| 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
|
|
|
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
|
|
|
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
- 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 24-09-2025 and end date provided 26-07-2029?
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
|
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. |