CTRI Number |
CTRI/2022/06/043015 [Registered on: 03/06/2022] Trial Registered Prospectively |
Last Modified On: |
03/06/2022 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Medical Device Preventive |
Study Design |
Randomized, Parallel Group Trial |
Public Title of Study
|
A clinical trial To Compare The Effect Of Volume Guaranteed Ventilation Versus Pressure Controlled Ventilation In Preterm Infants With Respiratory Distress Syndrome |
Scientific Title of Study
|
VOLUME GUARANTEED VENTILATION VERSUS PRESSURE-CONTROLLED VENTILATION IN PRE TERM INFANTS WITH RESPIRATORY DISTRESS SYNDROME : A RANDOMIZED CONTROL TRIAL |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Dr Ghanshyam Saini |
Designation |
Professor & Head |
Affiliation |
Government Medical College Jammu |
Address |
Government Medical College and Hospital maheshpura, chowk, Bakshi Nagar, Jammu, Jammu and Kashmir
Jammu JAMMU & KASHMIR 180001 India |
Phone |
9419193571 |
Fax |
0191-2584234 |
Email |
gs_saini63@yahoo.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Ghanshyam Saini |
Designation |
Professor & Head |
Affiliation |
Government Medical College Jammu |
Address |
Government Medical College and Hospital maheshpura, chowk, Bakshi Nagar, Jammu, Jammu and Kashmir
JAMMU & KASHMIR 180001 India |
Phone |
9419193571 |
Fax |
0191-2584234 |
Email |
gs_saini63@yahoo.com |
|
Details of Contact Person Public Query
|
Name |
Dr Anuj Gupta |
Designation |
Post Graduate |
Affiliation |
Government Medical College Jammu |
Address |
654- A Gandhinagar Jammu
Jammu JAMMU & KASHMIR 180004 India |
Phone |
9419288829 |
Fax |
|
Email |
anujrockstar0811@gmail.com |
|
Source of Monetary or Material Support
|
Department of Pediatrics Government Medical College Jammu |
|
Primary Sponsor
|
Name |
Dr Ghanshyam Saini |
Address |
Professor And Head , Department Of Pediatrics Government Medical College and Hospital maheshpura, chowk, Bakshi Nagar, Jammu, Jammu and Kashmir 180001 |
Type of Sponsor |
Other [] |
|
Details of Secondary Sponsor
|
Name |
Address |
Dr Anumodan Gupta |
maheshpura, chowk, Bakshi Nagar, Jammu, Jammu and Kashmir 180001 |
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr Ghanshyam Saini |
GMC Jammu |
NICU-C , Department of Pediatrics Jammu JAMMU & KASHMIR |
9419193571
gs_saini63@yahoo.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Government Medical College, Jammu Institutional Ethics Committee |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: J988||Other specified respiratory disorders, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Pressure controlled Ventilation |
For the pressure controlled ventilation we will be using the SIMV+PC mode |
Intervention |
Volume Guaranteed Ventilation |
For the volume guaranteed ventilation we will be using the SIMV+VG(PRVC) mode |
|
Inclusion Criteria
|
Age From |
1.00 Day(s) |
Age To |
7.00 Day(s) |
Gender |
Both |
Details |
1. Neonates born preterm between 27-34 weeks
2. Either gender.
3. Neonates developing RDS within first 7 days of life
4. Patients who would give written consent for the study. |
|
ExclusionCriteria |
Details |
1. Neonates with:
a. Life threatening congenital
malformations
b. Air Leak Syndromes
c. Birth Asphyxia
d. Meconium Aspiration
e. Severe IVH
2. Parents not giving valid consent. |
|
Method of Generating Random Sequence
|
Computer generated randomization |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Open Label |
Primary Outcome
|
Outcome |
TimePoints |
Total Duration of Mechanical Ventilation |
Total Duration of Mechanical Ventilation during hospital stay |
|
Secondary Outcome
|
Outcome |
TimePoints |
1.Failure of primary treatment i.e clinical decision to change the mode of ventilation
2.incidence of the complications, such as air leaks, intraventricular hemorrhage (IVH), retinopathy of prematurity (ROP), and peri-ventricular leukomalacia(PVL) etc will also be studied. |
During hospitalization |
|
Target Sample Size
|
Total Sample Size="116" Sample Size from India="116"
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)
|
05/06/2022 |
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
|
nil |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - NO
|
Brief Summary
|
Mechanical ventilation is primarily used because an infant is failing to breathe adequately, leading to CO2 retention. CO2 removal is determined by tidal volume (VT) and respiratory or ventilator rate. Volume ventilation (VTV) strategies aim to deliver a consistent VT. Advances in neonatal intensive care have resulted in increasing survival of very preterm and extremely preterm infants. Modern neonatal ventilation modes can target a set tidal volume as an alternative to traditional pressureâ€limited ventilation (PLV) using a fixed inflation pressure. Volumeâ€guaranteed ventilation aims to produce a more stable tidal volume in order to reduce lung damage and stabilize the partial pressure of carbon dioxide (pCO2). The VG mode also facilitates automatic weaning and as the patient lung compliance improves, the peak inspiratory pressure is automatically reduced to attain the set tidal volume |