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CTRI Number  CTRI/2009/091/000799 [Registered on: 05/10/2009]
Last Modified On: 10/09/2014
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study
Modification(s)  
To determine the efficacy and safety of topical diclofenac solution in comparison with topical diclofenac gel in acute painful musculoskeletal conditions. 
Scientific Title of Study
Modification(s)  
A Randomized, Two Arm, Open Label, Active Controlled, Multicentric Clinical Study to Evaluate the Efficacy and Safety of a Topical Solution of Diclofenac (2.32% w/v) in comparison with Diclofenac Topical Gel (1.16% w/w) in Acute Painful Musculoskeletal Conditions. 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
CT/06/02  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  Dr Vijaya Jaiswal 
Designation  Vice President 
Affiliation  Troikaa Pharmaceuticals Limited 
Address  Troikaa Pharmaceuticals Limited
Commerce House- 1", Satya Marg, Bodakdev
Ahmadabad
GUJARAT
380 054
India 
Phone  07926856242  
Fax  07926856246  
Email  vijayajaiswal@troikaapharma.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  Dr Vijaya Jaiswal 
Designation  Vice President 
Affiliation  Troikaa Pharmaceuticals Limited 
Address  Troikaa Pharmaceuticals Limited
Commerce House- 1", Satya Marg, Bodakdev
Ahmadabad
GUJARAT
380 054
India 
Phone  07926856242  
Fax  07926856246  
Email  vijayajaiswal@troikaapharma.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Dr Vijaya Jaiswal 
Designation  Vice President 
Affiliation  Troikaa Pharmaceuticals Limited 
Address  Troikaa Pharmaceuticals Limited
Commerce House- 1", Satya Marg, Bodakdev
Ahmadabad
GUJARAT
380 054
India 
Phone  07926856242  
Fax  07926856246  
Email  vijayajaiswal@troikaapharma.com  
 
Source of Monetary or Material Support
Modification(s)  
Troikaa Pharmaceuticals Limited 
 
Primary Sponsor
Modification(s)  
Name  Troikaa Pharmaceuticals Limited 
Address  Troikaa Pharmaceuticals Ltd. Commerce House - 1, Satya Marg, Bodakdev, Ahmedabad-380 054. Gujarat, India. 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor
Modification(s)  
Name  Address 
NIL   
 
Countries of Recruitment
Modification(s)  
  India  
Sites of Study
Modification(s)  
No of Sites = 7  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr. Madan Hardikar  Hardikar Hospital  Ganekshing Road,-411005
Pune
MAHARASHTRA 
+91-20-25535326
+91-20-25535632
hardikar@vsnl.com 
Dr. P. S. Arul Rajamurugan  Madurai Arthritis and Rheumatism Centre, Madurai  Madurai Arthritis and Rheumatism Centre,,2/757, 4th East Cross Street, Anna nagar,-625020
Madurai
TAMIL NADU 
91 -9840665286

psarul1968@yahoo.co.in 
Dr. Jatinder Juneja  National Institute of Arthritis, New Delhi  National Institute of Arthritis,,E-5, Bali Nagar,-110015
New Delhi
DELHI 
91 ? 9810315395

jatinderjuneja@hotmail.com 
Dr. Anmol Maria  Orthocare, Delhi  Consultant Orthopedic & Joint Replacement Surgeon, Orthocare,,New Friends Colony,-110025
New Delhi
DELHI 
011-26830543

anmolmaria@gmail.com 
Dr. Chetan V. Pradhan  Sancheti Institute for Orthopaedics & Rehabilitation  16, Shivaji Nagar,-411005
Pune
MAHARASHTRA 
+91-20-28999999
+91-20-28999999
pradhanchetan@hotmail.com  
Dr Arvind Saxena  Shanti Mukund Hospital, Delhi  Shanti Mukund Hospital,,E-4/30, Krishna Nagar,-110051
New Delhi
DELHI 
91981034354

drarvindsaxena@hotmail.com 
Dr. T. V. Raja  Visa Hospital, Chennai  Visa Hospital,,No. 27/1, South West Bong Road, T. Nagar-600017
Chennai
TAMIL NADU 
91-9841038388

drtvraja@yahoo.co.in 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 7  
Name of Committee  Approval Status 
Ethics Committee, Hardikar Hospital  Approved 
Independent Ethics Committee - Aditya, Ahmedabad  Approved 
Independent Ethics Committee - Aditya, Ahmedabad  Approved 
Independent Ethics Committee - Aditya, Ahmedabad  Approved 
Independent Ethics Committee - Aditya, Ahmedabad  Approved 
Independent Ethics Committee - Aditya, Ahmedabad  Approved 
Independent Ethics Committee, Sancheti Institute for orthopaedics & Rehabilitation  Approved 
 
Regulatory Clearance Status from DCGI
Modification(s)  
Status 
Approved/Obtained 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Patients  Acute Painful Musculoskeletal Conditions,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Comparator Agent  Topical diclofenac gel (Diclofenac diethyl ammonium 1.16% w/w)  To be applied at the site of pain 4 times a day 
Intervention  Topical Diclofenac solution (Diclofenac diethyl ammonium 2.32% w/v)  To be applied at the site of pain 4 times a day 
 
Inclusion Criteria
Modification(s)  
Age From  18.00 Day(s)
Age To  70.00 Year(s)
Gender  Both 
Details  1.Male or females patients aged 18- 70 years.
2.Patients with acute low back ache (non- specific) or pain and inflammation following trauma to muscles/ tendons/ ligaments/ joints (due to strains, sprains, stress, soft tissue injuries or blunt sports injuries) for not more than 2 days.
3.Patients with at least moderate pain of VAS greater than or equals to 4 
 
ExclusionCriteria 
Details  1.Patients below 18 years or above 70 years of age. 2.Hypersensitivity to aspirin/ NSAID or any other component of the formulation 3.Any contraindication to diclofenac / NSAIDs 4.Patients with skin wounds, open injuries or other conditions of broken skin at the site of proposed application 5.Concomitant skin disease at site of application 6.Use of another topical product at application site 7.Pregnant women and lactating mothers 8.Women of child bearing age not practicing or not willing to use contraceptive 9.Unwilling patients. 10.Patients already on oral NSAIDs/ analgesics. 11.Patients requiring hospitalization or other treatment for pain. 
 
Method of Generating Random Sequence
Modification(s)  
Computer generated randomization 
Method of Concealment
Modification(s)  
An Open list of random numbers 
Blinding/Masking
Modification(s)  
Open Label 
Primary Outcome
Modification(s)  
Outcome  TimePoints 
Improvement in pain intensity from baseline, as determined by VAS (0- 10).  At the end of day 3 and day 7 
 
Secondary Outcome
Modification(s)  
Outcome  TimePoints 
Need for rescue analgesic  On 3rd and 7th day. 
Pain intensity at rest and on passive movement  On 1st, 3rd and 7th day. 
Degree of local signs (swelling, tenderness)  On 1st, 3rd and 7th day. 
Degree of functional impairment  On 1st, 3rd and 7th day. 
Global assessment by Physician and patients  At the end of study (7th day) 
No. of adverse event, No. of patients with adverse events  On 3rd and 7th day. 
 
Target Sample Size
Modification(s)  
Total Sample Size="250"
Sample Size from India="250" 
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
Modification(s)  
Phase 3 
Date of First Enrollment (India)
Modification(s)  
01/10/2009 
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
Modification(s)  
Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Other (Terminated) 
Publication Details
Modification(s)  
None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  
A topical solution formulation of diclofenac has been developed for site specific application in acute musculoskeletal conditions like trauma of the tendons, ligaments, muscles and joints, e.g. due to sprains and strains, localized forms of soft tissue rheumatism, osteoarthritis of superficial joints such as the knee, etc. This topical formulation has been designed with a higher strength of 2.32% w/v diclofenac diethyl ammonium (equivalent to diclofenac sodium 2% w/ v), an added absorption enhancer, and is supplied in roll on bottles. The current study aims to determine the efficacy and safety of diclofenac topical solution in comparison with topical diclofenac gel in acute painful musculoskeletal conditions. 
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