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CTRI Number  CTRI/2024/05/067131 [Registered on: 09/05/2024] Trial Registered Prospectively
Last Modified On: 30/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   How effective are diclofenac patches on the skin for treating pain from Myofascial pain dysfunction syndrome? 
Scientific Title of Study   Efficacy of transdermal diclofenac patches in management of pain associated with Myofascial pain dysfunction syndrome 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Harshini M 
Designation  Post Graduate 
Affiliation  Yenepoya Dental College 
Address  Yenepoya Dental College, Yenepoya University, Derlakatte, Mangalore, Karnataka

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9787838428  
Fax    
Email  harshinimanoharan6498@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Veena K M 
Designation  Professor 
Affiliation  Yenepoya Dental College 
Address  Yenepoya Dental College, Yenepoya University, Derlakatte, Mangalore, Karnataka

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9845010856  
Fax    
Email  veenaomr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Harshini M 
Designation  Post Graduate 
Affiliation  Yenepoya Dental College 
Address  Yenepoya Dental College, Yenepoya University, Derlakatte, Mangalore, Karnataka

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9787838428  
Fax    
Email  harshinimanoharan6498@gmail.com  
 
Source of Monetary or Material Support  
Yenepoya Dental college,Yenepoya university 
 
Primary Sponsor  
Name  Harshini M 
Address  Yenepoya Dental college, Yenepoya University, DEerlakatte, Mangalore-575018 
Type of Sponsor  Other [Self-funded] 
 
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 Harshini M  Yenepoya Dental college  Department of Oral medicine and radiology,Ground floor,Room no 1
Dakshina Kannada
KARNATAKA 
9787838428

harshinimanoharan6498@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Yenepoya Ethics committee 2  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M958||Other specified acquired deformities of musculoskeletal system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Oral diclofenac  VAS score will be assesed pre-treatment.Patients from Group B will be prescribed with oral diclofenac tablets (50 mg) twice daily for 6 days.On 7th day, patients will be recalled and examined. Visual Analog score (VAS) will be re-assessed to evaluate the reduction in the pain score 
Intervention  Transdermal Diclofenac patches  The study will be conducted in the department of Oral Medicine and Radiology, Yenepoya Dental college and hospital after getting ethical clearance from the institutional ethical committee .Detailed history will be elicited and clinical examination will be carried out.Patients diagnosed with MPDS according to the diagnostic criteria proposed by Laskin and meets the inclusion and exclusion criteria will be included in the study.Each sample of the selected group will be informed about the study in patient’s known language and informed consent will be obtained. The total of 20 patients will be included in the study and will be divided into two groups, 10 patients in each group -Group A (Transdermal diclofenac group) and Group B (Oral diclofenac group).Visual Analog score (VAS) will be assessed in both the groups pre-treatment Patients from Group A will be prescribed with transdermal diclofenac patches (100 mg). Patients will be advised to apply the transdermal patches over the masseter muscle for atleast 12 hours/day and change the old patch with the new one everyday on the same site for 6 days.On 7th day, patients will be recalled and examined. Visual Analog score (VAS) will be re-assessed to evaluate the reduction in the pain score 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Patients who were clinically diagnosed with MPDS according to Laskin’s criteria
2.Systemically healthy individuals
3.Patients who are conscious and co-operative and are able to give the Visual Analog Score (VAS)
 
 
ExclusionCriteria 
Details  Patients with:
1.Missing teeth
2.Grossly decayed teeth
3.Allergy to diclofenac or any other NSAIDs
4.Any systemic and connective tissue disorders
5.Undergoing treatment with other NSAIDs or any other analgesics during the study period
6.Gastritis
7.Pregnant women
8.Trauma/Malignancy of the maxillofacial region
 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Other 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Reduction in pain will be assessed using Visual analog score  Reduction in pain will be assessed using Visual analog score at baseline and 7th day after intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Efficacy in Management of pain  Reduction in pain score will be assessed for determining the efficacy at baseline & 7th day 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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)   20/05/2024 
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="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   none yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   Transdermal diclofenac patches are as effective as oral diclofenac in management of pain associated with myofascial pain dysfunction syndrome.So,the aim of the study is to evaluate the reduction in pain score with oral and transdermal diclofenac patches and compare their efficacy in management of pain associated with Myofascial pain dysfunction syndrome. 
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