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CTRI Number  CTRI/2023/11/059704 [Registered on: 09/11/2023] Trial Registered Prospectively
Last Modified On: 07/11/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison between intravenous Midazolam and intravenous Fentany in flexible bronchosopy. 
Scientific Title of Study   Comparison between intravenous Midazolam (0.035mg/kg) and intravenous Fentanyl (50mcg) in flexible bronchosopy- A prospective, randomized, double blinded 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 Manish R Shetty 
Designation  Junior Resident 
Affiliation  Kasturba Medical College and Hospital, MAHE, Manipal 
Address  Department of Respiratory Medicine, Kasturba Hospital, KMC Manipal, MAHE, India

Udupi
KARNATAKA
576104
India 
Phone  9483870029  
Fax    
Email  manishr213@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rahul magazine 
Designation  Professor  
Affiliation  Kasturba Medical College and Hospital, MAHE, Manipal 
Address  Department of Respiratory Medicine, Kasturba Hospital, KMC Manipal, MAHE, India

Udupi
KARNATAKA
576104
India 
Phone  9901727204  
Fax    
Email  rahul.magazine@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Manish R Shetty 
Designation  Junior Resident 
Affiliation  Kasturba Medical College and Hospital, MAHE, Manipal 
Address  Department of Respiratory Medicine, Kasturba Hospital, KMC Manipal, MAHE, India

Udupi
KARNATAKA
576104
India 
Phone  9483870029  
Fax    
Email  manishr213@gmail.com  
 
Source of Monetary or Material Support  
Department Of Respiratory Medicine, Kasturba Hospital, KMC Manipal, MAHE, Karnataka, India PINCODE: 576104 
 
Primary Sponsor  
Name  Department of Respiratory Medicine, KMC Manipal 
Address  Department Of Respiratory Medicine, KMC Manipal, Udupi- 576104 
Type of Sponsor  Other [Deemed Medical College And Hospital] 
 
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 Manish R Shetty  KMC MANIPAL  Department Of Respiratory Medicine, KMC Manipal, Udupi- 576104
Udupi
KARNATAKA 
9483870029

manishr213@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
kasturba Medical College and Kasturba Hospital institutional Ethics Committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J22||Unspecified acute lower respiratory infection,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Either Intravenous Midazolam (0.035mg/kg) or Intravenous fentanyl (50mcg) on Patient response to flexible bronchoscopy.  After the inclusion criteria for the patients undergoing bronchoscopy are met, patients are alloted to either of the two groups,Group M will recieve inj Midazolam 0.035mg/kg intravenously stat and Group F will recieve inj Fentanyl (50mcg) intravenously stat as per the randomization chart generated via Microsoft Excel.Composite scoring is compared between the two groups undergoing bronchoscopy procedure.  
Intervention  Either Intravenous Midazolam (0.035mg/kg) or Intravenous fentanyl (50mcg) on Patient response to flexible bronchoscopy  After the inclusion criteria for the patients undergoing bronchoscopy are met, patients are alloted to either of the two groups,Group M will recieve inj. Midazolam (0.035mg/kg) intravenously stat and Group F will recieve inj. Fentanyl (50mcg) intravenously stat as per the randomization chart generated via Microsoft Excel.Composite scoring is compared between the two groups undergoing bronchoscopy procedure.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  All patients in the age group 18 to 70 years, weighing 50-85kg and undergoing flexible bronchoscopy in the Department of Respiratory Medicine 
 
ExclusionCriteria 
Details  Patients with known or suspected allergy to Midazolam and Fentanyl, patients with Renal impairment, Hepatic impairment, seizure disorder, Psychiatric illness, hemodynamic instability including cardiac failure, second or third degree heart block, heart rate less than 50/ minute, COPD patients with Forced Expiratory Volume less than 50%, Pregnancy and Lactation, Oxygen saturation less than 90%, Platelet count less than 50, 000/ cubic milli meters 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
Composite score during the bronchoscopy procedure  at the level of nasopharynx for 1 minute and at the time of passage through trachea for 1 minute 
 
Secondary Outcome  
Outcome  TimePoints 
1. Ease of Performing bronchoscopy
2. pain and distress measured by Numerical Rating Scale
3. Visual Analogue Scale for Cough
4. Modified ramsay Sedation Score
5. Post procedure patient response after 24 hours 
1. Ease of Performing bronchoscopy
2. pain and distress measured by Numerical Rating Scale
3. Visual Analogue Scale for Cough
4. Modified ramsay Sedation Score
5. Post procedure patient response after 24 hours 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
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 2/ Phase 3 
Date of First Enrollment (India)   24/11/2023 
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="1"
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   To study the effects of intravenous Midazolam (0.035mg/kg) and intravenous Fentanyl (50mcg) on patient response to flexible bronchoscopy.
To assess and compare the patient response and comfort in flexible bronchoscopy done under intravenous Midazolam and intravenous Fentanyl.
To assess and compare the attenuation of pressor response in flexible bronchoscopy done under intravenous Midazolam and intravenous Fentanyl.
 
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