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CTRI Number  CTRI/2023/08/056173 [Registered on: 07/08/2023] Trial Registered Prospectively
Last Modified On: 07/08/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Dentistry
Behavioral 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparative evaluation of sedative, anxiolytic and post-operative effects of oral melatonin and nitrous oxide inhalation sedation in 5 to 8 year old children - an ELISA based study 
Scientific Title of Study   Comparative evaluation of sedative, anxiolytic and post-operative effects of oral melatonin and nitrous oxide inhalation sedation in 5 to 8 year old children - an ELISA based study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
406708008860  Other 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shailja Sinha 
Designation  PG 1st Year 
Affiliation  I.T.S. Centre for Dental Studies and Research 
Address  Room no. 7, Department Of Pediatric and Preventive Dentistry, I.T.S. Centre for Dental Studies and Research NH-58 Delhi-Meerut Road

Ghaziabad
UTTAR PRADESH
201206
India 
Phone  7001573934  
Fax    
Email  shaily_shailja@hotmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sakshi Joshi 
Designation  Reader 
Affiliation  I.T.S. Centre for Dental Studies and Research 
Address  Room no. 7, Department Of Pediatric and Preventive Dentistry, I.T.S. Centre for Dental Studies and Research NH-58 Delhi-Meerut Road

Ghaziabad
UTTAR PRADESH
201206
India 
Phone  7027082746  
Fax    
Email  dr.sakshijoshi@its.edu.in  
 
Details of Contact Person
Public Query
 
Name  Dr Shailja Sinha 
Designation  PG 1st Yea 
Affiliation  I.T.S. Centre for Dental Studies and Research 
Address  Room no. 7, Department Of Pediatric and Preventive Dentistry, I.T.S. Centre for Dental Studies and Research NH-58 Delhi-Meerut Road

Ghaziabad
UTTAR PRADESH
201206
India 
Phone  7001573934  
Fax    
Email  shaily_shailja@hotmail.com  
 
Source of Monetary or Material Support  
I.T.S. Centre for Dental Studies and Research NH-58 Delhi-Meerut Road, Ghaziabad-201206, Uttar Pradesh. 
 
Primary Sponsor  
Name  I.T.S. Centre for Dental Studies and Research 
Address  NH-58 Delhi-Meerut Road, Ghaziabad-201206, Uttar Pradesh 
Type of Sponsor  Other [Dr. Shailja Sinha] 
 
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 Shailja Sinha  ITS Centre for dental studies and research  Room no.7 ,2nd floor, Department of Pediatric and Preventive Dentistry
Ghaziabad
UTTAR PRADESH 
7001573934

shaily_shailja@hotmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethical Committee Of The I.T.S Centre for Dental Studies And Research  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K04||Diseases of pulp and periapical tissues,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Basic behavior modification technique i.e., Tell Show Do  Children treated under basic behavior modification will be compared with the treatment done under nitrous oxide inhalation sedation or oral melatonin sedation. 
Intervention  Nitrous Oxide Inhalation Sedation  Nitrous oxide (N2O) inhalation sedation is a commonly used method for managing anxiety and pain during dental procedures, especially for pediatric patients. The sedative and anxiolytic effects of this will be compared to oral melatonin group. 
Intervention  Oral Melatonin Syrup  Melatonin is essential for regulating sleep patterns and circadian rhythms. Its Sedative, as well as anxiolytic effects, will be assessed along with the post-operative complications.  
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  5 to 8 year old healthy children with parental consent to participate in the study.
Children indicated for extraction of primary mandibular molar involving administration of IANB.
Children with no sensory or cognitive impairment.
Children with Frank l Behaviour Rating 3 and 4. 
 
ExclusionCriteria 
Details  Children with any medical or systemic disease.
Children with mouth breathing habit.
Children with Frankl Behaviour Rating 1 and 2. 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
The sedative & anxiolytic effect of oral melatonin
can be comparable to Nitrous Oxide inhalation
sedation 
baseline and immediately after intervention  
 
Secondary Outcome  
Outcome  TimePoints 
Oral Melatonin can be used in pediatric dentistry
to relieve anxiety 
baseline & immediately after intervention  
 
Target Sample Size   Total Sample Size="78"
Sample Size from India="78" 
Final Enrollment numbers achieved (Total)= "78"
Final Enrollment numbers achieved (India)="78" 
Phase of Trial   Phase 3/ Phase 4 
Date of First Enrollment (India)   15/08/2023 
Date of Study Completion (India) 20/03/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

NAME OF PRINCIPAL INVESTIGATOR: Dr. Shailja Sinha

                                                                 Department of Pediatrics and Preventive Dentistry,

                                                                 ITS CDSR, MURADNAGAR,

                                                                 GHAZIABAD,

                                                                 UP- 201206

 

You are being invited to participate in a research study. 

 

Study Title: Comparative evaluation of sedative, anxiolytic and post-operative effects of oral melatonin and nitrous oxide inhalation sedation in 5 to 8-year-old children - An ELISA-based study.

 

Invitation Paragraph: I would like to invite you to take part in a research study. Before you take part in this research study, we wish to explain the study to you and give you the chance to ask questions. Please read carefully the information provided here. If you agree to participate, please sign the informed consent form. 

 

Introduction: This information sheet describes the purpose, procedures, benefits, and discomforts of the study and your right to withdraw from the study at any point in time. 

 

Purpose: The purpose of this study is to compare sedative, anxiolytic, and post-operative effects of oral melatonin and nitrous oxide inhalation sedation in 5 to 8 year old children immediately after administration of local anesthesia for invasive dental procedures. 

 

Study Procedure: Your relevant clinical history will be recorded; a clinical examination will be conducted and findings will be noted. After taking written informed consent, the child will be administered Oral Melatonin Syrup or Nitrous Oxide Inhalation Sedation followed by the collection of his/her saliva for Salivary Cortisol assessment using an ELISA kit both before and immediately after the administration of IANB for primary mandibular molar indicated for extraction. The costs of the tests included in the protocol that form the routine radiological, and clinical investigations for the management of the patient, shall be borne by the patient. The cost of any additional investigations that are not part of routine diagnostics shall be borne by the Principal investigator/ Concerned Department/ Institute and should be free for the patient.

 

Risks: There are no expected risks of saliva collection. The expected risk of Oral Melatonin and Nitrous Oxide Inhalation Sedation includes minimal side effects such as mild dizziness and light-headedness. In case of any adverse event/ injuries, the participants shall be treated without any further charges for the adverse event. However, there shall be no financial compensation to the patient from the institution or Principal Investigator. 

 

Benefits: The information obtained shall be used to compare the effects of Oral Melatonin Syrup and Nitrous Oxide Sedation for the pharmacological behavior management of the child. This would help to increase our knowledge about the use of Oral Melatonin in Pediatric Dentistry.

 

Confidentiality: Records of your participation will be kept confidential. Any publication of data will not identify you by your name. By signing the consent form, you authorize the sharing of your study-related records with the regulatory authorities and the Institutional Ethical Committee.

 

Information regarding withdrawal: You have the right to withdraw yourself from the study at any time during the course of study without any prejudice to your or your family’s right to undergo future treatment at I.T.S. CDSR, Muradnagar.

 

There is no risk or complications associated with this study and in case of any doubt, you can contact at 7001573934.

 
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