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CTRI Number  CTRI/2008/091/000216 [Registered on: 24/10/2008]
Last Modified On: 26/10/2012
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)  
To compare the effectiveness and safety of Inj Diclofenac 75mg/ml given intradeltoid with Injection Diclofenac 75mg/3ml given intragluteal in the management of postoperative pain. 
Scientific Title of Study
Modification(s)  
A randomised comparative study evaluating the efficacy and tolerability of injection Diclofenac sodium 75mg/1ml given intradeltoid with injection Diclofenac sodium 75mg/3ml given intragluteal in the management of post operative pain. 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Vijaya Jaiswal  
Designation   
Affiliation   
Address  Troikaa Pharmaceuticals Limited
Commerce House-1, Satya Marg, Bodakdev
Ahmadabad
GUJARAT
380 054
India 
Phone  079-26856242  
Fax  079-26856246  
Email  vijayajaiswal@troikaapharma.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Vijaya Jaiswal  
Designation   
Affiliation  Vice President Medical Services 
Address  Troikaa Pharmaceuticals Limited
Commerce House - 1, Satya Marg, Bodakdev
Ahmadabad
GUJARAT
380 054
India 
Phone  079-26856242  
Fax  079-26856246  
Email  vijayajaiswal@troikaapharma.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Vijaya Jaiswal  
Designation   
Affiliation   
Address  Troikaa Pharmaceuticals Limited
Commerce House - 1, Satya Marg, Bodakdev
Ahmadabad
GUJARAT
380 054
India 
Phone  079-26856242  
Fax  079-26856246  
Email  vijayajaiswal@troikaapharma.com  
 
Source of Monetary or Material Support
Modification(s)  
Troikaa Pharmaceuticals Limited 
 
Primary Sponsor
Modification(s)  
Name  Troikaa Pharmaceuticals Limited 
Address  Commerce House - 1, Satya Marg, Bodakdev 
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 = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR. COL. T. V. S. P. MURTHY  Army Hospital R & R  Professor, Neuroanaesthesiologist & Intensivist, Department of anesthesiology & Intensive Care,Army Hospital R & R, Delhi Cant-110010
New Delhi
DELHI 
(011) 2863 8260

tvspmurthy@yahoo.com 
DR. B. M. SUBNIS  Grant Medical College & Sir J. J. group of hospitals  Dean, Professor & Head, Department of surgery,Grant Medical College, Sir J. J. group of hospitals, Byculla-400 008
Mumbai
MAHARASHTRA 
+91 22 23646332
022-23735599
bmsubnis@gmail.com 
DR ANIL VARSHNEY  R. G. Stone Urological Research Centre  Chief Urologist, R. G. Stone Urological Research Centre,,F-12, East of Kailash-110065
New Delhi
DELHI 
011-41621000
011-26218743
drvarshney@rghospital.com 
DR. C. V. PRADHAN  Sancheti Institute for Orthopaedics & Rehabilitation  Consultant Incharge, Emergency Trauma services,Sancheti Institute for Orthopaedics & Rehabilitation, 16, Shivaji Nagar-411 005
Pune
MAHARASHTRA 
+91(020) 25533333, 25533434
(020) 25533233
pradhanchetan@hotmail.com 
DR. PRERANA SHROFF  Seth G. S. Medical college and K. E. M Hospital  Associate Professor, Department of anesthesiology,Seth G. S. Medical college and K. E. M Hospital, Acharya Donde Marg, Parel-400 012
Mumbai
MAHARASHTRA 
91-22-24136051, Extn. 7486
91-22-2414 3435
preranashroff@kem.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
Ethics Committee for Research on Human Subjects, Seth G. S. Medical College & K. E. M. Hospital  Approved 
Ethics Committee of R. G. Stone Urological Research Institute  Approved 
Hospital Ethics Committee, Army Hospital R & R  Approved 
Independent Ethics Committee, Sancheti Institute for Orthopaedics & rehabilitation  Approved 
Institutional Ethics Committee, Grant Medical College & Sir J. J. group of Hospitals  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Post Operative Pain ,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  Injection Diclofenac sodium 75 mg/ 1 ml  75 mg given intra-deltoid repeated every 12 hours for 2 days.  
Comparator Agent  Injection Diclofenac sodium 75 mg/3 ml  75 mg given intra-gluteal repeated every 12 hours for 2 days. 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1. Patients in the age group of 18-65 years
2. Patients of both sexes
3. Patients with healthy deltoid/ gluteal muscle mass
4. Patients undergoing operative procedures requiring hospitalization for at least 48 hours with moderate to severe pain
5. Patients with moderate to severe pain at baseline (VAS 4 -10)
 
 
ExclusionCriteria 
Details  1. Patients below 18 years and above 65 years of age 2. OPD patients/ patients requiring hospitalization less than 48 hours 3. Patients with compromised renal function 4. Pregnant and lactating women 5. Patients with history of bronchial asthma, peptic ulceration, bronchitis 6. Patients with bleeding disorders 7. Mentally retarded patients 8. Unwilling patients 9. Patients with known hypersensitivity to diclofenac sodium any other NSAIDs or any component of either of the study formulations 10. Patients with mild baseline pain (1-3)  
 
Method of Generating Random Sequence
Modification(s)  
Computer generated randomization 
Method of Concealment
Modification(s)  
An Open list of random numbers 
Blinding/Masking
Modification(s)  
Open Label 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
Intensity of post operative pain as assessed by visual analogue scale (VAS)   At the end of 1, 4, 8 and 12 hours as compared to basal after each dose. 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Global efficacy by patients and investigator.  End of Study (After 48 hrs) 
Pain at the site of injection as assessed by visual analogue scale (VAS)  At 1 hour and 12 hours after each dose.  
Physicians evaluation of swelling, redness and induration at the site of injection   After each dose 
Systemic Adverse Reactions and Rescue Medication  Upto 48 hours. 
 
Target Sample Size
Modification(s)  
Total Sample Size="250"
Sample Size from India="250" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 4 
Date of First Enrollment (India)
Modification(s)  
16/12/2007 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Study has been published 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
Non steroidal anti inflammatory drugs are alternatives to opioids as sole analgesic after minor surgery or as adjuvant to opioid analgesics following major surgery. One of the most commonly used NSAID for postoperative pain is diclofenac. Currently injection diclofenac is available as a 3 ml formulation and needs to be given deep intra-muscular usually intra-gluteal. A new formulation of injection diclofenac with reduced injection volume (1ml) has recently become available for clinical practice. Due to a lower injection volume it can also be given intra-deltoid. The aim of the study is to compare the efficacy and safety of the newer 1 ml formulation of injection diclofenac with the existing formulation in the management of post operative pain. 
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