| CTRI Number |
CTRI/2024/09/074423 [Registered on: 26/09/2024] Trial Registered Prospectively |
| Last Modified On: |
11/12/2024 |
| Post Graduate Thesis |
No |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug |
| Study Design |
Randomized, Parallel Group, Active Controlled Trial |
|
Public Title of Study
|
Benifits of Amisulpride versus Ondansetron to prevent postoperative nausea and vomiting in surgical patients requiring general anaesthesia. |
|
Scientific Title of Study
|
To Study the Efficacy and Safety of Intravenous Amisulpride against Ondansetron in Post-Surgical Patients undergoing general Anaesthesia to Prevent Post Operative Nausea Vomiting (PONV)- An Interventional, Randomised, Controlled Prospective 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 Tejash H Sharma |
| Designation |
Professor |
| Affiliation |
Dept. of Anaesthesiology, SBKS MIRC |
| Address |
Shrimati Bhikhiben Kanjibhai Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University B 15, Shyam Residency, TP 13, Vadodara Vadodara GUJARAT 391760 India |
| Phone |
9427332100 |
| Fax |
|
| Email |
drtejash@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Tejash H Sharma |
| Designation |
Professor |
| Affiliation |
Dept. of Anaesthesiology, SBKS MI RC |
| Address |
Shrimati Bhikhiben Kanjibhai Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University B 15, Shyam Residency, TP 13, Vadodara Vadodara GUJARAT 391760 India |
| Phone |
9427332100 |
| Fax |
|
| Email |
drtejash@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Tejash H Sharma |
| Designation |
Professor |
| Affiliation |
Dept. Of Anaesthesiology, SBKS MIRC |
| Address |
Shrimati Bhikhiben Kanjibhai Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University B 15, Shyam Residency, TP 13, Vadodara Vadodara GUJARAT 391760 India |
| Phone |
9427332100 |
| Fax |
|
| Email |
drtejash@gmail.com |
|
|
Source of Monetary or Material Support
|
| Sumandeep Vidyapeeth Deemed to be University, Waghodiya road, Piparia, Taluka Wahodiya, Pin code- 391760 Dist Vadodara, Gujarat, India |
|
|
Primary Sponsor
|
| Name |
Sumandeep Vidyapeeth Deemed to be Univeersity |
| Address |
Shrimati Bhikhiben Kanjibhai Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University, Piparia, Ta. Waghodiya, Pincode 391760, Vadodara, Gujarat, India |
| Type of Sponsor |
Private 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 Tejash Sharma |
Dhiraj Hospital, Sumandeep Vidyapeeth Deemed to be University |
Dhiraj Hospital, Sumandeep Vidyapeeth Deemed to be University, Piparia, Vadodara, Gujarat, 391760, India. Vadodara GUJARAT |
9427332100
DRTEJASH@GMAIL.COM |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Sumandeep Vidyapeeth Institutional Ethical Committee |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O||Medical and Surgical, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
AMISULPRIDE |
Anti emetic Dopamine 2 receptor blocker, shall be given prior to anaesthesia as premedication. Post operative nausea vomiting shall be assessed after completion of surgery at 0, 2, 6 8, 12, 24 and 48 hours. |
| Comparator Agent |
ONDANSETRON |
Anti emetic 5HT3 receptor blocker, shall be given prior to anaesthesia as premedication. Post operative nausea vomiting shall be assessed after completion of surgery at 0, 2, 6 8, 12, 24 and 48 hours. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
• Surgery to last at least 1 hour
• Overnight stay
• General anaesthesia
• ASA I&II
• At least one of the following Apfel et al’s risk factors for PONV:
ï‚§ Female sex
ï‚§ Non-smoking status
ï‚§ A prior history of PONV or motion sickness
ï‚§ Being expected to receive postoperative opioid analgesia
|
|
| ExclusionCriteria |
| Details |
If any antihistaminic, continuous infusion of propofol or dexmedetomidine, steroids, any antiemetics is used 24 hours prior or post-surgery then the case will be not selected for the study |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Alternation |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Complete response of medicine that is no episodes of emesis and no use of rescue medication in first 24 hours after wound closure or PONV. |
0,2,6,8,12,24,48 hours |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| To observe the incidence of nausea, emesis, use of rescue medication any adverse event. |
0,2,6,8,12,24,48 hours |
|
|
Target Sample Size
|
Total Sample Size="100" Sample Size from India="100"
Final Enrollment numbers achieved (Total)= "100"
Final Enrollment numbers achieved (India)="100" |
|
Phase of Trial
|
Phase 3/ Phase 4 |
|
Date of First Enrollment (India)
|
07/10/2024 |
| Date of Study Completion (India) |
21/01/2025 |
| Date of First Enrollment (Global) |
07/10/2024 |
| Date of Study Completion (Global) |
Date Missing |
|
Estimated Duration of Trial
|
Years="1" Months="0" Days="0" |
Recruitment Status of Trial (Global)
Modification(s)
|
Not Applicable |
| Recruitment Status of Trial (India) |
Completed |
|
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 - For individual participant data meta-analysis.
- By what mechanism will data be made available?
Response (Others) - drtejash@gmail.com
- For how long will this data be available start date provided 30-09-2024 and end date provided 31-12-2024?
Response - Beginning 9 months and ending 36 months following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
Traditionally ondansetron is used as an antiemetic to prevent post-operative nausea and vomiting (PONV), which is a 5HT3 Receptor blocker. Amisulpride is a dopamine receptor antagonist with less incidence of extrapyramidal symptoms in a safe dose range from 50- 1200 mg. Now it is recently available as (Sultran 5mg/ 2ml preparation in India) an antiemetic drug to prevent post-operative nausea and vomiting. So we have to study the efficacy and safety of intravenous amisulpride against ondansetron in post-surgical patients undergoing general anaesthesia to prevent post-operative nausea and vomiting (PONV). |