Home » Trials » SLCTR/2023/007


Effect of Vitamin E supplementation on clinical outcomes and related hematological, biochemical, and oxidative stress parameters in 5 – 14-year-old children infected with dengue virus

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SLCTR Registration Number

SLCTR/2023/007


Date of Registration

03 Apr 2023

The date of last modification

Jul 07, 2023



Application Summary


Scientific Title of Trial

Effect of Vitamin E supplementation on clinical outcomes and related hematological, biochemical, and oxidative stress parameters in 5 – 14-year-old children infected with dengue virus


Public Title of Trial

Effect of Vitamin E supplementation on clinical outcomes and related hematological, biochemical, and oxidative stress parameters in 5 – 14-year-old children infected with dengue fever


Disease or Health Condition(s) Studied

Dengue fever


Scientific Acronym

None


Public Acronym

None


Brief title

Effect of Vitamin E in the outcome of dengue infection in children


Universal Trial Number

U1111-1289-0861


Any other number(s) assigned to the trial and issuing authority

EC-22-099: Ethics Review Committee - Faculty of Medicine, University of Colombo


Trial Details


What is the research question being addressed?

Does vitamin E supplementation have a positive effect on clinical, heamatological, and biochemical outcomes and reduce oxidative stress in 5-14 year old children with dengue infection?


Type of study

Interventional


Study design

Allocation

Randomized controlled trial


Masking

Double blinded : Investigators, Data analysts, Healthcare providers, Outcome assessors


Control

Standard therapy/practice


Assignment

Parallel


Purpose

Treatment


Study Phase

Phase 4


Intervention(s) planned

Study setting: Professorial Unit at the Lady Ridgeway Hospital.

Randomization method: Patients belong to the two age groups (5-8 yrs & 9-14 yrs) will be randomized to receive Vitamin E or not to receive vitamin E. randomization will be done using computer generated numbers

For each age category, each group will comprise of 30 subjects and finally each investigation arm will have 60 subjects each (of the two age groups). Vitamin E for children between 5 and 8 years of age will receive 200 mg(Evion®, Merk) daily and children between 9 and 14 years of age will receive 400 mg (EZY®, Celogen) daily. Dosage form: vitamin E gel capsules of either 200mg or 400 mg strength.

Starting point of intervention: when admitted under 84 hours from onset of illness and confirmed to be dengue infection (NS1 Positive). All patients will be given calcium lactate supplementation (1 mmol/kg/day) as it is part of the standard routine treatment protocol of the unit (Guidelines on Management of Dengue Fever &Dengue Haemorrhagic Fever in Children and Adolescents. Ministry of Health, Government of Sri Lanka. Nov 2012) Intervention and standard treatment will be done till completion of 7 days from onset of illness/temperature.


Inclusion criteria

Minimum age 5 and Maximum age 14-years Male or female Admitted within 84 hours of onset of fever, with Dengue NS 1 antigen positive.


Exclusion criteria

Any child with an underlying chronic illness such as cardiac, renal or hepatic disease or on any long term medications A child who cannot swallow a gel capsule



Primary outcome(s)

1.
  • Duration of plasma leaking determined by the time from onset of leak to end of leak (end of leak determined by stabilizing vital signs, return of PCV to normal level, clinical improvement with splitting of second heart sounds (S2) and diuresis)

• Occurrence of plasma leaking will be determined clinically (determined by presence of pleural effusion) or ultrasonically (presence of free fluid in the peritoneal cavity or pleural cavity) at any point during the hospital stay. Examinations will be done three times a day and USS will be done twice daily

[

Daily from 2nd to 7th day of illness (from beginning of fever- during hospital stay) and at 10-14 days of illness

]

Secondary outcome(s)

1.
  • Duration of hospital stay.

  • Platelet count, WBC count and Hematocrit from Day 3 to Day 7 of illness

• AST, ALT, serum albumin, bilirubin, serum calcium and uric acid from Day 3 to Day 7 of illness

• TEAC (Trolox Equivalent Antioxidant Capacity), ABTS (2,2-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) from Day 3 to Day 7 of illness

• Transferring to the ICU needed or not

[

Daily from 2nd to 7th day of illness (from beginning of fever- during hospital stay) and at 10-14 days of illness

]

Target number/sample size

120 (5-8 year age group 30- Vit E, 30 – Non Vit E: 9-14 year age group 30- Vit E, 30 – Non Vit E)


Countries of recruitment

Sri Lanka


Anticipated start date

2023-04-04


Anticipated end date

2023-10-31


Date of first enrollment


Date of study completion


Recruitment status

Pending


Funding source

Self funded


Regulatory approvals

NA



State of Ethics Review Approval


Status

Approved


Date of Approval

2023-02-16


Approval number

EC-22-099


Details of Ethics Review Committee

Name: Ethics Review Committee, Faculty of Medicine, University of Colombo
Institutional Address:Kynsey Road, Colombo 00800
Telephone:+94-11-2695300 ext 240
Email: ethicscommitteemfc@gmail.com

Contact & Sponsor Information


Contact person for Scientific Queries/Principal Investigator

Vithanage Pujitha Wickramasinghe
Senior Professor in Paediatrics
Department of Paediatrics, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo 00800, Sri Lanka
+94-11-2695300 ext 170
+94 777766595

pujitha@pdt.cmb.ac.lk

Contact Person for Public Queries

Vithanage Pujitha Wickramasinghe
Senior Professor in Paediatrics
Department of Paediatrics, Faculty of Medicine, University of Colombo, Kynsey Road, Colombo 00800, Sri Lanka
+94-11-2695300 ext 170
+94 777766595

pujitha@pdt.cmb.ac.lk


Primary study sponsor/organization

Dept of Paediatrics, Faculty of Medicine, University of Colombo in collaboration with IBMBB of University of Colombo

Faculty of Medicine, University of Colombo in collaboration with Institute of Biochemistry, Molecular Biology and Biotechnology of University of Colombo



Secondary study sponsor (If any)







Trial Completion details


Do the investigators plan to share identified individual clinical trial participant-level data (IPD)?

Yes


IPD sharing plan description

After de-identification of individual participants data that underlie the results that are being published/reported will be shared. In addition, study protocol and statistical analytical methods will be available. Data will be available once data has been published for the scientific community. Data will be shared with any person on who needs to access to the data. Data will be used for any form of purpose that data would be useful for. Data will be made be accessible when a formal request to be made to pujitha@pdt.cmb.ac.lk and required data fields will be shared.


Study protocol available

No


Protocol version and date

Not Available


Protocol URL

Not Available


Results summary available

No


Date of posting results


Date of study completion


Final sample size


Date of first publication


Link to results


Brief summary of results