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CTRI Number  CTRI/2010/091/006069 [Registered on: 29/12/2010]
Last Modified On: 14/11/2013
Post Graduate Thesis   
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study
Modification(s)  
A clinical trial to study the effects of two drugs, Tolperisone and Diclofenac in patients suffering from acute muscle spasms 
Scientific Title of Study
Modification(s)  
A prospective, controlled, randomized, open, comparative, parallel, 2-arm study to evaluate the efficacy and safety of FDC tablet containing Tolperisone (150mg) and Diclofenac (50mg) in patients suffering from acute muscle spasms 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
TOL DIC/TML/07/09   Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Vijay G Ghoni 
Designation  Additional Professor 
Affiliation   
Address  Adarsh Nagar (Jain Health Care Clinic), Worli. ; Government Medical College, Aurangabad
Dept of Orthopaedic, PGIMER, Chandigarh
Mumbai
MAHARASHTRA
400 025; 431 003;
India 
Phone  09815712727  
Fax    
Email  vijaygoni@gmail.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Sunil Shetty Dr Anil Baburao Dhule Dr Vijay G Ghoni 
Designation  Dr. Goni ----- Additional Professor 
Affiliation   
Address  Adarsh Nagar (Jain Health Care Clinic), Worli. ; Government Medical College, Aurangabad
Dept of Orthopaedic, PGIMER, Chandigarh
Mumbai
MAHARASHTRA
400 025; 431 003;
India 
Phone  09815712727  
Fax    
Email  vijaygoni@gmail.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Sumedh M Gaikwad 
Designation  Director-Medical Services 
Affiliation   
Address  Themis Medicare Limited, 11/12, Udyog Nagar, S. V. Road,
Goregaon (West),
Mumbai
MAHARASHTRA
400 103
India 
Phone  022-67603320  
Fax  022-28785393  
Email  sumedh.gaikwad@themismedicare.com  
 
Source of Monetary or Material Support
Modification(s)  
Themis Medicare Limited 
 
Primary Sponsor
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Name  Themis Medicare Limited 
Address  11/12, Udyog Nagar, S. V. Road, Goregaon (West), Mumbai - 400 104 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor
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Name  Address 
NIL   
 
Countries of Recruitment
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  India  
Sites of Study
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No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. Sunil Shetty  Adarsh Health Clinic,  (Jain Health Clinic) ,Adarsh Nagar, Worli,-400 025
Mumbai
MAHARASHTRA 
9821288076

 
Dr Anil Baburao Dhule  Government Medical College  Aurangabad
Aurangabad
MAHARASHTRA 
9823078631

dranilbdhule@gmail.com 
Dr. Vijay G. Goni  Post Graduate Institute of Medical Education & Research (PGIMER),  Sector ? 12,,-160 012
Chandigarh
CHANDIGARH 
09815712727

 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 3  
Name of Committee  Approval Status 
Independent Ethics Committee  Approved 
Institute Ethics Committee, Chandigarh  Approved 
Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI
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Status 
Approved/Obtained 
 
Health Condition / Problems Studied
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Health Type  Condition 
Patients  Acute Muscle Spasms,  
 
Intervention / Comparator Agent
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Type  Name  Details 
Comparator Agent  Diclofenac Sodium 50 mg Tablet  Thrice daily for maximum period of 21 days 
Intervention  FDC of Tolperisone 150 mg + Diclofenac 50 mg Tablet  Fixed Dose Combination Tablet ----- Thrice daily for maximum period of 21 days 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1. Patients of either sex in the age group between 18 to 70 years.
2. Patients painful muscle spasms and contractions associated with cervical and lumbar spondylosis, rheumatoid arthritis, osteoarthritis, blunt superficial trauma, low back pain.
3. Subjects who provide a written informed consent to abide by the study requirements. 
 
ExclusionCriteria 
Details  1. Patients with acute muscle spasms who need parenteral therapy / surgery / hospital admission for management. 2. Patients treated with any other oral / parenteral muscle relaxants, analgesics (NSAIDS & Opioids) medications within 1 week prior to the study. 3. Patients suffering from organic neurological disorders (Upper motor neuron disorders, cerebral palsy, pyramid tract injury, multiple sclerosis, cerebrovascular events, myelopathy, encephalomyelitis, etc.), peripheral vascular diseases (arteriosclerosis obliterans, diabetic angiopathy, thrombangiitis obliterans, Raynaud's disease, diffuse scleroderma) as well as syndromes developing on the basis of impaired vascular innervation (acrocyanosis, dysbasia angioneurotica intermittent), Little's diseases and other encephalopathies accompanied by dystonia. 4. Patients suffering from myasthenia gravis or myopathies with muscle weakness as the prominent symptom. 5. Patients with known hypersensitivity to any of the ingredients of the test / comparator formulation. 6. Patients with severe cardiac, hepatic, gastrointestinal, renal, pulmonary and skin diseases. 7. Pregnant and lactating females. 8. Simultaneous participation in another clinical study. 
 
Method of Generating Random Sequence
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Computer generated randomization 
Method of Concealment
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Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking
Modification(s)  
Open Label 
Primary Outcome
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Outcome  TimePoints 
Pain intensity (recorded on VAS), tenderness (graded from 0 to 3), joint mobility (recorded on VAS), Spasm relief (recorded on VAS), need for rescue medication. Time needed for the patient to be symptom free.  0, 4 days, 7 days, 14 days, 21 days 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Digit / alphabet cancellation test, reaction time : auditory and visual using the reaction time apparatus, flicker fusion frequency using the flicker fusion apparatus, measurement of hand grip strength, ADR recording, blood investigations  0, 21 days 
 
Target Sample Size
Modification(s)  
Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 3 
Date of First Enrollment (India)
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28/12/2010 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
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1.Meilinger,M.,Zalaváry I. (2002)Tolperisone in acute low back pain, a randomized, parallel-group, placebo-controlled, double-blind clinical study. (TOLERATE) Clinical Study Report RGD 57710 2.Wilbraham,D./Guy’s Drug Research Unit/(2003)A randomised, double-blind dose-escalating study in healthy male volunteers to examine the safety, tolerab-ility & pharmacokinetics of oral tolperisone hcl in single & repeat doses higher than previously administered to humans. Clinical Trial Report. RGD: 59478 3.A)Pratzel,H.G.(1995)A prospective, randomised, double-blind, placebo controlled trial in parallel groups of patients for the proof of efficacy of Mydocalm for treatment of painful reflex muscle spasm.(Study No 35.5)Final Report. RGD 48325 B)Pratzel,H.G.,Alken,R.-G., Ramm, S.(1996)Efficacy & tolerance of repeated oral doses of tolperisone hcl in treatment of painful reflex muscle spasm: results of a prospective placebo-controll-ed double-blind trial Pain 67:417-425.RGD 50119 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
This study is a controlled, randomized, open, comparative, parallel, 2-arm study to evaluate the efficacy and safety of FDC tablet containing Tolperisone 150 mg and Diclofenac 50 mg in patients suffering from acute muscle spasms. 
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