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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  
NIL 
 
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  
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 
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  
Status 
Not Applicable 
 
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
  1. 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).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form

  3. 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.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [aiswarya11496@gmail.com].

  6. 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.

  7. 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

 

 

 
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