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CTRI Number  CTRI/2024/04/065187 [Registered on: 04/04/2024] Trial Registered Prospectively
Last Modified On: 29/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To understand the outcomes of treating children with antibiotic and without antibiotic in uncomplicated upper respiratory tract infection. 
Scientific Title of Study   A study to evaluate and compare the outcome of no antibiotic use versus immediate antibiotic use in children with uncomplicated upper respiratory tract infection- A randomised control study. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Jagdish Singh 
Designation  Senior professor, paediatrics  
Affiliation  SMS medical college, jaipur 
Address  Unit 5, department of pediatrics, J.K.LON Hospital, S.M.S Medical College, Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  9928355561  
Fax    
Email  singh.jagdish.dr@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jagdish Singh 
Designation  Senior professor, paediatrics  
Affiliation  SMS medical college, jaipur 
Address  Unit 5, department of pediatrics, J.K.LON Hospital, S.M.S Medical College, Jaipur.

Jaipur
RAJASTHAN
302004
India 
Phone  9928355561  
Fax    
Email  singh.jagdish.dr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Laxmiprasad  
Designation  Junior resident, pediatrics 
Affiliation  SMS medical college, Jaipur 
Address  Department of pediatrics, S.P.I.N.C.H , SMS medical college, Jaipur

Jaipur
RAJASTHAN
302004
India 
Phone  9880066140  
Fax    
Email  laxmiprasadjaguar29@gmail.com  
 
Source of Monetary or Material Support  
Department of pediatrics,S.P.I.N.C.H, SMS medical college, Jaipur 
 
Primary Sponsor  
Name  Sms medical college  
Address  S.P.I.N.C.H, Gangawal park, adarsh nagar, jaipur 
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 Laxmiprasad   S.M.S Medical college  Department of pediatrics, Medical unit 5, Sir Padampat Institute of Neonatal and Child Health
Jaipur
RAJASTHAN 
9880066140

laxmiprasadjaguar29@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
S.M.S Medical College Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J069||Acute upper respiratory infection,unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  antibiotic group(Amoxyclav or azithromycin)  giving antibiotic(amoxyclav 30 mg/kg/dose three times a day) through oral route for 5-7 days on day 1 to children with upper respiratory infection and followed up after 48 hours, 7 days and 14 days. 
Comparator Agent  no antibiotic group  no antibiotic given to children with upper respiratory tract infections as per standard treatment guidelines. children will be follwed up after 48hours, 7 days and 14 days. 
 
Inclusion Criteria  
Age From  1.00 Month(s)
Age To  18.00 Year(s)
Gender  Both 
Details  1.presenting at pediatric outdoor with signs and symptoms of upper respiratory tract infection
2. duration of illness less than 3 days
3. provided written consent 
 
ExclusionCriteria 
Details  1.diagnosis of tuberculosis, pneumonia, ARDS
2. any complicated respiratory tract infection requiring admission to indoor department.
3. chronic respiratory illness.
4.reactive airway disease.
 
 
Method of Generating Random Sequence   Permuted block randomization, variable 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
duration of symptoms of upper 1.respiratory tract infection as calculated to the point when symptoms disappear
2.severity of infection as assessed by scoring on a 7 point linkert scale 
Outcome will be assessed after 48 hours, 7 days and 14 days of intervention. 
 
Secondary Outcome  
Outcome  TimePoints 
1. use of antibiotics during entire coarse of illness
2. parental satisfaction assessed on a 6 point linkert scale 
5-15 days 
 
Target Sample Size   Total Sample Size="240"
Sample Size from India="240" 
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 3/ Phase 4 
Date of First Enrollment (India)   01/05/2024 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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 - NO
Brief Summary   Majority of upper respiratory tract infection are of viral origin and are often self limiting. Antibiotic prescription in URTI’s are inappropriately very high.Therefore the purpose of the study is to reduce the irrational use of antibiotic in URTI’s in children in india. 
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