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CTRI Number  CTRI/2025/02/080883 [Registered on: 19/02/2025] Trial Registered Prospectively
Last Modified On: 18/02/2025
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   Comparing the pain-relieving effects of IV Ibuprofen , Paracetamol and their combination in spine surgery 
Scientific Title of Study   Comparative evaluation of analgesic efficacy of intravenous ibuprofen, paracetamol and their combination in spine surgery 
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 NIKHIL 
Designation  PG 1st YEAR RESIDENT 
Affiliation  School of medical sciences and research, Sharda Hospital 
Address  Department of Anesthesiology , school of medical sciences and research , plot no 32,34, knowledge park 3, greater noida Gautam Buddha Nagar UTTAR PRADESH

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  9149236591  
Fax    
Email  bhraminikhil1993@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Uttam Chandra Verma 
Designation  Professor  
Affiliation  School of medical sciences and research  
Address  Department of Anesthesiology , school of medical sciences and research , plot no 32,34, knowledge park 3, greater noida Gautam Buddha Nagar UTTAR PRADESH

Gautam Buddha Nagar
UTTAR PRADESH
201310
India 
Phone  9968604211  
Fax    
Email  uttam.verma@sharda.ac.in  
 
Details of Contact Person
Public Query
 
Name  Dr Uttam Chandra Verma 
Designation  Professor  
Affiliation  School of medical sciences and research  
Address  Department of Anesthesiology , school of medical sciences and research , plot no 32,34, knowledge park 3, greater noida Gautam Buddha Nagar UTTAR PRADESH


UTTAR PRADESH
201310
India 
Phone  9968604211  
Fax    
Email  uttam.verma@sharda.ac.in  
 
Source of Monetary or Material Support  
School of medical sciences and research, plot no 32,34, knowledge park 3, greater noida, Uttar Pradesh, 201310 
 
Primary Sponsor  
Name  School of medical sciences and research  
Address  plot no 32, 34 knowledge park 3, greater noida 
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 Nikhil Sharma  School of Medical Sciences and Research ,sharda university  Department of Anesthesiology , second floor , B block , plot no 32,34, knowledge park 3 , Greater Noida, Uttar Pradesh
Gautam Buddha Nagar
UTTAR PRADESH 
9149236591

bhraminikhil1993@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, School of Medical Sciences and Research, Sharda University, Greater Noida  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  Intravenous Ibuprofen  Patient will receive intravenous ibuprofen 400 mg (100 ml)8hrly in one IV line and 100 ml NS 8 hourly from another line 
Intervention  Intravenous Paracetamol   Patient will receive IV Paracetamol 1gm (100 ml) 8 hourly in one IV line and 100 ml NS 8 hourly from another line 
Comparator Agent  IV IBUPROFEN and IV PARACETAMOL   Patient will receive IV Ibuprofen 400 mg (100ml ) 8 hourly in one IV line and IV Paracetamol 1gm (100 ml) 8 hourly from another IV line 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. ASA grade 1-3
2. Age 18-60 years of both gender.
3. Patient scheduled for spine surgery. 
 
ExclusionCriteria 
Details  1. Patient with cardiac and pulmonary disease.
2. Patient with complicated diabetes and hypertension
3. Patient with deranged renal function test and liver function tests.
4. Patients sensitive to propofol, fentanyl, paracetamol, vecuronium, ibuprofen and morphine.
5. Difficulty in the usage of PCA. 
 
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 evaluate the analgesic efficacy of intravenous Ibuprofen and Paracetamol combination on postoperative pain by visual analogue scale.  24 hours 
 
Secondary Outcome  
Outcome  TimePoints 
1.To evaluate and compare the analgesic efficacy of intravenous Ibuprofen and Paracetamol on postoperative pain by visual analogue scale.
2. Postoperative morphine consumption and its side effects.
3. Intraoperative fentanyl consumption in first 4 hrs.
4. Haemodynamic monitoring. 
24 hours 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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 
Date of First Enrollment (India)   01/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  01/03/2025 
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  
Postoperative pain management in spine surgery remains a challenge, with opioids being the primary treatment but associated with significant side effects. Non-opioid alternatives like IV ibuprofen and paracetamol have shown promise in reducing pain and opioid consumption. However, limited research exists on their combined effectiveness.
This study aims to compare the analgesic efficacy of IV ibuprofen, IV paracetamol, and their combination in spine surgery patients. The goal is to determine whether a combined approach provides superior pain relief, reduces opioid use, and improves patient outcomes.
 
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