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CTRI Number  CTRI/2024/10/075366 [Registered on: 16/10/2024] Trial Registered Prospectively
Last Modified On: 02/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare the how well clonidine and gabapentin given orally as premedication, reduces changes in blood pressure and heart rate during laryngoscopy and tracheal intubation. 
Scientific Title of Study   A comparative study of clonidine and gabapentin as an oral premedication on hemodynamic response to laryngoscopy and tracheal intubation 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Devendra Joshi 
Designation  Resident doctor 
Affiliation  Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Anaesthesia Department , General Ot Complex, 2nd Floor, Dhiraj Hospital , Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre , Wagodhia , Pipariya, vadodara

Vadodara
GUJARAT
391760
India 
Phone  09970380035  
Fax    
Email  devendra.joshi1995@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Tejash H Sharma 
Designation  Professor  
Affiliation  Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Anaesthesia Department , General Ot Complex, 2nd Floor, Dhiraj Hospital , Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre , Wagodhia , Pipariya, vadodara

Vadodara
GUJARAT
391760
India 
Phone  9427332100  
Fax    
Email  drtejash@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Tejash H Sharma 
Designation  Professor  
Affiliation  Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Anaesthesia Department , General Ot Complex, 2nd Floor, Dhiraj Hospital , Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre , Wagodhia , Pipariya, vadodara

Vadodara
GUJARAT
391760
India 
Phone  9427332100  
Fax    
Email  drtejash@gmail.com  
 
Source of Monetary or Material Support  
Smt Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth Deemed to be University, Piparia-391760, Ta. Waghodiya, Dist Vadodara, Gujarat, India 
 
Primary Sponsor  
Name  Smt Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  Wagodhia , Pipariya, Vadodara, Gujarat , India Pincode- 391760 
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 Tejash H Sharma  Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre  Anaesthesia Department , General Ot Complex, 2nd Floor, Dhiraj Hospital , Smt. Bhikiben Kanjibhai Shah Medical Institute and Research Centre , Wagodhia , Pipariya, Vadodara
Vadodara
GUJARAT 
9427332100

drtejash@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SUMANDEEP VIDYAPEETH INSTITUTIONAL ETHICS COMMITEE  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  Tablet clonidine 0.2mg  Tablet clonidine 0.2mg given as oral premedication 30 minutes before laryngoscopy and tracheal intubation for attenuating exaggerated hemodynamic response . 
Comparator Agent  Tablet gabapentin 800mg  Tablet gabapentin 800mg given as oral premedication 30 minutes before laryngoscopy and tracheal intubation for attenuating exaggerated hemodynamic response.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  •Patients will be willing to sign written and informed consent.
•Male or female patients between 18 to 60 years of age.
•Patients will belonging to American Society of Anaesthesiologists (ASA) physical status I and II.
•Patients will be posted for elective surgeries under general anaesthesia.

 
 
ExclusionCriteria 
Details  •Patients unwilling to participate in the study.
•Patients with Body Mass Index ≥ 30 kg/m2.
•Patients with history of muscular disorder ; myositis, myoclonus, myasthenia gravis.
•Patients with cardiovascular diseases, arrhythmias, heart blocks, or taking beta blockers.
•Patients with cerebrovascular, hepatic and renal diseases.
•Psychiatric patients.
•Patients will blur vision
•Patients with history of allergy to an α-2 adrenergic agonist
•Pregnancy & lactating women.

 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare tablet clonidine and gabapentin as given oral premedication premedication , in attenuating exaggerated hemodynamic response during laryngoscopy and tracheal intubation.  Baseline vitals(HR ,SBP ,DBP,MAP)
After Test drug administration
After induction
At laryngo- scopy and intubation
After Intubation (In minutes)
1 min,3 min,5 min,7min,10min

 
 
Secondary Outcome  
Outcome  TimePoints 
Check for analgesic ,opioids requirement.  During laryngoscopy and tracheal intubation and until 10 minutes after it.  
 
Target Sample Size   Total Sample Size="32"
Sample Size from India="32" 
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)   29/10/2024 
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 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 - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. 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

  3. 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.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response (Others) -  drtejash@gmail.com

  6. For how long will this data be available start date provided 24-09-2025 and end date provided 26-07-2029?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

A comparative study of clonidine and gabapentin as an oral premedication on hemodynamic response to laryngoscopy and tracheal. intubation.

To compare the clonidine and gabapentin given orally as premedication, reduces changes in blood pressure and heart rate during laryngoscopy and tracheal intubation.


Inclusion Criteria:

·      Patients will be willing to sign written and informed consent.

·      Male or female patients between 18 to 60 years of age.

·      Patients will belonging to American Society of Anaesthesiologists (ASA) physical status   I and II.

·      Patients will be posted for elective surgeries under general anaesthesia.

 


Exclusion Criteria:

·      Patients unwilling to participate in the study.

·      Patients with Body Mass Index ≥ 30 kg/m2.

·      Patients with history of muscular disorder ; myositis, myoclonus, myasthenia gravis.

·      Patients with cardiovascular diseases, arrhythmias, heart blocks, or taking beta blockers.

·      Patients with cerebrovascular, hepatic and renal diseases.

·      Psychiatric patients.

·      Patients will blur vision

·      Patients with history of allergy to an α-2 adrenergic agonist

·      Pregnancy & lactating women.


Site of Study: Department of Anaesthesiology, Dhiraj Hospital, S.B.K.S. Medical Institute and Research Centre, Piparia, Waghodia, Vadodara, Gujarat.

Study Design- comparative and randomized study


METHODOLOGY


·       Patients will be kept Nil Per Orally (NPO) 6 hours and 4 hours prior to surgery for solids and clear liquids respectively, before surgery.

 

·       Written informed consent will be taken from the patients who are fulfilling the criteria.

 

·       On the day of operation, all the participants will be shifted to preoperative area 1 hour before the operation time. All standard monitors like pulse oximeter, non-invasive blood pressure (NIBP) will be attached and baseline haemodynamic parameters will be recorded in preoperative room. An 18-gauge (18G) peripheral venous cannula will be secured and IV Ringer’s Lactate solution will be administered as maintenance fluid (80ml/hr) through it.

 

 

·       The consultant anaesthesiologist will be give orally tablet clonidine 0.2mg 30 minutes prior to induction of general anaesthesia in Group Dc patients.

 

·       And in Group Dg patients the consultant anaesthesiologist will administer orally tablet gabapentin 800mg 30 minutes before induction of anaesthesia



LIKELY OUTCOME / BENEFITS OF THE STUDY

This study will help us to compare the efficacy between oral clonidine and gabapentin in  hemodynamic responses to laryngoscopy and endotracheal intubation in patients undergoing surgeries under general  anaesthesia and will enable us to know which drug will given orally  is most beneficial in giving balanced general anaesthesia by having better outcomes in hemodynamics.

 
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