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CTRI Number  CTRI/2020/10/028642 [Registered on: 26/10/2020] Trial Registered Prospectively
Last Modified On: 24/10/2020
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 Efficacy And Safety of Aceclofenac Topical Ointment with Voveran Emulgel® (Diclofenac Sodium) For The Treatment of Acute Musculoskeletal Conditions 
Scientific Title of Study   A Phase III, Multicenter, Randomized, Open Label, Parallel Group, Comparative Clinical Study To Evaluate The Efficacy And Safety of Aceclofenac Topical Ointment 1.5% w/w with Voveran Emulgel® (Diclofenac Sodium 1.0% w/w) For The Treatment of Acute Musculoskeletal Conditions 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Protocol No: PBL/CR/2017/02/CT/ACEP; V 01 dated 16-01-18  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Lalitendu Mohanty 
Designation  Vice President- Clinical Research 
Affiliation  Panacea Biotec Ltd 
Address  Panacea Biotec Limited Clinical Research Department B-1 Extn/G-3, Mohan Co-op. Indl. Estate, Mathura Road, New Delhi-110044

South
DELHI
110044
India 
Phone  91-11-41678000  
Fax  91-11-41578085  
Email  lalitendumohanty@panaceabiotec.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Lalitendu Mohanty 
Designation  Vice President- Clinical Research 
Affiliation  Panacea Biotec Ltd 
Address  Panacea Biotec Limited Clinical Research Department B-1 Extn/G-3, Mohan Co-op. Indl. Estate, Mathura Road, New Delhi-110044

South
DELHI
110044
India 
Phone  91-11-41678000  
Fax  91-11-41578085  
Email  lalitendumohanty@panaceabiotec.com  
 
Details of Contact Person
Public Query
 
Name  Dr Lalitendu Mohanty 
Designation  Vice President- Clinical Research 
Affiliation  Panacea Biotec Ltd 
Address  Panacea Biotec Limited Clinical Research Department B-1 Extn/G-3, Mohan Co-op. Indl. Estate, Mathura Road, New Delhi-110044

South
DELHI
110044
India 
Phone  91-11-41678000  
Fax  91-11-41578085  
Email  lalitendumohanty@panaceabiotec.com  
 
Source of Monetary or Material Support  
Panacea Biotec Pharma Ltd B 1 Ext./A-27, Mohan Co-operative Industrial Estate, Mathura Road, New Delhi-110044 
 
Primary Sponsor  
Name  Panacea Biotec Pharma Ltd 
Address  B-1 Ext./A-27, Mohan Co-operative Industrial Estate, Mathura Road, New Delhi-110044 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NA  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 5  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Bhavuk Garg  All India Institute of Medical Sciences  Department of Orthopedic,All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029
South West
DELHI 
9899558021

drbhavukgarg@gmail.com 
Dr Amit Y Pingat  Jeevan Rekha Hospital  Department of Orthopedics, Ground floor OPD, Dr B R Amedkar Road, Belagavi-590002, Karnataka
Belgaum
KARNATAKA 
7880668537

dr.amitpingat@gmail.com 
Dr V S Sharma  Prakahar Hospital Pvt. Ltd  Room No.3, Ground floor, 8/219, Arya Nagar, Kanpur, Uttar Pradesh-208002
Kanpur Nagar
UTTAR PRADESH 
8448522450

dr.vijaishankersharma@gmail.com 
Dr Ajeet Pratap Singh  Rana Hospital Pvt Ltd  Room No. 6, Ground floor OPD, Rail Vihar Medical College Road, Chargawa, Gorakhpur-273001, Uttar Pradesh
Gorakhpur
UTTAR PRADESH 
7652456810

ajeetpsingh1177@gmail.com 
Dr Chandra Prakash Pal  S. N. Medical College  Department of Orthopedics, 5th floor, S N Medical College, Raja Mandi, Near Agra College-Agra-Uttar Pradesh-282003
Agra
UTTAR PRADESH 
9634031500

drcportho@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 5  
Name of Committee  Approval Status 
Ethics Committee, All India Institute of Medical Sciences  Submittted/Under Review 
Ethics Committee, Prakhar Hospital  Approved 
Institutional Ethics Committee Jeevan Rekha Hospital  Approved 
Institutional Ethics Committee Rana Hospital  Approved 
Institutional Ethics Committee S N Medical College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M708||Other soft tissue disorders related to use, overuse and pressure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Aceclofenac ointment 1.5%ww  Study participants will have to apply 2 gm of study medication (Aceclofenac ointment 1.5% w/w) topically to the affected area of body 2 times daily for 8 days 
Comparator Agent  Voveran Emulgel® (Diclofenac Sodium BP …..1.0 % w/w)  Study participants will have to apply 2 gm of study medication (Voveran Emulgel®) topically to the affected area of body 2 times daily for 8 days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Subjects must meet all of the following criteria to be considered for enrollment in the study:
1. Male or non-pregnant female patients aged between 18-65 years with a clinical diagnosis of acute musculoskeletal conditions.
2. Patients with single site painful acute musculoskeletal conditions (tendinitis, bursitis, myalgia, low back-ache, sprains, pulled muscle, localized painful swelling etc.) sustained within 48 hours of screening (not requiring surgical treatment).
3. Patients with at least moderate pain at rest of Numeric rating Scale (NRS) greater or equal to 4.
4. Patient is able to provide written informed consent prior to study.
5. Willingness to comply with the study schedule and procedures.
6. If female, patient must be either postmenopausal for at least one year prior to randomization, surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy), or practicing the following methods of birth control:
a) Oral Contraceptives or Intrauterine Device in place for at least 3 months prior to the start of the study and remaining in place during the study period, or
b) Double Barrier methods containing or used in conjunction with a spermicidal agent, or
c) Contraceptive Patches/ Implants, or
d) Abstinence: Subjects who will be practicing abstinence will agree to have an acceptable method of birth control if the subject becomes sexually active during the course of her study participation.
7. All male subjects must agree to use accepted methods of birth control with their partners during the study. Abstinence is an acceptable method of birth control. Any of the following methods of birth control are acceptable: oral contraceptives, contraceptive patches/implants (e.g., Norplant®), Depo-Provera®, double barrier methods (e.g., condom and spermicide) or IUD.
 
 
ExclusionCriteria 
Details  Subjects meeting any of the following criteria must be excluded from enrollment in the study:
1. Patients with any condition which in opinion of the investigator
makes the patient unsuitable for inclusion.
2. Patients with painful muscle spasms associated with
musculoskeletal systems, which need parenteral therapy / surgery / hospital admission for management.
3. Patient with history of osteoarthritis / rheumatoid arthritis.
4. Patients with skin wounds, open injuries or other conditions of
broken skin at the site of proposed application.
5. Use of any oral or topical analgesic or anti-inflammatory treatment within 1 week prior to study screening.
6. Patients with history of severe cardiac, hepatic, gastrointestinal,
renal, pulmonary and skin diseases.
7. Known hypersensitivity to Aceclofenac or any other ingredient of product or to rescue medication acetaminophen (Paracetamol).
8. Patient is a female who is pregnant or willing to get pregnant, not
ready to use contraceptive measures during the trial period or breast feeding.
9. Participation in any other clinical trial during last 90 days.
10. History of regular fever, headaches which warrants frequent use of acetaminophen (Paracetamol) or NSAIDS
11. Elevated transaminases (≥ 3 times ULN) and hemoglobin < 9.0 g/dl at screening.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Pain intensity at rest (Based on NRS)  Time frame: Baseline to day 8 
 
Secondary Outcome  
Outcome  TimePoints 
1. Overall clinical response based on 50% relief in patient pain.
2. Pain intensity at rest (Based on NRS).
3. Pain intensity on passive movement (Based on NRS).
4. Physicians & Patient Global Assessment Scale.
5. Need for rescue medication.
6. Safety assessment.

 
1.Time frame: Baseline to day 4 & day 8.
2. Time frame: day 4.
3. Time frame: Baseline to day 4 & day 8.
4. Time frame: Baseline to day 4 & day 8.
5. Baseline to day 4 & day 8.
6. Baseline to day 4 & day 8. 
 
Target Sample Size   Total Sample Size="186"
Sample Size from India="186" 
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 3 
Date of First Enrollment (India)   30/10/2020 
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="9"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
This is a  Phase III, Multicenter, Randomized, Open Label, Parallel Group, Comparative Clinical Study  to evaluate the efficacy and safety of test product Aceclofenac topical ointment 1.5% w/w of Panacea Biotec Ltd. with comparator Voveran Emulgel® (Diclofenac Sodium1.0% w/w) gel of Novartis India Ltd. for the treatment of acute musculoskeletal conditions.Around 186 subjects will be randomized in this study (Including 20% drop outs), 93 subjects in each treatment arm & all subjects will have to apply 2 gm of study treatment topically to the affected area 2 times daily for 8 days.
Efficacy of the study drug will be measured by in terms of  pain intensity, overall clinical response and need for the rescue medications.
 
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