| CTRI Number |
CTRI/2024/11/076520 [Registered on: 08/11/2024] Trial Registered Prospectively |
| Last Modified On: |
28/10/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Surgical/Anesthesia |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Evaluating Dexmedetomidine vs. Clonidine as Enhancers of Spinal Anesthesia and on pain relief and block characteristics in Lower Limb Surgeries. |
|
Scientific Title of Study
|
An Comparative Study Of Intrathecal Dexmedetomidine vs Intrathecal Clonidine As Adjuvant With Hyperbaric Levobupivacaine for Subarachnoid blockage characteristics In Lower Limb Orthopaedic Surgeries |
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Radhika Jain |
| Designation |
Resident Doctor |
| Affiliation |
Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre |
| Address |
Anaesthesia Department, General Ot Complex, 1st Floor, Dhiraj Hospital, Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodia, Piparia, Vadodara, Gujarat
Vadodara GUJARAT 391760 India |
| Phone |
7681960960 |
| Fax |
|
| Email |
radhujain27@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Jatin Patel |
| Designation |
Professor Of Department |
| Affiliation |
Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre |
| Address |
Anaesthesia Department, General Ot Complex, 1st Floor, Dhiraj Hospital, Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodia, Piparia, Vadodara, Gujarat
Vadodara GUJARAT 391760 India |
| Phone |
9879368363 |
| Fax |
|
| Email |
dr_jatinpatel@yahoo.co.in |
|
Details of Contact Person Public Query
|
| Name |
Jatin Patel |
| Designation |
Professor Of Department |
| Affiliation |
Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre |
| Address |
Anaesthesia Department, General Ot Complex, 1st Floor, Dhiraj Hospital, Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodia, Piparia, Vadodara, Gujarat
Vadodara GUJARAT 391760 India |
| Phone |
9879368363 |
| Fax |
|
| Email |
dr_jatinpatel@yahoo.co.in |
|
|
Source of Monetary or Material Support
|
| Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Waghodia, Piparia, Vadodara, Gujarat, Pincode - 391760 |
|
|
Primary Sponsor
|
| Name |
Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre |
| Address |
Waghodia, Piparia, Vadodara, Gujarat, Pincode - 391760 |
| 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 Jatin Patel |
Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre |
Anaesthesia Department, General Ot Complex, 1st Floor, Dhiraj Hospital, Waghodia, Piparia, Vadodara, Gujarat, pincode- 391760 Vadodara GUJARAT |
9879368363
dr_jatinpatel@yahoo.co.in |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| SUMANDEEP VIDYAPEETH INSTITUTIONAL ETHICS 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 |
| Comparator Agent |
Hyperbaric Levobupivacaine and Dexmedetomidine
|
0.5% Hyperbaric Levobupivacaine 3ml with Dexmedetomidine 5 μg as single injection , intrathecal administration with total duration 7 hours
|
| Intervention |
Hyperbaric Levobupivacaine with Clonidine |
0.5% Hyperbaric Levobupivacaine 3ml with Clonidine 30 µg as a dingle injection , intrathecal administration with total duration 6 hours |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
65.00 Year(s) |
| Gender |
Both |
| Details |
1. Patient willing to sign informed consent.
2. ASA I & ASA II patients undergoing spinal anaesthesia posted for Femur Fracture Surgeries.
3. Age between 18- 65 years.
4. No known history of allergy, sensitivity or other form of reaction to local anesthetics of the ester and amide type
|
|
| ExclusionCriteria |
| Details |
1. Patient refusal.
2. Allergy to any drugs including test drug.
3. History of seizure disorder.
4. Patient taking clonidine or any other antihypertensives.
5. Patients with neurological disorders and neuropathies or receiving medications known to
influence neuromuscular junction.
6. ASA III, IV, Patients.
7. Any contraindication to Spinal Anaesthesia (local site infection, spine deformity, clotting abnormalities)
|
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Not Applicable |
|
Blinding/Masking
|
Participant Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
| to study the sensory and motor blockage characteristics in spinal anaesthesia |
motor and sensory blockage characteristics assessed at 0,2,4,6,8,10 minutes then every 5 minutes upto 30 minutes and then every 15 minutes till the end of surgery.
|
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
| To Assess Sedation Score, Duration of Absolute Analgesia and Effective Analgesia, Number of Rescue Analgesia required in 24 hrs and Complications if an. |
Four Point Sedation Score will be assessed every 5 minutes for 15 minutes then every 15 minutes till the end of surgery. |
|
|
Target Sample Size
|
Total Sample Size="50" Sample Size from India="50"
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)
|
15/11/2024 |
| 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="0" Months="6" Days="0" |
|
Recruitment Status of Trial (Global)
|
Not Applicable |
| 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
|
This study aims to compare the effects of intrathecal dexmedetomidine and clonidine as adjuvants to hyperbaric levobupivacaine in spinal anesthesia for lower limb orthopedic surgeries. The research will evaluate key outcomes including the onset and duration of sensory and motor block, quality of analgesia, and the incidence of side effects. By determining which adjuvant provides superior benefits, this study seeks to enhance regional anesthesia practices, ultimately improving patient care and surgical outcomes. |