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CTRI Number  CTRI/2018/12/016634 [Registered on: 12/12/2018] Trial Registered Prospectively
Last Modified On: 11/12/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   To test the effectiveness of Vitamin C to decrease pneumonia in mechanically ventilated patients 
Scientific Title of Study   A Randomized controlled trial to examine the usefulness of Vitamin C to reduce incidence of Ventilator associated pneumonia 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Chinmaya Joshi 
Designation  Doctor 
Affiliation  St, Stephens Hospital, Delhi 
Address  C 5-1, R. K. Puram Sector 13, MS Flats

New Delhi
DELHI
110066
India 
Phone  8929342448  
Fax    
Email  chinmayajoshi1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jacob M Puliyel 
Designation  Head of department of Pediatrics 
Affiliation  St. Stephens Hospital 
Address  Tis Hazari, Delhi

North
DELHI
110054
India 
Phone  9868035091  
Fax    
Email  puliyel@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Jacob M Puliyel 
Designation  Head of department of Pediatrics 
Affiliation  St. Stephens Hospital 
Address  Tis Hazari, Delhi

North
DELHI
110054
India 
Phone  9868035091  
Fax    
Email  puliyel@gmail.com  
 
Source of Monetary or Material Support  
Self 
 
Primary Sponsor  
Name  St Stephens Hospital 
Address  Tis Hazari, Delhi 
Type of Sponsor  Private hospital/clinic 
 
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 CHINMAYA JOSHI  ST. STEPHENS HOSPITAL  Pediatric HDU, Department of Pediatrics and Neonatology Tis Hazari
North
DELHI 
8929342448

chinmayajoshi1@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
St. Stephens ethical committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B95-B97||Bacterial and viral infectious agents, (2) ICD-10 Condition: B95-B97||Bacterial and viral infectious agents,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  nil  nil 
Intervention  Vitamin C and placebo  Cases to be given Vitamin c and controls to be given placebo 
 
Inclusion Criteria  
Age From  1.00 Month(s)
Age To  12.00 Year(s)
Gender  Both 
Details  All patients ventilated on day 1 of hospitalisation 
 
ExclusionCriteria 
Details  All patients ventilated in other hospital and then referred 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To examine the usefulness of Vitamin C to reduce incidence of Ventilator associated pneumonia.  The time to development of polymorphic cell reaction and time to development of CDC criteria for VAP will be examined in both case and control groups 
 
Secondary Outcome  
Outcome  TimePoints 
Duration of ventilation and hospitalization will be recorded.  Duration of ventilation and hospitalization 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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 1 
Date of First Enrollment (India)   15/12/2018 
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="6"
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  

Aim of the study is to examine the usefulness of Vitamin C to reduce incidence of Ventilator associated pneumonia in patients admitted to Pediatric HDU at St. Stephen’s Hospital. The time to development of polymorphic cell reaction and time to development of VAP will be examined in both test and control groups. Also duration of ventilation and hospitalization will be recorded. As there has been no previous study of use of vitamin C as a mucolytic in ventilated patients, we propose to do a pilot study taking a sample size of 40 patients of which 20 will be cases and 20 controls. The effect size and variance in this group will be studied to help in sample size calculations for a definitive study if this sample size proved inadequate. The patient randomised to receive vitamin C will be the test group. The other group receiving standard care will be controls. Prophylactic doses of vitamin C at a dose of 40 mg per kg will be given to the cases from the time of intubation and comparisons will be made  to the control group receiving standard therapy.ET secretions will be examined every day looking for polymorphonuclear cells on microscopy. Secretions with raised counts will be sent for microbiological evaluation – staining for bacteria and for culture of organisms.

 
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