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CTRI Number  CTRI/2026/01/100192 [Registered on: 02/01/2026] Trial Registered Prospectively
Last Modified On: 02/01/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Ice Therapy application]  
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Effectiveness of ice therapy on pain during arteriovenous fistula cannulation among patients undergoing hemodialysis at a hemodialysis center 
Scientific Title of Study   Effectiveness of ice therapy on pain during arteriovenous fistula cannulation among patients undergoing hemodialysis at dialysis center 
Trial Acronym  NA 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Srijana Ghimire 
Designation  PhD scholar 
Affiliation  Noida International University 
Address  Noida International University, Plot 1, Sector-17 A, Yamuna Expressway, Sector 17A, Gautam Budh Nagar, Uttar Pradesh 203201

New Delhi
DELHI
203201
India 
Phone  8745862200  
Fax    
Email  srijananeupane95@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Dipak Sethi 
Designation  Dean School of Nursing 
Affiliation  Noida International University 
Address  Noida International University, Plot 1, Sector-17 A, Yamuna Expressway, Sector 17A, Gautam Budh Nagar, Uttar Pradesh 203201

New Delhi
DELHI
203201
India 
Phone  9988963832  
Fax    
Email  dir.son@niu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Srijana Ghimire 
Designation  PhD scholar 
Affiliation  Noida International University 
Address  Noida International University, Plot 1, Sector-17 A, Yamuna Expressway, Sector 17A, Gautam Budh Nagar, Uttar Pradesh 203201

New Delhi
DELHI
203201
India 
Phone  8745862200  
Fax    
Email  srijananeupane95@gmail.com  
 
Source of Monetary or Material Support  
self sponsored 
 
Primary Sponsor  
Name  Srijana Ghimire  
Address  Noida International University, Plot 1, Sector-17 A, Yamuna Expressway, Sector 17A, Gautam Budh Nagar, Uttar Pradesh 203201. 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India
Nepal  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sunil Panta  Hemodialysis unit, Bharatpur Hospital, Nepal  Bharatpur 10, Chitwan Nepal

 
056597003

info@bharatpurhospital.gov.np 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NIIMS/IEC  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N185||Chronic kidney disease, stage 5,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Ice therapy  A quasi-experimental research design (Post-test control group design) will be used to evaluate the effectiveness of ice therapy on pain during AV fistula cannulation. 
Comparator Agent  Regular care  No intervention during maintenance for hemodialysis patients.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  All patients aged 18 years to 99 years who will be undergoing hemodialysis. Have a healthy arteriovenous fistula access with good function (no sign of infection, success of canula in one time prick.

Had a negative cold provocation test (A negative cold provocation test means that the test did not detect any abnormalities in blood flow or temperature in the fingers) with a single successful fistula cannulation attempt.
Analgesics or sedatives are not used within 6 hours before hemodialysis.
Those willing to participate in the study will be included
 
 
ExclusionCriteria 
Details  Numbness and hematoma of the puncture site.
Severe illness and those who cannot verbally communicate.
Sampling
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Pain relief  Single-point pain assessment done after cannulation 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="140"
Sample Size from India="140" 
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)   15/02/2026 
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="6"
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  

A quasi-experimental research design, a post-test control group design, will be used. The aim of the study is to evaluate the effectiveness of ice therapy on pain during AV fistula cannulation. The study population will be maintenance hemodialysis patients. All patients will be screened to meet the inclusion criteria. Age 18 above, had a negative cold provocation test, a single successful fistula cannulation attempt, and analgesics or sedatives are not used within 6 hours before hemodialysis will be included. Ice therapy will be applied on the huge point of the contralateral arm for 10 minutes before fistula cannulation and 2 minutes after conutinue then assess the pain by using the pain rating scale. A total of 140 patients (70 experimental and 70 control group) will be included in the study.

 
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