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CTRI Number  CTRI/2025/08/093079 [Registered on: 14/08/2025] Trial Registered Prospectively
Last Modified On: 14/08/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Multiple Arm Trial 
Public Title of Study   comparing 3 drugs delivered via mucosal atomiser device for painless bronchoscopy in patients with lung infection 
Scientific Title of Study   Randomised comparative study between atomised intranasal dexmedetomidine , lignocaine and ketamine as premedication for flexible fibreoptic bronchoscopy 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Prerna Bhola 
Designation  ASSISTANT PROFESSOR 
Affiliation  ESIC MEDICAL COLLEGE 
Address  ROOM-3021, OT COMPLEX, ESIC MEDICAL COLLEGE, SANATHNAGAR, HYDERABAD
SANATHNAGAR, HYDERABAD, TELANGANA- 500038
Hyderabad
TELANGANA
500038
India 
Phone  09440152961  
Fax    
Email  dr.prernabhola@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ananya Nanda 
Designation  ASSOCIATE PROFESSOR 
Affiliation  ESIC MEDICAL COLLEGE 
Address  ROOM-3021, OT COMPLEX, ESIC MEDICAL COLLEGE,
SANATHNAGAR, HYDERABAD

TELANGANA
500038
India 
Phone  08179654082  
Fax    
Email  niraananya@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Prerna Bhola 
Designation  ASSISTANT PROFESSOR 
Affiliation  ESIC MEDICAL COLLEGE 
Address  ROOM-3021, OT COMPLEX, ESIC MEDICAL COLLEGE, SANATHNAGAR, HYDERABAD
SANATHNAGAR, HYDERABAD, TELANGANA- 500038
Hyderabad
TELANGANA
500038
India 
Phone  9440152961  
Fax    
Email  dr.prernabhola@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  ESIC MEDICAL COLLEGE AND HOSPITAL 
Address  ESIC Medical College and Hospital, Sanathnagar, Hyderabad, TELANGANA - 500038 
Type of Sponsor  Government medical college 
 
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 Ananya nanda  ESIC Medical College and Hospital  3rd floor, OT complex, ESIC Medical College Hospital, sanathnagar, hyderabad
Hyderabad
TELANGANA 
08179654082

niraananya@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
instituitional ethics committee, ESIC Medical College and Hospital and superspeciality hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J22||Unspecified acute lower respiratory infection,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dexmedetomedine  2 mcg/kg intranasal dexmedetomedine will be given through atomizer on deep inhalation, 30 minutes prior to procedure 
Intervention  Ketamine  2mg/kg intranasal ketamine will be given through atomizer on deep inhalation, 30 minutes prior to procedure 
Intervention  Lignocaine  1.5 mg/kg intranasal lignocaine will be given through atomizer on deep inhalation, 30 minutes prior to procedure 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  ASA I & II patients, age older than 18 years, BMI less than 30 kg/cm2 
 
ExclusionCriteria 
Details  ASA III & IV patients, history of bronchial asthma, history of allergy to the study drugs 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
patient cough score  baseline,immediately after passage of bronchoscope through vocal cords, at 5 and 10 minutes during the bronchoscopy procedure 
 
Secondary Outcome  
Outcome  TimePoints 
patient satisfaction score  10 minutes after end of procedure 
ramsay sedation score  prior to procedure, 10 minutes after end of proceure 
endoscopists satisfaction score  after end of procedure 
rescue lignocaine required  during procedure 
 
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)   01/09/2025 
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)   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   the study aims to compare the effectiveness of  atomised intranasal demedetomedine, lignocaine and ketamine as premedication for flexible fibreoptic bronchoscopy. Primary objective is to evaluate the incidence of moderate to severe cough during the procedure. Secondary objective is to compare the patient satisfaction score, endoscopist satisfaction score, ramsay sedation score and if any rescue lignocaine required. ASA I & II patients of more than 18 years age with BMI less than 30 kg/m2 will be included and patients with history of bronchial asthma or allergy to the study drugs will be excluded. 60 patients will be randomly divided into 3 groups of 20 each. atomised ketamine (2mg/kg), atomised dexmedetomidine (2 mcg/kg) and atomised lignocaine (1.5 mg/kg) will be given as premedication 30 inutes prior to the procedure and the above mentioned objectives will be assessed. P values less than 0.05 will be considered significant. 
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