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CTRI Number  CTRI/2022/02/039905 [Registered on: 01/02/2022] Trial Registered Prospectively
Last Modified On: 27/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia
Radiation Therapy 
Study Design  Randomized, Crossover Trial 
Public Title of Study   Comparing two drugs for making the child sleep during radiation treatment 
Scientific Title of Study   Comparison of Two Sedation Techniques for External Beam Radiotherapy (EBRT) in Paediatric Patients 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Swati Sahay 
Designation  Post graduate resident anaesthesiology  
Affiliation  Rajiv Gandhi Cancer Institute and Research Centre  
Address  Department of Anaesthesia;Operating room number-5;Third Floor; Major Operation Theatre Division; Rajiv Gandhi Cancer Institute and Research Centre Sector-5 ; Rohini

North West
DELHI
110085
India 
Phone  8826368243  
Fax    
Email  sahay2swati@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shagun Bhatia Shah  
Designation  Consultant anaesthesiology  
Affiliation  Rajiv Gandhi Cancer Institute and Research Centre 
Address  Department of Anaesthesia; Room Number 7; Third Floor; Major Operation Theatre Division; Rajiv Gandhi Cancer Institute and Research Centre Sector-5 ; Rohini ; New Delhi

North West
DELHI
110085
India 
Phone  09891769779   
Fax    
Email  drshagun_2010@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Swati Sahay 
Designation  Post graduate resident anaesthesiology 
Affiliation  sahay2swati@gmail.com 
Address  Department of Anaesthesia;Operating room number-5;Third Floor; Major Operation Theatre Division; Rajiv Gandhi Cancer Institute and Research Centre Sector-5 ; Rohini

North West
DELHI
110085
India 
Phone  8826368243  
Fax    
Email  sahay2swati@gmail.com  
 
Source of Monetary or Material Support  
Rajiv Gandhi Cancer Institute and Research Centre 
 
Primary Sponsor  
Name  Rajiv Gandhi Cancer Institute and Research Centre 
Address  Department of Anaesthesia;Third Floor; Major Operation Theatre Division; Consultants Room;Rajiv Gandhi Cancer Institute and Research Centre Sector-5 ; Rohini ; New Delhi -110085  
Type of Sponsor  Research institution and hospital 
 
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 Swati Sahay  Rajiv Gandhi Cancer Institute and Research Centre   Operation Room no:5;Department of Anaesthesia;Operation Theatre Division;Third Floor ;Old Building;Sector-5;Rohini;Delhi-110085
North West
DELHI 
8826368243

sahay2swati@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Review Board of Rajiv Gandhi Cancer Institute and Research Centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D||Radiation Therapy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Intravenous Propofol  1mg/kg Pre-procedure 0.5mg/kg boluses intraprocedural guided by Pedaitric Sedation State Scale, Face Legs Activity Cry Consolability Scale and bispectral index  
Intervention  Intravenous Ketamine  1mg/kg Pre-procedure 0.5mg/kg boluses intraprocedural guided by Pediatric Sedation State Scale ,Face Legs Activity Cry Consolability Scale and bispectral index  
 
Inclusion Criteria  
Age From  6.00 Month(s)
Age To  6.00 Year(s)
Gender  Both 
Details  Undergoing External Beam Radiotherapy under Sedation 
 
ExclusionCriteria 
Details  No parental consent
Retinoblastoma
Radiation simulation
Raised Intracranial Pressure
Allergic to study drug 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Pediatric Sedation State Scale  0 minutes Baseline preprocedural
3 minutes after injection of intervention/comparator drug
6 minutes after injection of intervention/comparator drug
9 minutes after injection of intervention/comparator drug
0 minutes post-procedure
10 minutes post-procedure
30 minutes post-procedure 
 
Secondary Outcome  
Outcome  TimePoints 
Heart Rate  0 minutes Baseline preprocedural
3 minutes after injection of intervention/comparator drug
6 minutes after injection of intervention/comparator drug
9 minutes after injection of intervention/comparator drug
0 minutes post-procedure
10 minutes post-procedure
30 minutes post-procedure 
Arterial oxygen Saturation  0 minutes Baseline preprocedural
3 minutes after injection of intervention/comparator drug
6 minutes after injection of intervention/comparator drug
9 minutes after injection of intervention/comparator drug
0 minutes post-procedure
10 minutes post-procedure
30 minutes post-procedure 
Face Legs Activity Cry Consolibility Scale  0 minutes Baseline preprocedural
3 minutes after injection of intervention/comparator drug
6 minutes after injection of intervention/comparator drug
9 minutes after injection of intervention/comparator drug
0 minutes post-procedure
10 minutes post-procedure
30 minutes post-procedure 
Bispectral Index  0 minutes Baseline preprocedural
3 minutes after injection of intervention/comparator drug
6 minutes after injection of intervention/comparator drug
9 minutes after injection of intervention/comparator drug
0 minutes post-procedure
10 minutes post-procedure
30 minutes post-procedure 
Respiratory Rate  0 minutes Baseline preprocedural
3 minutes after injection of intervention/comparator drug
6 minutes after injection of intervention/comparator drug
9 minutes after injection of intervention/comparator drug
0 minutes post-procedure
10 minutes post-procedure
30 minutes post-procedure 
Richmond Agitation Sedation Scale  0 minutes post-procedure
10 minutes post-procedure
30 minutes post-procedure 
 
Target Sample Size   Total Sample Size="16"
Sample Size from India="16" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/02/2022 
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="1"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None so far 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [drshagun_2010@rediffmail.com].

  6. For how long will this data be available start date provided 13-07-2023 and end date provided 12-07-2028?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   This is a prospective, interventional, single-centric, randomised, open-label, cross-over study to be conducted in the Radiotherapy suite of Rajiv Gandhi Cancer Institute and Research Centre aiming to compare two sedative techniques, propofol-midazolam and ketamine-midazolam, for external beam radiotherapy in paediatric patients. We shall enroll 16 paediatric patients for 20 radiotherapy sittings each, on 20 consecutive days so that we obtain 320 radiotherapy sittings. All paediatric patients of either sex, aged 6 months to 6 years undergoing external beam radiotherapy shall be included in the study. Exclusion criteria include no parental consent, raised intracranial pressure, radiation simulation, retinoblastoma and allergy to propofol or ketamine. There shall be two arms of the study, the ketamine arm and the propofol arm with 160 radiotherapy sittings in each arm. This shall be a crossover study with the patient randomly being allocated one arm and then crossing over to the other arm after the first 10 radiotherapy sittings. The primary outcome measure would be the Paediatric Sedation State Scale Score measured at pre-procedure, 3 minutes, 6 minutes, 9 minutes after initiation of intervention, at the end of the procedure and at 10minutes and 30 minutes post-procedure. The secondary outcome measures would be heart rate, arterial oxygen saturation, Face Legs Arm Cry Consolibility Scale, Bispectral Index, respiratory rate measured at pre-procedure, 3 minutes, 6 minutes, 9 minutes after initiation of intervention, at the end of the procedure and at 10 minutes and 30 minutes post-procedure, and Richmond Agitation Sedation Scale measured at the end of the procedure and at 10 minutes and 30 minutes post-procedure.  
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