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CTRI Number  CTRI/2024/05/067831 [Registered on: 24/05/2024] Trial Registered Prospectively
Last Modified On: 23/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Pre-treatment in prevention of post spinal shivering with oral gabapentin and oral tramadol. 
Scientific Title of Study   Efficacy of Oral Gabapentin vs Oral Tramadol Pretreatment in prevention of post spinal shivering- A Randomised controlled trail. 
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 Lovepreet Singh 
Designation  Post graduate trainee 
Affiliation  Kalinga Institute of Medical Sciences (KIMS) 
Address  Department of Anaesthesiology, 3rd floor, PBMH, KIMS, KIIT University, Bhubaneswar

Khordha
ORISSA
751024
India 
Phone  9878930294  
Fax    
Email  2387010@kims.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Lingaraj Sahu 
Designation  Professor 
Affiliation  Kalinga Institute of Medical Sciences (KIMS) 
Address  Department of Anaesthesiology, 3rd floor, PBMH, KIMS, KIIT University, Bhubaneswar

Khordha
ORISSA
751024
India 
Phone  8281066501  
Fax    
Email  lingaraj.Sahu@kims.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Lingaraj Sahu 
Designation  Professor 
Affiliation  Kalinga Institute of Medical Sciences (KIMS) 
Address  Department of Anaesthesiology, 3rd floor, PBMH, KIMS, KIIT University, Bhubaneswar

Khordha
ORISSA
751024
India 
Phone  8281066501  
Fax    
Email  lingaraj.Sahu@kims.ac.in  
 
Source of Monetary or Material Support  
Kalinga Institute of Medical Sciences (KIMS) Department of anesthesiology, 3rd floor ,PBMH , KIMS,KIIT University, Bhubaneswar Khordha ORISSA 751024 India  
 
Primary Sponsor  
Name  Dr Lovepreet Singh 
Address  Department of Anaesthesiology, 3rd floor, PBMH, KIMS, KIIT University, Bhubaneswar, Odisha, 751024  
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 Lingaraj Sahu  Kalinga Institute of Medical Sciences, Bhubaneswar  Department of Anaesthesiology, 3rd floor, PBMH, KIMS, KIIT University, Bhubaneswar 751024
Khordha
ORISSA 
8281066501

lingaraj.Sahu@kims.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Pretreatment with oral Gabapentin  Will receive Tab Gabapentin of 300 mg orally 2 hours before surgery with a sip of water to prevent post spinal shivering intraoperatively for 2-6 hours. 
Comparator Agent  Pretreatment with oral Tramadol  Will receive Tab Tramadol of 100 mg orally 2 hours before surgery with a sip of water to prevent post spinal shivering intraoperatively for 2-6 hours . 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  1.Age more than 18 years
2.American Society of Anaesthesiologists (ASA) I AND II
3.Elective surgery under spinal anesthesia 
 
ExclusionCriteria 
Details  1.History of allergy to opioids and gabapentin
2.Patient already on tramadol and gabapentin 3.History of opioids abuse
4.Febrile patient
5.Patient with psychiatric illness or communication difficulty
 
 
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 
To compare the onset of shivering after spinal anaesthesia between the groups  for 2-4 hours after spinal anaesthesia 
 
Secondary Outcome  
Outcome  TimePoints 
1.To observe the severity of shivering
2.To observe the therapeutic dose of fentanyl to control shivering
 
Intra operative for 2-4 hours 
 
Target Sample Size   Total Sample Size="172"
Sample Size from India="172" 
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 4 
Date of First Enrollment (India)   03/06/2024 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   Shivering is a common complication after subarachnoid block with a reported incidence of 40 to 50%. Shivering increases the oxygen demand by 200-500% and can cause various metabolic changes . Shivering can also lead to compromised myocardial and pulmonary functions. Tramadol is the most commonly used drug with less side effects. Newer alternate drugs like Gabapentin are currently being investigated for its role in prevention of post -spinal shivering . The present study is planned to compare premedication with oral gabapentin and oral tramadol for prophylaxis of post-spinal shivering. 
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