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CTRI Number  CTRI/2025/08/093908 [Registered on: 29/08/2025] Trial Registered Prospectively
Last Modified On: 14/03/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Behavioral 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Management of delirium post- cardiac surgery: Comparison of Quietapine Versus Melatonin 
Scientific Title of Study   Prospective randomized controlled study for the management of delirium post- cardiac surgery: comparison of Quietapine Vs Melatonin 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Chanchal Bhandari 
Designation  Assistant Professor (Cardiac Anesthesia)) 
Affiliation  B.J. Medical College, Ahmedabad  
Address  Department of Cardiac Anesthesia, UNMICRC, Civil hospital campus, Asarwa, Ahmedabad, Gujarat, India

Ahmadabad
GUJARAT
380016
India 
Phone  9404552355  
Fax    
Email  honeypanwad287@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Chanchal Bhandari 
Designation  Assistant Professor (Cardiac Anesthesia)) 
Affiliation  B.J. Medical College, Ahmedabad  
Address  Department of Cardiac Anesthesia, UNMICRC, Civil hospital campus, Asarwa, Ahmedabad, Gujarat, India

Ahmadabad
GUJARAT
380016
India 
Phone  9404552355  
Fax    
Email  honeypanwad287@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Chanchal Bhandari 
Designation  Assistant Professor (Cardiac Anesthesia)) 
Affiliation  B.J. Medical College, Ahmedabad  
Address  Department of Cardiac Anesthesia, UNMICRC, Civil hospital campus, Asarwa, Ahmedabad, Gujarat, India

Ahmadabad
GUJARAT
380016
India 
Phone  9404552355  
Fax    
Email  honeypanwad287@gmail.com  
 
Source of Monetary or Material Support  
U N Mehta Institute of Cardiology and Research Centre (UNMICRC) 
 
Primary Sponsor  
Name  U N Mehta Institute of Cardiology and Research Centre UNMICRC 
Address  U N Mehta Institute of Cardiology and Research Centre (UNMICRC), Asarwa, Ahmedabad, Gujarat, India 
Type of Sponsor  Research institution and hospital 
 
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 Chanchal Bhandari  UNMICRC Ahmedabad  civil Hospital campus Asarwa Ahmedabad
Ahmadabad
GUJARAT 
9404552355

honeypanwad287@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee UNMICRC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F54||Psychological and behavioral factors associated with disorders or diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group M : Tab. Melatonin  Group M : Tablet, Melatonin 5 mg (twice a day till delirium subsides) 
Intervention  Group Q: Tab. Quietapine   Group Q: Tablet, Quietapine 25 mg (twice a day till delirium subsides)  
Comparator Agent  NA  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  All elective cardiac surgeries who developed delirium in ICU 
 
ExclusionCriteria 
Details  Patient not on any antipsychotic medications
No prior history of psychiatric illness
No history of neurological disease or stroke / TIA
No history of delirium prior to surgery
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To observe the efficacy of Quietapine vs Melatonin in treatment of delirium post- cardiac surgery in the cardiac intensive care unit  baseline and every 8th hourly in ICU till post operative day 7 
 
Secondary Outcome  
Outcome  TimePoints 
To observe length of ICU stay, postoperative complications & mortality & morbidity of patients  baseline & every 8th hourly in ICU till post operative day 7 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
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 2/ Phase 3 
Date of First Enrollment (India)   12/09/2025 
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)
Modification(s)  
Other (Terminated) 
Recruitment Status of Trial (India)  Other (Terminated) 
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)  
Written informed consent will be obtained from the study population who will be eligible in terms of inclusion and exclusion criteria before participating in the study
Patient’s confidentiality will be maintained at all times and patients will be duly informed about the study
Preoperative cognition will be assessed Written and informed consent will be  taken from  the patient  prior to the surgery Patient education, comorbidities like hypertension, diabetes, preoperative hemoglobin levels, EUROSCORE II will be noted
After extubation patient will be assessed by the confusion assessment method for the ICU CAM score
Patients with delirium will be randomized into 2 groups
Group Q Tab Quietapine 25 mg BD will be started
Group M  Tab Melatonin 5 mg BD will be started
Patient will not be given any benzodiazepines during that period The CAM ICU score will be assessed every eighth  hour during  ICU stay and score will be noted for 7 days
Comparative analysis will be done whether delirium has decreased or not. Total duration of ICU stay of the patient will be noted
If patients delirium not improved then psychiatric reference will be done and treatment will be given accordingly
 
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