| CTRI Number |
CTRI/2025/12/099658 [Registered on: 22/12/2025] Trial Registered Prospectively |
| Last Modified On: |
05/12/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Other (Specify) [HEEL PRICK WITH AUTOMATIC LANCET OR 26 GAUGE NEEDLE FOR BLOOD SUGAR AND ACCESS THE PAIN] |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
A study comparing the pain experienced by neonates during heel prick using an automatic lancet and a 22 gauge needle using a standard pain score and the expected outcome of the study is that automatic lancet is having less pain than needle so that it can be used in NICU protocols |
|
Scientific Title of Study
|
Comparative study of Neonatal Pain During Heel Prick Using an Automatic Lancet Versus 26-Gauge Needle:A Randomized Controlled Trial |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
AISWARYA S KOTTOOR |
| Designation |
POST GRADUATE |
| Affiliation |
VINAYAKA MISSIONS MEDICAL COLLEGE AND HOSPITAL KARAIKAL |
| Address |
POST GRADUATE
DEPARTMENT OF PAEDIATRICS
VINAYAKA MISSIONS MEDICAL COLLEGE AND HOSPITAL
KARAIKAL
Karaikal PONDICHERRY 609609 India |
| Phone |
9495196321 |
| Fax |
|
| Email |
aiswarya11496@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
DR PAGADPALLY SRINIVAS |
| Designation |
PROFESSOR AND HOD |
| Affiliation |
VINAYAKA MISSIONS MEDICAL COLLEGE AND HOSPITAL KARAIKAL |
| Address |
PROFESSOR AND HEAD OF DEPARTMENT
DEPARTMENT OF PAEDIATRICS
VINAYAKA MISSIONS MEDICAL COLLEGE AND HOSPITAL
KARAIKAL
Karaikal PONDICHERRY 609609 India |
| Phone |
9994854115 |
| Fax |
|
| Email |
sreenu77@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
AISWARYA S KOTTOOR |
| Designation |
POST GRADUATE |
| Affiliation |
VINAYAKA MISSIONS MEDICAL COLLEGE AND HOSPITAL KARAIKAL |
| Address |
POST GRADUATE
DEPARTMENT OF PAEDIATRICS
VINAYAKA MISSIONS MEDICAL COLLEGE AND HOSPITAL
KARAIKAL
Karaikal PONDICHERRY 609609 India |
| Phone |
9495196321 |
| Fax |
|
| Email |
aiswarya11496@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
AISWARYA S KOTTOOR |
| Address |
POST GRADUATE
DEPARTMENT OF PAEDIATRICS
VINAYAKA MISSIONS MEDICAL COLLEGE AND HOSPITAL KARAIKAL |
| Type of Sponsor |
Other [SELF] |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| AISWARYA S KOTTOOR |
VINAYAKA MISSIONS MEDICAL COLLEGE AND HOSPITAL KARAIKAL PONDICHERRY |
NEONATAL INTENSIVE CARE UNIT
DEPARTMENT OF PAEDIATRICS AND NEONATOLOGY
FIRST FLOOR
MAIN HOSPITAL BUILDING Karaikal PONDICHERRY |
9495196321
aiswarya11496@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| VINAYAKA MISSIONS MEDICAL COLLEGE INSTITUTIONAL ETHICAL COMMITTEE |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Healthy Human Volunteers |
NEONATES NOT ON ANY MECHANICAL VENTILATION HAVING STABLE VITALS |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
HEEL PRICK |
HEEL PRICK IS DONE FOR CHECKING BLOOD SUGAR IN NEONATES. DURING THE PROCEDURE ONE GROUP OF NEONATES WILL GET PRICKED WITH AUTOMATIC LANCET AND THE OTHER WITH 26 GAUGE NEEDLE AND THE PAIN EXPERIENCED IS COMPARED USING NIPS SCORE. |
| Comparator Agent |
Not applicable |
Not applicable |
|
|
Inclusion Criteria
|
| Age From |
0.00 Day(s) |
| Age To |
7.00 Day(s) |
| Gender |
Both |
| Details |
ALL NEONATES BORN IN VINAYAKA MISSIONS MEDICAL COLLEGE AND HOSPITAL REQUIRING SUGAR MONITORING LIKE INFANT OF DIABETIC MOTHER
SMALL FOR GESTATIONAL AGE BABIES
LOW BIRTH WEIGHT BABIES
BABIES WHOSE MOTHERS ARE HAVING POOR SECRETION |
|
| ExclusionCriteria |
| Details |
BABIES WITH VERY LOW BIRTH WEIGHT
ON MECHANICAL VENTILATION
CONGENITAL ANOMALIES
SEVERE MEDICAL OR SURGICAL CONDITIONS
PRIOR PRICKS IN PAST 24 HOURS
PARENTAL REFUSAL |
|
|
Method of Generating Random Sequence
|
Stratified randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Outcome Assessor Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| EXPECTED OUTCOME IS THAT PAIN SCORE WILL BE LESS FOR NEONATES PRICKED WITH AUTOMATIC LANCET AND THE DEPTH OF PRICK AND PRECISION IS WELL CONTROLED |
5 MINUTES VIDEO OF PROCEDURE WILL BE TAKEN SUCH THAT INSTRUMENT WILL BE MASKED WHICH INCLUDE THE PERIOD BEFORE DURING AND AFTER THE PRICK VITALS MONITOR ALSO INCLUDED
VIDEO WILL BE ACCESSED BY STUDY GUIDE ON THE SAME DAY OF PROCEDURE
ACCESSMENT PART DONE BY GUIDE SO AS TO AVOID OBSERVER BIAS |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| MORE AUTONOMIC STABILITY (LESSFLUCTUATION IN HEART RATE AND OXYGENSATURATION) IN NEONATES PRICKED WITH AUTOMATIC LANCET COMPARED TO THOSE PRICKED WITH 26 GAUGE NEEDLE |
VITALS WILL BE MONITORED WITH MASIMO MONITOR BEFORE DURING AND 1 MIN AFTER THE PROCEDURE |
| LESS REPUNCTURE RATE NUMBER OF SQUEEZES IN NEONATES PRICKED WITH AUTOMATIC LANCET |
WILL BE ASSESSED DURING THE PROCEDURE |
| LESS LOCAL COMPLICATIONS LIKE SKIN TRAUMA BLEEDING FOR NEONATES PRICKED WITH AUTOMATIC LANCET |
COMPLICATIONS WILL BE OBSERVED POST PROCEDURE AND RECORDED IN A VEDIO FOR ACCESSOR TO COMMENT ON |
|
|
Target Sample Size
|
Total Sample Size="126" Sample Size from India="126"
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)
|
22/12/2025 |
| 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="0" Months="11" 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 - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form
- Who will be able to view these files?
Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [aiswarya11496@gmail.com].
- For how long will this data be available start date provided 21-01-2027 and end date provided 21-12-2030?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
The title of my study is Comparative study of Neonatal Pain During Heel Prick Using an Automatic Lancet Versus 26 Gauge Needle A Randomized Controlled Trial Aim of the study is to compare the intensity of pain experienced by neonates during heel prick performed using an automatic lancet versus a 26 gauge needle using a validated pain scale NIPS SCORE in order to determine the more effective method for minimizing procedural pain in newborns Primary objective is to compare the pain response in neonates during heel prick using an automatic lancet versus a 26G Needle Secondary objectives include assessment of physiological factors such as heart rate oxygen saturation before during and after the procedure evaluate the incidence of local complications like bruising bleeding duration skin trauma associated with each method and access procedural efficiency Sampling technique is STRATIFIED RANDOMIZATION Sample size is 126 Methodology is after applying inclusion and exclusion criteria First stratification done on the basis of gestational age TERM or PRETERM BY SNOSE method allocating neonates into groups Group 1 Heel prick using Automatic lancet Group 2 Heel prick using 26G needle Automatic lancet will be set at a depth of 1mm for term and 0.85mm for preterm neonates Choose the medial or lateral plantar surface of heel avoiding central area to prevent injury to calcaneus Clean the selected area with spirit cotton and allow area to dry Perform the heel prick by holding the needle or lancet at 90 degrees 5 minutes video recording of the procedure will be taken without showing the instrument used Video will be analysed by thesis guide and pain in neonates will be scored using NIPS scoring system Secondary objectives like procedure time analysis tissue injury physiological parameters like SpO2 and Heart rate is measured simultaneously Video captured such that the person assessing NIPS score is not able to see the instrument used for heel prick thereby assuring blinding Video anonymity cannot be implemented as facial expression is essential for NIPS scoring Data protected by ensuring access to videos only by the primary investigator and score accessor Data will be digitized using Excel and analysed using SPSS v25 |