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CTRI Number  CTRI/2024/03/063739 [Registered on: 06/03/2024] Trial Registered Prospectively
Last Modified On: 28/02/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of granisetron and nor-epinephrine to prevent hypotension after spinal anaesthesia in old patients. 
Scientific Title of Study   Comparison of prophylactic administration of Granisetron versus Norepinephrine for Spinal Anaesthesia induced Hypotension in elderly population: A Prospective Randomized 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 Arvind Singh Bissarwal  
Designation  Junior resident  
Affiliation  Teerthanker Mahaveer medical college and research centre, Moradabad 
Address  Room no. 204, 2nd floor, Anaesthesia department, Teerthanker Mahaveer medical college and research centre

Moradabad
UTTAR PRADESH
244001
India 
Phone  9465930003  
Fax    
Email  arvindsingh0511@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Payal Jain 
Designation  Associate Professor  
Affiliation  Teerthanker Mahaveer medical college and research centre, Moradabad 
Address  Room no. 204, 2nd floor, Anaesthesia department, Teerthanker Mahaveer medical college and research centre

Moradabad
UTTAR PRADESH
244001
India 
Phone  9855567933  
Fax    
Email  Payalravi1408@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Arvind Singh Bissarwal  
Designation  Junior resident  
Affiliation  Teerthanker Mahaveer medical college and research centre, Moradabad 
Address  Room no. 204, 2nd floor, Anaesthesia department, Teerthanker Mahaveer medical college and research centre

Moradabad
UTTAR PRADESH
244001
India 
Phone  9465930003  
Fax    
Email  Arvindsingh0511@gmail.com  
 
Source of Monetary or Material Support  
Teerthanker Mahaveer medical college and research centre, Moradabad 
 
Primary Sponsor  
Name  Teerthanker Mahaveer medical college and research centre Moradabad 
Address  Room no. 204, 2nd floor, anaesthesia department, Teerthanker Mahaveer medical college and research centre, Moradabad, Dist- Moradabad, Uttar Pradesh PIN code 244001 
Type of Sponsor  Private 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 Arvind Singh Bissarwal   Teerthanker Mahaveer medical college and research centre, Moradabad  Room no. 204, 2nd floor, anaesthesia department.
Moradabad
UTTAR PRADESH 
9465930003

arvindsingh0511@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
TMU Moradabad Institutional Ethics 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, (2) ICD-10 Condition: M169||Osteoarthritis of hip, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intravenous Granisetron  Injection Granisetron 3mg intravenously 15 minutes before spinal anesthesia. 
Comparator Agent  Intravenous Norepinephrine   Intravenous Norepinephrine 10 mcg at the time of spinal anesthesia 
 
Inclusion Criteria  
Age From  60.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  Patient giving written informed consent.

Patient posted for Infraumblical surgeries.

Age more than 60 years.

ASA 1 and 2(American Society of Anaesthesiologist). 
 
ExclusionCriteria 
Details  Patients with known cardiac abnormalities, Hyperthyroidism, Monoamine oxidase inhibitor use.

Allergic to drugs used.

Contraindication to Spinal Anaesthesia. 
 
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 
To compare Hemodynamic parameters(SBP,DBP, HR, MAP, PI) in both the groups.
To compare total consumption of rescue vasopressors and anticholinergics in both the groups. 
To compare Hemodynamic parameters(SBP,DBP, HR, MAP, PI) in both the groups.
To compare total consumption of rescue vasopressors and anticholinergics in both the groups. 
 
Secondary Outcome  
Outcome  TimePoints 
To compare total number of patients requiring rescue vasopressors in both the groups.
To compare side effect in both the groups. 
To compare total number of patients requiring rescue vasopressors in both the groups.
To compare side effect in both the groups. 
 
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   N/A 
Date of First Enrollment (India)   15/03/2024 
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="3"
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  

Vasopressors have been conventionally used to prevent spinal induced hypotension but have there own set of side effects especially in cardiac compromised patients.

 

 5HT3 antagonist (used for PONV routinely) response in prevention of spinal induced hypotension have recently been studied.

 

There is a paucity of data comparing vasopressors with 5HT3 antagonists for prevention of spinal anaesthesia induced hypotension[SAIH], each class of drugs having its own pros and cons. 

 

Thus, this study will be conducted to compare   these two different class of drugs i.e. Granisetron  versus Norepinephrine to prevent  SAIH in elderly group.

 
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