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CTRI Number  CTRI/2017/10/010232 [Registered on: 27/10/2017] Trial Registered Prospectively
Last Modified On: 18/11/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Diagnostic 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of bepotastine besilate and levocetrizine in urticaria disease of skin 
Scientific Title of Study   Randomized open label parallel comparative study of efficacy tolerability and safety of bepotastine besilate 20mg versus levocetrizine 5mg in patients with chronic spontaneous urticaria in a tertiary care centre 
Trial Acronym  Bplu 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Gayathri E 
Designation  2nd Year MD Post Graduate 
Affiliation  Sri Ramachandra Medical College and Research Institute, Chennai 
Address  Department of Pharmacology, 3rd Floor, Medical College Block, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University, Porur, Chennai

Kancheepuram
TAMIL NADU
600116
India 
Phone  7358512767  
Fax    
Email  gayathrianu2305@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr K Punnagai 
Designation  Associate Professor 
Affiliation  Sri Ramachandra Medical College and Research Institute, Chennai 
Address  Department of Pharmacology, 3rd Floor, Medical College Block, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University, Porur, Chennai

Kancheepuram
TAMIL NADU
600116
India 
Phone  9840574080  
Fax    
Email  punnagaiguna@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Gayathri E 
Designation  2nd Year MD Post Graduate 
Affiliation  Sri Ramachandra Medical College and Research Institute, Chennai 
Address  Department of Pharmacology, 3rd Floor, Medical College Block, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University, Porur, Chennai

Kancheepuram
TAMIL NADU
600116
India 
Phone  7358512767  
Fax    
Email  gayathrianu2305@gmail.com  
 
Source of Monetary or Material Support  
Sri Ramachandra Medical College and Research Institute, Porur, Chennai 
 
Primary Sponsor  
Name  Dr E Gayathri 
Address  Department of Pharmacology, 3rd Floor, Medical College Block, Sri Ramachandra Medical College and Research Institute, Sri Ramachandra University, Porur, Chennai 
Type of Sponsor  Other [Principal Investigator] 
 
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 Gayathri E  Sri Ramachandra Hospital  Second floor, Dermatology opd,Sri Ramachandra hospital,porur,Chennai
Kancheepuram
TAMIL NADU 
7358512767

gayathrianu2305@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Sri Ramachandra University, Chennai  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L500||Allergic urticaria, diagnosis of CSU (EAACI), characterized by erythematous skin wheals accompanied by itching of unknown etiology will be recruited.,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  bepotastine besilate 20mg   bepotastine besilate is used in allaergic rhinitis and and allergic conjuctivitis.so we are trying to finf off label use of bepotastione in urticaria  
Comparator Agent  levocetrizine 5mg   Levocetrizine 5 mg is used in urticaria. it is an antihistamine so we are going to compare both levocetrizine with bepotastine besilate 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Male and female patients, aged 18-70 years old, with a diagnosis of CSU (EAACI), characterized by erythematous skin wheals accompanied by itching of unknown etiology will be recruited.
Eligible patients should demonstrate Symptom score of ≥2 (i.e. moderate to severe intensity UAS7 scores) during the baseline visit.
Patients willing to give informed consent will be included.

 
 
ExclusionCriteria 
Details  Patients excluded from the study if they have any dermatological condition that could interfere with the efficacy evaluation (including eczema, contact dermatitis, atopic dermatitis, nummular eczema, autosensitization dermatitis, asteatotic eczema, lichen simplex chronicus, angioedema, , urticaria with known causes, urticaria related to thyroid disorders, urticaria pigmentosa, psoriasis, or ichthyosis
o Known hypersensitivity to antihistamine,
o Known autoimmune disorders, Hodgkins disease
o Any clinically significant condition (cardiovascular, neurological, hepatic, renal, or malignant diseases),
o Received ultraviolet light therapy before entry.
o Similarly, patients who had received antihistamines (including H2 receptor antagonists) within 3 days, nonsteroidal anti-inflammatory drugs within 3 days, topical or systemic steroids within 4 weeks, astemizole within 6 weeks, ketotifen within 2 weeks, anti-Leukotrienes within 3 days.
o Pregnant and lactating women.
o Subject who is currently enrolled in another investigational drug study
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
It is the change from baseline in mean weekly Urticaria activity score-7( i.e the sum of the daily UAS i.e.(sum of wheal & itching day and night time score) self evaluation scores of 7 individual days,which could range between 0 to 42 per week) after 4 weeks of treatment

 
five time points-patients will be analyased during baseline and after every 7 days for 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Time to onset of action will be determined by comparing Bepotastine besilate with Levocetrizine by using participant’s daily scoring chart.
C-reactive protein and Absolute Eosinophil count will be evaluated during the baseline visit and end of therapy for predicting the outcome of treatment with Bepotastine. 2.Chronic Urticaria quality of life questionnaire
3.Dermatology life quality index
4. Patients global assessment of their symptoms

 
two time points-patients will be analyased during baseline and at the end of the study 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "100"
Final Enrollment numbers achieved (India)="100" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   01/12/2017 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 15/03/2018 
Estimated Duration of Trial   Years="0"
Months="9"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   none yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

. The patients will be assessed for the following scales before the beginning of study, during the course of treatment and at the end of study.

1.    Urticaria Activity score

2.    Chronic Urticaria quality of life questionnaire

3.    Dermatology life quality index

4.    Patients global assessment of their symptoms

5.    Clinical Global Impression – Global Improvement (CGI –I) Scale

Visual analogue scale  measuring  day time sedation 
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