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CTRI Number  CTRI/2025/03/083607 [Registered on: 27/03/2025] Trial Registered Prospectively
Last Modified On: 03/04/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia
Preventive 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   study to evaluate the efficacy of BiPAP/CPAP for the prevention of acute mountain sickness 
Scientific Title of Study   A Pilot study to evaluate the efficacy of prophylactic BiPAP/CPAP ventilation for the prevention of acute mountain sickness in non-acclimatized individuals 
Trial Acronym  PEPA 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Anshul Jain 
Designation  Professor 
Affiliation  Maharani Laxmi Bai Medical College Jhansi 
Address  Department of Anesthesia Maharani Laxmi Bai Medical College Jhansi First Floor room no 1

Jhansi
UTTAR PRADESH
285001
India 
Phone  9411685406  
Fax    
Email  dranshulrachna@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anshul Jain 
Designation  Professor 
Affiliation  Maharani Laxmi Bai Medical College Jhansi 
Address  Department of Anesthesiology MLB Medical College Jhansi Room number 1

Jhansi
UTTAR PRADESH
284128
India 
Phone  9411685406  
Fax    
Email  dranshulrachna@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anil Kumar 
Designation  Assistant Professor 
Affiliation  Government Medical College Jalaun 
Address  Department of Anesthesiology Government Medical College Jalaun First Floor, Room number 2

Jalaun
UTTAR PRADESH
285001
India 
Phone  9454224498  
Fax    
Email  anilkgmu10@gmail.com  
 
Source of Monetary or Material Support  
MLB Medical College, Jhansi, UTTAR PRADESH, INDIA, 284128 
 
Primary Sponsor  
Name  Department of Anesthesiology 
Address  Maharani Laxmi Bai Medical College Jhansi Uttar Pradesh- 284128 INDIA 
Type of Sponsor  Government medical college 
 
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 Anshul Jain  M.L.B. Medical College Jhansi and Associated Hospitals  Department of Anesthesia, Room Numer-1, MLB Medical College Jhansi
Jhansi
UTTAR PRADESH 
9411685406

dranshulrachna@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Maharani Laxmi Bai Medical college Institute Ethical Committee ( Human Studies)  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  normal health condition 
Patients  (1) ICD-10 Condition: T702||Other and unspecified effects of high altitude,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  oxygen gas @5lit/min  oxygen given by hudson mask,@5liter/min on having symptoms of the acute mountain sickness for 3 hours 
Intervention  tab Dimox 5mg OD  tab Dimox 5mg OD for 3 days Orally given to individuals as preventive major 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  adult male and female of age not more than 60 years, who visited high altitude zone 
 
ExclusionCriteria 
Details  any coronary artery disease
any respiratory disease
hypertensive
diabetic
tubercular treatment
bleeding disorder 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
this is pilot trial to evaluate the efficacy of non invasive ventilation for the prevention of the acute mountain sickness in those people who are not acclimatized  6, 12 and 24 hours 
 
Secondary Outcome  
Outcome  TimePoints 
effect of the dimox tablet  6,12 and 24 hrs 
 
Target Sample Size   Total Sample Size="38"
Sample Size from India="38" 
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 4 
Date of First Enrollment (India)   10/04/2025 
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)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   nil 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary    Altitude sickness results from a rapid change in air pressure and air oxygen levels at higher elevations. You may have symptoms if you travel to a high elevation without giving your body time to adjust to less oxygen.
Acetazolamide is one of the medications for the prevention and treatment of altitude sickness. It increases the breathing rate allowing more oxygen to be taken in. This helps the body adjust to higher altitudes faster and reduces some of the symptoms of altitude sickness.
patient who did not get relieved by preventive dose of the tablet dimox, has been given the oxygen supplimentation
 
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