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CTRI Number  CTRI/2024/03/063579 [Registered on: 04/03/2024] Trial Registered Prospectively
Last Modified On: 04/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   effect of two different drugs on hemodynamic stability in elective lower segment cesarean section 
Scientific Title of Study   Comparative study between intrathecal 0.5% hyperbaric levobupivacaine and 0.5% hyperbaric bupivacaine with nalbuphine as adjuvant in elective lower segment cesarean section: A randomized clinical 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 Chiteshwar Walia 
Designation  Associate Professor  
Affiliation  Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar 
Address  Department of Anaesthesia, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar

Amritsar
PUNJAB
143001
India 
Phone  9878339933  
Fax    
Email  chiteshwarwalia@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anita Kumari 
Designation  Professor 
Affiliation  Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar 
Address  Department of Anaesthesia, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar

Amritsar
PUNJAB
143001
India 
Phone  9815632909  
Fax    
Email  kumarianitadr1@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Anmol Singh 
Designation  Junior Resident 
Affiliation  Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar 
Address  Department of Anaesthesia, Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar

Amritsar
PUNJAB
143001
India 
Phone  9915302013  
Fax    
Email  singhanmolvirk@gmail.com  
 
Source of Monetary or Material Support  
Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar 
 
Primary Sponsor  
Name  Sri Guru Ram Das Institute of Medical Sciences and research 
Address  Mehta Road, Vallah, Amritsar 
Type of Sponsor  Research institution and hospital 
 
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 Ruchi Gupta  Sri Guru Ram Das Institute of Medical Sciences and Research, Amritsar  Department of Anaesthesia, Mehta Road, Vallah
Amritsar
PUNJAB 
9814020805

drruchisgrd@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SGRD Ethical 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 
Comparator Agent  Levobupivacaine & Bupivacain  2 ml hyperbaric Inj. 0.5% levobupivacaine and 2 ml hyperbaric Inj. 0.5% bupivacaine with 400mcg nalbuphine intrathecally  
Intervention  Nalbuphine  400mcg nalbuphine intrathecally as an adjuvant 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  Patients undergoing elective LSCS 
 
ExclusionCriteria 
Details  1. Patients with cardiovascular diseases.
2. Contraindications to regional anesthesia such as local infections/sepsis at the site of lumbar puncture, anatomical disorders of spine, shock, any bleeding disorder and patient on anticoagulants.
3. Hypersensitivity to study drugs
4. History of opioid dependence
5. Fetal distress
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the effects of bupivacaine and levobupivacaine with combination of nalbuphine in terms of onset, regression and duration of sensory and motor blockade, time to requirement of first rescue analgesia for LSCS.  till the end of surgery 
 
Secondary Outcome  
Outcome  TimePoints 
1. To compare the hemodyanamic effects of bupivacaine and levobupivacaine
with nalbuphine as adjuvant in elective lower segment cesarean section.
2. To evaluate the of duration of postoperative analgesia bupivacaine and
levobupivacaine with nalbuphine as adjuvant in elective lower segment
cesarean section
 
from the initiation of anaesthesia till 24 hours 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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 2/ Phase 3 
Date of First Enrollment (India)   20/03/2024 
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="6"
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   Rationale: To compare the effectiveness of intrathecal 0.5% hyperbaric levobupivacaine and 0.5% hyperbaric bupivacaine with nalbuphine as an adjuvant in providing postoperative pain relief and patient satisfaction following elective lower segment cesarean section. The research intends to guide anesthesia choices, potentially enhancing the cesarean section recovery experience. 
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