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CTRI Number  CTRI/2024/07/070669 [Registered on: 16/07/2024] Trial Registered Prospectively
Last Modified On: 09/07/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of Erector Spinae Plane block with Intrathecal Morphine for post-operative pain relief in patients undergoing surgery for gynaecological malignancies.  
Scientific Title of Study   Comparison of Erector Spinae Plane block with Intrathecal Morphine for post-operative analgesia in patients undergoing surgery for gynaecological malignancies.  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Aarushi Aggarwal 
Designation  Post Graduate Student 
Affiliation  Maulana Azad Medical College 
Address  Room No. 413,BL Taneja Block,Department Of Anaesthesiology,Maulana Azad Medical College,New Delhi,110002.

Central
DELHI
110002
India 
Phone  8178143807  
Fax    
Email  arushi.1696@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rahil Singh 
Designation  Associate Professor 
Affiliation  Maulana Azad Medical College 
Address  Room No. 413,BL Taneja Block,Department Of Anaesthesiology,Maulana Azad Medical College,New Delhi,110002.

Central
DELHI
110002
India 
Phone  981071902  
Fax    
Email  drrahilsingh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Aarushi Aggarwal 
Designation  Post Graduate Student 
Affiliation  Maulana Azad Medical College 
Address  Room No. 413,BL Taneja Block,Department Of Anaesthesiology,Maulana Azad Medical College,New Delhi,110002.

Central
DELHI
110002
India 
Phone  8178143807  
Fax    
Email  arushi.1696@gmail.com  
 
Source of Monetary or Material Support  
Lok Nayak Hospital,Jawaharlal Nehru Marg,near Delhi Gate,New Delhi-110002 
 
Primary Sponsor  
Name  Maulana Azad Medical College 
Address  Maulana Azad Medical College,2,Bahadur Shah Zafar Marg,New Delhi,110002 
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 Aarushi Aggarwal  Lok Nayak Hospital  Gynae OT,1st floor,Obstetrics and Gynaecological Block,Department of Anaesthesiology
Central
DELHI 
8178143807

arushi.1696@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee,Maulana Azad Medical College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C51-C58||Malignant neoplasms of female genital organs,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Erector Spinae Plane Block  erector spinae plane block with 20 ml of 0.25% bupivacaine each injected bilaterally at L2-L3 level in the pre-induction period for post-operative analgesia in patients undergoing surgery for gynaecological malignancy. 
Intervention  Erector Spinae Plane Block with Intrathecal Morphine  20 ml of 0.25% bupivacaine each injected bilaterally at L2-L3 level in erector spinae plane block in the pre-induction period compared with 200 mcg of morphine in 2ml of normal saline injected intrathecally at L3-L4 level in the pre-induction period for post-operative analgesia in patients undergoing surgery for gynaecological malignancies. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Female 
Details  1. Patients of age 18-80 years
2. Patients fulfilling American Society of Anesthesiologists (ASA) physical status I, II, III criteria.
3. BMI: 18-35kg/m2 (body weight atleast 40 kg)
4. Surgical approach via midline abdominal incision.  
 
ExclusionCriteria 
Details  1. Known allergy to the drugs in the study 2. Pregnancy 3. Any contraindication to a regional/neuraxial local anesthetic, such as bleeding disorders or local infection 4. History of chronic pain or patient on chronic pain medication 5. Drug abuse  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Time to request for first rescue analgesia.   24 hours in the post-operative period 
 
Secondary Outcome  
Outcome  TimePoints 
1. Numerical Rating Scale at 2,4,6,12 and 24 hours postoperatively.
2. Total consumption of intravenous fentanyl intraoperatively.
3. Number of patients reporting any opioid related complications over 24 hours postoperatively (pruritis, nausea and vomiting) 4. Total consumption of rescue analgesic medication in 24 hours.
5. Sedation score at 2,4,6,12, and 24 hours postoperatively
6. Quality of recovery ( QoR-15 ) at 24 hours post operatively. 7. Patient satisfaction score at 24 hours postoperatively  
12 months 
 
Target Sample Size   Total Sample Size="38"
Sample Size from India="38" 
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)   25/07/2024 
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="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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [arushi.1696@gmail.com].

  6. For how long will this data be available start date provided 13-07-2025 and end date provided 14-10-2025?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NA
Brief Summary   We are comparing Erector Spinae Plane Block with Intrathecal morphine for post-operative analgesia in patients of age group 18-80 yrs undergoing surgery for gynaecological malignancy.The aim of the study is to compare Erector Spinae Plane Block with Intrathecal morphine for post-operative analgesia in patients undergoing surgery for gynaecological malignancy, taking a total sample size of 38, 19 patients in each group.  
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