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CTRI Number  CTRI/2024/06/069447 [Registered on: 25/06/2024] Trial Registered Prospectively
Last Modified On: 25/06/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized Factorial Trial 
Public Title of Study   To compare drugs having more pain relieving action by adding them to primary drug and giving via abdominal block in patients undergoing lower abdominal surgeries 
Scientific Title of Study   A comparative study of Magnesium Sulphate versus Dexamethasone as an adjuvant to bupivacaine in ultrasound-guided transversus abdominis plane block in patients undergoing lower abdominal surgeries  
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Jekha Mary Babu 
Designation  Junior Resident, Department of Anaesthesiology 
Affiliation  Dr. D. Y. Patil Medical College, Hospital and Research Centre 
Address  Dr. D. Y. Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri-Chinchwad, Pune, Maharashtra 411018

Pune
MAHARASHTRA
411018
India 
Phone  9995709800  
Fax    
Email  jekha1411@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Chhaya M Suryawanshi 
Designation  HOD and Professor, Department of Anaesthesiology 
Affiliation  Dr. D. Y. Patil Medical College, Hospital and Research Centre 
Address  Dr. D. Y. Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri-Chinchwad, Pune, Maharashtra 411018

Pune
MAHARASHTRA
411018
India 
Phone  9922888201  
Fax    
Email  chhayasuryawanshi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Chhaya M Suryawanshi 
Designation  HOD and Professor, Department of Anaesthesiology 
Affiliation  Dr. D. Y. Patil Medical College, Hospital and Research Centre 
Address  Dr. D. Y. Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri-Chinchwad, Pune, Maharashtra 411018

Pune
MAHARASHTRA
411018
India 
Phone  9922888201  
Fax    
Email  chhayasuryawanshi@gmail.com  
 
Source of Monetary or Material Support  
Dr. D. Y. Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri-Chinchwad, Pune 
 
Primary Sponsor  
Name  Jekha Mary Babu 
Address  Dr. D. Y. Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri-Chinchwad, Pune, Maharashtra 411018 
Type of Sponsor  Other [self] 
 
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 Chhaya Suryawanshi  Dr. D. Y. Patil Medical College, Hospital and Research Centre  Dr. D. Y. Patil Medical College, Hospital and Research Centre, Sant Tukaram Nagar, Pimpri-Chinchwad, Pune, Maharashtra 411018
Pune
MAHARASHTRA 
9922888201

chhayasuryawanshi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Sub-Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O00-O9A||Pregnancy, childbirth and the puerperium, (2) ICD-10 Condition: R52||Pain, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  A comparative study of magnesium sulphate versus dexamethasone as an adjuvant to bupivacaine in ultrasound-guided transversus abdominis plane block in patient undergoing lower abdominal surgeries lasting 1-3 hours  Comparing transversus abdominis plane block given with 18 ml of 0.25% bupivacaine hydrochloride plus 2 ml (200 mg) of magnesium sulphate versus 18 ml of 0.25% bupivacaine hydrocholoride plus 2 ml (8 mg) of dexamethasone under ultrasound guidance for post operative pain management in lower abdominal surgeries lasting 1-3 hours 
Comparator Agent  A comparative study of magnesium sulphate versus dexamethasone as an adjuvant to bupivacaine in ultrasound-guided transversus abdominis plane block in patient undergoing lower abdominal surgeries lasting 1-3 hours  Comparing transversus abdominis plane block given with 18 ml of 0.25% bupivacaine hydrochloride plus 2 ml (200 mg) of magnesium sulphate versus 18 ml of 0.25% bupivacaine hydrocholoride plus 2 ml (8 mg) of dexamethasone under ultrasound guidance for post operative pain management in lower abdominal surgeries lasting 1-3 hours 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1) ASA grade I or II fit patients, 2)Ages between 18 and 65 years, 3) Patients undergoing lower abdominal surgeries under spinal anaesthesia, 4) Hemodynamically stable patients with all routine investigations within normal limits without any other co-morbidities, 5)Patients who are not on any cardiac related drugs, 6) Availability of written informed consent from concerned patient.
 
 
ExclusionCriteria 
Details  1)Patients not willing to participate in this study, 2)Patients with ASA physical status III and above physical status, 3)Patients less than 18 years and above 65 years of age, 4)Patients with uncontrolled systemic disorders like neurological, cardiac, metabolic, renal, pulmonary disorders, hepatic disease with coagulation abnormalities etc, 5)Patients on calcium channel blocker, 6)Patients having local infection at the site where needle for block was to be inserted, 7)Patients with contraindication for spinal anaesthesia, 8)Patients with bleeding or coagulation disorders, 9)Patients with known allergies to the study drugs, 10)Patients with weight less than 40 kgs and height less than 140 cms
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
A comparative study of magnesium sulphate versus dexamethasone as an adjuvant to bupivacaine in ultrasound-guided transversus abdominis plane block in patient undergoing lower abdominal surgeries  After administration of the block, pain scores will be assessed in both the groups in less than 5 minutes after giving block, after 2 hours, after 4 hours, after 6 hours, after 12 hours, after 16 hours, after 20 hours, and after 24 hours will be assessed 
 
Secondary Outcome  
Outcome  TimePoints 
A comparative study of magnesium sulphate & dexamethasone as an adjuvant to bupivacaine in ultrasound-guided transversus abdominis plane block in patient undergoing lower abdominal surgeries  Duration of analgesia will be assessed post giving block after surgery & time to rescue analgesia will be assessed 
 
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   Phase 3 
Date of First Enrollment (India)   10/07/2024 
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="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   It is a prospective, comparative, randomized, double blinded study to compare magnesium sulphate versus dexamethasone as an adjuvant to 0.25% bupivacaine in ultrasound-guided transversus abdominis plane block in patients undergoing lower abdominal surgeries. the parameters that will be assessed include quality of block, duration of block, timely post operative pain scores, time to rescue analgesia and total number of analgesics given in 24 hours  
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