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CTRI Number  CTRI/2025/01/079498 [Registered on: 27/01/2025] Trial Registered Prospectively
Last Modified On: 14/11/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Azithromycin versus Doxycycline for treatment of Scrub Typhus in children 
Scientific Title of Study   Comparison of oral Azithromycin versus oral Doxycycline in children with Scrub Typhus A randomized controlled study 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SUNKARA KRISHNA AISWARYA 
Designation  Postgraduate 
Affiliation  Sri Manakula Vinayagar Medical College and Hospital, Puducherry  
Address  Department of Paediatrics,Sri Manakula Vinayagar Medical College and Hospital,Kalitheerthalkuppam,Madagadipet,Puducherry

Pondicherry
PONDICHERRY
605107
India 
Phone  8374696298  
Fax    
Email  aiswarya.krishna01@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  B HEMANTH KUMAR 
Designation  Assistant Professor  
Affiliation  Sri Manakula Vinayagar Medical College and Hospital, Puducherry  
Address  Department of Paediatrics,Sri Manakula Vinayagar Medical College and Hospital,Kalitheerthalkuppam,Madagadipet,Puducherry

Pondicherry
PONDICHERRY
605107
India 
Phone  9655738271  
Fax    
Email  drhemanthbhk@gmail.com  
 
Details of Contact Person
Public Query
 
Name  SUNKARA KRISHNA AISWARYA  
Designation  Postgraduate  
Affiliation  Sri Manakula Vinayagar Medical College and Hospital,Puducherry  
Address  Department of Paediatrics,Sri Manakula Vinayagar Medical College and Hospital,Kalitheerthalkuppam,Madagadipet,Puducherry

Pondicherry
PONDICHERRY
605107
India 
Phone  8374696298  
Fax    
Email  aiswarya.krishna01@gmail.com  
 
Source of Monetary or Material Support  
Department of Paediatrics,Sri Manakula Vinayagar Medical College and Hospital,Kalitheerthalkuppam,Madagadipet,Puducherry -605107,India 
 
Primary Sponsor  
Name  SUNKARA KRISHNA AISWARYA  
Address  Department of Paediatrics,Sri Manakula Vinayagar Medical College and Hospital,Kalitheerthalkuppam,Madagadipet,Puducherry -605107 
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 
DrSUNKARA KRISHNA AISWARYA   Sri Manakula Vinayagar Medical College and Hospital  Room no 49,Department of Paediatrics, Kalitheerthalkuppam,Madagadipet,Puducherry-605107
Pondicherry
PONDICHERRY 
8374696298

aiswarya.krishna01@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SMVMCH - ETHICS COMMITTEE   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: A753||Typhus fever due to Rickettsia tsutsugamushi,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Azithromycin   Oral Azithromycin 10mg/kg once daily for 5 days with a maximum dose of 500mg/day 
Comparator Agent  Doxycycline   Oral Doxycycline 4.4 mg/kg/day for 5 days with a maximum dose of 200mg/day 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  16.00 Year(s)
Gender  Both 
Details  1.All children with clinical and microbiologically proven scrub typhus of all paediatric age group admitted in paediatric ward. 
 
ExclusionCriteria 
Details  1.children of parents who refused to give consent
2.Children with known allergy to either of these two drugs
3.Children who received anti microbials like Azithromycin or Doxycycline in proceeding 2 weeks 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To study the time taken for fever defervescence in two groups one using azithromycin and the other using doxycycline   Temperature of the patient is checked every 4 hours  
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="194"
Sample Size from India="194" 
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)   04/02/2025 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   This  prospective randomized controlled study will be performed in the paediatric ward of Sri manakula vinayagar medical college and hospital a tertiary care hospital in Puducherry after the approval of research committee and institutional ethics committee.Children who fulfill the criteria will be included in the study after the informed and written consent is being obtained from the parents 

Enrolled children will be randomized using computer generated randomized sequence into two groups by using sequentially numbered sealed envelopes which will be opened by the post graduate or intern and the intervention written will be administered to the patient.children allocated in group A receive oral Azithromycin  and children  allocated in group B receive oral doxycycline .In case of any deterioration of the patient clinically or no improvement in the patient even after 72 hours after treatment patient was classified as treatment fail and alternative treatment will be started to the patient or if any alternative diagnosis was concluded because of other investigations sent they should be medically managed with the respective drugs and they will  be excluded from the study.
 
Aprincipal investigator will assess the time taken for the defervescence of fever and duration of hospital stay between Azithromycin and doxycycline group .

 
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