| CTRI Number |
CTRI/2025/10/096708 [Registered on: 31/10/2025] Trial Registered Prospectively |
| Last Modified On: |
30/10/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
To compare which is more useful in treatment of acute bronchiolitis with N-Acetyl Cysteine vs 3% NaCl |
|
Scientific Title of Study
|
Effectiveness of N-Acetyl Cysteine vs 3% NaCl nebulisation in children with acute bronchiolitis aged 6 months to 2 years: A randomized controlled trial |
| Trial Acronym |
Nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Dr Madhan kumar |
| Designation |
Paediatrics postgraduate |
| Affiliation |
Aarupadai veedu medical college and hospital |
| Address |
A block ground floor Department of paediatrics Aarupadai veedu medical college and hospital kirumambakkam pondicherry Pondicherry PONDICHERRY 607402 India |
| Phone |
8524805538 |
| Fax |
|
| Email |
madhanrsk@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Chandru Bhaskar |
| Designation |
Professor |
| Affiliation |
Aarupadai veedu medical college and hospital |
| Address |
A block ground floor Department of paediatrics Aarupadai veedu medical college and hospital kirumambakkam pondicherry
Pondicherry PONDICHERRY 607402 India |
| Phone |
9791783036 |
| Fax |
|
| Email |
chandru14885@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Thiyagaraajan |
| Designation |
Assistant professor |
| Affiliation |
Aarupadai veedu medical college and hospital |
| Address |
A block ground floor Department of paediatrics Aarupadai veedu medical college and hospital kirumambakkam pondicherry Pondicherry PONDICHERRY 607402 India |
| Phone |
9789666607 |
| Fax |
|
| Email |
drthiyagaraajan@gmail.com |
|
|
Source of Monetary or Material Support
|
| Aarupadai veedu medical college and hospital kirumambakkam pondicherry 636402 |
|
|
Primary Sponsor
|
| Name |
Aarupadai veedu medical college and hospital |
| Address |
Aarupadai veedu medical college and hospital Kirumampakkam Pondicherry cuddalore highway Pondicherry |
| Type of Sponsor |
Private medical college |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| madhan kumar |
aarupadai veedu medical college and hospital |
room no 4 c block department of paediatrics aarupadai veedu medical college and hospital kirumambakkam pondicherry Pondicherry PONDICHERRY |
8524805538
madhanrsk@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| AVMC Institutional human ethics committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: J219||Acute bronchiolitis, unspecified, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
3% NaCl |
3% NACL nebulisation 3 ml is used in the form of nebulization atleast 4 times a day for 5 days
|
| Intervention |
N-acetyl cysteine |
N-acetyl cysteine of dose 20mg is used in the form of nebulization 3 times a day then reduce the frequency of nebulization based on the improvement of the symptoms for 5 days |
|
|
Inclusion Criteria
|
| Age From |
6.00 Month(s) |
| Age To |
24.00 Month(s) |
| Gender |
Both |
| Details |
First episode of respiratory distress associated with wheezing
Clinical severity score more than 3
No evidence of bacterial infection |
|
| ExclusionCriteria |
| Details |
Cardiac diseases such as congenital heart disease
Preterm birth or history of mechanical ventilation in neonatal period
History of pneumonia |
|
|
Method of Generating Random Sequence
|
Stratified block randomization |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To evaluate the mean duration of hospital stay and change in clinical severity score parameters (respiratory rate ,o2 saturation,wheezing,retraction,general condition ) |
Assess pre treatment severity before 1st nebulization
Detect early response after 1st dose(after 6 hours of 1st dose),Evaluate ongoing improvement(on day 2,3,4) and final clinal outcome based on reduction of clinical severity score (on day 5)
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Nil |
Nil |
|
|
Target Sample Size
|
Total Sample Size="60" Sample Size from India="60"
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 3 |
|
Date of First Enrollment (India)
|
11/11/2025 |
| Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
| Date of First Enrollment (Global) |
11/11/2025 |
| 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)
|
Not Yet Recruiting |
| Recruitment Status of Trial (India) |
Not Yet Recruiting |
|
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
|
3% NACL nebulisation is a hypertonic saline inducing an osmotic flow of water into the mucus layer thus increasing mucociliary clearance ,reducing airway edema.N-acetylcysteine(NAC) nebulisation is an antioxidant that cleaves disulphide bonds by converting them to 2 sulphuryl groups.Thus action results in breakup of mucoprotein in lung mucus. NAC has been used in treatment studies like in cystic fibrosis, chronic bronchitis,idiopathic pulmonary fibrosis and critically ill states
Need for the study: A few studies show that N-acetyl cysteine can be used in treatment of acute bronchiolitis by decreasing the clinical severity and reduce hospitalisationas compared to 3% NaCl. |