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CTRI Number  CTRI/2025/04/083894 [Registered on: 02/04/2025] Trial Registered Prospectively
Last Modified On: 30/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparing Dexmedetomidine and Magnesium Sulfate for Blood Pressure Control During Spine Surgery Intubation 
Scientific Title of Study   A prospective comparative study of effects of intravenous dexmedetomidine versus intravenous magnesium sulfate in attenuating hemodynamic stress responses during laryngoscopy and endotracheal intubation in spine 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  Dr Karnati Eshwar 
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, Waghodiya, Piparia ,Vadodara,GUJARAT,391760 India

Vadodara
GUJARAT
391760
India 
Phone  9963404402  
Fax    
Email  Eshwar.eshwar.karnati6@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jatin Patel 
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 Waghodiya, Piparia ,Vadodara,GUJARAT,391760, India

Vadodara
GUJARAT
391760
India 
Phone  9879368363  
Fax    
Email  Dr_jatinpatel@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Jatin Patel 
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 Waghodiya, Piparia ,Vadodara,GUJARAT,391760, India


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, Wagodhia , Pipariya, Vadodara, Gujarat , India Pincode-391760 
 
Primary Sponsor  
Name  Smt Bhikiben Kanjibhai Shah Medical Institute and Research Cen 
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 Jatin Patel  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, Waghodiya, Piparia ,Vadodara,GUJARAT,391760 India
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 Ethical Committee  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  Group D receive Inj. Dexmedetomidine 1.5 mcg/kg i.v.   Group D will receive Inj. Dexmedetomidine 1.5 mcg/kg i.v. diluted in 100ml Normal Saline over 20 minutes before induction of general anesthesia 
Comparator Agent  Group M will receive Inj. Magnesium sulphate 50 mg/kg i.v  Group M will receive Inj. Magnesium sulphate 50 mg/kg i.v. diluted in 100ml Normal Saline over 20 minutes before induction of general anesthesia 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients willing to sign written & informed consent.
Male or female patients between ages of 18 to 60 years.
Patients belonging to American Society of Anesthesiologists (ASA) physical status I and II.
Patients posted for elective spine surgeries under general anesthesia
 
 
ExclusionCriteria 
Details  Patients unwilling to participate in the study.
Patients with cardiovascular, cerebrovascular, hepatic and renal diseases.
Patients having arrhythmias or heart block.
Psychiatric patients.
Pregnancy & lactating women.
Patients taking beta blockers.
History of allergy to the study drugs.
Anticipated difficult airway.
BMI greater than 30
Patient having Neuromuscular disease
Serum magnesium level greater than 2.5mEq per L
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Alternation 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
This prospective and observational study will help us to compare the efficacy of intravenous Dexmedetomidine versus intravenous Magnesium sulphate for attenuation of the pressor response to larngoscopy and endotracheal intubation and will enable us to know which of the two drugs is most beneficial in providing better attenuation of the hemodynamic response to larngoscopy and endotracheal intubation.  Monitoring of parameters i.e. HR, SBP, DBP, MAP, SPO2 will be noted at baseline, after administration of test drug, after induction, during laryngoscopy and intubation and at 1,3,5 minutes after intubation. 
 
Secondary Outcome  
Outcome  TimePoints 
To study sedation score after extubation or any
side effects. 
Ramsay sedation score (RSS) will be recorded at 1 minutes for 30 minutes 60 minutes and 90 minutes. 
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
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)   14/04/2025 
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 - 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) -  dr_jatinpatel@yahoo.co.in

  6. For how long will this data be available start date provided 18-12-2025 and end date provided 15-12-2028?
    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 PROSPECTIVE COMPARATIVE STUDY OF EFFECTS OF INTRAVENOUS DEXMEDETOMIDINE VERSUS INTRAVENOUS MAGNESIUM SULFATE IN ATTENUATING HEMODYNAMIC STRESS RESPONSES DURING LARYNGOSCOPY AND ENDOTRACHEAL INTUBATION IN SPINE SURGERIES

Objective: To compare  the efficacy of intravenous Dexmedetomidine versus Magnesium sulfate in attenuating heart rate during laryngoscopy and endotracheal intubation in patients undergoing surgeries under general anasethesia.

To compare the efficacy of intravenous Dexmedetomidine versus Magnesium sulfate in attenuating blood pressure during

laryngoscopy and endotracheal intubation in patients undergoing surgeries under general anasethesia.


INCLUSION CRITERIA

Patients willing to sign written & informed consent.

Male or female patients between ages of 18 to 60 years.

Patients belonging to American Society of Anesthesiologists (ASA) physical status I and II.

Patients posted for elective spine surgeries under general anesthesia


EXCLUSION CRITERIA

Patients unwilling to participate in the study.

Patients with cardiovascular, cerebrovascular, hepatic and renal diseases.

Patients having arrhythmias or heart block.

 Psychiatric patients.

Pregnancy & lactating women.

Patients taking beta blockers.

History of allergy to the study drugs.

 Anticipated difficult airway.

 BMI greater than 30

 Patient having Neuromuscular disease

Serum magnesium level greater than 2.5mEq per L


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


Study Design- Prospective comperative study

 

Study Duration- The study will be initiated after obtaining the permission from institutional ethics committee till the achievement of the sample size or 18 months whichever is earlier.


Data will be collected & tabulated. Numerical variables will be presented as mean & standard deviation (SD) while categorical variables will be presented as frequency and percentage. As regard to numerical variables; tests like unpaired student–t test and/or ANNOVA will be used whenever appropriate for between-groups comparisons, while for categorical variables; chi–square test will be used. p value <0.05 will be considered statistically significant.


LIKELY OUTCOME

This prospective and observational study will help us to compare the efficacy of  intravenous

Dexmedetomidine versus  intravenous Magnesium sulphate for attenuation of the pressor response to

larngoscopy and endotracheal intubation and will enable us to know which of the two drugs is most

beneficial in providing better attenuation of the hemodynamic response to larngoscopy and endotracheal

intubation.



 
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