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CTRI Number  CTRI/2022/01/039531 [Registered on: 18/01/2022] Trial Registered Prospectively
Last Modified On: 17/01/2022
Post Graduate Thesis  No 
Type of Trial  PMS 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A post marketing clinical trial to assess the efficacy and safety of FDC of Diclofenac (50 mg) / Paracetamol (325 mg) / Serratiopeptidase (15 mg) in patients with postoperative dental pain after third molar surgery 
Scientific Title of Study   A prospective, randomized, open-label, two-arm, active-controlled, parallel, multicentre, post marketing clinical trial to assess the efficacy and safety of FDC of Diclofenac (50 mg) plus Paracetamol (325 mg) plus Serratiopeptidase (15 mg) as compared to FDC of Aceclofenac (100 mg) plus Paracetamol (325 mg) plus Serratiopeptidase (15 mg) in patients with postoperative dental pain after third molar surgery 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
FDC_01 Version 00 Dated 08/DEC/2021  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Roshan Pawar  
Designation  Senior Manager, Medical  
Affiliation  Alkem Laboratories Limited 
Address  Alkem Laboratories Limited, Alkem House, Senapati Bapat Marg, Lower Parel

Mumbai
MAHARASHTRA
400013
India 
Phone  9819677607   
Fax    
Email  roshan.pawar@alkem.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Roshan Pawar 
Designation  Senior Manager, Medical 
Affiliation  Alkem Laboratories Limited 
Address  Alkem Laboratories Limited, Alkem House, Senapati Bapat Marg, Lower Parel

Mumbai
MAHARASHTRA
40013
India 
Phone  9819677607  
Fax    
Email  roshan.pawar@alkem.com  
 
Details of Contact Person
Public Query
 
Name  Dr Roshan Pawar 
Designation  Senior Manager, Medical 
Affiliation  Alkem Laboratories Limited 
Address  Alkem Laboratories Limited, Alkem House, Senapati Bapat Marg, Lower Parel

Mumbai
MAHARASHTRA
400013
India 
Phone  9819677607  
Fax    
Email  roshan.pawar@alkem.com  
 
Source of Monetary or Material Support  
Alkem Laboratories Limited, Alkem House, Senapati Bapat Marg, Lower Parel Mumbai MAHARASHTRA 400013  
 
Primary Sponsor  
Name  Alkem Laboratories Limited 
Address  Alkem Laboratories Limited, Alkem House, Senapati Bapat Marg, Lower Parel Mumbai MAHARASHTRA 400013  
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ritu Mehta   Dr. Ritus Dental Clinic  OPD Room, Shop No. 10, Suryamandir Tower, Near Sambhav Press, off Judges Bunglow, Bodakdev,
Ahmadabad
GUJARAT 
7600650300

info@drritudentalclinic.com 
Dr Swati Makhija   Makhija Dental Clinic  Room 1, E-300, SobO Centre, South Bopal
Ahmadabad
GUJARAT 
8980568746

drswatimakhija@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Institutional Ethics Committee Aatman Hospital  Approved 
Institutional Ethics Committee Aatman Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M968||Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Aceclofenac (100 mg) plus Paracetamol (325 mg) plus Serratiopeptidase (15 mg)  Twice daily orally for 5 days 
Intervention  FDC of Diclofenac (50 mg) plus Paracetamol (325 mg) plus Serratiopeptidase (15 mg)  Twice daily orally for 5 days  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Both 
Details  1. Male and Female patients of age 18-45 years (both inclusive).
2. Patients needing extraction for impacted third molars under local anaesthesia.
3. Patients having moderate to severe pain at baseline (once surgery is over and local anaesthetic effect has subsided).
4. Patients in general good health- American Society of Anaesthesiologists (ASA) status I or II (healthy subjects based upon criteria for safe administration of outpatient conscious sedation).
5. Patients willing to give written informed consent and comply with the study procedure  
 
ExclusionCriteria 
Details  1. Patients with known hypersensitivity to any of the study drugs.
2. Patients with any contraindication to the study drugs.
3. Patients who are pregnant or nursing.
4. Patients with history of peptic ulcers and/or GI bleeding.
5. Patients with unusual surgical difficulty (determined from panoramic radiograph or during the actual surgery).
6. Patients developing any complication during or after surgery. Unusual surgical difficulty.
7. Patients with any other clinically significant uncontrolled systemic diseases such as gastrointestinal, respiratory, cardiovascular, renal, neurological, psychiatric, endocrine, immunological or hematological disorders or malignancy. 8. Patients with continuing history of alcohol and/or drug abuse. 9. Participation in another clinical trial in the past 1 month prior to screening. 10. Any other reason for which the investigator feels that patient should not participate. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Sum of pain intensity difference in 6 hours (SPID6)  Sum of pain intensity difference in 6 hours (SPID6) 
 
Secondary Outcome  
Outcome  TimePoints 
1. Total pain relief in 6 hours (TOTPAR6)
2. Time to onset of analgesia
3. Time to Maximum pain relief (tMaxPR)
4. Pain relief at 48 and 96 hours (PR48 and PR96)
5. Change in swelling from baseline to end of the study
6. Requirement of rescue analgesia during the study period
7. Overall efficacy at end of study  
6 days 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   19/01/2022 
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="2"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
This trial is a prospective, randomized, open-label, two-arm, active-controlled, parallel, multicentre, post marketing clinical trial to assess the efficacy and safety of Enzoflam Tablet as compared to Zerodol-SP Tablet in patients with postoperative dental pain after third molar surgery. All the patients being prescribed the medication will be enrolled in the study. As this is a post marketing clinical trial to evaluate the efficacy and safety of the drug, free samples will be given to all the patients to ensure that the patients do not change the test product being used. After the third molar surgery, patients will be evaluated for all the eligibility criteria. Eligible patients will be administered with study medication & patient dairy card. Additionally, patients will be given rescue medication (Tramadol Tablets) which they will be allowed to take if they have unbearable pain even 2 hours after taking the study medication.
Patients will be instructed to take study medication one tablet twice daily (one in the morning and one in the evening). Also, patients will be trained on patient diary card to note down the pain intensity at various time points,  dosage details such as date, time, dose, frequency of administration or missed dose. These details will be used to assess the treatment compliance. 
  
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