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CTRI Number  CTRI/2025/08/093678 [Registered on: 26/08/2025] Trial Registered Prospectively
Last Modified On: 25/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Effect of Nalbuphine on hemodynamics during laryngoscopy in general anaesthesia for ENT surgeries 
Scientific Title of Study   EVALUATE OF HAEMODYNAMIC RESPONSE OF INTRAVENOUS NALBUPHINE DURING LARYNGOSCOPY AND TRACHEAL INTUBATION IN SURGERIES OF EAR NOSE THORAT (ENT) DONE 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  Dhruv Shah 
Designation  Junior Resident 
Affiliation  Datta Meghe Institute of Higher Education and Research  
Address  Department of Anaesthesia,2nd floor,Shalinitai Meghe Superspeciality Hospital,AVBRH Campus,Sawangi

Wardha
MAHARASHTRA
442001
India 
Phone  9082498622  
Fax    
Email  dhruv191701@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR JAYASHREE SEN 
Designation  PROFESSOR 
Affiliation  Datta Meghe Institute of Higher Education and Research  
Address  DEPARTMENT OF ANAESTHESIA, DATTA MEGHE INSTITUTE OF HIGHER EDUCATION , SAWANGI (MEGHE), WARDHA, MAHARASHTRA AVBRH

Wardha
MAHARASHTRA
442001
India 
Phone  9813061192  
Fax    
Email  jayashree_sen@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dhruv Shah 
Designation  Junior Resident 
Affiliation  Datta Meghe Institute of Higher Education and Research  
Address  Department of Anaesthesia,2nd floor,Shalinitai Meghe Superspeciality Hospital,AVBRH Campus,Sawangi

Wardha
MAHARASHTRA
442001
India 
Phone  9082498622  
Fax    
Email  dhruv191701@gmail.com  
 
Source of Monetary or Material Support  
Datta Meghe Institute of Higher Education and Research  
 
Primary Sponsor  
Name  Datta Meghe Institute of Higher Education and Research  
Address  Wardha, Sawangi, Maharashtra 442004 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NA 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Dhruv Shah  Jawaharlal Nehru Medical College  Department of Anaesthesia,2nd loor,Shalinitai Meghe Superspeciality Hospital,AVBRH campus
Wardha
MAHARASHTRA 
9082498622

dhruv191701@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee,Datta Meghe Institute of Higher Education and Research   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 
Intervention  Nalbuphine  Intravenous Nalbuphine 150 microgram per Kg will be given for reducing anxiety during induction of anaesthesia with orotracheal intubation. Assessment will be done in 1 hours. 
Comparator Agent  Normal saline  Intravenous normal saline will be given for reducing anxiety during induction of anaesthesia with orotracheal intubation. Assessment will be done in one hour. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients of elective ENT procedures under GA.
Patients weighing between 40 to 80kg.
Patients belonging to ASA grade I and II.
Patients with anticipated difficult airways according to LEMON criteria.  
 
ExclusionCriteria 
Details  Patients with known drug allergy.
Patients of emergency surgeries.
Patients belonging to ASA grade III or higher.
Patients with uncontrolled systemic disease.
Pregnant or lactating females.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Centralized 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Nalbuphine IV (150mcg/kg) injected before induction of elective surgeries in ENT to be done under general anaesthesia will effectively attenuate the hemodynamic stress response of orotracheal intubation  T0-Baseline premedication vitals,T1-3 minutes after administration of Nalbuphine,T2-1 minute after induction and intubation,T3-3 minutes after intubatin,T4-5 minutes after intubation,T5-10 minutes after intubation. 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  NA 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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 3/ Phase 4 
Date of First Enrollment (India)   15/09/2025 
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="2"
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 - NO
Brief Summary   Endotracheal Laryngoscopy are crucial concerns in geeneral anaesthesia and can lead to life threatening changes.Intravenous Nalbuphine attenuates such hemodynamic changes.Study aims to assess the effectiveness of intravenous nalbuphine in reducing anxiety during intubation in ENT surgeries under general anaesthesia.One group will recieve nalbuphine intravenously and a control group wil recieve saline.Hemodynamic parameters will be measured at different times.The nalbuphine group is expected to have a significantly reduced magnitude of hemodunamic response as compared to the placebo group.Also,nalbuphine is expected to have a good safety profile with no significant adverse effects. 
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