study is to assess Ocular inflammation. Secondary objective of the study is to assess the Ocular pain and number of patients pain free at each visit post cataract surgery. 

 
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