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CTRI Number  CTRI/2017/11/010384 [Registered on: 06/11/2017] Trial Registered Prospectively
Last Modified On: 31/08/2018
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 Study to evaluate the Safety and Efficacy of FDC of Trypsin 48 mg plus Bromelain 90 mg plus Rutoside Trihydrate 100 mg plus Diclofenac Sodium 50 mg enteric coated tablet versus Diclofenac Sodium 50 mg enteric coated tablet in patients with surgical wounds after minor surgery. 
Scientific Title of Study   A Multicentric, Open label, Randomized, Comparative, Clinical Study evaluating Safety and Efficacy of Fixed Dose Combination of Trypsin 48 mg plus Bromelain 90 mg plus Rutoside Trihydrate 100 mg plus Diclofenac Sodium 50 mg enteric coated tablet versus Diclofenac Sodium 50 mg enteric coated tablet in patients for healing potential in surgical wounds after minor surgery. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
CT-188-ENZO(F)-2015 Version 03 dated 06 Jul 2017  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ashish Mungantiwar 
Designation  President -Medical Services 
Affiliation  Macleods Pharmaceuticals Ltd. 
Address  Macleods Pharmaceuticals Ltd, R&D, G-2, Mahakali Caves Road, Shanti Nagar, Andheri - (East) Mumbai

Mumbai (Suburban)
MAHARASHTRA
400093
India 
Phone  02261132900  
Fax    
Email  drashish@macleodspharma.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ashish Mungantiwar 
Designation  President -Medical Services 
Affiliation  Macleods Pharmaceuticals Ltd. 
Address  Macleods Pharmaceuticals Ltd, R&D, G-2, Mahakali Caves Road, Shanti Nagar, Andheri - (East) Mumbai

Mumbai (Suburban)
MAHARASHTRA
400093
India 
Phone  02261132900  
Fax    
Email  drashish@macleodspharma.com  
 
Details of Contact Person
Public Query
 
Name  Mr Dinesh Garg 
Designation  Manager – Clinical Trials 
Affiliation  Macleods Pharmaceuticals Ltd. 
Address  Macleods Pharmaceuticals Ltd, R&D, G-2, Mahakali Caves Road, Shanti Nagar, Andheri - (East) Mumbai

Mumbai (Suburban)
MAHARASHTRA
400093
India 
Phone  02261132900  
Fax    
Email  dineshg@macleodspharma.com  
 
Source of Monetary or Material Support  
Macleods Pharmaceuticals Ltd, G-2, Mahakali Caves Road, Shanti Nagar, Andheri - (East), Mumbai – 400 093, India. 
 
Primary Sponsor  
Name  Macleods Pharmaceuticals Ltd 
Address  G-2, Mahakali Caves Road, Shanti Nagar, Andheri - (East), Mumbai – 400 093, 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 = 9  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr K Durga Nagaraju  Anu Hospital  Dept of Orthopedics,Anu Hospitals,Kovelamudivari Street,Suryaraopet, Vijayawada–520002.
Krishna
ANDHRA PRADESH 
9885127788

drnagarajuk@gmail.com 
Dr Sudhakar Sane  Bhatia Hospital  Dept of General Surgery, Bhatia Hospital Medical Research Society, Tardeo, Grant Road (W), Mumbai – 400007, Maharashtra, India.
Mumbai
MAHARASHTRA 
9820120363

crc.bhmrs@gmail.com 
Dr Amit Kale   Dr. D. Y. Patil Medical College, hospital & Research Center  Department of Orthopedics, Dr.D.Y.Patil Medical College,hospital & Research Centre, Pimpri, Pune – 411018, Maharashtra, India
Pune
MAHARASHTRA 
9423585027

dramitkale@rediff.com 
Dr Sanjeev Mohan  KRM Hospital and Research Centre  3/92-93, Vijayant Khand,Gomtinagar, Lucknow, Uttar Pradesh 226010, India
Lucknow
UTTAR PRADESH 
7007208089
0522-4079157
krmhrclko@gmail.com 
Dr Vinit Yadav  Popular Hospital  N-10 / 60, A-2,D.L.W. Road, Near Flyover,Kakarmatta,Varanasi – 221004, Uttar Pradesh, India
Varanasi
UTTAR PRADESH 
9889776777
05422-300506
vinitdoctor@gmail.com 
Dr Dasari Prasada Rao  Rajiv Gandhi Institute of Medical Sciences & RIMS Government General Hospital   Dept. of Surgery, Rajiv Gandhi Institute of Medical Sciences & RIMS Government General Hospital-532001, Andhra Pradesh, India.
Srikakulam
ANDHRA PRADESH 
9849702720

drprasadaraod@gmail.com 
Dr Rajiv Daveshwar  Sir Sayajirao General Hospital  Jail Road (India Avenue) Vadodara- 390001, Gujarat India
Vadodara
GUJARAT 
9427322493

dr_rndaveshwar@yahoo.com 
Dr Peeyush Chansouria  Sudbhawana Hosptial  B31/80,23B Bhogabir, Lanka, Varanasi - 221005, Uttar Pradesh, India
Varanasi
UTTAR PRADESH 
9336912471
0542-2367758
sudbhawanacrvns@gmail.com 
Dr Hansraj Alva   Vinaya Hospital And Research Centre  P.O.No.717, Karangalpady, Mangaluru, 575003, Karnataka, India.
Dakshina Kannada
KARNATAKA 
9343562622

hansalva2001@yahoo.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 9  
Name of Committee  Approval Status 
Ethics committee, Dr. D.Y. Patil Vidyapeeth  Approved 
ANU Hospital Ethics Committee  Approved 
Ethics Committee Vinaya Hospital  Approved 
Institutional Ethics Committee for Human Research Medical College & SSG Hospital   Approved 
INSTITUTIONAL ETHICS COMMITTEE, BHATIA HOSPITAL MEDICAL RESEARCH SOCIETY  Approved 
INSTITUTIONAL ETHICS COMMITTEE, RAJIV GANDHI INSTITUTE OF MEDICAL SCIENCES AND RIMS GOVERNMENT GENERAL HOSPITAL   Approved 
KRM Hospital Ethics Committee  Approved 
Popular Hospital Ethics Committee   Approved 
Sudbhawana Hospital Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients with surgical wounds after minor surgery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Fixed Dose Combination of Trypsin 48 mg plus Bromelain 90 mg plus Rutoside Trihydrate 100 mg plus Diclofenac Sodium 50 mg enteric coated tablet  one tablet orally 2 times daily for 10 days before meal. 
Comparator Agent  Diclofenac Sodium 50 mg enteric coated tablet  one tablet orally 2 times daily for 10 days before meal 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Male or female patients who are 18 to 65 years of age with surgical wounds after minor surgery.
2. Patients able to follow all study directions and commit to come at all follow-up visits as per the protocol. In addition, subjects must be willing to accept the restrictions of the study.
3. Subjects have the willingness and ability to understand and provide written informed consent to participate in the study.
 
 
ExclusionCriteria 
Details  1. Patients with Uncontrolled diabetes mellitus or any other metabolic disorder.
2. Patients with known hypersensitivity to any of the study related drugs.
3. Patient with hepatic and/or renal disorder, bleeding disorders, menorrhagia, hematuria and hematemesis.
4. Patients taking medicines such as tetracycline group of drugs, amoxicillin, aspirin, anticoagulants including clopidogrel should be excluded
5. Patients who are currently enrolled in another clinical investigation or have been enrolled in any surgical wound trial within a period of 30 days prior to enrollment in this study.
6. Women of child bearing age not using any contraceptive
7. Pregnant or nursing women
8. Any other condition that, in the opinion of the investigator, does not justify the inclusion of the subject in the study.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1. To evaluate safety and tolerability in patients
with surgical wounds after minor surgery.
Incidence of adverse events and serious adverse events.
Safety will be evaluated based on the adverse events reported and their plausible causal relationship with the study drug.
2. Laboratory Investigations:
Hematology; Biochemistry. 
For 1: Day 5, 10.
For 2: Baseline, Day 10. 
 
Secondary Outcome  
Outcome  TimePoints 
Number/percentage of patients with complete wound regeneration on day 5 and 10.   Baseline,Day 5 and Day 10. 
BATES-JENSEN WOUND ASSESSMENT TOOL (BWAT) score   Baseline,Day 5 and Day 10. 
Patient and investigator global efficacy impression  Day 10 
 
Target Sample Size   Total Sample Size="383"
Sample Size from India="383" 
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)   07/11/2017 
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="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   Publication of the results of the study, whether in whole or in part, shall be within the sole and absolute discretion of Macleods Pharmaceuticals Ltd. and investigators shall not be entitled to publish any of the data or information arising during or out of the provision of the services without the prior written consent of Macleods Pharmaceuticals Ltd. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
This Multicentric, Open label, Randomized, Comparative, Clinical Study will evaluate Safety and Efficacy of Fixed Dose Combination of Trypsin 48 mg + Bromelain 90 mg + Rutoside Trihydrate 100 mg + Diclofenac Sodium 50 mg enteric coated tablet Versus Diclofenac Sodium 50 mg enteric coated tablet in patients for healing potential in surgical wounds after minor surgery.
 
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