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CTRI Number  CTRI/2018/11/016258 [Registered on: 02/11/2018] Trial Registered Prospectively
Last Modified On: 07/12/2018
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Case study 
Study Design  Other 
Public Title of Study   Reddish skin rash caused by pain medication Etoricoxib 
Scientific Title of Study   A possible case of Etoricoxib- Induced Fixed Drug Eruption 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Apoorva 
Designation  PostGraduate in Pharmacology 
Affiliation  Kempegowda Institute of Medical Sciences 
Address  Nandi crystals Apartment BTM layout stage 2 Bangalore

Bangalore
KARNATAKA
560076
India 
Phone    
Fax    
Email  apoorvaprabhu89@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr KGirish 
Designation  Professor and HOD of Pharmacology 
Affiliation  Kempegowda Institute of medical Sciences 
Address  Kempegowda Institute of Medical Sciences BSK STAGE 2 Bangalore

Bangalore
KARNATAKA
560070
India 
Phone    
Fax    
Email  drgirish_k@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Apoorva 
Designation  PostGraduate in Pharmacology 
Affiliation  Kempegowda Institute of medical Sciences 
Address  Nandi crystals Apartment BTM layout stage 2 Bangalore

Bangalore
KARNATAKA
560076
India 
Phone    
Fax    
Email  apoorvaprabhu89@gmail.com  
 
Source of Monetary or Material Support  
not applicable 
 
Primary Sponsor  
Name  Dr Apoorva 
Address  Kempegowda Institute of Medical sciences and Research Hospital 
Type of Sponsor  Private medical college 
 
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 
Dr Apoorva  Kempegowda Institute of Medical Sciences and Research Hospital,Bangalore  Dermatology OPD,B Block,first floor,room no-12
Bangalore
KARNATAKA 
9902333326

apoorvaprabhu89@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics comittee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  (1) ICD-10 Condition: L989||Disorder of the skin and subcutaneous tissue, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Etoricoxib  Etoricoxib compared to other NSAIDs of same group like Celecoxib 
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  51.00 Year(s)
Gender  Male 
Details  50 yr old male patient with complain of fixed drug eruption due to tab Etoricoxib 
 
ExclusionCriteria 
Details  nil 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Adverse drug reaction due to etoricoxib  within 24 hrs 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  nil 
 
Target Sample Size   Total Sample Size="1"
Sample Size from India="1" 
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   N/A 
Date of First Enrollment (India)   06/11/2018 
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="0"
Days="7" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   1.Brahimi N, Routier E, Raison-Peyron, Tronquoy AF, Pouget- Jasson, Amarger S, et al. A three-year-analysis of fixed drug eruptions in hospital settings in France. Eur J Dermatol. 2010;20:461---4. 2. Lee AY. Fixed drug eruptions. Incidence, recognition, and avoidance. Am J Clin Dermatol. 2000;1:277---85. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

A  Case of Fixed Drug Eruption due to Etoricoxib in a 50yr old male patient

                                                                                        Dr Apoorva, Dr Girish K, Dr Namritha C Manjunath

Kempegowda Institute of Medical Sciences & Research Center (KIMS& RC), Bangalore,Karnataka,India

BACKGROUND/OBJECTIVES

Fixed drug eruption  is a commonly reported adverse drug reaction.Non-steroidal anti inflammatory drugs(NSAIDs)  in particular nimesulide are the most frequent agents, followed by antibiotics and anticonvulsants. Etoricoxib is a  selective cyclo-oxygenase  isoenzyme 2 inhibitor which has rarely been  a cause of Fixed Drug Eruption.

We present a case of fixed drug eruption due to Etoricoxib in a 50yr old male patient with previous allergic history to NSAIDs.

CASE REPORT/METHODS:

50yr old male patient was prescribed Tab Etoricoxib by local doctor for low backpain.Next day  the patient noticed reddish raised lesion, with pain and itching which was initially seen  on the neck and gradually progressed to both the limbs and trunk. Subsequently, the patient  was admitted to KIMS Hospital. A diagnosis of Fixed Drug Eruption due to Etoricoxib was made after ruling out other causes. Treatment was initiated with Intravenous and topical Steroids and  IV Ceftriaxone was given for seconday infection. The lesions improved significantly with the above management and the patient was discharged after a week of admission.

RESULTS:

The reaction was assessed to be“probable” as per WHO-UMC and Naranjo causality scale, “moderate”on Hartwig’s scale and “Probably  preventable” according to Schumock and Thornton criteria.

CONCLUSION:

Reactions such as Fixed Drug Eruptions can be caused by drugs like Etoricoxib.

 

 

 
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