CTRI Number |
CTRI/2023/08/056754 [Registered on: 22/08/2023] Trial Registered Prospectively |
Last Modified On: |
09/08/2023 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Medical Device Dentistry |
Study Design |
Randomized, Parallel Group, Active Controlled Trial |
Public Title of Study
|
A comparison between 2 different treatment methods to treat infants affected by a genetic defect called cleft lip and palate |
Scientific Title of Study
|
Qualitative and Quantitative Comparative Evaluation of treatment of Unilateral Cleft Defect of the Lip and Palate using a 3D Printed Passive Pressure Plate and the Nasoalveolar Moulding Device – A Randomised Control Trial
|
Trial Acronym |
NIL |
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Niharika Bhatia |
Designation |
Post graduate student |
Affiliation |
Department of Orthodontics, Saveetha Dental College and hospital |
Address |
Saveetha dental college and hospital,
Chennai
Chennai TAMIL NADU 600077 India |
Phone |
|
Fax |
|
Email |
152108007.sdc@saveetha.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr Aravind Kumar Subramanian |
Designation |
Head of Department , Dean |
Affiliation |
Saveetha Dental coillege and hospital |
Address |
Department 27,
Department of Orthodontics and Dentofacial Orthopedics,
Saveetha Dental College and Hospital, Chennai
Chennai TAMIL NADU 600077 India |
Phone |
9841299939 |
Fax |
|
Email |
aravindkumar@saveetha.com |
|
Details of Contact Person Public Query
|
Name |
Dr Aravind Kumar Subramanian |
Designation |
Head of Department , Dean |
Affiliation |
Saveetha Dental coillege and hospital |
Address |
Department no 27,
Department of Orthodontics and dentofacial orthopedics,
Saveetha Dental College and Hospital, Chennai
TAMIL NADU 600077 India |
Phone |
9841299939 |
Fax |
|
Email |
aravindkumar@saveetha.com |
|
Source of Monetary or Material Support
|
Department of Orthodontics, Saveetha Dental College and Hospital, Chennai. |
|
Primary Sponsor
|
Name |
Niharika Bhatia |
Address |
Saveetha Dental College and Hospital, Poonamallee high road, Vellapanchavadi |
Type of Sponsor |
Other [self sponsor] |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 2 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Niharika bhatia |
Saveetha Dental College and Hospital |
Clinic 27,
Department of Orthodontics
Saveetha dental college and hospital,Chennai Chennai TAMIL NADU |
9711121996
152108007.sdc@saveetha.com |
Niharika bhatia |
Saveetha Dental College and Hospital |
Department of Oral and Maxillofacial Surgery (clinic 20)
Saveetha Dental college and hospital,
Chennai Chennai TAMIL NADU |
9711121996
152108007.sdc@saveetha.com |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
Saveetha Dental College-Institutional human ethical committee SDCIHEC |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: Q371||Cleft hard palate with unilateralcleft lip, (2) ICD-10 Condition: K069||Disorder of gingiva and edentulousalveolar ridge, unspecified, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Intervention |
3D printed Passive Presurgical infant orthopedic plate |
To 3D print a plate using acrylic resin material after taking an intraoral scan for the infant. |
Comparator Agent |
Active presurgivcal infant orthopedics in the form of -Nasoalveolar moulding device |
The NAM plate is fabricated manually on a plaster cast, using cold cure acrylic resin material after taking a highly accurate impression on the maxilla of the infant using putty impression material. |
|
Inclusion Criteria
|
Age From |
0.00 Day(s) |
Age To |
3.00 Month(s) |
Gender |
Both |
Details |
1.Neonates with a complete unilateral cleft of the lip and palate
2.Under the age of 3 months.
3.Neonates with no neuromuscular disorder
|
|
ExclusionCriteria |
Details |
1.Neonates with bi-lateral cleft defect.
2.Above the age of 3 months.
3. Severe systematic illness.
|
|
Method of Generating Random Sequence
|
|
Method of Concealment
|
|
Blinding/Masking
|
|
Primary Outcome
|
Outcome |
TimePoints |
1.To measure the total volume of the cleft defect using the 3D software as measured in the base article at 3 different times – start , after 1 months, before surgery)
2. To check the changes in cleft width , cleft area, height of the palatal surface.
2. To measure the periodic weight gain of the baby , in both groups .
|
initial, 1.5 months, 3 months
|
|
Secondary Outcome
|
Outcome |
TimePoints |
3. Aesthetic results obtained following surgical approximation.
4 The ease of the surgeon to approximate the 2 segments
5. The ease for the mother/caregiver to re-place the device & during breast feeding |
initial, 1.5 months , 3 months |
|
Target Sample Size
|
Total Sample Size="14" Sample Size from India="14"
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/ Phase 2 |
Date of First Enrollment (India)
|
31/08/2023 |
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="2" Months="0" Days="0" |
Recruitment Status of Trial (Global)
|
Not Yet Recruiting |
Recruitment Status of Trial (India) |
Not Yet Recruiting |
Publication Details
|
N/A |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
Response - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- What additional supporting information will be shared?
Response - Study Protocol Response - Statistical Analysis Plan Response - Informed Consent Form Response - Clinical Study Report Response - Analytic Code
- Who will be able to view these files?
Response - Anyone
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response - Proposals should be directed to [152108007.sdc@saveetha.com].
- For how long will this data be available start date provided 02-11-2024 and end date provided 19-09-2027?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - nil
|
Brief Summary
|
PARTICIPANTS ARE SCREENED AND CHECKED TO
FIT INTO THE INCLUSION CRITERIA. A SAMPLE SIZE OF 14 PATIENTS IS SELECTED WITH THE COMPLETE UNILATERAL CLEFT OF THE LIP AND PALATE and are randomly divided into 2 groups. Group 1: included those patients who will be treated by a passive presurgical infant orthopedic plate- or the 3-D printed passive pressure plate, while Group 2 included those patients to be treated with active presurgical infant orthopedics ie. conventional nasoalveolar molding device. All the children falling under both these groups will be evaluated based on 3D intraoral scans that will be taken using a common intraoral scanner, at 3-time intervals - initial (pre-treatment scan ), after 1.5 months and at 3 months. The main outcomes that will be assessed will fall into two broad categories: Quantitative and Qualitative assessment. The volumetric and area analysis of the cleft defect will be assessed using the 3D software and compared for both groups for a comparative evaluation, to sess the effectiveness of both the methods of presurgical infant orthopedics.
|