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CTRI Number  CTRI/2018/04/013151 [Registered on: 10/04/2018] Trial Registered Prospectively
Last Modified On: 16/01/2019
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 Effectiveness of Fixed Dose Combination of Trypsin 48 mg plus Bromelain 90 mg plus Rutoside Trihydrate 100 mg enteric coated tablet versus Serratiopeptidase 10 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 enteric coated tablet versus Serratiopeptidase 10 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-189-ENZO(F)-2015 Version 04 Dated 12 Jan 2018  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
400 093
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
400 093
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, AndheriEast) Mumbai

Mumbai (Suburban)
MAHARASHTRA
400 093
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 = 14  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Rajesh Prajapati  Ajanta Research Centre, Ajanta Hospital and IVF Centre  No. 765, ABC Complex, Kanpur Road, Near Krishna Cinema, Alambagh, Lucknow-226005, Uttar Pradesh, India
Lucknow
UTTAR PRADESH 
9559782773

dr.rajeshkgmc@gmail.com 
Dr Lata N Bhoir  B.J.Govt. Medical college & Sassoon General Hospital,  Surgery Department of Sassoon general Hospital and B. J. Government medical College, Near Pune Railway Station Pune, 411001 Maharashtra, India.
Pune
MAHARASHTRA 
9823664541

lbhoir03@gmail.com 
Dr N K Chaudhry   Christian Medical College and Hospital  Department of Surgery, Christian Medical College and Hospital Ludhiana, 140018, Punjab, India
Ludhiana
PUNJAB 
9216030600

nkchaudhry@gmail.com 
Dr Vasanth Kumar Reddy   Krishna Institute of Medical Sciences (KIMS)  #1-31/1, Minister Road, Secunderabad- 500003,Telangana, India
Hyderabad
ANDHRA PRADESH 
09494945859

surgeon.vasanth@gmail.com 
Dr Vishal Patil  Lifepoint Multispeciality Hospital   145/1, Mumbai Bangalore highway, Near Hotel Sayaji, Wakad, Pune-411023. Maharashtra, India. Pune, Maharashtra
Pune
MAHARASHTRA 
9730475068
02066434399
pvlife200@gmail.com 
Dr Vineet Kumar  LTMMC & LTMGH   Room no. 22, College Building 1st floor, Dept of Surgery, LTMMC & LTMGH, Sion, Mumbai 400 022
Mumbai
MAHARASHTRA 
9820231333

drvineetkumar@gmail.com 
Dr Ajay Kumar Gupta  Medipoint Hospital Pvt Ltd  241/1,New D.P Road ,Aundh , Pune 411007,Maharashtra, India
Pune
MAHARASHTRA 
09922441226

ashray70@hotmail.com 
Dr Mahendra Surywanshi  MGM Medical College and Hospital  MGM Medical College and Hospital, N-6, CIDCO, Aurangabad-431003 Maharashtra, India
Aurangabad
MAHARASHTRA 
8087401054
0240-2487727
drmahendrasurywanshi815@gmail.com 
Dr Umesh Papurnia  Noble Hospital Pvt Ltd.  Department of Surgery, Magarpatta City road, Pune- 411013, Maharashtra, India
Pune
MAHARASHTRA 
9860172720

umeshpapurnia@gmail.com 
Dr Pankaj Srivastava  Om Surgical Center & Maternity Home  SA 17/3, P-4, Sri Krishna Nagar colony, Paharia, Ghazipur Road, Varanasi, Uttar Pradesh- 221 007, India
Varanasi
UTTAR PRADESH 
9125769989
05422588849
omresearchcenter@gmail.com 
Dr Prashant Rahate  Rahate Surgical Hospital  517, Kolbaswami Square, Juni Mangalwari, Central Avenue, Nagpur– 440008, Maharashtra, India.
Nagpur
MAHARASHTRA 
9822464068
0712-2732266
prashantrahate84@yahoo.com 
DrTSudheer  Rajiv Gandhi Institute of Medical Sciences & RIMS Government General Hospital  Assistant Prof. of Orthopaedics, Department of Orthopaedics, Rajiv Gandhi Institute of Medical Sciences & RIMS Government General Hospital, Srikakulam-532001,Andhra Pradesh India
Srikakulam
ANDHRA PRADESH 
9949900369
8942279033
drtsudheer@gmail.com 
Dr Sandeep Agrawal  Sir Ganga Ram Hospital  Sir Ganga Ram Hospital Marg, Rajinder Nagar, New Delhi - 110060, India
New Delhi
DELHI 
09810779926

sagarwal3566@gmail.com 
Dr Dhaval Mangukiya  Surat Institute of Digestive Sciences  Surat Institute of Digestive Sciences, Vijay Nagar, Besides Nirman Bhavan, Opp. Gandhi College, Majura Gate, Ring Road, Surat, Gujarat-395002, India.
Surat
GUJARAT 
9924083800
0261-2800170
drdhavalmangukiya@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 14  
Name of Committee  Approval Status 
Ethics Committe ,Ajanta hospital and IVF Center  Approved 
Ethics Committe,Sir ganga Ram Hospital.  Approved 
Ethics Committee of B.J.Govt. College & Sassoon general hospital, Pune  Approved 
Ethics Committee,Noble Hopital Pvt.Ltd.  Approved 
Institutional Committee Rahate Surgical Hospital  Approved 
Institutional ethics committee Christian Medical College and Hospital, Ludhiana  Approved 
Institutional Ethics Committee for Human Research LTMMC & LTMGH   Approved 
Institutional Ethics Committee Rajiv Gandhi institute of medical sciences and RIMS government general Hospital   Approved 
KIMS Ethics committee  Approved 
LPR Ethics Committee  Approved 
MGM Ethics Committee For Research on Human Subjects, Aurangabad  Approved 
Om Surgical Center & Maternity Home  Approved 
Penatmed Ethics Committee  Approved 
Surat Institute of Digestive Sciences 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  FDC of Trypsin 48 mg Plus Bromelain 90 mg Plus Rutoside Trihydrate 100 mg enteric coated tablet   one tablet orally 3 times daily for 10 days before meal. 
Comparator Agent  Serratiopeptidase 10 mg enteric coated tablet   one tablet orally 3 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 
1.Number/percentage of patients with complete wound regeneration on day 5 and 10.   Baseline, day 5, 10. 
2. BATES-JENSEN WOUND ASSESSMENT TOOL (BWAT) score  Baseline, day 5, 10. 
3.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)   16/04/2018 
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 enteric coated tablet versus Serratiopeptidase 10 mg  enteric coated tablet in patients for healing potential in surgical wounds after minor surgery.

 
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