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CTRI Number  CTRI/2024/05/066935 [Registered on: 07/05/2024] Trial Registered Prospectively
Last Modified On: 05/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of Levobupivacaine (0.5%) and Ropivacaine (0.75%) in Lower Limb Surgeries under Spinal Anaesthesia  
Scientific Title of Study   A Randomised comparative study between hyperbaric Levobupivacaine(0.5%) and hyperbaric Ropivacaine(0.75%) in lower limb surgeries under spinal Anaesthesia. 
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 Vaibhav Tiwary  
Designation  Professor  
Affiliation  Llrm medical college  
Address  Room No.14 Department of anaesthesiology,beside IT parking, llrm mdical college, meerut

Meerut
UTTAR PRADESH
250004
India 
Phone  7830666616  
Fax    
Email  v.tiwari1234@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vaibhav Tiwary  
Designation  Professor  
Affiliation  Llrm medical college  
Address  Room No.14 Department of anaesthesiology,beside IT parking, llrm medical college, meerut

Meerut
UTTAR PRADESH
250004
India 
Phone  7830666616  
Fax    
Email  v.tiwari1234@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Neelam Singh  
Designation  Junior Resident  
Affiliation  Llrm medical college meerut  
Address  Room No.14 Department of anaesthesiology, beside IT parking, llrm medical college meerut

Meerut
UTTAR PRADESH
250004
India 
Phone  8755603581  
Fax    
Email  neelamsingh4264@gmail.com  
 
Source of Monetary or Material Support  
Room No.14 Department of Anaesthesiology, Beside IT Parking, LLRM Medical College Meerut, Uttar Pradesh-250004  
 
Primary Sponsor  
Name  LLRM Medical College  
Address  Room No.14 Department of Anaesthesiology, Beside IT Parking, LLRM Medical College Meerut Uttar Pradesh 250004 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
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 Neelam Singh   LLRM Medical College Meerut   Room No.14 Department of Anaesthesiology Beside IT Parking, LLRM Medical College Meerut Uttar Pradesh 250004
Meerut
UTTAR PRADESH 
8755603581

neelamsingh4264@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee  Not Applicable 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: X58||Exposure to other specified factors,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Hyperbaric Levobupivacaine Hydrochloride(0.5%)  Group A:Levobupivacaine Hydrochloride (0.5%) Dose:15 mg (3ml) given by Spinal needle in Subarachnoid space evaluated for a minimum duration of 6 hrs. 
Comparator Agent  Hyperbaric Ropivacaine Hydrochloride (0.75%)  Group B: Ropivacaine Hydrochloride (0.75%),Dose:22.5 mg(3ml) given by spinal needle in subarachnoid space evaluated for a minimum duration of 6 hours.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  ASA GRADE I and II
Age between 18 to 65 years
Patients undergoing lower limb Surgeries  
 
ExclusionCriteria 
Details  Patient Refusal
Infection at the Injection Site
Coagulopathy
Increased Intracranial Pressure
Known Allergy or Hypersensitivity to Local Anaesthetic Agents  
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
The primary outcome is to study the efficacy of the drug based on Duration of motor blockade , assessed by Modified Bromage scale.  Baseline vitals will be noted. After Spinal anesthesia, Haemodynamic parameters ( SBP,DBP,MAP,HR), Loss of sensory and motor function will be noted every 1 minute for first 5 minutes, every 2 minutes for next 10 minutes, every 5 minutes for next 25 minutes and then every 30 minutes till regression of block. 
 
Secondary Outcome  
Outcome  TimePoints 
1.To compare and Evaluate Onset of sensory block in both the groups
2.To compare and Evaluate Onset of motor block in both the groups
3.To compare and Evaluate Duration of Motor block in both the groups
4.To compare and Evaluate time of first rescue Analgesia in both the groups
5.To compare hemodynamic changes if any
6.Complications if any in both the groups  
Baseline vitals will be noted. After Spinal anesthesia, Haemodynamic parameters ( SBP,DBP,MAP,HR), Loss of sensory and motor function will be noted every 1 minute for first 5 minutes, every 2 minutes for next 10 minutes, every 5 minutes for next 25 minutes and then every 30 minutes till regression of block.  
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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   N/A 
Date of First Enrollment (India)   20/05/2024 
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="1"
Months="0"
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   This study will be carried out to compare the efficacy of Hyperbaric Levobupivacaine and Hyperbaric Ropivacaine in patients undergoing lower limb Surgeries under Spinal Anaesthesia.   
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