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CTRI Number  CTRI/2025/07/090164 [Registered on: 03/07/2025] Trial Registered Prospectively
Last Modified On: 03/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Study Comparing Two Nasal Sprays (Mometasone and Fluticasone) in Children with Enlarged Adenoids to See Which Works Better 
Scientific Title of Study   Comparative efficacy of Mometasone Furoate versus Fluticasone Fumarate Nasal Spray Using Clinical and Radiological Scoring in Children with Adenoid Hypertrophy 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  VANDANAPU VENKATA SIR HARSHA  
Designation  PAEDIATRIC RESIDENT 
Affiliation  SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTER 
Address  NO 03 I BLOCK, FIRST FLOOR , DEPARTMENT OF PAEDIATRICS, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, KATTANKULATHUR CAMPUS, CHENGALPATTU DISTRICT
NO 03 I BLOCK, FIRST FLOOR , DEPARTMENT OF PAEDIATRICS, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, KATTANKULATHUR CAMPUS, CHENGALPATTU DISTRICT
Chennai
TAMIL NADU
603203
India 
Phone  9441848070  
Fax    
Email  wwwe.harsha13@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR R PRASANNA RAJU 
Designation  PROFESSOR OF PAEDIATRICS 
Affiliation  SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTER 
Address  NO 03 I BLOCK, FIRST FLOOR , DEPARTMENT OF PAEDIATRICS, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, KATTANKULATHUR CAMPUS, CHENGALPATTU DISTRICT
NO 03 I BLOCK, FIRST FLOOR , DEPARTMENT OF PAEDIATRICS, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, KATTANKULATHUR CAMPUS, CHENGALPATTU DISTRICT
Chennai
TAMIL NADU
603203
India 
Phone  9841114613  
Fax    
Email  Dr_prasannaraju@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  DR R PRASANNA RAJU 
Designation  PROFESSOR OF PAEDIATRICS 
Affiliation  SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTER 
Address  NO 03 I BLOCK, FIRST FLOOR , DEPARTMENT OF PAEDIATRICS, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, KATTANKULATHUR CAMPUS, CHENGALPATTU DISTRICT
NO 03 I BLOCK, FIRST FLOOR , DEPARTMENT OF PAEDIATRICS, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, KATTANKULATHUR CAMPUS, CHENGALPATTU DISTRICT
Chennai
TAMIL NADU
603203
India 
Phone  9841114613  
Fax    
Email  Dr_prasannaraju@yahoo.com  
 
Source of Monetary or Material Support  
NO 03 I BLOCK, FIRST FLOOR , DEPARTMENT OF PAEDIATRICS, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, KATTANKULATHUR CAMPUS, CHENGALPATTU DISTRICT, CHENNAI, TAMIL NADU, 603203, INDIA  
 
Primary Sponsor  
Name  VANDANAPU VENKATA SRI HARSHA 
Address  NO 03 I BLOCK, FIRST FLOOR , DEPARTMENT OF PAEDIATRICS, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTER, KATTANKULATHUR CAMPUS, CHENGALPATTU DISTRICT, TAMIL NADU 
Type of Sponsor  Other [SELF] 
 
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 
VANDANAPU VENKATA SIR HARSHA  SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTER  NO 03 I BLOCK, FIRST FLOOR , DEPARTMENT OF PAEDIATRICS, SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE, KATTANKULATHUR CAMPUS, CHENGALPATTU DISTRICT
Chennai
TAMIL NADU 
9441848070

wwwe.harsha13@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J352||Hypertrophy of adenoids,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Fluticasone Fumarate Nasal Spray   Comparing the efficacy of Mometasone furoate intranasal corticosteroid versus Fluticasone fumarate intranasal corticosteroid nasal spray before and after treatment using clinical and radiological scoring in children with adenoid hypertrophy Glucocorticoid nasal sprays Mometasone furoate intranasal corticosteroid and Fluticasone fumarate intranasal corticosteroid nasal spray these are newer agents sometimes called second generation are more convenient and probably safer for long term use than the older agents because of lower bioavailability Glucocorticoid nasal sprays with low bioavailability and once daily dosing may have a advantage in children Mometasone furoate and Fluticasone fumarate are approved by the US FDA for use in children more than or equal to 2 years of age Second-generation systemic bioavailability less than 1 percent or undetectable 
Intervention  Mometasone Furoate Nasal Spray   Comparing the efficacy of Mometasone furoate intranasal corticosteroid versus Fluticasone fumarate intranasal corticosteroid nasal spray before and after treatment using clinical and radiological scoring in children with adenoid hypertrophy Glucocorticoid nasal sprays Mometasone furoate intranasal corticosteroid and Fluticasone fumarate intranasal corticosteroid nasal spray these are newer agents sometimes called second generation are more convenient and probably safer for long term use than the older agents because of lower bioavailability Glucocorticoid nasal sprays with low bioavailability and once daily dosing may have a advantage in children Mometasone furoate and Fluticasone fumarate are approved by the US FDA for use in children more than or equal to 2 years of age Second-generation systemic bioavailability less than 1 percent or undetectable 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  14.00 Year(s)
Gender  Both 
Details  Children aged between 2 and 14 years who are newly diagnosed with adenoid hypertrophy, exhibiting symptoms such as snoring, mouth-breathing and obstructive breathing during sleep, and confirmed by lateral neck radiography, will be included in the study. 
 
ExclusionCriteria 
Details  Immunocompromised patients, nasal structural disease, prior tonsil or adenoid surgery, craniofacial abnormalities 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Identification of the most effective intranasal corticosteroid for improving symptoms and reducing adenoid size in children with adenoid hypertrophy.
Insights into the optimal choice of intranasal corticosteroid based on clinical and radiological considerations.
 
3 months
 
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   14/07/2025 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   60 Children 2- 14 years of age will be enrolled in the study with consent from the parents.
Randomization followed by   symptomatology scoring and radiological scoring will be done.
30 children are allocated in group A - will receiving MOMETASONE FUROATE
Other 30 children are allocated in group B - will receiving FLUTICASONE FUMARATE
Regular follow for adherence, compliance and complication will be done
Repeat  symptomatology scoring and radiological scoring will be done after 3 months and results will be compared
 
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