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CTRI Number  CTRI/2026/01/102298 [Registered on: 28/01/2026] Trial Registered Prospectively
Last Modified On: 28/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   PROSPECTIVE RANDOMIZED CONTROL DOUBLE BLINDED TRAIL ON PREOPERATIVE ORAL ZINC TABLET DECREASING INCIDENCE OF POSTOPERATIVE SORE THROAT 
Scientific Title of Study   PROSPECTIVE RANDOMIZED CONTROL DOUBLE BLINDED TRAIL ON PREOPERATIVE ORAL ZINC TABLET DECREASING INCIDENCE OF POSTOPERATIVE SORE THROAT 
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 JALAJA K R 
Designation  SENIOR CONSULTANT,  
Affiliation  MANIPAL HOSPITALS, OLD AIRPORT ROAD,BANGLORE 
Address  DEPARTMENT OF ANESTHESIOLOGY MANIPAL HOSPITALS OLD AIRPORT ROAD BANGLORE 560017

Bangalore
KARNATAKA
560017
India 
Phone  9945515223  
Fax    
Email  jalaja1975@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR VISHWANATH SIDDINI 
Designation  MEMBER SECRETARY 
Affiliation  MANIPAL HOSPITALS OLD AIRPORT ROAD 
Address  ETHICS COMMITTEE OF MANIPAL MANIPAL HOSPITALS OLD AIRPORT ROAD BANGLORE 560017

Bangalore
KARNATAKA
560017
India 
Phone  9845174866  
Fax    
Email  vishwanathsid@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR VISHWANATH SIDDINI 
Designation  MEMBER SECRETARY 
Affiliation  MANIPAL HOSPITALS OLD AIRPORT ROAD 
Address  ETHICS COMMITTEE OF MANIPAL MANIPAL HOSPITALS OLD AIRPORT ROAD BANGLORE 560017

Bangalore
KARNATAKA
560017
India 
Phone  9845174866  
Fax    
Email  vishwanathsid@gmail.com  
 
Source of Monetary or Material Support  
Manipal hospitals 
 
Primary Sponsor  
Name  Manipal hospital 
Address  MANIPAL HOSPITAL, 98, rustumbag OLD AIRPORT ROAD Banglore - 560017 BANGLORE 
Type of Sponsor  Private hospital/clinic 
 
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 Akarshika Jeyaraman  Manipal hospitals banglore   Department of anesthesiology. Manipal hospitals, rustumbag old airport road, banglore - 560017
Bangalore
KARNATAKA 
9442138122

akarshika30@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethics committee of manipal hospital, banglore   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Placebo  Giving placebo tablet to patients undergoing surgery general anesthesia with endotracheal tube 
Intervention  Zinc tablet  Giving zinc premedication to patients undergoing surgery under general anesthesia with endotracheal tube 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  American society of anesthesiologists grade 1 and 2 aged 18-60 years, posted for surgeries lasting greater than 1 hour and less than 6 hour duration under general anesthesia requiring tracheal intubation will be included for the study 
 
ExclusionCriteria 
Details  1. Smokers
2. Pregnant patients
3. Patients with recent history of sore throat
4. Malampatti grade greater than 2
5. Patients with zinc allergy
6. Traumatic or more than one attempt of intubation
7. Cormack-lehane score 3 and 4 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Primary aim of our study will be to assess the incidence of POST at 4 hours after surgery after zinc 40mg premedication  Primary aim of our study will be to assess the incidence of POST at 4 hours after surgery after zinc 40mg premedication 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="180"
Sample Size from India="180" 
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)   16/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  16/02/2026 
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)   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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [akarshika30@gmail.com].

  6. For how long will this data be available start date provided 01-12-2025 and end date provided 31-12-2026?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary   Post operative sore throat (POST) is a common complaint in patients recieving general anesthesia. Although symptoms often ameliorate without any treatment, prophylactic management improves patient satisfaction and impacts discharge from hospital.Zinc is a micronutrient with anti-inflammatory and antioxidant property which promotes growth, tissue repair and modulates immune system. As a topical agent zinc has been used for prevention of oral mucositis in patients receiving high dose chemotherapy. Oral zinc tablets has been shown to reduce the incidence and severity of POST. Zinc also prevents the cytokine release, decreases the reactive oxygen species, and subsequently decreases cyclooxygenase two expression, and prostaglandin E two release.
We hypothesized administration of oral zinc in form of dispersible tablet will reduce the incidence of POST due to its inherent anti-inflammatory and tissue healing properties. To test the hypothesis this study was designed to investigate the efficacy of oral zinc sulfate given 30 minutes preoperatively in reducing POST till 24 hours after surgery, where POST was caused by endotracheal intubation. The dispersible tablet form of zinc was preferred due to its easy availability in our country and comparatively better local effect on oropharyngeal mucosa.
The primary aim of our study will be to assess the incidence and severity of POST . The secondary aim will be to assess for any side effects such as nausea, vomiting, metallic taste, diarrhea.

 
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