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CTRI Number  CTRI/2018/04/013316 [Registered on: 17/04/2018] Trial Registered Retrospectively
Last Modified On: 17/02/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to compare the effectiveness of two different types of painkiller topical formulations 
Scientific Title of Study   Prospective,open-label,randomized,parallel group,comparative clinical study of two topical formulations of diclofenac diethylamine in the treatment of acute painful musculoskeletal conditions. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Yogesh Sharma 
Designation  Professor & HOD 
Affiliation  Armed Forces Medical College 
Address  Department of Orthopedics Armed Forces Medical College

Pune
MAHARASHTRA
411040
India 
Phone  8407958962  
Fax    
Email  doctoryogeshsharma@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Vivek mathew philip 
Designation  Assistant Professor 
Affiliation  Armed Forces Medical College 
Address  Department of Orthopedics Armed Forces Medical College

Pune
MAHARASHTRA
411040
India 
Phone  7507011166  
Fax    
Email  vivekphilip121@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Vivek mathew philip 
Designation  Assistant Professor 
Affiliation  Armed Forces Medical College 
Address  Department of Orthopedics Armed Forces Medical College

Pune
MAHARASHTRA
411040
India 
Phone  7507011166  
Fax    
Email  vivekphilip121@yahoo.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Armed Forces Medical College Pune 
Address  Armed Forces Medical College Pune Maharashtra 
Type of Sponsor  Research institution and hospital 
 
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 
Vivek Mathew Philip   Armed Forces Medical College  Department of Orhopedics Golden Jubilee Block, Pune MAHARASHTRA
Pune
MAHARASHTRA 
02026026019

vivekphilip121@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, ARMED Forces Medical College, Pune  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Patients suffering from acute musculoskeletal painful conditions,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Topical gel containing diclofenac diethylamine 1.16 % w/w  The comparator agent is used on the other group b topically 4 times a day for 7 days and the pain relief will be measured on Day 3 and Day 7 using the Visual Analogue Score 
Intervention  topical solution of diclofenac diethylamine (4.64%)  this agent is used on patients satisfying the the inclusion criteria topically 4 times a day for 7 days and the pain relief will be measured on Day 3 and Day 7 using the Visual Analogue Score 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  All adult patients with acute painful musculoskeletal pain 
 
ExclusionCriteria 
Details  1. All patients denying consent to participate in the trial
2. All patients with deep abrasions and lacerations around the area of affliction
3. Individuals with known adverse reaction to topical Diclofenac preparations. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Pain intensity difference (PID) from baseline (before starting treatment) during movement (of affected area) and at rest  Day 3 and 7 
 
Secondary Outcome  
Outcome  TimePoints 
1.Requirement of oral analgesics
2. Side effects 
Day 3 and 7 
 
Target Sample Size   Total Sample Size="140"
Sample Size from India="140" 
Final Enrollment numbers achieved (Total)= "140"
Final Enrollment numbers achieved (India)="140" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   01/09/2017 
Date of Study Completion (India) 01/12/2017 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not yet published 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
This is a Prospective,randomized, clinical trial to compare efficacy of two topical formulations of Diclofenac Diethylamine in the Treatment of Acute Painful Musculoskeletal Conditions being carried out in a tertiary care centre of Pune. Patients with acute musculo-skeletal pain (total of 140) are being randomise in to two groups and given the two above mentioned formulations. The primary and secondary objectives mentioned before are assessed using VAS and other scales as mentioned in the methodology. The measurements of the same are being carried out on Day 3 and 7 of the intervention.Results will be tabulated,statistically analysed and forwarded.

Results:
Both the topical formulations of diclofenac were found to be effective and safe in management in acute painful musculoskeletal conditions when compared with baseline assessment. However, topical solution of diclofenac 4.64% w/v was superior to diclofenac topical gel 1.16% w/w in the both primary and secondary efficacy endpoints. The pain intensity difference was significantly lesser with Diclofenac topical 4.64% topical solution as compared to diclofenac topical gel 1.16% w/w on day 3 (P < 0.05) and day 7 (P < 0.05). Further, it was observed that, there was more proportion of groups B patients (22.85%) who required rescue analgesia when treated with topical diclofenac gel as compared to group A patients (1.42%) treated with Diclofenac topical 4.64% topical solution.
 
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