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CTRI Number  CTRI/2024/12/077813 [Registered on: 06/12/2024] Trial Registered Prospectively
Last Modified On: 02/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Other 
Public Title of Study   A Study to Compare Bupivacaine and Levobupivacaine in spinal anesthesia for pregnant patients 
Scientific Title of Study   Comparative evaluation of the efficacy and safety of INTRATHECAL 0.5% hyperbaric Levobupivacaine with 0.5% hyperbaric Bupivacaine in patients undergoing LSCS under spinal anesthesia 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ashish Kumar Sharma 
Designation  PG Resident Anesthesia first year 
Affiliation  Pacific Medical College and Hospital Udaipur 
Address  Pacific Medical College and Hospital Bhilon Ka Bedla Udaipur

Udaipur
RAJASTHAN
313001
India 
Phone  9311429122  
Fax    
Email  drashu.sharma19@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sameer Goyal 
Designation  Professor- Department of Anesthesia 
Affiliation  Pacific Medical College and Hospital Udaipur 
Address  Pacific Medical College and Hospital Department of Anesthesia Bhilon Ka Bedla Udaipur

Udaipur
RAJASTHAN
313001
India 
Phone  8890802830  
Fax    
Email  sameergoy@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Ashish Kumar Sharma 
Designation  PG Resident Anesthesia First year 
Affiliation  Pacific Medical College and Hospital Udaipur 
Address  Pacific Medical College and Hospital Department of Anesthesia Bhilon Ka Bedla Udaipur

Udaipur
RAJASTHAN
313001
India 
Phone  09311429122  
Fax    
Email  drashu.sharma19@gmail.com  
 
Source of Monetary or Material Support  
Pacific Medical College and Hospital Department of Anesthesia Bhilon Ka Bedla Udaipur Pin 313001 Rajasthan India 
 
Primary Sponsor  
Name  pacific medical college and hospital 
Address  Pacific Medical College and Hospital Department of Anesthesia Bhilon Ka Bedla Udaipur Pin 313001 Rajasthan India 
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 SAMEER GOYAL  Pacific Medical College and Hospital,Udaipur  Pacific Medical College and Hospital Department of Anesthesia Bhilon Ka Bedla Udaipur pin 313001
Udaipur
RAJASTHAN 
08890802830

sameergoy@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Pacific Medical College and Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O60-O77||Complications of labor and delivery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Bupivacaine  2.2 ml 0.5% heavy intrathecal injection 
Comparator Agent  Levobupivacaine  2.2ml 0.5% heavy intrathecal injection  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  1.Informed Consent.
2.Pregnant females scheduled to undergo lower
segment caesarean section (LSCS) under spinal
anesthesia.
3.American Society of Anesthesiologists (ASA)
grade I & II.
4.Age 18-35 years
 
 
ExclusionCriteria 
Details  1.Refusal to give consent.
2.Emergency LSCS.
3.Drug allergy to local anaesthetics / study
drugs.
4.ASA grade III and above.
5.AGE less than 18 years or more than 35years.
6.Weight less than 50 Kgs or more than 90Kgs.
7.Height less than 5 feet.
8.Twin /Complicated pregnancy.
9.Any contraindication to regional anesthesia.


 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
0.5% hyperbaric Levobupivacaine is better in efficacy and safety in comparison to 0.5% hyperbaric Bupivacaine in LSCS under spinal anesthesia.  24 months 
 
Secondary Outcome  
Outcome  TimePoints 
Is 0.5% hyperbaric Levobupivacaine better in terms of efficacy and safety profile with routinely used drug 0.5% hyperbaric bupivacaine in spinal anesthesia.

 
24 months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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 4 
Date of First Enrollment (India)   16/12/2024 
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="2"
Months="0"
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  

After obtaining approval from hospital ethical committee and written informed consent, patients will be divided into two groups randomly. All patients will be assessed before surgery for anesthesia fitness. Patients will be prepared by fasting (8 h for solid foods, 4 hours for clear fluids). On arrival to the operating room, ASA standard monitoring will be applied to all patients, including pulse oximeter, electrocardiogram and noninvasive arterial blood pressure. An 18/20 -gauge intravenous catheter will be placed and 10ml/kg lactated Ringer solution as preloading before spinal Anesthesia will be given to all patients, Under all aseptic precautions subarachnoid block will be performed at L3-L4 interspace with patient in sitting position, using either 2.2ml of 0.5% hyperbaric Levobupivacaine (Group L) or 2.2 ml of 0.5% hyperbaric Bupivacaine (Group B). After spinal block, patients will be placed in supine position and oxygen will be provided via a facemask. Sensory and motor block will be assessed by an anesthesiologist. The segmental level of sensory block will be assessed by loss of sensation to pin-prick.

 

 

 


 
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