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CTRI Number  CTRI/2009/091/000108 [Registered on: 06/04/2009]
Last Modified On: 28/02/2013
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)  
To determine the efficacy and safety of Inj Diclofenac 75mg/ml given intradeltoid with Injection Diclofenac 75mg/3ml given intragluteal in the management of postoperative pain in obese patients. 
Scientific Title of Study
Modification(s)  
A randomized comparative study evaluating efficacy and tolerability of injection Diclofenac sodium 75mg/1ml given intradeltoid versus injection Diclofenac sodium 75mg/3ml given intragluteal in the management of post operative pain in obese patients. 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  DrVijayaJaiswal  
Designation   
Affiliation   
Address  TroikaaPharmaceuticalsLimited
CommerceHouse1SatyaMarg Bodakdev
Ahmadabad
GUJARAT
380054
India 
Phone    
Fax    
Email  vijayajaiswal@troikaapharma.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Vijaya Jaiswal 
Designation   
Affiliation   
Address  Troikaa Pharmaceuticals Limited
Commerce House 1 Satya Marg Bodakdev
Ahmadabad
GUJARAT
380054
India 
Phone    
Fax  07926856246  
Email  vijayajaiswal@troikaapharma.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Vijaya Jaiswal 
Designation   
Affiliation   
Address  Troikaa Pharmaceuticals Limited
Commerce House 1 Satya MargBodakdev
Ahmadabad
GUJARAT
380054
India 
Phone    
Fax  07926856246  
Email  vijayajaiswal@troikaapharma.com  
 
Source of Monetary or Material Support
Modification(s)  
Troikaa Pharmaceuticals Limited 
 
Primary Sponsor
Modification(s)  
Name  Troikaa Pharmaceuticals Limited 
Address  Commerce House 1, Opp.Rajvansh Apartment, Satya Marg Bodakdev Ahmedabad 380054  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
Nil  NIL 
 
Countries of Recruitment
Modification(s)  
  India  
Sites of Study
Modification(s)  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. JaishrI Bogra,  Chhatrapati Shahuji Maharaj Medical University, U. P.  Professor &Head, Department of Anestehsiology, ,Chhatrapati Shahuji Maharaj Medical University, -226 003
Lucknow
UTTAR PRADESH 
09839075895

jaishri.bogra@gmail.com 
Dr. Madan Hardikar  Hardikar Hospital  1160/61 University Road,Shivajinagar-411005
Pune
MAHARASHTRA 
+912025535326

hardikar@vsnl.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Ethics Committee, Hardikar Hospital  Approved 
Office of the Research Cell, Chhatrapati Shahuji Maharaj Medical University, U. P.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Post Operative Pain ,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  Injection Diclofenac sodium 75 mg/ 1 ml  75 mg given intra-deltoid repeated every 12 hours for 2 days.  
Comparator Agent  Injection Diclofenac sodium 75 mg/ 3 ml  75 mg given intra-gluteal repeated every 12 hours for 2 days. 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients in the age group of 18 to 65 years
Patients of both sexes
Patients with BMI greater or equal to 25
Patients undergoing operative procedures requiring hospitalization for at least 48 hours
Patients with moderate to severe pain at baseline VAS 4 to10 
 
ExclusionCriteria 
Details  1.Patients below 18 years and above 65 years of age 2.Patients with BMI < or = 25 3.OPD patients/ patients requiring hospitalization less than 48 hours 4.Patients with compromised renal function 5.Pregnant and lactating women 6.Patients with history of bronchial asthma, peptic ulceration, bronchitis 7.Patients with coagulation disorders, especially bleeding disorders 8.Mentally retarded patients 9.Unwilling patients 10.Patients with known hypersensitivity to propylene glycol, diclofenac sodium any other NSAIDs or any component of either of the study formulations 11.Patients with a baseline VAS score of 3 or less than 3 
 
Method of Generating Random Sequence
Modification(s)  
Computer generated randomization 
Method of Concealment
Modification(s)  
An Open list of random numbers 
Blinding/Masking
Modification(s)  
Open Label 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
Degree of pain relief, as assessed by a 5- point scale by patients   At the end of 1, 4, 8 and 12 hours as compared to basal after each dose. 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Global efficacy by patients and investigator.  End of Study (After 48 hrs) 
Pain at the site of injection as assessed by visual analogue scale (VAS)  At 1 hour and 12 hours after each dose.  
Physicians evaluation of swelling, redness and induration at the site of injection   After each dose  
Systemic Adverse Reactions and Rescue Medication  Upto 48 hours. 
 
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 4 
Date of First Enrollment (India)
Modification(s)  
07/12/2008 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Submiited to Indian Journal of Anesthesia 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
Non steroidal anti inflammatory drugs are alternatives to opioids as sole analgesic after minor surgery or as adjuvant to opioid analgesics following major surgery. One of the most commonly used NSAID for postoperative pain is diclofenac. Currently injection diclofenac is available as a 3 ml formulation and needs to be given deep intra-muscular usually intra-gluteal. A new formulation of injection diclofenac with reduced injection volume (1ml) has recently become available for clinical practice. Due to a lower injection volume it can also be given intra-deltoid. The aim of the study is to compare the efficacy and safety of the newer 1 ml formulation of injection diclofenac with the existing formulation in the management of post operative pain in obese patients. 
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