CTRI Number |
CTRI/2011/12/002207 [Registered on: 05/12/2011] Trial Registered Retrospectively |
Last Modified On: |
30/11/2011 |
Post Graduate Thesis |
No |
Type of Trial |
PMS |
Type of Study
|
Drug |
Study Design |
Other |
Public Title of Study
|
Study in Pain |
Scientific Title of Study
|
Single Center, Open-Label, Prospective Study for Evaluation of Dosulepin Hydrochloride in the Management of Chronic Pain. |
Trial Acronym |
NIL |
Secondary IDs if Any
|
Secondary ID |
Identifier |
A12:837 |
Protocol Number |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Devanathan Vasudevan |
Designation |
Principal Investigator |
Affiliation |
THE BRAIN, SPINE & NERVE CENTRE, |
Address |
THE BRAIN, SPINE & NERVE CENTRE,
No. 72, 1st Main Road, West CIT Nagar, T. Nagar, Chennai. same as mentioned Chennai TAMIL NADU 600035 India |
Phone |
9962576681 |
Fax |
914424741686 |
Email |
drvasu64@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Devanathan Vasudevan |
Designation |
Principal Investigator |
Affiliation |
THE BRAIN, SPINE & NERVE CENTRE, |
Address |
THE BRAIN, SPINE & NERVE CENTRE,
No. 72, 1st Main Road, West CIT Nagar, T. Nagar, Chennai. same as mentioned Chennai TAMIL NADU 600035 India |
Phone |
9962576681 |
Fax |
914424741686 |
Email |
drvasu64@gmail.com |
|
Details of Contact Person Public Query
|
Name |
Dr Devanathan Vasudevan |
Designation |
Principal Investigator |
Affiliation |
THE BRAIN, SPINE & NERVE CENTRE, |
Address |
THE BRAIN, SPINE & NERVE CENTRE,
No. 72, 1st Main Road, West CIT Nagar, T. Nagar, Chennai. same as mentioned Chennai TAMIL NADU 600035 India |
Phone |
9962576681 |
Fax |
914424741686 |
Email |
drvasu64@gmail.com |
|
Source of Monetary or Material Support
|
|
Primary Sponsor
|
Name |
Abbott India Limited |
Address |
Abbott India Limited
3-4, Corporate Park,
Sion - Trombay Road,
Mumbai - 400 071. India |
Type of Sponsor |
Pharmaceutical industry-Global |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Vasudevan |
THE BRAIN, SPINE & NERVE CENTRE |
Neurology Department, No. 72, 1st Main Road, West CIT Nagar, T. Nagar Chennai TAMIL NADU |
919962576681 914424741686 drvasu64@gmail.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Alert Ethics Committe |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
Chronic Pain, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Intervention |
Dosulepin Hydrochloride |
Tablet - 75 mg, Once in a day,Route - Oral |
Comparator Agent |
Not Applicable |
Not Applicable |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
65.00 Year(s) |
Gender |
Both |
Details |
Adult male and female patients aged 18-65 years, suffering from non-neoplastic chronic pain persisting for more than three months. |
|
ExclusionCriteria |
Details |
Main Exclusion Criteria:
1. Patients with a history of acute chest pain or myocardial infarction in the previous 3 months. Patients with cardiac conduction defects or disorders of cardiac rhythms.
2. Patients with history of severe pulmonary disease with symptoms of severe breathlessness at rest, chronic cough or wheezing.
3. Patients with severe liver disease (Liver function tests ¡Ý 3 times the upper limit of normal) or history of acute abdominal pain, colicky gastrointestinal pain in the last 3 months.
4. Patients with a history of prostatic hypertrophy or those undergoing elective surgery.
5. Patients with history of epilepsy, dementia, or encephalopathy.
6. Patients with a history of narrow angle glaucoma and/or disturbances in visual acuity.
7. Patients with a history of substance abuse or an allergic reaction to an opioid or a TCA.
8. Patients with a history of mania or suicidal tendencies.
9. Patients being treated with thyroid hormone or those suffering from hyperthyroidism.
10. Pregnant or lactating women and female patients not willing to use adequate birth control measures, from the time of screening until the completion of the study.
11. Patients on MAO inhibitors, barbiturates, local anesthetics containing adrenaline (epinephrine) or noradrenaline (norepinephrine), quinidine, SSRIs, CNS depressants, anaesthetic drugs, drugs which affect cardiac conduction, methylphenidate and who cannot be withdrawn, will be excluded.(Refer Appendix C for complete list).
12. Patients with history of hypersensitivity to Dosulepin or any of its ingredients.
13. Subjects who have used any investigational product within 30 days prior to the screening visit.
These exclusion criteria are adequate to identify and exclude patients of chronic pain who may be harmed if included in the study.
|
|
Method of Generating Random Sequence
|
Not Applicable |
Method of Concealment
|
Case Record Numbers |
Blinding/Masking
|
Open Label |
Primary Outcome
|
Outcome |
TimePoints |
The primary objective of the study is to show that there will be change in pain score from baseline till end of therapy at three months evaluated by a 11 point Numerical Rating Scale (NRS). This is tested using a two sided paired t-test where the 11 point NRS values are measured at baseline and the end of the study (or the last value measured score). A 95% confidence interval for mean change in 11 point NRS scores pre and post treatment will be calculated. |
Three Months |
|
Secondary Outcome
|
Outcome |
TimePoints |
Analysis of Secondary Endpoints:
1. Quality of life assessed by change in score from baseline of American Chronic Pain Association-Quality of Life Questionnaire
2. Improvement in daily living assessed by change in score from baseline in Outcome related to impact on daily living (ORIDL).
3. Improvement in sleep will be assessed by change in score from baseline in Verran and Snyder-Halpern (VSH) scale.
|
06 Months |
|
Target Sample Size
|
Total Sample Size="63" Sample Size from India="63"
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)
|
22/06/2011 |
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="1" Months="0" Days="0" |
Recruitment Status of Trial (Global)
|
Not Applicable |
Recruitment Status of Trial (India) |
Open to Recruitment |
Publication Details
|
yet to finalize |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
|
Chronic pain is a major public health problem that places serious stress on afflicted individuals, the health care system and private industry. It has been associated with deficits in quality of life and psychological adjustment, disability, reduced income potential, high levels of health care utilization and high costs to private industry. International Association for the Study of Pain1 defines Chronic Pain as pain without apparent biological value that has persisted beyond the normal tissue healing time (usually taken to be 3 months). Chronic pain affects individuals of all ages and ethnic backgrounds as well as both sexes.
The most common causes of Chronic Pain include but are not limited to backache headaches and migraines, cancer, degenerative conditions, trigeminal neuralgia, fibromyalgia.
The type of chronic pain include:
Mild to severe pain that does not go away
Pain that may be described as shooting, burning, aching, or electrical
Feeling of discomfort, soreness, tightness, or stiffness
More often, pain is not a symptom that exists alone. Other problems associated with pain include:
Fatigue
Sleeplessness
Withdrawal from activity and increased need to rest
Weakened immune system
Changes in mood including hopelessness, fear, depression, irritability, anxiety, and stress
Disability CHRONIC PAIN prevalence estimates reported in various international studies range from 10.1% to 55.2%. |