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CTRI Number  CTRI/2013/04/003559 [Registered on: 15/04/2013] Trial Registered Retrospectively
Last Modified On: 25/03/2013
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of inhalation techniques in children with asthma using metered dose inhaler and spacer 
Scientific Title of Study   A randomised controlled trial to compare the effectiveness of single maximal inhalation with breath holding versus five tidal breaths for inhalation of salbutamol delivered by metered dose inhaler and spacer in children with asthma. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Divya Anna Stephen 
Designation  MSc. Nursing student 
Affiliation  All India Institute Of Medical Sciences 
Address  MSc. Nursing(Pediatrics),College of nursing,AIIMS

New Delhi
DELHI
110029
India 
Phone  8826052084  
Fax    
Email  divstephen@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Manju Vatsa 
Designation  Principal 
Affiliation  All India Institute Of Medical Sciences 
Address  college of nursing,All India Institute Of medical Sciences

New Delhi
DELHI
110029
India 
Phone  01126594457  
Fax  911126588663  
Email  mvatsa2001@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr S K Kabra 
Designation  Professor, Department of pediatrics 
Affiliation  All India Institute Of Medical Sciences 
Address  Professor, Department of pediatrics, All India Institute Of Medical Sciences.

New Delhi
DELHI
110029
India 
Phone  919868397540  
Fax    
Email  skkabra@hotmail.com  
 
Source of Monetary or Material Support  
Not Applicable 
 
Primary Sponsor  
Name  Divya Anna Stephen 
Address  MSc. Nursing(pediatrics), College of Nursing, AIIMS 
Type of Sponsor  Other [Investigator] 
 
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 
Divya Anna Stephen  AIIMS  College of nursing,old OT block, All India Institute Of medical Sciences
New Delhi
DELHI 
08826052084

divstephen@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AIIMS ethics comitee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Bronchial asthma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  MDI 2puffs (100mcg, in each puff)  MDI two puff either by five tidal breathing method or single maximal inhalation with a breath hold method ( for each puff) 
Comparator Agent  Single maximal inhalation with a breath hold,five tidal breaths  MDI two puff either by five tidal breathing method or single maximal inhalation with a breath hold method ( for each puff) 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  15.00 Year(s)
Gender  Both 
Details  1. Children with asthma
a) Using metered dose inhaler.
b) Who are of age 5-15 yrs.
c) Whose parent’s give consent to participate in the study.
2. Children who are able to perform the manoeuvre for measuring PEFR.
3. Children who are able to perform breath holding.
 
 
ExclusionCriteria 
Details  1. Children with
a) Acute exacerbations of asthma.
b) Chest malformation, congenital abnormalities of the chest.
c) Any other cardiovascular or neuromuscular disease.
d) Anthropometric parameters less than 3rd percentile.
2. Children receiving regular long acting beta-2 agonist (salmetrol, formetrol).
3. Children who have received beta2 agonist, 6 hrs prior to the observation (salbutamol).
4. Children who have received methylxanthines and anti cholinergic drugs prior to observation (Ipratropium bromide,Theophylline).
5. Children who are already performing single maximal inhalation with a breath hold

 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Peak expiratory flow rate  O1-Immediately prior to intervention.
O2-Half an after intervention. 
 
Secondary Outcome  
Outcome  TimePoints 
Breath hold time duration in single maximal inhalation with a breath hold group  Not applicable 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   N/A 
Date of First Enrollment (India)   16/07/2012 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="5"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   The study is a randomised control trial comparing the effectiveness of single maximal inhalation versus five tidal breaths for inhalation of salbutamol delivered by metered dose inhaler and spacer in children with asthma. The trial will be conducted at a single site in India. The primary outcome of the study is peak expiratory flow rate  prior to administration of salbutamol with metered dose inhaler and half an hour after administration of salbutamol with metered dose inhaler either by five tidal breathing method or single maximal inhalation with a breath hold method.

 
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