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CTRI Number  CTRI/2025/05/086944 [Registered on: 14/05/2025] Trial Registered Prospectively
Last Modified On: 03/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   “Effectiveness of a vitamin D spray compared to regular vitamin D drops in raising vitamin D levels in children with liver problems. participant- children with liver disease intervention- vitd3 buccal spray outcome- to compare improvement in vit d3 levels in both groups. 
Scientific Title of Study   Efficacy of Nano-emulsified buccal mucosal spray of cholecalciferol vs Conventional cholecalciferol in achieving higher 25-hydroxy Vitamin D concentration in pediatric cholestasis- A randomised control trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ankaj sharma 
Designation  DM senior resident  
Affiliation  Aiims New Delhi  
Address  MCB / 5C Aiims New Delhi Division of pediatric endocrinology Department of pediatrics AIIMS NEW DELHI

West
DELHI
110029
India 
Phone  8988093284  
Fax    
Email  sharmaankaj511@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajni Sharma  
Designation  Additional professor  
Affiliation  Aiims New Delhi  
Address  Room no -830 8th floor MCB Divsion of pediatric endocrinology Department of pediatrics AIIMS NEW DELHI

West
DELHI
110029
India 
Phone  9811334144  
Fax    
Email  drrajnisharma@yahoo.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  Ankaj sharma 
Designation  Senior Resident 
Affiliation  Aiims New Delhi  
Address  Room no 830 Division of pediatric endocrinology Department of pediatrics AIIMS NEW DELHI

West
DELHI
110029
India 
Phone  8988093284  
Fax    
Email  sharmaankaj511@gmail.com  
 
Source of Monetary or Material Support  
Pulse pharmaceutical pvt ltd Phae 2 Mayapuri New Delhi 110064 
 
Primary Sponsor  
Name  Pulse pharmaceutical pvt ltd 
Address  Phase 2, Maya Puri, E-90, Mayapuri Industrial Area Phase II, Mayapuri, New, Division, New, Delhi, 110064 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study
Modification(s)  
No of Sites = 3  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Ankaj Sharma  AIIMS NEW DELHI  Division of pediatric endocrinology Department of Pediatrics Aiims New delhi
West
DELHI 
8988093284

sharmaankaj511@gmail.com 
Dr Sanjeevani kaul  ILBS DELHI  PEDIATRIC GASTROENTEROLOGY WARD ILBS DELHI
South
DELHI 
9003938057

sanjeevani.kaul07@gmail.com 
Dr Shyam K Meena  VMMC SAFDARJUNG  Pediatric gastroenterology OPD VMMC SAFDARJUNG
South
DELHI 
9013677438

dr.shyamsnmc2000@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AIIMS New Delhi Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K77||Liver disorders in diseases classified elsewhere,  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Comparator Agent  oral vitamin D3 Sachet and Oral vitamin D3 Syrup  For age less than one year we will give oral vitamin D3 syrup and age more than we will give oral sachet once in every 2 weeks for total duration of 12 weeks. 
Intervention  vit d3 nano emulsified buccal spray  Vit D3 buccal spray (1 spray contains 1000 IU) 4000 IU daily if age more than 1 year and 2000IU daily if age less than 1 year for 12 weeks.  
 
Inclusion Criteria
Modification(s)  
Age From  3.00 Month(s)
Age To  18.00 Year(s)
Gender  Both 
Details  Patients between 3 months to 18 years with diagnosis of
Cholestasis having conjugated hyperbillirubinemia >
3 months. 
 
ExclusionCriteria 
Details  vit d3 more than 20ng/ml.
 
 
Method of Generating Random Sequence
Modification(s)  
Stratified block randomization 
Method of Concealment
Modification(s)  
Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To evaluate the efficacy of Nano emulsified buccal mucosal spray of Cholecalciferol Versus Conventional Oral Cholecalciferol in achieving higher 25-Hydroxy Vitamin D Concentration in pediatric cholestasis  6 and 12 weeks  
 
Secondary Outcome  
Outcome  TimePoints 
To check prevlance of rickets in pediatric cholestasis  at baseline 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   26/05/2025 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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
Modification(s)  

Children aged between 3 months to18 years with a diagnosis of cholestasis who meet the inclusion criteria will be enrolled from the Pediatric OPD and ward after a baseline clinical and biochemical assessment. Participants will then be randomly allocated into two groups using stratified block randomization. One group will receive oral sachets (one sachet every two weeks) if age more than one year and (oral syrup) if age less than 1 year while the other group will receive a daily buccal spray (1 spray = 1000 IU) for a total duration of 3 months. A second assessment including biochemical investigations, will be conducted at 6 weeks followed by a third assessment at 12 weeks. The mean difference in vitamin D levels between the two groups will be compared at the end of the study.

 
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