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CTRI Number  CTRI/2024/12/078260 [Registered on: 17/12/2024] Trial Registered Prospectively
Last Modified On: 17/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   A study to compare how well two different dosages of oral melatonin (6mg and 9mg) attenuate rise in blood pressure and heart rate in response to laryngoscopy and intubation when given 1 hour before administration of general anaesthesia. 
Scientific Title of Study   A study to compare the effects of two different dosages of oral melatonin 1 hour before induction for attenuation of haemodynamic response to endotracheal intubation under general anaesthesia. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SHAH VIHAR PAURAVBHAI 
Designation  Resident Doctor 
Affiliation  Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre 
Address  2nd Floor, General Ot Complex, Department of Anaesthesia, Smt.Bhikiben Kanjibhai Shah Medical Institute and Research Centre, Dhiraj General Hospital,Waghodiya, Piparia ,Vadodara,GUJARAT,391760 India

Vadodara
GUJARAT
391760
India 
Phone  9426651039  
Fax    
Email  viharshah18@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Dinesh Chauhan 
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  9099014672  
Fax    
Email  drdinesh77@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Dinesh Chauhan 
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  9099014672  
Fax    
Email  drdinesh77@gmail.com  
 
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 Centre 
Address  Waghodia, 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 Dinesh Chauhan  Smt Bhikhiben Kanjibhai Shah Medical Institute and Research Centre  2nd Floor, General OT Complex, Anaesthesia department, Dhiraj Hospital, Smt Bhikhiben Kanjibhai Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth, Waghodia, Pipariya, Vadodara , Gujarat 391760
Vadodara
GUJARAT 
9099014672

dr.dinesh77@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sumandeep Vidhyapeeth Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H958||Other intraoperative and postprocedural complications and disorders of the ear and mastoid process, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Melatonin   Drug: Melatonin Route: Oral Dose: 6mg Frequency: Once, 60 minutes before induction.  
Comparator Agent  Melatonin  Drug: Melatonin Route: Oral Dose: 9mg Frequency: Once, 60 minutes before induction.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients willing to sign informed consent.
Patients belonging to American Society of Anaesthesiologists (ASA) physical status I and II.
Patients posted for elective surgeries requiring endotracheal intubation under general anaesthesia.
Patient having mouth opening more than 3cm
Patient with Malampatti grade 1 and 2 
 
ExclusionCriteria 
Details  Patients unwilling to participate in the study.
Patients having contraindication to endotracheal intubation/general anaesthesia.
Patient having mouth opening less than 3cm.
Patient with Mallampati grade 3 and 4
body mass index (BMI) more than 30 kg per m square.
patients taking anxiolytics, sedatives, antipsychotic, or antiepileptic drugs.
Patients having a sleep disorder, hiatus hernia, gastroesophageal reflux, known allergy to melatonin, and a known case of coronary artery disease.
Patients with ischemic and valvular heart disease. 
 
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 study attenuation in stress repsonse and haemodynamics and
during intubation and laryngoscopy  
Baseline
60 mins after drug administration
Just after induction
Just after laryngoscopy and intubation
At 1 minute
At 3 minutes
At 5 minutes
At 10 minutes
At 15 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
To study post op sedation score after extubation or any side effects upto 120 minutes.  Ramsey sedation scale(RSS) will be used to assess post op sedation score at 15, 30, 60, 90 and 120 minutes after extubation. 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   30/12/2024 
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 - 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.dinesh77@gmail.com

  6. For how long will this data be available start date provided 20-11-2025 and end date provided 20-11-2028?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NO
Brief Summary  
THE PURPOSE OF THIS STUDY IS TO COMPARE THE EFFECTS OF TWO
DIFFERENT DOSAGES OF ORALLY ADMINISTERED MELATONIN 60 MINUTES BEFORE INDUCTION FOR MONITORING
ATTENUATION OF HAEMODYNAMIC RESPONSE TO ENDOTRACHEAL INTUBATION AND ALSO TO ASSESS POST OPERATIVE SEDATION SCORE 120 MINS AFTER EXTUBATION IN PATIENTS UNDER GOING ELECTIVE OPERATIVE INTERVENTIONS UNDER GENERAL ANAESTHESIA.
 
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