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CTRI Number  CTRI/2010/091/000426 [Registered on: 11/05/2010]
Last Modified On: 28/02/2013
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study
Modification(s)  
Vaccine 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study
Modification(s)  
Vaccination order and Pain response in Newborns 
Scientific Title of Study
Modification(s)  
Pain response in newborns to the order of injecting BCG and Hepatitis-B vaccines 
Trial Acronym   
Secondary IDs if Any
Modification(s)  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
Modification(s)  
Name  SR Ravikiran 
Designation   
Affiliation   
Address  Assistant Professor, Department of Pediatrics
KVG Medical College
Not Applicable
N/A
574327
India 
Phone  9480238528  
Fax    
Email  ravisaralaya@gmail.com  
 
Details of Contact Person
Scientific Query

Modification(s)  
Name  SR Ravikiran 
Designation   
Affiliation   
Address  Assistant Professor, Department of Pediatrics
KVG Medical College
Not Applicable
N/A
574327
India 
Phone  9480238528  
Fax    
Email  ravisaralaya@gmail.com  
 
Details of Contact Person
Public Query

Modification(s)  
Name  SR Ravikiran 
Designation   
Affiliation   
Address  Assistant Professor, Department of Pediatrics
KVG Medical College
Not Applicable
N/A
574327
India 
Phone  9480238528  
Fax    
Email  ravisaralaya@gmail.com  
 
Source of Monetary or Material Support
Modification(s)  
NIL 
 
Primary Sponsor
Modification(s)  
Name  SR Ravikiran 
Address  Associate Professor Department of Pediatrics KMC, Mangalore 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor
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Name  Address 
NIL   
 
Countries of Recruitment
Modification(s)  
  India  
Sites of Study
Modification(s)  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr SR Ravikiran  Pediatrics Outpatient Department  KVG Medical College,Kurunjibagh-574327

 
9480238528

ravisaralaya@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
KVG Medical College Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
Modification(s)  
Health Type  Condition 
Healthy Human Volunteers  To determine if acute pain response in newborns during administration of the BCG vaccine and the Hepatitis-B vaccine is affected by the order in which they are given. 
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  BCG vaccine injection first followed by HepatitisB vaccine injection  0.1 ml of BCG vaccine (TUBERVAC?) was administered intradermally at the convex aspect of the left shoulder using a tuberculin syringe first followed by HepatitisB vaccine 
Comparator Agent  HepatitisB vaccine injection first followed by Bcg vaccine injection  0.5 ml of Hepatitis B vaccine (GeneVac-B?) was administered intramuscularly at the anterolateral aspect of thigh using 0.60X25mm (23X1) needle followed by BCG vaccine 
 
Inclusion Criteria
Modification(s)  
Age From  0.00 Day(s)
Age To  28.00 Day(s)
Gender  Both 
Details  Randomized study of full term healthy newborns who received the routine dose of BCG and the Hepatitis-B vaccine in the vaccination room of Pediatric Department; KVG Medical College Hospital; Sullia. 
 
ExclusionCriteria 
Details  We excluded sick newborns , 5 minute APGAR<7, low birth weight babies, and those who were discharged before the weekly vaccination day. 
 
Method of Generating Random Sequence
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Random Number Table 
Method of Concealment
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Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking
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Outcome Assessor Blinded 
Primary Outcome
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Outcome  TimePoints 
The primary outcome measure was the neonatal pain. Pain assessment was done using the neonatal infant pain scale (NIPS).  it was measured prior to the vaccine injections and during the vaccine injections. 
 
Secondary Outcome
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Outcome  TimePoints 
10-cm visual analog scale (VAS)  Obtained immediately after the first and second vaccine injections.  
 
Target Sample Size
Modification(s)  
Total Sample Size="68"
Sample Size from India="68" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
Modification(s)  
Phase 2 
Date of First Enrollment (India)
Modification(s)  
06/05/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  06/05/2010 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
Modification(s)  
Years="0"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Pain response in newborns to the order of injecting BCG and Hepatitis-B vaccines: a randomized trial. Ravikiran SR, Kumar PM, Meundi AD. Indian J Pediatr. 2011 Jun;78(6):693-7. doi: 10.1007/s12098-010-0327-3. Epub 2010 Dec 31. 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
This is a Single-center, randomized, parallel group, active controlled trial to determine if acute pain response after administration of the BCG vaccine and the Hepatitis-B vaccine is affected by the order in which they are given. Setting: Vaccination room in the Pediatrics Outpatient Department at KVG Medical College; Karnataka, India. Participants: Healthy term neonates undergoing routine immunization. Interventions: Newborns received either BCG vaccine or the Hepatitis-B vaccine first, followed by the other vaccine. Main Outcome Measures: The primary outcome was neonatal pain during vaccine injection as assessed by a validated measure, the Neonatal Infant Pain Scale (NIPS), scored by resident doctors blinded to the study purpose and hypothesis. In addition, a nurse rated pain using a 10-cm visual analog scale (VAS). 
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