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CTRI Number  CTRI/2011/091/000009 [Registered on: 07/01/2011]
Last Modified On: 21/03/2013
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   A Comparative, Randomized Parallel group, Multicentric Prospective Phase III Clinical trial to evaluate Efficacy and Safety of a Fixed Dose Combination of Thiocolchicoside 16mg SR + Aceclofenac 200mg SR Capsule OD compared with FDC of Thiocolchicoside 8mg + Aceclofenac 100mg Tablet BID for 7 Days in Patients Suffering From Acute Non Specific Low Back Pain associated with muscular spasm. 
Scientific Title of Study   A Comparative, Randomized Parallel group, Multicentric Prospective Phase III Clinical trial to evaluate Efficacy and Safety of a Fixed Dose Combination of Thiocolchicoside 16mg SR + Aceclofenac 200mg SR Capsule OD compared with FDC of Thiocolchicoside 8mg + Aceclofenac 100mg Tablet BID for 7 Days in Patients Suffering From Acute Non Specific Low Back Pain associated with muscular spasm. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NEX/INV/CT-III/9134/15/03/10  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr.Deepak Bhambe 
Designation   
Affiliation   
Address  NARENDRA PRAKASH HEALTHCARE CLINIC
DA/3-A,MAIN SHAKARPUR MARKET,OPP.NATHU SEETS.
New Delhi
DELHI
110092
India 
Phone  09654807949  
Fax    
Email  drdeepakbhambe@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amit Bhatt  
Designation   
Affiliation  NEXUS CLINICAL RESEARCH (INDIA) LTD. 
Address  President & CEO
ANUJ PLOT NO-45,Ist FLOOR.MUMBAI PUNE HIGHWAY
Mumbai
MAHARASHTRA
400706
India 
Phone  022-27714204  
Fax  022-27714207  
Email  dramit.bhatt@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Gautam Saranath 
Designation   
Affiliation   
Address  General Manager,Inventia Healthcare Pvt Ltd.
A/505, Veera Industrial Estate, Off Infinity Mall, Andheri Link Road
Mumbai
MAHARASHTRA
400053
India 
Phone  +91-9987547061  
Fax    
Email  gautam.saranath@inventiahealthcare.com  
 
Source of Monetary or Material Support  
Inventia Healthcare Pvt. Ltd. A/505, Veera Industrial Estate, Off Infinity Mall, Andheri Link Road, Andheri (W), Mumbai - 400 053. 
 
Primary Sponsor  
Name  Inventia Health Care Pvt. Ltd. 
Address   
Type of Sponsor   
 
Details of Secondary Sponsor  
Name  Address 
Nil   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DR. SANDEEP BHALLA  Dr Bhalla orthopedic clinic  Site III/58, ,Vikas Puri,-110018.
New Delhi
DELHI 
09891425123

sbhalla22@gmail.com 
DR. RAHUL NEHRA  Hope Hospital  200,, W.K.Road,-250 001.

 
09837052678

rahulnehra2001@yahoo.co.in 
DR. VINOD KOLHE  Kolhe orthopedic centre   Shrikrupa,Near Police Station, ,Akola Road,-444101

 
9881724232

drvinod.kolhe@gmail.com 
DR. K.MOHAN PAI  Mangalore Heart Centre  No. 8, City Point,,Kodialbail, -575003.
Bangalore
KARNATAKA 
09854083135

mahanpaik@rediffmail.com 
DR. DEEPAK BHAMBE  Narendra Prakash Health Care Centre  NARENDRA PRAKASH HEALTHCARE CLINIC,DA/3-A,MAIN SHAKARPUR MARKET,OPP.NATHU SEETS,-110092
New Delhi
DELHI 
09654807949

drdeepakbhambe@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
The Central Independent Ethics Committee- Clinical Research (India)  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Patients Suffering From Acute Non Specific Low Back Pain associated with muscular spasm.,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Thiocolchicoside 16mg SR + Aceclofenac 200mg SR  Once a day for 7 Days  
Comparator Agent  Thiocolchicoside 8mg + Aceclofenac 100mg  Twice a day for 7 days  
 
Inclusion Criteria
Modification(s)  
Age From  20.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Age Eligible for study: 20 years to 75 years

Gender Eligible for study: both

Accepts Healthy Volunteers: No

Non specific low Back pain with an acute episode of recent onset (<48 hours) defined by average pain within the last 24 hours equal or more than grade 4 on the Visual Analogue Scale (VAS)

Low Back pain of diagnosis category 1 (low Back pain radiating no farther than the intergluteal fold) or 2 (low Back pain radiating no farther than the knee), as defined by the International Paris Task Force on Back Pain.

Willing to give written informed consent. 
 
ExclusionCriteria 
Details  Backache due to vertebral collapse or of no mechanical origin (suspected by history taking and physical examination), such as neoplasm, infection or inflammatory disorders.

Backache of diagnosis category 3 (low back pain radiating beyond the knee, with no neurologic signs) or 4 (low back pain radiating to a precise and entire leg dermatome, with or without neurologic signs), as defined by the International Paris Task Force on Back Pain.

History of inflammatory arthritis of large joints.

History of seizure disorders.

History of malignant tumor.

Treatment with steroidal agents (including aspirin) during the two days prior to prospective inclusion, prolonged used of corticosteroids.

Treatment with NSAIDs or muscle relaxant or opioid analgesics within 3 days of admission.

Psychiatric or mental diseases.

Immune Compromised HIV.

Inclusion in another study in the past six months or previous inclusion in this study.

History of alcohol, drugs or narcotics abuse.

Recent history of violent trauma.

Constant progressive, non mechanical pain (no relief with bed rest).

Thoracic pain.

Patient systemically unwell.

Unexplained weight loss.

Widespread neurological symptoms (including Cauda equine syndrome).

Structural deformity.

Fever.

Clinical significant renal dysfunction defined by Creatinine more than 1.5 mg/dl.

Clinically significant hepatic dysfunction defined by:
Total Bilirubin more than 2 mg/dl.
SGOT (AST) more than 1.5 IU/L.
SGPT (ALT) more than 1.5 IU/L.
Patients who have received other therapy (physiotherapy, physical manipulations, invasive intervention, acupuncture therapy.) within the last 48 hours.
Pregnancy, breast feeding or women of childbearing potential not using efficient contraception.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Comparison percent of reduction in pain within the last 24 hours assessed using VAS at Day 4 in both treatment groups.  Baseline and completion of treatment 
 
Secondary Outcome  
Outcome  TimePoints 
Average reduction pain within the last 24 hours assessed using VAS by Investigator and Subject at day 7 i.e. completion of protocol treatment in both treatment groups.   Baseline and completion of treatment 
 
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   Phase 3 
Date of First Enrollment (India)   Date Missing 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  16/12/2010 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   The study will be conducted after obtaining written informed consent from the subjects. The subjects will undergo medical screening during pre-study visit (Visit 1). Screening will include complete clinical evaluation (medical history, physical examination, record of height, weight and vital signs) and laboratory investigations LFT and RFT and evaluation of pain on VAS. Female subjects of child bearing capability will be subjected to a urine pregnancy test. Enrolled subjects will receive the medication for 4 days (Visit 2). At visit 3 efficacy and ADR evaluation will be done and medication for another 3 days dispensed. At visit 4 end of therapy efficacy, safety, tolerability and ADR monitoring will be done. The reduction in intensity of pain would be assessed by VAS and the safety evaluation would be done by analyzing the lab parameters (LFT and RFT). Subjects are allowed to visit to investigator at any time point during the study.  
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