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CTRI Number  CTRI/2018/05/013783 [Registered on: 09/05/2018] Trial Registered Retrospectively
Last Modified On: 10/05/2018
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   An observational study to assess tubal patency in infertile women with Hycosy by using the Ultrasound contrast agent lignosal 
Scientific Title of Study   Hycosy(Hysterosalpingocontrastsonography) by using the Ultrasound contrast agent lignosal (mixture of 2% lignocaine jelly and saline) for the evaluation of tubal patency in infertile women an observational study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ch V Narayana Rao 
Designation  Sonologist 
Affiliation  Shilpa Scan Center 
Address  Sonology Division, Shilpa Scan Center, Opp. Telephone Exchange Palakol, Andhra Pradesh

West Godavari
ANDHRA PRADESH
534260
India 
Phone  9849611266  
Fax    
Email  chnr42@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ch V Narayana Rao 
Designation  Sonologist 
Affiliation  Shilpa Scan Center 
Address  Sonology Division, Shilpa Scan Center, Opp. Telephone Exchange Palakol, Andhra Pradesh

West Godavari
ANDHRA PRADESH
534260
India 
Phone  9849611266  
Fax    
Email  chnr42@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ch V Narayana Rao 
Designation  Sonologist 
Affiliation  Shilpa Scan Center 
Address  Sonology Division, Shilpa Scan Center, Opp. Telephone Exchange Palakol, Andhra Pradesh

West Godavari
ANDHRA PRADESH
534260
India 
Phone  9849611266  
Fax    
Email  chnr42@yahoo.com  
 
Source of Monetary or Material Support  
Dr Ch V Narayana Rao Shilpa Scan Center Opp Telephone Exchange Palakol, Andhra Pradesh 
 
Primary Sponsor  
Name  Dr Ch V Narayana Rao 
Address  Shilpa Scan Center Opp Telephone Exchange Palakol, Andhra Pradesh 
Type of Sponsor  Other [Self] 
 
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 Ch V Narayana Rao  Shilpa Scan Center  Sonology Division, Shilpa Scan Center, Opp. Telephone Exchange Palakol, Andhra Pradesh
West Godavari
ANDHRA PRADESH 
9849611266

chnr42@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
S2J INDEPENDENT ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Women referred for Hycosy(Hysterosalpingo contrast sonography),  
 
Intervention / Comparator Agent
Modification(s)  
Type  Name  Details 
Intervention  Lignocaine 2% w/v gel mixed with normal saline contrast medium  Lignocaine 2% w/v gel mixed with normal saline contrast medium 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Female 
Details  1)Participants willing to sign an Informed Consent Form indicating that they understand the purpose of and the procedures required for the study and are willing to participate in it.
2)Female patients of child bearing age, 18 - 50 years of age who are referred to the Study site to undergo Tubal Patency Test using HyCoSy (Hysterosalpingo Contrast Sonography) procedure.
 
 
ExclusionCriteria 
Details  1)Patients with known allergy to the ingredients of the contrast medium.
2)Pregnant or breast-feeding women
3)Presence of any other clinically significant disease or laboratory findings that in the Investigator opinion may affect efficacy or safety assessments.
4)History of alcohol or drug abuse, or suspicion thereof in the Investigator judgment.
5)History of or active hepatitis B or C within the past 3 months or history of HIV infection.
6)History of seizure disorder or epilepsy 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Effectiveness of Lignocaine 2% w/v gel mixed with normal saline contrast medium  1 Day 
 
Secondary Outcome  
Outcome  TimePoints 
Safety of Lignocaine 2% w/v gel mixed with normal saline contrast medium  1 Day 
 
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   N/A 
Date of First Enrollment (India)   20/04/2018 
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="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
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  

Tubal patency testing plays a vital role in female infertility workup because tubal obstruction is estimated to play a very significant role in 12-33% of infertile couples. Currently several tests are available to assess the tubal patency. X-ray HysteroSalpingoGraphy (HSG) is performed mainly using oil or water based contrast. It has several disadvantages such as severe pain, exposure to radiation and potential allergic reactions to contrast agent. Laproscopic chromotubation evaluation with methylene blue has some risk associated with surgery and anesthesia and is more expensive. Another cost effective modality is to inject water and air mixture into uterine cavity. While doing transvaginal color Doppler, we can see the fluid and air bubbles around the ovaries (saline infusion sonography).  The disadvantages in this procedure are tubes cannot be visualized and the patient experiences severe pain, vomiting sensation and dizziness.

HysterosalpingoContrastSonography(HyCoSy) is another ultrasound guided procedure using Echovist (Shering AG,Berlin,Germany) or SonoVue (Bracco International BV Amsterdam,The Netherlands). These products consist of aqueous galactose solution. This procedure is very accurate but very expensive and restricted to patients in first world countries.

For this observational study we intend to observe the effectiveness and safety of Lignocaine 2 % w/v gel mixed with Normal Saline contrast medium for determination of Tubal Patency using HyCoSy (Hysterosalpingo Contrast Sonography) procedure.


 
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