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CTRI Number  CTRI/2018/01/011140 [Registered on: 04/01/2018] Trial Registered Prospectively
Last Modified On: 10/04/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Early repair of fistula in children after operation for hypospadias 
Scientific Title of Study   Early repair of small urethrocutaneous fistula in children after hypospadias surgery- A randomised controlled trial  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sachit Anand 
Designation  Junior Resident, Department of Pediatric Surgery 
Affiliation  All India Institute of Medical Sciences 
Address  Room no-60, Hostel no-7 AIIMS Gents Hostel, AIIMS Ansari Nagar, New Delhi-110029

New Delhi
DELHI
110029
India 
Phone  9654215906  
Fax    
Email  kanu.sachit@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sachit Anand 
Designation  Junior Resident, Department of Pediatric Surgery 
Affiliation  All India Institute of Medical Sciences 
Address  Room no-60, Hostel no-7 AIIMS Gents Hostel, AIIMS Ansari Nagar, New Delhi-110029

New Delhi
DELHI
110029
India 
Phone  9654215906  
Fax    
Email  kanu.sachit@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Anjan Dhua 
Designation  Assistant Professor 
Affiliation  All India Institute of Medical Sciences 
Address  Department of Pediatric Surgery, AIIMS

New Delhi
DELHI
110029
India 
Phone  9871568690  
Fax    
Email  anjandhua@hotmail.com  
 
Source of Monetary or Material Support  
Indian Council of Medical Research V Ramalingaswami Bhawan P.O Box 4911 Ansari Nagar, New Delhi-110029 
 
Primary Sponsor  
Name  Indian Council of Medical Research 
Address  Indian Council of Medical Research V. Ramalingaswami Bhawan P.O. Box No. 4911 Ansari Nagar New Delhi - 110029 India 
Type of Sponsor  Government funding agency 
 
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 
Sachit Anand  All India Institute of Medical Sciences  Out patient department,Pediatric Surgery department, AIIMS
New Delhi
DELHI 
9654215906

kanu.sachit@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committee, AIIMS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Children with hypospadias,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Early repair of small fistula  Early repair of small urethrocutaneous fistula manifesting within 4 weeks of catheter removal by application of a figure of eight stitch on OPD/day care basis 
Comparator Agent  Standard treatment  Daily calibration of the neo-meatus and finger occlusion during micturition 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  14.00 Year(s)
Gender  Male 
Details  (a) Have undergone primary urethroplasty for hypospadias at AIIMS
b) Fistula manifesting within four weeks after catheter removal
c) Single small (≤4 mm) UCF
 
 
ExclusionCriteria 
Details  a) Wound infection with slough around the fistula
b) UCF > 4mm
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Primary outcome would be assessed by the comparison of the two groups with regards to number of patients having fistula   At the end of 6 months of follow up in the two groups
 
 
Secondary Outcome  
Outcome  TimePoints 
Secondary outcome shall be assessed by the number of patients allocated to the test arm who successfully receive the intervention without requiring another admission  At the end of 6 months of follow up in the two groups 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
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 3 
Date of First Enrollment (India)   15/01/2018 
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)
Modification(s)  
Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This is an open label randomised controlled trial to determine the feasibility and efficavy of early repair of small urethrocutaneous fistulae (≤4 mm) in children after hypospadias surgery. Children with small UC fistula developing within four weeks after catheter removal shall be assessed for eligibility based on inclusion/exclusion criteria. Following informed parental consent, eligible children shall be randomised to receive a “figure of eight” stitch while ensuring allocation concealment. Randomized control subjects who would only be subjected to traditional follow up with neo-meatal calibration and finger occlusion micturition.  The patients shall be followed during the study duration and monitored for recurrence of fistulas, urinary stream and wound infection. 
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