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CTRI Number  CTRI/2024/07/071041 [Registered on: 23/07/2024] Trial Registered Prospectively
Last Modified On: 20/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [ Respiratory Physiotherapy using Buteyko Breathing Technique]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Breathing technique in children with Asthma  
Scientific Title of Study   Buteyko breathing technique in children with asthma-Open label 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 GAWALI AISHWARYA BALASAHEB 
Designation  Junior Resident 1  
Affiliation  Department of Pediatrics, Government Medical College and Hospital, Aurangabad 
Address  Department of Peadiatrics,Surgical building, Ward number 24,Government Medical College and Hospital,Aurangabad(chhatrapati Sambhajinagar),431001

Aurangabad
MAHARASHTRA
431001
India 
Phone  9096779304  
Fax    
Email  aishwaryagawali1998@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Trupti Gujarati Joshi 
Designation  Associate Professor 
Affiliation  Department of Pediatrics, Government Medical College and Hospital, Aurangabad 
Address  Department of Pediatrics. Surgical building, ward no 24, Government Medical College and Hospital, Aurangabad(Chhatrapati Sambhajinagar)

Aurangabad
MAHARASHTRA
431001
India 
Phone  9823900642  
Fax    
Email  drtruptijoshi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR GAWALI AISHWARYA BALASAHEB 
Designation  Junior Resident 1  
Affiliation  Department of Pediatrics, Government Medical College and Hospital, Aurangabad 
Address  Department of Peadiatrics,Surgical building, Ward number 24,Government Medical College and Hospital,Aurangabad(chhatrapati Sambhajinagar),431001

Aurangabad
MAHARASHTRA
431001
India 
Phone  9096779304  
Fax    
Email  aishwaryagawali1998@gmail.com  
 
Source of Monetary or Material Support  
Dr Gawali Aishwarya Balasaheb, Junior Resident, Department of Pediatrics,Ward 24, Surgical Building,Government Medical College and Hospital, Aurangabad(Chhatrapati Sambhajinagar), Maharashtra, India, Pin code 431001 
 
Primary Sponsor  
Name  Dr Gawali Aishwarya Balasaheb 
Address  Department of Pediatrics. Surgical building, ward 24, Government Medical College and Hospital, Aurangabad(Chhtrapati Sambhajinagar), Maharashtra, India, Pin code 431001 
Type of Sponsor  Other [Self Sponsored] 
 
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 GAWALI AISHWARYA  Government Medical College and Hospital, Chhatrapati Sambhajinagar  Opd building,Opd number 133,Department of pediatrics,Government Medical College and Hospital, Aurangabad,431001
Aurangabad
MAHARASHTRA 
9096779304

aishwaryagawali1998@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL EHICS COMMITTEE, GOVT MEDICAL COLLEGE AURANGABAD  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J453||Mild persistent asthma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Buteyko Breathing technique   Participants allocated to Buteyko group will be taught Buteyko breathing technique during first week of enrollment and they will perform Buteyko breathing technique two times a day for ten minutes each for three months under parental super vision along with protocol based asthma management. 
Comparator Agent  Control group  Participants allocated to control group will receive protocol based asthma management. 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  children of above mentioned age group enrolled in asthma clinic at tertiary care centre 
 
ExclusionCriteria 
Details  Parents denying consent for therapy
Children receiving any other alternative therapies(Pranayama, Buteyko technique)
Children not cooperative with spirometry and Buteyko breathing technique 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
1)To measure the change on symptom controll,acute exacerbation,need for reliever medication,and school absentism(measured using Asthma controll questionare) and Peak Expiratory flow rate measurement after implementing Buteyko breathing technique.  At baseline,after 1 month,after 2 months and after 3 months 
 
Secondary Outcome  
Outcome  TimePoints 
1)To measure the change in PFT(FEV1 at rest,FEV1 after excercise,FEV1 after bronchodilator) and FEV1/FVC Ratio after 3 months of implementing Buteyko breathing technique.
2) Pediatric Asthma Quality of life questionnaire survey of all participants and their parents at baseline and after 3 months of giving Buteyko breathing technique. 
At baseline and after 3 months of implementing technique. 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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   N/A 
Date of First Enrollment (India)   02/08/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  02/08/2024 
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)   Open to Recruitment 
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   Asthma is most common chronic disease of childhood. Complimentary therapies like the Buteyko breathing technique plays an essential role in the management. Various studies involving the Buteyko breathing technique in adults have shown good results, but studies related to pediatric asthma are rare. In asthma, there is CO2 washout which will lead to airway constriction and hence producing the symptoms. The Butyeko approach seeks to reduce airflow by teaching patients the best way to hold their breath at the functional residual capacity. It helps improve asthma control and quality of life index. Previous studies in children revealed that this technique has helped improve the symptoms reduced medication use but has not affected physiological parameters. Hence we plan to study the efficacy of this technique in improving asthma symptoms, pulmonary functions and quality of life index. 
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