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CTRI Number  CTRI/2015/11/006360 [Registered on: 16/11/2015] Trial Registered Prospectively
Last Modified On: 01/11/2016
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical trial to study the effect of a drug, named dexamethasone in infection of meninges 
Scientific Title of Study   A study to assess the role of early dexamethasone therapy in prevention of morbidity and mortality in children aged 6months to 12 years with pyogenic meningitis  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nilay Ranjan Bagchi 
Designation  Associate Professor 
Affiliation  Medical college and hospital, kolkata 
Address  Dept of Paediatric Medicine Kolkata Medical College 88 College street kolkata

Kolkata
WEST BENGAL
700073
India 
Phone  9433071198  
Fax    
Email  nrbagchiped@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Debajyoti Datta 
Designation  2nd year Post graduate trainee 
Affiliation  Medical college and hospital, kolkata 
Address  Dept of Paediatric Medicine Kolkata Medical College 88 College street kolkata

Kolkata
WEST BENGAL
700073
India 
Phone  9474487900  
Fax    
Email  drdebajyotidatta.nrs@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Debajyoti Datta 
Designation  2nd year Post graduate trainee 
Affiliation  Medical college and hospital, kolkata 
Address  Dept of Paediatric Medicine Kolkata Medical College 88 College street kolkata


WEST BENGAL
700073
India 
Phone  9474487900  
Fax    
Email  drdebajyotidatta.nrs@gmail.com  
 
Source of Monetary or Material Support  
Medical College and Hospital, kolkata, 88 College Street, Kolkata- 700073 
 
Primary Sponsor  
Name  Kolkata Medical College and Hospital 
Address  88 College Street kolkata- 700073 
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 
Nilay Ranjan Bagchi  Kolkata Medical College and Hospital  Department of Paediatric Medicine, 88 college street, Kolkata- 700073
Kolkata
WEST BENGAL 
9433071198

nrbagchiped@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee for Human Research, Medical College, Kolkata  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Pyogenic Meningitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dexamethasone  0.15mg/kg/dose QDS for initial 4 days of antibiotic therapy. 1st dose of dexamethasone to be given 15 minutes before 1st dose of antibiotic 
Comparator Agent  Normal saline  same volume as that of dexamethasone to be given . 
 
Inclusion Criteria  
Age From  6.00 Month(s)
Age To  12.00 Year(s)
Gender  Both 
Details  1. Any patient of 6 months to 12years of age with clinical manifestations of acute meningitis, CSF profile consistent with bacterial meningitis.
2. Confirmed pathogen by blood or CSF culture.
 
 
ExclusionCriteria 
Details  1 Patient’s age less than 6 months or more than 12years.
2 Where CSF analysis is not done or CSF profiles were not compatible with bacterial meningitis are to be excluded.
3 Neonatal maninigitis .
4 Patients received antibiotics outside before admission.
5 CSF suggestive of viral, tubercular or fungal etiology.
6 any patient with a congenital or acquired abnormality of the central nervous system
7 a prosthetic device inserted into the central nervous system
8 previous episodes of bacterial meningitis
9 an underlying neurologic abnormality
10 a history of hypersensitivity to beta-lactam antibiotics are excluded
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Mortality  3weeks 
 
Secondary Outcome  
Outcome  TimePoints 
Developement of seizure disorder  3months 
Hearing impairment  6months 
 
Target Sample Size   Total Sample Size="102"
Sample Size from India="102" 
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)   19/11/2015 
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="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Closed to Recruitment of Participants 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study is a randomised, double blind, parallel group single centre trial. It is an add-on study since both the group will receive the standard therapy.
the trial evaluates the efficacy of early dexamethasone therapy o.15mg/kg 
/dose QDS for 4days before or along with antibiotic therapy in a case of pyogenic meningitis. the study is conducted in paediatric department of Kolkata medical college, west Bengal, India. The primary outcome measures will be mortality within 3weeks of treatment and secondary outcomes will be developement of seizure disorder at 3months and hearing impairment at 6 months after the disease.
 
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