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CTRI Number  CTRI/2024/12/078093 [Registered on: 13/12/2024] Trial Registered Prospectively
Last Modified On: 12/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   To study the effectiveness of nebulised hypertonic saline 3 percent versus 7 percent in acute bronchiolitis in young children. 
Scientific Title of Study   Effectiveness of nebulised hypertonic saline 3 percente versus 7 percent in acute bronchiolitis in young children: A randomised controlled 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.Shreedhar Giri 
Designation  Dnb Trainee 
Affiliation  Sri Balaji Action Medical Institute. 
Address  Pediatric ICU ,Second floor , Room no 2158,Sri Balaji Action Medical Institute, Paschim Vihar , NEW DELHI 10063

West
DELHI
110063
India 
Phone  8446281134  
Fax    
Email  shreedhargiri91@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Virender Kumar 
Designation  Senior consultant 
Affiliation  Sri Balaji Action Medical Institute 
Address  Room no. 1106, First floor,Department of Pediatrics and Neonatology. Sri Balaji Action Medical Intitute, Paschim Vihar , NEW DELHI.

West
DELHI
110063
India 
Phone  9810180889  
Fax    
Email  kumar_virender@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr. Shreedhar Giri 
Designation  Dnb trainee 
Affiliation  Sri Balaji Action Medical Institute  
Address  Room no. 2159, Second floor Pediatric ICU,Sri Balaji Action Medical Institute, A4 Paschim Vihar , NEW DELHI.

West
DELHI
110063
India 
Phone  8446281134  
Fax    
Email  shreedhargiri91@gmail.com  
 
Source of Monetary or Material Support  
Sri Balaji Action Medical Institute,A4 Paschim Vihar, New Delhi, India 110063.  
 
Primary Sponsor  
Name  Dr Shreedhar Giri 
Address  Room no. 2159, Second floor Pediatric ICU,Sri Balaji Action Medical Institute, A4 Paschim Vihar , NEW DELHI 110063. 
Type of Sponsor  Other [SELF] 
 
Details of Secondary Sponsor  
Name  Address 
DR VIRENDER KUMAR  SRI BALAJI ACTION MEDICAL INSTITUTE, PASCHIM VIHAR, NEW DELHI 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shreedhar Giri  Sri Balaji Action Medical Institute   Room no. 2158,Second floor,Pediatric ICU, department of Pediatrics and Neonatology.
West
DELHI 
8446281134

shreedhargiri91@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Balaji Action Medical Institute Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J210||Acute bronchiolitis due to respiratory syncytial virus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  3ml of 3 percent hypertonic saline with the combination of nebulised adrenaline[0.1ml/kg/dose in 1 in 10000 solution]  3 percent hypertonic saline with the combination of nebulised adrenaline nebulisation every 4 hourly via conventional jet nebulizer (Romsans Aero Mist Ref Sh 2074) With Mask connected to oxygen flow. This is to be continued till patient will be discharged. 
Comparator Agent  3ml of 7 percent hypertonic saline with the combination of nebulised adrenaline[0.1ml/kg/dose in 1 in 10000 solution]  7 percent hypertonic saline with the combination of nebulised adrenaline nebulisation every 4 hourly via conventional jet nebulizer (Romsans Aero Mist Ref Sh 2074) With Mask connected to oxygen flow. This is to be continued till patient will be discharged. 
 
Inclusion Criteria  
Age From  2.00 Month(s)
Age To  24.00 Month(s)
Gender  Both 
Details  Children between 2-24 months of age with acute bronchiolitis (defined as an acute viral infection of the lowe respiratory tract affecting young children between 2 to 24 months and is charecterized by respiratory distress, wheezing and or crackles without any other explanation such as pneumonia or atopy). 
 
ExclusionCriteria 
Details  Children presenting with
1 Use of bronchiodilators or taken any treatment previously or just before presentation to the hospital.
2 History of congenital heart disease.
3 Immunodeficiency disorders.
4 Patients on mechanical ventilation. 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Length of stay in hospital.  It will be calculated at the time of discharge. 
 
Secondary Outcome  
Outcome  TimePoints 
Need And Duration Of Oxygen Support.  At the time of discharge. 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   25/12/2024 
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="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 - NO
Brief Summary      Acute bronchiolitis is an important cause of morbidity in young children. It is the most common cause of hospitalization due to lower respiratory tract infection.Bronchiolitis is an infection typically caused by viruses. With an improvement in diagnostic ability to identify viruses in respiratory secretions, multiple viral agents like Respiratory syncytial virus (RSV), Rhinovirus, Parainfluenza virus, Adenovirus have been identified as causative agents in acute bronchiolitis.RSV is the most common cause of acute bronchiolitis counting for 50 to 80 percent cases.
   Aerosolised hypertonic saline has been proposed as a therapeutic modality for acute bronchiolitis. Hypertonic saline may reverse some pathophysiological abnormalities in acute bronchiolitis by decreasing epithelial edema, improving elasticity and viscosity of mucus and thus improving airway clearance. At present there is still dilemma over effectivness of different concentrations of hypertonic saline.  
   In the present scenario respiratory illness profile is being clearly outlined as viral or bacterial, it necessitates the need for more precise guidlines for further management.Therefore the current study is undertaken to know the effect of nebulised 3 percent hypertonic saline in young children with acute bronchiolitis compared to those receiving nebulised 7 percent saline.
 
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