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CTRI Number  CTRI/2025/12/099963 [Registered on: 29/12/2025] Trial Registered Prospectively
Last Modified On: 26/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Advantages of Dexmedetomidine during Third Space Endoscopy 
Scientific Title of Study   Comparison of Nebulized Dexmedetomidine and Normal Saline on haemodynamic parameters During Third Space Endoscopy : 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  Joseph Sebastian  
Designation  PG Registrar 
Affiliation  Aster Medcity 
Address  Aster Medcity, Kuttisahib Road Cheranelloor, South Chittoor, Kochi, Kerala.

Ernakulam
KERALA
682027
India 
Phone  9495530842  
Fax    
Email  josephmachiyanickal@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Nisha A 
Designation  Senior Consultant 
Affiliation  Aster Medcity 
Address  Aster Medcity, Kuttisahib Road Cheranelloor, South Chittoor, Kochi, Kerala.

Ernakulam
KERALA
682027
India 
Phone  9656732203  
Fax    
Email  drnisha.rajmohan@asterhospital.in  
 
Details of Contact Person
Public Query
 
Name  Nisha A 
Designation  Senior Consultant 
Affiliation  Aster Medcity 
Address  Aster Medcity, Kuttisahib Road Cheranelloor, South Chittoor, Kochi, Kerala.

Ernakulam
KERALA
682027
India 
Phone  9656732203  
Fax    
Email  drnisha.rajmohan@asterhospital.in  
 
Source of Monetary or Material Support  
Aster Medcity, Kochi 
 
Primary Sponsor  
Name  Joseph Sebastian 
Address  Kuttisahib Road Cheranelloor, South Chittoor, Kochi, Kerala 682027. 
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 
DrNisha A  Aster Medcity  Aster Medcity, Kuttisahib Road Cheranelloor, South Chittoor, Kochi, Kerala.
Ernakulam
KERALA 
9656732203

drnisha.rajmohan@asterhospital.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONALETHICSCOMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K210||Gastro-esophageal reflux disease with esophagitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nebulization with dexmeditomidine  Nebulization with dexmeditomide is given at dose of 1mcg/kg , 30 minutes prior to intubation. 
Comparator Agent  NEBULIZATION WITH NORMAL SALINE  Nebulization with normal saline , 30 minutes prior to intubation 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  ASA (American Society of Anesthesiologists) physical status I- II,111, and undergoing third space endoscopies. 
 
ExclusionCriteria 
Details  Patients with severe respiratory disease, cardiac disease, or neurological disorders, those with a history of dexmedetomidine allergy or intolerance, not willing for study, pregnancy, ASA 4 and above
,refusal of consent
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Hemodynamic stability with nebulized dexmedetomidine as premedication during third space endoscopy procedures, as measured by heart rate, blood pressure .  30 minutes prior to intubation till 20 minutes after extubation. 
 
Secondary Outcome  
Outcome  TimePoints 
To know the hemodynamic response of nebulized dexmedetomidine as premedication for the attenuation of the laryngoscopy and intubation response
To assess the incidence of adverse events associated with nebulized dexmedetomidine such as hypotension, bradycardia
 
30 minutes prior to intubation till 20 minutes after extubation. 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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 
Date of First Enrollment (India)   15/01/2026 
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  
This study aims to investigate the comparative effects of nebulized dexmedetomidine and normal saline on hemodynamic parameters during third space endoscopic procedures, and to determine if nebulized dexmedetomidine offers a clinically significant advantage in maintaining hemodynamic stability compared to normal saline.
 
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