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CTRI Number  CTRI/2024/04/065465 [Registered on: 09/04/2024] Trial Registered Prospectively
Last Modified On: 28/07/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Preventive 
Study Design  Other 
Public Title of Study   Role of topical nitroglycerin ointments to prevent flap necrosis after mastectomy surgery 
Scientific Title of Study   Role of topical nitroglycerin in the prevention and treatment of post mastectomy skin flap necrosis- a prospective comparative 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  Dr Sumaiya Fathima 
Designation  Junior Resident 
Affiliation  Govt Stanley Medical College  
Address  7th floor I block Department of General Surgery Govt Stanley Medical College No 1 old jail road George Town Chennai

Chennai
TAMIL NADU
600001
India 
Phone  9150250667  
Fax    
Email  sumiirfan336@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr B Sathyapriya  
Designation  Professor  
Affiliation  Govt Stanley Medical College  
Address  7th floor I block Department of General Surgery Govt Stanley Medical College No 1 old jail road George Town Chennai Chennai

Chennai
TAMIL NADU
600001
India 
Phone  94444086644  
Fax    
Email  drbspriya@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Sumaiya Fathima 
Designation  Resident 
Affiliation  Govt Stanley Medical College  
Address  7th floor I block Department of General Surgery Govt Stanley Medical College No 1 old jail road George Town Chennai

Chennai
TAMIL NADU
600001
India 
Phone  9150250667  
Fax    
Email  sumiirfan336@gmail.com  
 
Source of Monetary or Material Support  
Government Stanley Medical College  
 
Primary Sponsor  
Name  Govt Stanley medical college  
Address  1 old jail road George Town chennai 600001 
Type of Sponsor  Government medical college 
 
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 Sumaiya   Govt Stanley medical college   8th floor I block Department of General Surgery 1 Old jail road George Town
Chennai
TAMIL NADU 
9150250667

sumiirfan336@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Government Stanley medical college and hospital chennai 01 Institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C50||Malignant neoplasm of breast,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Povidone iodine  To be applied topically three times a day from 2nd post operative day for 5 days 
Intervention  Topical nitroglycerin   2% formulation of topical nitroglycerin to be applied topically three times a day for 5 days from 2nd post operative day  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Female 
Details  Patients undergoing mastectomy  
 
ExclusionCriteria 
Details  History of thromboembolic events
Coronary artery disease patients
Uncontrolled comorbidities
History of hypersensitivity reactions  
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Incidence of post mastectomy skin flap necrosis in patients using topical nitroglycerin   4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Role of topical nitroglycerin in treating post mastectomy skin flap necrosis by preventing the progression of necrosis & reducing the need for wound debridement whe compared to povidone iodine   4 weeks 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="60" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/04/2024 
Date of Study Completion (India) 29/08/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
Aim to study the role of topical nitroglycerin in reducing the incidence of post mastectomy skin flap necrosis and in the treatment of the same Written and Informed consent will be obtained from all subjects before enrollment in the study
 A group of 90 patients will be randomized in to group A and group B of 45 each 
Group A will receive topical nitroglycerin tds for 6 days and group B will receive placebo for the same period 
patients will be followed up at weekly intervals for 4 weeks
 During each follow up visit the patient will be assessed for wound margin discolouration 
 
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