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CTRI Number  CTRI/2024/03/063846 [Registered on: 08/03/2024] Trial Registered Prospectively
Last Modified On: 29/04/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   A clinical Trial To Study Efficacy Of Analgesics like Ibuprofen,Ketorolac and Diclofenac Sodium in painful endodontically involved tooth  
Scientific Title of Study   Evaluation Of Efficacy Of Analgesics In Patients With Symptomatic Apical Periodontitis In Terms Of Number Needed To Treat: A Double Blind Randomized Controlled Trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Manju Kumari 
Designation  Professor 
Affiliation  Chaudhary Charan Singh University 
Address  ITS Dental College Hospital and Research Centre 47 Knowledge Park III Greater Noida

Gautam Buddha Nagar
UTTAR PRADESH
201308
India 
Phone  09811056881  
Fax    
Email  docmanjukmr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  MANJU KUMARI 
Designation  PROFESSOR 
Affiliation  CHAUDHARY CHARAN SINGH UNIVERSITY 
Address  ITS DENTAL COLLEGE HOSPITALS AND RESEARCH CENTRE 47 KNOWLEDGE PARK III GREATER NOIDA

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  09811056881  
Fax    
Email  docmanjukmr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Tanisha Singh 
Designation  Postgraduate 
Affiliation  Chaudhary Charan Singh University 
Address  ITS dental college hospitals and research centre 47 Knowledge Park III Greater Noida

Gautam Buddha Nagar
UTTAR PRADESH
201308
India 
Phone  09811056881  
Fax    
Email  docmanjukmr@gmail.com  
 
Source of Monetary or Material Support  
ITS Dental College, Greater Noida 
 
Primary Sponsor  
Name  Manju Kumari 
Address  ITS Dental college and Hospital Research Centre 47 Knowledge Park III GREATER NOIDA 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
Rohit Kochhar  ITS Dental College Hoplpitals and Research Centre 47 Knowledge Park III 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Manju Kumari  ITS DENTAL COLLEGE,HOSPITALS&RESEARCH CENTRE  Room No: 7, Department of Conservative Dentistry & Endodontics,47,knowledge park III greater noida uttarpradesh 201310
Gautam Buddha Nagar
UTTAR PRADESH 
9811056881

docmanjukmr@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  symptomatic apical periodontitis 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  control intervention  ibuprofen 400 mg 1 tab to be taken after completion of first appointment Ketorolac 10 mg 1 tab to be taken after completion of first appointment diclofenac sodium 100mg 1 tab to be taken after completion of first appointment Placebo 1 tab of sugar pill to be taken after completion of first appointment  
Intervention  Drugs  ibuprofen 400 mg Ketorolac 10 mg diclofenac sodium 100mg Placebo 
 
Inclusion Criteria  
Age From  16.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  patient with symptoms of AAP, without periapical lesion, with or without PDL widening if he/she placed a mark at the 4cm or above level and patient undergoing root canal treatment for pain originating from anterior or posterior teeth 
 
ExclusionCriteria 
Details  patients with less than 16 years or more than 65 years, patients who have consumed any type of analgesic within the last 6 h of their visit, history of allergy to NSAIDs, history of peptic ulcer disease, history of renal or hepatic disease, hemorrhagic disorders, pregnancy or breast feeding, patients with previous endodontic treatment and patients with acute apical abscess 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
number needed to treat  After 72 hours 
 
Secondary Outcome  
Outcome  TimePoints 
Efficacy of different drugs at different time point  6,12,24,48 and 72 hours 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "200"
Final Enrollment numbers achieved (India)="200" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   01/04/2024 
Date of Study Completion (India) 27/04/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

The aim of the study is to use the NNT (number needed to treat) model to   evaluate the efficacy of analgesics in patients with acute apical periodontitis.

Material and Methods :  Patients with acute apical periodontitis (AAP) without periapical lesion, with or without PDL widening if he/she placed a mark at the 4cm or above level will be selected for the study at the dental institute. The patients were randomly allocated into 4 groups of 50 patients in each group, receiving ibuprofen 400 mg in Group B, ketorolac 10 mg in Group C and diclofenac sodium 100 mg in Group D and a control in Group A in which placebo will be given just after the completion of first appointment. A questionnaire containing the NRS will be given to each patient for them to record the intensity of pain felt after 6, 12, 24, 48 and 72 hrs interval.

 
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