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CTRI Number  CTRI/2010/091/001176 [Registered on: 06/08/2010]
Last Modified On: 04/12/2013
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study
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Case Control Study 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study
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A clinical trial to study the effect of a medical device called "Embrace Infant Warmer" against the currently available method of thermal care in low birth weight neonates. 
Scientific Title of Study
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A randomized, controlled trial to study the efficacy of Embrace Infant Warmers in maintaining thermostability of low birth weight neonates against conventional care. 
Trial Acronym   
Secondary IDs if Any
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Secondary ID  Identifier 
EIW2010-001  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
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Name  Dr R Kishore Kumar 
Designation   
Affiliation   
Address  The Cradle Maternity Hospital
,9th Main Rd, Jaya Nagar 3rd Block, Jaya Nagar
Bangalore
KARNATAKA
560011
India 
Phone  91-9900155001  
Fax    
Email  drkishore@thecradlebangalore.com  
 
Details of Contact Person
Scientific Query

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Name  Dr Rahul Alex Panicker 
Designation   
Affiliation  Director 
Address  Cambree Life Improvement Technologies Pvt Ltd,
1st floor, Janardan Towers, Residency Road
Bangalore
KARNATAKA
560025
India 
Phone  91-9538768690  
Fax    
Email  rahul@embraceglobal.org  
 
Details of Contact Person
Public Query

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Name  DR SUDHIR BORGONHA 
Designation  MEDICAL DIRECTOR 
Affiliation   
Address  Cambree Life Improvement Technologies Pvt Ltd,
Platinum Square, Leonard Lane, Bangalore
Bangalore
KARNATAKA
560025
India 
Phone  91-9686897400  
Fax    
Email  sborgonha@embraceinnovations.com  
 
Source of Monetary or Material Support
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This pilot study is being funded by a company called Cambree Life Improvement Technologies Pvt Ltd. The address of the organization is Cambree Life Improvement Technologies Pvt Ltd, 1st floor, Janardan Towers, Residency Road, Bangalore- 560025. 
 
Primary Sponsor
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Name  Cambree Life Improvement Technologies Pvt Ltd 
Address  1st floor, Janardan Towers, Residency Rd, Bangalore- 560025. 
Type of Sponsor  Other [Medical device company] 
 
Details of Secondary Sponsor
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Name  Address 
NIL   
 
Countries of Recruitment
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  India  
Sites of Study
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No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr R Kishore Kumar  The Cradle Maternity Hospital  The Cradle Maternity Hospital,9th Main Rd, Jaya Nagar 3rd Block, Jaya Nagar, -560011
Bangalore
KARNATAKA 
91-9900155001

drkishore@thecradlebangalore.com 
 
Details of Ethics Committee
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No of Ethics Committees= 1  
Name of Committee  Approval Status 
CLINICOM  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied
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Health Type  Condition 
Patients  Maintenance of thermostability in low birth weight neonates.,  
 
Intervention / Comparator Agent
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Type  Name  Details 
Comparator Agent  Available standard of care at the site (This includes the radiant warmers, incubators, mother-in-cradle, etc.)  Maintain thermostability in the range of 36.5 to 37.5° C during the treatment phase that lasts for 4 hours as measured by axial or skin probe method. 
Intervention  Embrace Infant Warmer  Maintain thermostability in the range of 36.5 to 37.5° C during the treatment phase that lasts for 4 hours as measured by axial or skin probe method. 
 
Inclusion Criteria
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Age From  0.00 Day(s)
Age To  28.00 Day(s)
Gender  Both 
Details  1. Clinically stable neonates (not on external oxygen supply, not on IV fluids, and vital signs within the normal limit. Vital signs involve the measurement of the respiratory rate, heart rate and CRT)
2. 1500 grams to 2500 grams at time of screening
3. Gestation period greater than 32 weeks.
4. Signed and dated Informed Consent Document
 
 
ExclusionCriteria 
Details  1. External supply of oxygen or intravenous fluids 2. Malformation that adversely affects the temperature of the neonate 3. Parental refusal to participate  
 
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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Open Label 
Primary Outcome
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Outcome  TimePoints 
Ability of the Embrace Infant Warmer to support neonatal thermostability within the range of 36.5oC to 37.5oC.  During the study ?treatment phase?, lasting for 4 hours, as determined by axillary or skin probe temperature reading. 
 
Secondary Outcome
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Outcome  TimePoints 
Compare the mean temperature of neonates in the study group and control group (receiving standard care)  During the "study treatment phase", that lasts for 4 hours, and determined by axillary or skin probe temperature reading. 
Verify the sterility of the Embrace Infant Warmer when being used for multiple neonates  Compared to the device used in the standard of care arm before use in a neonate and immediately post removal of the neonate form the device 
Maintain the temperature of the micro-environment in the Embrace Infant Warmer.  During the "study treatment phase" that lasts for 4 hours. 
Efficacy of the Embrace infant warmer in maintaining temperature of the neonate within the range of 36.5oC to 37.5oC  During the "study treatment phase", that lasts for 4 hours, and determined by axillary or skin probe temperature reading. 
 
Target Sample Size
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Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial
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N/A 
Date of First Enrollment (India)
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11/08/2010 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  11/08/2010 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial
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Years="0"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)
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Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
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The study results were accepted and presented during the Pediatric Academic Societies (PAS) at Denever in 2011 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
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This pilot clinical study is a 1:1 randomized, open-label, active controlled trial to study the efficacy of Embrace Infant Warmers in maintaining thermostability of low -birth-weight neonates against conventional care for 4 months in 20 patients at a single center in India. 

 The primary outcome is to determine the ability of the Embrace Infant Warmer to support neonatal thermostability within the range of 36.5oC to 37.5oC, during the study treatment phase, lasting for 4 hours, as determined by axillary or skin probe temperature reading. 

Neither the concerned medical device nor its comparator are listed under notified medical devices, by the Ministry of Health and Family Welfare, Government of India (20/April/2010). Hence the DCGI approval to conduct pilot clinical study for this device is not needed. However the DCGI has been notified on 02/July/2010 and acknowledgment for the same has been received on 13/July/2010. 

The study is intended to be conducted broadly on clinically stable low-birth-weight neonates who need external thermal support to maintain normothermia.

Data analysed from the study thus conducted was submitted and accepted for presentation at the Pediatric Acedemic Societies (PAD), Denever in 2011-"Pilot Randomized Clinical Trial of a Portable Infant Warmer Not Dependent on a Continuous Energy Supply; Rahul A Panicker, PhD1, Kishore Kumar, MD2,3,4, Naveen Bekappa, MD4, Swarna R Bhat, MD4, Karthik N Nagesh, MD4 and Kiran Tauro, MD3. 1Embrace, San Francisco, California, United States; 2Department of Pediatrics and Neonatology, Notre Dame University, Perth, Western Australia, Australia; 3The Cradle, Bangalore, Karnataka, India and 4 Bangalore Neonatal Network at Division of Neonatology, Stanford,Stanford Univeristy, Stanford, California, United States"

Conduct of the study confirms the cinical feasibility of the Embrace Infant Warmer to provide thermoregulatory support for newly born low-birth-weight infants. A multicenter study powered to upscale its application and assess for a potential adverse events is advised.
 
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