| CTRI Number |
CTRI/2024/03/064171 [Registered on: 15/03/2024] Trial Registered Prospectively |
| Last Modified On: |
31/05/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
To compare the effects of sugammadex and neostigmine as an effective reversal agent for muscle relaxation in children undergoing abdominal and urogenital surgeries under general anaesthesia . |
|
Scientific Title of Study
|
Comparative analysis of sugammadex versus neostigmine as an effective reversal agent in paediatric abdominal and urogenital surgeries under general anaesthesia. A randomised control study. |
| Trial Acronym |
Nil |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Preeti Prasasya Sahoo |
| Designation |
Junior resident |
| Affiliation |
All India Institute of Medical Sciences, Raipur |
| Address |
Super Speciality MOT complex , 4th Floor, B Block,
All India Institute of Medical Science
Tatibandh
Raipur CHHATTISGARH 492099 India |
| Phone |
8260162030 |
| Fax |
|
| Email |
psahu9762@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr. Subrata Kumar Singha |
| Designation |
Professor |
| Affiliation |
All India Institute of Medical Sciences, Raipur |
| Address |
Department of anesthesiology, B Block , 4th floor
All India Institute of medical sciences,
Tatibandh
Raipur
Raipur CHHATTISGARH 492099 India |
| Phone |
8518881767 |
| Fax |
|
| Email |
subratsingh@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr. Subrata Kumar Singha |
| Designation |
Professor |
| Affiliation |
All India Institute of Medical Sciences, Raipur |
| Address |
Department of Anesthesiology, B Block, 4th floor
All India Institute of medical sciences
Tatibandh
Raipur
Raipur CHHATTISGARH 492099 India |
| Phone |
8260162030 |
| Fax |
|
| Email |
subratsingh@gmail.com |
|
|
Source of Monetary or Material Support
|
|
|
Primary Sponsor
|
| Name |
AIIMS |
| Address |
AIIMS Raipur |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Preeti Prasasya Sahoo |
All India Institute of Medical Sciences, Raipur |
Pediatric OT, Department of Anesthesiology, B Block MOT, 4th floor
All India Institute of Medical Sciences
Raipur
492099 Raipur CHHATTISGARH |
8260162030
psahu9762@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institute ethics committee AIIMS Raipur |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Neostigmine |
Injection Neostigmine 0.05mg per kg body weight along with Injection Glycopyrrolate 0.01mg per kg body weight single dose slow iv to be administered at the reappearance of T2 on train of four stimulation after completion of surgery and to look for time taken for complete reversal and extubation. |
| Intervention |
Sugammadex |
Injection Sugammadex 2mg per kg body weight single dose slow iv to be administered at the reappearance of T2 on train of four stimulation after completion of surgery and to look for time taken for complete reversal and extubation. |
|
|
Inclusion Criteria
|
| Age From |
2.00 Year(s) |
| Age To |
12.00 Year(s) |
| Gender |
Both |
| Details |
Abdominal surgeries
Urogenital surgeries
ASA 1&2
General anaesthesia |
|
| ExclusionCriteria |
| Details |
Not willing for consent
Developmental delay
Known history of drug allergy
Diseases affecting neuromuscular junction or malignant hyperthermia
Kidney / liver failure |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
An Open list of random numbers |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Time from start of administration of sugammadex/ neostigmine to recovery of the T4/T1 ratio to 0.9 |
At reappearance of T2 |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| Number of participants with clinical signs of recovery assessed by GCS and MRC. |
At intervals of 15 mins, 30 mins, 1 hr and 2 hrs in Post anaesthesia care unit. |
|
|
Target Sample Size
|
Total Sample Size="88" Sample Size from India="88"
Final Enrollment numbers achieved (Total)= "80"
Final Enrollment numbers achieved (India)="80" |
|
Phase of Trial
|
Phase 4 |
|
Date of First Enrollment (India)
|
25/03/2024 |
| Date of Study Completion (India) |
05/05/2025 |
| Date of First Enrollment (Global) |
Date Missing |
| Date of Study Completion (Global) |
05/05/2025 |
|
Estimated Duration of Trial
|
Years="1" Months="6" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Completed |
| Recruitment Status of Trial (India) |
Completed |
|
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 randomised control study will compare the effectiveness and adverse effects of the two reversal agents sugammadex and neostigmine for reversing neuromuscular blockade induced with rocuronium undergoing abdominal and urogenital surgeries under general anaesthesia. Paediatric patients between age 2-12 years will be divided into two groups and both groups to be given rocuronium as muscle relaxant and after completion of surgery TOF monitoring should be done to assess the neuromuscular blockade and one of the two reversing agents to be used in each group and time to recovery of neuromuscular block and adverse effects compared. Also the GCS and MRC will be compared in the post operative period to compare the efficacies of each drug. |