| CTRI Number |
CTRI/2024/05/066593 [Registered on: 01/05/2024] Trial Registered Prospectively |
| Last Modified On: |
30/04/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Is 3 mcg/kg intranasal dexmedetomidine more effective for sedation in children undergoing MRI scan |
|
Scientific Title of Study
|
Comparative evaluation of two different doses of intranasal Dexmedetomidine for sedation in Children undergoing MRI scan |
| 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 Priya Treesa George |
| Designation |
PG resident |
| Affiliation |
Vardhman Mahavir Medical College and Safdurjung hospital |
| Address |
Department of anaesthesia and intensive care, Vardhman Mahavir Medical Collge and Safdurjung hospital,Ansari nagar East, New Delhi
New Delhi
Delhi
110029
India
New Delhi DELHI 110029 India |
| Phone |
6238063194 |
| Fax |
|
| Email |
priyakachapilly@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Ameeta Sahni |
| Designation |
Professor and consultant |
| Affiliation |
Vardhman Mahavir Medical Collegeand Safdurjung hospital |
| Address |
Department of anaesthesia and intensive care, Vardhman Mahavir medical College and Safdurjung hospital, Ansari nagar East, New Delhi
Delhi
New Delhi DELHI 110029 India |
| Phone |
9811201585 |
| Fax |
|
| Email |
ameetaas@yahoo.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Ameeta Sahni |
| Designation |
Professor and consultant |
| Affiliation |
Vardhman Mahavir Medical college and Safdurjung hospital |
| Address |
Department of anaesthesia and intensive care, Vardhman Mahavir Medical College and Safdurjung hospital, Ansari nagar East, New Delhi
Delhi
DELHI 110029 India |
| Phone |
9811201585 |
| Fax |
|
| Email |
ameetaas@yahoo.com |
|
|
Source of Monetary or Material Support
|
| Vardhman Mahavir Medical College and Safdurjung Hospital, New Delhi, Delhi, India,110029 |
|
|
Primary Sponsor
|
| Name |
Vardhman Mahavir Medical College and Safdurjung hospital |
| Address |
Ansari nagar East, New Delhi, Delhi, India, 110029 |
| Type of Sponsor |
Government 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 |
| Dr Priya Treesa George |
VMMC and Safdurjung Hospital |
Department of Anaesthesia and intensive care New Delhi DELHI |
6238063194
priyakachapilly@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| VMMC and Safdurjung Hospital Institutional ethics committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: B949||Sequelae of unspecified infectiousand parasitic disease, (2) ICD-10 Condition: D499||Neoplasm of unspecified behavior of unspecified site, (3) ICD-10 Condition: E898||Other postprocedural endocrine andmetabolic complications and disorders, (4) ICD-10 Condition: G809||Cerebral palsy, unspecified, (5) ICD-10 Condition: P00-P96||Certain conditions originating in the perinatal period, (6) ICD-10 Condition: I00-I99||Diseases of the circulatory system, (7) ICD-10 Condition: H60-H95||Diseases of the ear and mastoid process, (8) ICD-10 Condition: L00-L99||Diseases of the skin and subcutaneous tissue, (9) ICD-10 Condition: Q00-Q99||Congenital malformations, deformations and chromosomal abnormalities, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Dexmedetomidine 2mcg/Kg and 3mcg/Kg IV |
Dexmedetomidine 2mcg/Kg and 3mcg/Kg IV respectively to each group for sedation before shifting to MRI suite. Dexmedetomedine (100mg/ml) will be adminsitered after loading in a one ml syringe as either 3 mcg/kg or 2mcg /kg intransally using an atomizer device attached to a 1 ml syringe only once after recording baseline vitals of the patients.Time taken for reaching an Modified ramsay sedation score of five or more will be noted. in case of insufficient sedation after 45 minutes of administering the drug a rescue sedative agent will be administered(Inj. Ketamine 0.5 -2 mg/kg IV)
Dose- 3mcg/kg
Route- intranasally
Frequency- single application
Total duration - 45 minutes |
| Comparator Agent |
Two doses of same drug Dexmedetomidine |
Dose- 2 mcg/kg
Route- intranasally
Frequency- single application
Total duration - 45 minutes.
in case of insufficient sedation after 45 minutes of administering the drug a rescue sedative agent will be administered(Inj. Ketamine 0.5 -2 mg/kg IV)
This dose is being compared with 3 mcg/kg |
|
|
Inclusion Criteria
|
| Age From |
1.00 Year(s) |
| Age To |
8.00 Year(s) |
| Gender |
Both |
| Details |
belonging to ASA I and ASA II who are undergoing MRI as outpatients. |
|
| ExclusionCriteria |
| Details |
1. Children with active upper respiratory infection or nasal pathology.
2.Risk of difficult intubation.
3.Hypersensitivity or allergy to drugs used in the study. |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| To compare the number of children requiring rescue sedation between the two groups of 2mcg/kg and 3mcg/kg using intranasal dexmedetomidine for MRI scan |
45 minutes after administering drug |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Compare time of onset of sedation using Modified Ramsay Sedation Score |
Every 5 minutes after administering drug |
| Duration of seadtion using Modified Ramsay Sedation Score |
Every 5 minutes after administering drug |
| Compare recovery time from sedation using Modified Ramsay Sedation score |
Time taken to reach MRSS 2 from MRSS 5 |
| To compare Parental separation scores using Liekert score |
At 45 minutes after administering drug |
|
|
Target Sample Size
|
Total Sample Size="84" Sample Size from India="84"
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 2 |
|
Date of First Enrollment (India)
|
12/05/2024 |
| 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="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
|
There is paucity of literature in the comparison of 2mcg/kg to 3mcg/kg of intranasal Dexmedetomidine for MRI sedation in children .In our study we would like to find out the dose of Dexmedetomidine which can provide optimum sedation in Children undergoing MRI scan scan which avoids need for rescue anaesthetic agents and at the same time has good hemodynamic stability. A single dose of Dexmedetomidine will be administered to two groups for sedation at a dose of 2mcg /kg and 3mcg/kg respectively to each group of children undergoing MRI scan for various diseases and the 2 groups will be compared for the outcomes such as number of children requiring rescue sedation, Time of onset of sedation, Duration of sedation , Recovery from sedation, and Parental separtaion scores using both doses. |