| CTRI Number |
CTRI/2024/03/064103 [Registered on: 13/03/2024] Trial Registered Prospectively |
| Last Modified On: |
09/03/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Surgical/Anesthesia |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
A study which aims to reduce vomiting and feeling of vomiting in patients after operation of gallbladder by laparoscopic approach, one group of patients will have dexamethasone by intravenous route and the other group by giving the drug inside the abdomen during operation. |
|
Scientific Title of Study
|
Comparison of effect of intraperitoneal versus intravenous dexamethasone on postoperative nausea, and vomiting after laparoscopic cholecystectomy: A prospective, randomised, double blinded 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 |
Dr Bijoy Kumar Bandyopadhyay |
| Designation |
Professor |
| Affiliation |
Midnapore Medical College & Hospital |
| Address |
Department of Anaesthesiology, Midnapore Medical College, Vidyasagar Road, Midnapore Town, Paschim Medinipur, Pin- 721101
Medinipur WEST BENGAL 721101 India |
| Phone |
9332132242 |
| Fax |
|
| Email |
bjoybnrjee@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Arun Kumar Mandi |
| Designation |
Assistant Professor |
| Affiliation |
Midnapore Medical College & Hospital |
| Address |
Department of Anaesthesiology, Midnapore Medical College, Vidyasagar Road, Midnapore Town, Paschim Medinipur, Pin- 721101
Medinipur WEST BENGAL 721101 India |
| Phone |
8697633923 |
| Fax |
|
| Email |
mandiarunkr87@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Mizanul Haque |
| Designation |
Post graduate trainee |
| Affiliation |
Midnapore Medical College & Hospital |
| Address |
Department of Anaesthesiology, Midnapore Medical College, Vidyasagar Road, Midnapore Town, Paschim Medinipur, Pin- 721101
Medinipur WEST BENGAL 721101 India |
| Phone |
9831179812 |
| Fax |
|
| Email |
drmizanhaque@gmail.com |
|
|
Source of Monetary or Material Support
|
| Govt. medical college post graduate thesis fund, Office of the Principal, Midnapore Medical College & Hospital, Midnapore, Dist: Paschim Midnapore, West Bengal. PIN 721101. |
|
|
Primary Sponsor
|
| Name |
Principal, Midnapore Medical College & Hospital |
| Address |
Office of the Principal, Midnapore Medical College & Hospital |
| Type of Sponsor |
Government medical college |
|
|
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 Mizanul Haque |
Midnapore Medical College & Hospital. |
Laparoscopic Surgery OT, Surgery OT complex, post-anesthesia care unit, Post operative ward, Vidyasagar Road, Midnapore,Paschim Medinipur. Pin721101 Medinipur WEST BENGAL |
9831179812
drmizanhaque@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional Ethics Committee, Midnapore Medical College & Hospital |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
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Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
Intraperitoneal Dexamethasone |
Intraperitoneal group will receive 8 mg of Intra Peritoneal dexamethasone once and 2 ml of IntraVenous normal saline once as the placebo |
| Comparator Agent |
Intravenous Dexamethasone |
Intravenous group will receive 8 mg of IV dexamethasone once and 2 ml of IntraPeritoneal normal saline as the placebo once after last clamp insertion and before laparoscopic trocar withdrawal |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Female |
| Details |
1. ASA grade I & II.
2. Female patients.
3. Patients undergoing laparoscopic Cholecystectomy.
4. Patients giving valid consents
|
|
| ExclusionCriteria |
| Details |
1. Patients with severe cardio-respiratory disease
2. Patients with hepatic & renal disease
3. Patients with neurologic disorder
4. Patients with endocrine disorder
5. Patients who will not give valid consent.
6. Patients with psychiatric problem
7. Patients with H/O dexamethasone allergy.
8. Patients with pregnancy
|
|
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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 |
| Incidence and severity of post operative nausea and vomiting |
2, 4, 8, 12, and 24 hours after laparoscopy. |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1. To compare the requirement of rescue antiemetic between the two groups.
2. To compare the requirement of rescue analgesic between the two groups during the first 24hour
3. To compare the hemodynamic changes between the two groups in intra operative and post operative period during the first 24hour.
4.To study the side effects if any attributable to drugs
|
2, 4, 8, 12, and 24 hours after surgery |
|
|
Target Sample Size
|
Total Sample Size="100" Sample Size from India="100"
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 1/ Phase 2 |
|
Date of First Enrollment (India)
|
12/04/2024 |
| 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 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 - YES
- What data in particular will be shared?
Response - All of the individual participant data collected during the trial, after de-identification.
- 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
- Who will be able to view these files?
Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response (Others) - ANY
- For how long will this data be available start date provided 01-08-2024 and end date provided 01-01-2030?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - nil
|
|
Brief Summary
|
SUMMARY:
Proposed topic of research : COMPARISON OF EFFECT OF INTRAPERITONEAL
VERSUS INTRAVENOUS DEXAMETHASONE ON POSTOPERATIVE NAUSEA, AND VOMITING AFTER LAPAROSCOPIC
CHOLECYSTECTOMY: A PROSPECTIVE, RANDOMISED, DOUBLE BLINDED STUDY.
Objective of research:
Comparison of efficacy of Intraperitoneal Dexamethasone with
Intravenous Dexamethasone in preventing Post operative nausea & vomiting.
Background of research:
Despite all of the benefits provided
by laparoscopic cholecystectomy, the Post operative nausea & vomiting is the
common & distressful side effect of laparoscopic surgeries. It can
negatively affect patient dissatisfaction; readmission & prolonged hospital
stay and increased medical costs. Multimodal approaches are being
considered for prophylaxis of post operative nausea & vomiting. Intravenous
Dexamethasone reduces post operative nausea & vomiting after laparoscopic
surgeries. In this study we aim to find out if Intraperitoneal Dexamethasone
would work better than Intravenous Dexamethasone
to reduce post operative nausea & vomiting following laparoscopic
cholecystectomy in adult female patients.
Methodology:
It
is a hospital based prospective, randomized, double blinded, study on
adult female patients undergoing laparoscopic cholecystectomy under
general anaesthesia in surgery OT of Midnapore Medical College and Hospital. A
total of 100 patients will be selected
randomly in two groups where one group will Receive prophylactic
dexamethasone 8mg IV, the second group will receive Dexamethasone 8mg IP.
Anaesthetic and surgical management will be standardized in each group. The
required parameters will be monitored in the intraoperative and postoperative
period up to 24 hours postoperative period
.
Expected outcome of proposed study:
We are expecting that incidence & severity of PONV
will significantly decrease in the group intraperitoneal Dexamethasone group following laparoscopic cholecystectomy. |