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CTRI Number  CTRI/2026/01/100301 [Registered on: 05/01/2026] Trial Registered Prospectively
Last Modified On: 04/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   The study is to determine how administration of methylene blue affect the dose of noradrenaline in a shock patient 
Scientific Title of Study   A randomized clinical study of the effects of early use of Methylene Blue on Noradrenaline dose in shock. 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Akshita 
Designation  junior resident 
Affiliation  Subharti medical college 
Address  Department of Anaesthesiology and Critical Care, 2nd floor, Chhatrapati Shivaji Subharti Hospital ,Subharti University, NH58 Delhi-Hardiwar bypass road, Subhartipuram, Meerut

Meerut
UTTAR PRADESH
250005
India 
Phone  7838685670  
Fax    
Email  bhardwajakshita17@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Salony Agarwal 
Designation  Professor 
Affiliation  Subharti medical college 
Address  Department of Anaesthesiology and Critical Care, 2nd floor, Chhatrapati Shivaji Subharti Hospital ,Subharti University, NH58 Delhi-Hardiwar bypass road, Subhartipuram, Meerut

Meerut
UTTAR PRADESH
250005
India 
Phone  7838685670  
Fax    
Email  bhardwajakshita17@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Akshita 
Designation  junior resident 
Affiliation  Subharti medical college 
Address  Department of Anaesthesiology and Critical Care, 2nd floor, Chhatrapati Shivaji Subharti Hospital ,Subharti University, NH58 Delhi-Hardiwar bypass road, Subhartipuram, Meerut

Meerut
UTTAR PRADESH
250005
India 
Phone  7838685670  
Fax    
Email  bhardwajakshita17@gmail.com  
 
Source of Monetary or Material Support  
Chhatrapati Shivaji ,Subharti University, NH58 Delhi-Hardiwar bypass road, Subhartipuram, Meerut 
 
Primary Sponsor  
Name  Subharti Medical College 
Address  Department of Anaesthesiology and Critical Care, 2nd floor, Chhatrapati Shivaji ,Subharti University, NH58 Delhi-Hardiwar bypass road, Subhartipuram, Meerut 
Type of Sponsor  Private 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 Akshita  Chhatrapati Shivaji Subharti Hospital  Department of Anaesthesiology and Critical Care, 2nd floor, Subharti University, NH58 Delhi-Hardiwar bypass road, Subhartipuram, Meerut
Meerut
UTTAR PRADESH 
7838685670

bhardwajakshita17@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
UNIVERSITY ETHICS COMMITTEE (MEDICAL)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I999||Unspecified disorder of circulatory system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Methylene blue and Vasopressin   Intravenous Vasopressin 0.04 units/min Intravenous Methylene Blue 1 mg/kg bolus over 30 minutes, then by a 0.5 mg/kg infusion over 24 hours  
Comparator Agent  Vasopressin and Normal Saline  Intravenous vasopressin infusion of 0.04 units/min and infusion saline for 24 hours 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Patient admitted in ICU with shock and requires noradrenaline to maintain a mean arterial pressure (MAP) of greater than or equal to 65 mm Hg after appropriate fluid resuscitation. 
 
ExclusionCriteria 
Details  relatives/patient refused to provide consent
With unstable coronary artery syndrome, stroke
chronic renal failure requiring dialysis,
malignancy or irreversible illness with a high mortality risk,
acute mesenteric ischemia,
pregnancy
known hypersensitivity to norepinephrine or Methylene Blue or Vasopressin
Glucose-6-phosphate dehydrogenase (G6PD) deficiency
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
CHANGE IN NORAD DOSE AFTER STARTING VASOPRESSIN AND METHYLENE BLUE  0 hours, 6 hours, 12 hours, 24 hours 
 
Secondary Outcome  
Outcome  TimePoints 
Changes in Lactate Levels,
Urine Output
Sequential organ failure assessment (SOFA) score.
CRP levels
 
0hr 6hr 12hr 24hr 
 
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   Phase 2 
Date of First Enrollment (India)   26/01/2026 
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="2"
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   THIS STUDY IS A RANDOMIZED CLINICAL STUDY OF THE EFFECTS OF EARLY USE OF METHYLENE BLUE ON NORADRENALINE DOSE IN  SHOCK WHERE THERE WILL BE A COMPARISON BETWEEN TWO GROUPS WHERE ONE WILL RECEIVE ONLY VASO AND ANOTHER VASO+ METHYLENE BLUE AFTER A CERTAIN DOSE OF NORAD. 
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