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CTRI Number  CTRI/2022/07/044231 [Registered on: 21/07/2022] Trial Registered Prospectively
Last Modified On: 22/09/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Dentistry 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Research comparing the effect of transdermal patches of ketoprofen and diclofenac sodium to that of oral diclofenac sodium tablets on pain reduction following single-visit root canal therapy in patients with symptomatic irreversible pulpitis - a randomized clinical trial 
Scientific Title of Study   “Comparative evaluation of efficiency of transdermal patches of ketoprofen and diclofenac sodium with oral diclofenac tablet on post endodontic pain reduction following single visit root canal therapy in symptomatic irreversible pulpitis- A Randomized Clinical Study.” 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Priya Porwal 
Designation  Post graduate student 
Affiliation  K.M.Shah dental college and hospital 
Address  Room No 8, Department of conservative dentistry and endodontics, K M Shah dental college and hospital, piparia

Vadodara
GUJARAT
391760
India 
Phone  07899744426  
Fax    
Email  piyajain4695@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nimisha Shah 
Designation  Professor and Head of the department 
Affiliation  K. M. Shah dental college and hospital 
Address  Room No 8, Department of conservative dentistry and endodontics, K M Shah dental college and hospital, piparia

Vadodara
GUJARAT
391760
India 
Phone  09998994299  
Fax    
Email  nshah7873@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Priya Porwal 
Designation  Post graduate student 
Affiliation  K. M. Shah dental college and hospital 
Address  Room No 8, Department of conservative dentistry and endodontics, K M Shah dental college and hospital, piparia

Vadodara
GUJARAT
391760
India 
Phone  07899744426  
Fax    
Email  piyajain4695@gmail.com  
 
Source of Monetary or Material Support  
K M Shah dental college and hospital, sumandeep vidyapeeth university, piparia, Vadodara, Gujarat 
 
Primary Sponsor  
Name  DR PRIYA PORWAL 
Address  darshani jewellers, saraf bazar, bijapur, karnataka 
Type of Sponsor  Other [SELF] 
 
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 PRIYA PORWAL  K M Shah dental college and hospital  Room no 8 department of conservative dentistry and endodontics, K.M.Shah dental college and hospital, piparia
Vadodara
GUJARAT 
07899744426

piyajain4695@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
sumandeep vidyapeeth institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K040||Pulpitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  diclofenac sodium  50mg diclofenac sodium tablet orally, twice a day for 2 days 
Intervention  diclofenac sodium  zuventus healthcare Ltd, analgesic transdermal patches 100mg one patch per day for two days 
Intervention  ketoprofen  zuventus healthcare Ltd, analgesic transdermal patch 30mg one patch per day for two days 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients complaining of pain in anterior or single-rooted premolar teeth of either jaw
and diagnosed as symptomatic irreversible pulpitis with or without apical periodontitis
having pre operative moderate to severe pain indicated for single visit endodontics will
be included in the study.
A written informed consent will be taken from all the patients and only those patients
ready to sign the consent letter will be included in the study 
 
ExclusionCriteria 
Details  1. Patients with known hypersensitivity against ketoprofen or diclofenac sodium will be excluded from the study.
2. patients with history of allergic reactions such as bronchospasm, shock, urticarial,
etc., following the use of non-steroidal anti-inflammatory drugs (NSAIDs) will be excluded from the study.
3. Patients with high blood pressure and cardiac conditions will be excluded from the study.
4. Patients with sinus drainage, pus discharge, acute or chronic apical abscess will be excluded from the study.
5. Intentional RCT, fractured tooth having cracks or resorption will be excluded from
the study.
6. Patients with active stomach or duodenal ulceration within the last 6 months will be excluded from the study.
7. Patients undergoing treatment with other NSAIDs or corticosteroids during the
study period will be excluded from the study.
8. Patients with developmental anomalies, congenital defects, pathology or open apex,
with presence of anatomical obstacles such as calcifications in the canals or any
anticipated procedural difficulties related to study teeth will be excluded from the study.
9. Pregnant and lactating women will be excluded from the study.
10. Patients who have taken NSAIDS or antibiotics within 24 hrs before administration
of study drug will be excluded from the study 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
as a outcome of the study, postoperative pain control will be assessed at 4hours, 8hours, 24hours and 48hours after the treatment  4hours, 8hours, 24hours and 48hours 
 
Secondary Outcome  
Outcome  TimePoints 
as a secondary outcome of the study adverse effects of transdermal pain relieving patches and oral analgesics will be assessed during the course of the study i.e., 48h  48 hours 
 
Target Sample Size   Total Sample Size="78"
Sample Size from India="78" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="78" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   30/07/2022 
Date of Study Completion (India) 26/10/2022 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   The present study is conducted to compare the efficacy of ketoprofen and diclofenac sodium transdermal patches with that of oral diclofenac sodium tablets on post-operative pain reduction after single sitting root canal therapy in patients having symptomatic irreversible pulpitis. Results of the study will enable us to determine which route of drug delivery is most effective and how effective transdermal patches are in controlling pain. Transdermal patches minimize or eliminate side effects like gastric discomfort and irritation caused by oral medication. In addition to evaluating the most effective NSAID in controlling post-operative pain after root canal treatment, this study will also help us evaluate the side effects caused by transdermal patches.  
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