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CTRI Number  CTRI/2024/08/072663 [Registered on: 19/08/2024] Trial Registered Prospectively
Last Modified On: 09/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing the effect of ultrasound guided Erector spinae plane block and Serratus anterior plane block on the immune system response in patients undergoing breast cancer surgery 
Scientific Title of Study   Effect of ultrasound guided Erector spinae plane block and Serratus anterior plane block on inflammatory response in patients undergoing Modified radical mastectomy under general 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  Sandeep J 
Designation  Post Graduate student  
Affiliation  Maulana Azad Medical College  
Address  Department of Anaesthesiology, 3rd floor, B L Taneja block, Maulana Azad Medical College, New Delhi

Central
DELHI
110002
India 
Phone  8610597896  
Fax    
Email  sandeep1998.j@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neelam Prasad  
Designation  Director Professor  
Affiliation  Maulana Azad Medical College  
Address  Department of Anaesthesiology, 3rd floor, B L Taneja block, Maulana Azad Medical College, New Delhi

Central
DELHI
110002
India 
Phone  01123238058  
Fax    
Email  nprasadgovil@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Neelam Prasad  
Designation  Director Professor  
Affiliation  Maulana Azad Medical College  
Address  Department of Anaesthesiology, 3rd floor, B L Taneja block, Maulana Azad Medical College, New Delhi

Central
DELHI
110002
India 
Phone  01123238058  
Fax    
Email  nprasadgovil@yahoo.com  
 
Source of Monetary or Material Support  
Maulana Azad Medical College and Associated Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi 110 002  
 
Primary Sponsor  
Name  Maulana Azad Medical College and Associated Lok Nayak Hospital 
Address  No 2, Bahadur Shah Zafar Marg, New Delhi 110002 
Type of Sponsor  Government medical college 
 
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 Sandeep J   Lok Nayak Hospital, Maulana Azad Medical College   Room 305, 3rd floor, BL Taneja Block, Department of Anaesthesiology and Intensive Care, Bahadur Shah Zafar Marg
Central
DELHI 
8610597896

sandeep1998.j@gmail.com 
 
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: C509||Malignant neoplasm of breast of unspecified site,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Erector Spinae Plane Block   After induction of general anaesthesia, ultrasound guided Erector spinae plane block at T4-T6 vertebral level will be administered with 20ml 0.5% Ropivacaine with dexmedetomidine 0.5 mcg/kg as adjuvant  
Intervention  Serratus Anterior Plane Block  After induction of general anaesthesia, ultrasound guided Serratus anterior plane block will be administered with 20ml 0.5% Ropivacaine with dexmedetomidine 0.5 mcg/kg as adjuvant 
Comparator Agent  Serum Interleukin-6 and Interleukin-10 level  Serum IL-6 and IL-10 levels will be measured at baseline and 24 hours postoperatively using ELISA kit 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Female 
Details  ASA grade 1, 2, 3 patients  
 
ExclusionCriteria 
Details  1. Bleeding diathesis
2. Local skin infection at the site of block
3. Allergy to local anaesthetics or adjuvants  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
1. Serum IL-6 concentration in both the groups
2. Serum IL-10 concentration in both the groups  
Baseline and 24 hours post-operatively  
 
Secondary Outcome  
Outcome  TimePoints 
Serum cortisol concentrations in both the groups   Baseline and 24hrs postoperatively  
Total consumption of intravenous Fentanyl in both the groups   During the duration of the surgery 
Time at which the first rescue analgesia is requested by the patient postoperatively as assessed by the NRS pain score in both the groups  2hrs, 6hrs, 12 hrs and 24hrs postoperatively  
Total amount of opioid consumption within 24 hours postoperatively in both the groups  24 hrs postoperatively  
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   30/08/2024 
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   We are comparing the effect of ultrasound guided Erector spinae plane block and Serratus anterior plane block on inflammatory response in patients undergoing modified radical mastectomy under general anaesthesia. The primary objective of the study is to compare the effect of Serratus Anterior plane block and Erector spinae plane block on serum IL-6 and IL-10 levels in patients undergoing Modified Radical Mastectomy under general anaesthesia, taking a sample size of 50 patients for the study. 
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