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CTRI Number  CTRI/2018/01/011283 [Registered on: 11/01/2018] Trial Registered Prospectively
Last Modified On: 03/01/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Medical Device 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A clinical trial to compare the effectiveness of inhaler and nebulizer in children aged 5-14 years with acute attack of asthma. 
Scientific Title of Study   Comparison of effectiveness of Metered dose inhaler with spacer and Nebulizer in children aged 5-14 years with acute asthma: Randomized 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  Rishabh Batra 
Designation  Junior Resident, Department of Pediatrics 
Affiliation  Pt. B.D.Sharma PGIMS, Rohtak 
Address  Department of Pediatrics, Pt. B.D.Sharma PGIMS, Rohtak Haryana

Rohtak
HARYANA
124001
India 
Phone  7206504349  
Fax    
Email  mailtorish16@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Alok Khanna 
Designation  Professor, Department of Pediatrics 
Affiliation  Pt. B.D.Sharma PGIMS, Rohtak 
Address  Department of Pediatrics, Pt. B.D.Sharma PGIMS, Rohtak Haryana

Rohtak
HARYANA
124001
India 
Phone  9416685096  
Fax    
Email  vj78@live.in  
 
Details of Contact Person
Public Query
 
Name  Rishabh Batra 
Designation  Junior Resident, Department of Pediatrics 
Affiliation  Pt. B.D.Sharma PGIMS, Rohtak 
Address  Department of Pediatrics, Pt. B.D.Sharma PGIMS, Rohtak Haryana

Rohtak
HARYANA
124001
India 
Phone  7206504349  
Fax    
Email  mailtorish16@gmail.com  
 
Source of Monetary or Material Support  
Pt. B.D. Sharma PGIMS, Rohtak 
 
Primary Sponsor  
Name  Pt BDSharma PGIMS 
Address  Pt. B.D.Sharma PGIMS Rohtak, Haryana 124001 
Type of Sponsor  Government 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 Rishabh Batra  Department of Pediatrics  Department of Pediatrics Pt. B.D. Sharma PGIMS Rohtak, Haryana 124001
Rohtak
HARYANA 
7206504349

mailtorish16@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Pt. B.D. Sharma PGIMS/UHS, Rohtak  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Acute Bronchial Asthma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Metered dose inhaler with spacer  Salbutamol containing metered dose inhaler with 250ml spacer delivering 100mcg per puff 
Comparator Agent  Nebulizer  Oxygen driven nebulizer using Salutamol respirator solution 5mg per ml 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  14.00 Year(s)
Gender  Both 
Details  Children aged 5-14 years diagnosed with acute asthma 
 
ExclusionCriteria 
Details  Non consenting child 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Need for hospital admission
Duration of stay in the emergency department 
Need for hospital admission
Duration of stay in the emergency department 
 
Secondary Outcome  
Outcome  TimePoints 
Respiratory Rate
Heart rate
Use of accessory muscles
Auscultatory findings
Peak Expiratory Flow Rate
Development of tremor
PaCO2 on Venous Blood Gas Analysis
 
0 minutes
20 minutes
40 minutes
60 minutes 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
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)   05/02/2018 
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)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  
An informed written consent from parents will be taken. A randomized controlled trial study design will be used. Subjects will be defined as asthmatic children aged 5-14 years who present to paediatric emergency with acute attack of asthma. With the help of computer generated randomization table the subjects will be divided into two groups. A sample size of 75 in each group is taken. Enrolment number will be given to ensure identity. Demographic data will be collected including name, father’s name, age, sex and address with phone number. Disease history will include the duration, severity of symptoms based on frequency of day and night symptoms, co-morbidities, family history and current treatment being received.Subjects in group 1 will receive Salbutamol with the help of MDI and spacer (250ml) thrice at intervals of 20 minutes and subjects in group 2 will receive Salbutamol by oxygen driven nebulizer thrice at 20 minutes interval.
The subjects will be repeatedly assessed to ensure clinical improvement. However, examination to record the parameters that will be used for the comparison of effectiveness by these two devices will be conducted only four times during the observation period i.e.
  • ·         Before giving any therapy
  • ·         At 20 minutes duration
  • ·         At 40 minutes duration
  • ·         At 60 minutes duration.

The following parameters will be used for comparison by using suitable statistical tests-

  • 1.      Respiratory rate
  • 2.      Heart rate
  • 3.      Use of accessory muscles
  • 4.      Auscultatory findings
  • 5.      Peak expiratory flow rate
  • 6.      Development of tremor
  • 7.      PaCO2 on Venous Blood Gas Analysis
  • 8.      Need for hospital admission
  • 9.      Duration of stay in emergency department
 
 
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