| CTRI Number |
CTRI/2024/11/077026 [Registered on: 19/11/2024] Trial Registered Prospectively |
| Last Modified On: |
15/11/2024 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Drug Surgical/Anesthesia |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Comparing two doses of Dexmedetomidine with ropivacaine for Cesarean section pain relief |
|
Scientific Title of Study
|
Effect of intrathecal dexmedetomidine (3µg vs 5µg) as an adjuvant to hyperbaric ropivacaine in cesarean section: A randomized double blind clinical study
|
| Trial Acronym |
NIL |
|
Secondary IDs if Any
|
| Secondary ID |
Identifier |
| NIL |
NIL |
|
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
| Name |
Praveen Rathod |
| Designation |
Resident doctor |
| Affiliation |
Government Medical College Baroda |
| Address |
Department of Anaesthesiology
OT block 2nd floor
SSG hospital Vadodara
Vadodara GUJARAT 390001 India |
| Phone |
9449602799 |
| Fax |
|
| Email |
praveendrpraveen007@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Jyotsna F Maliwad |
| Designation |
Assistant Professor |
| Affiliation |
Government Medical College Baroda |
| Address |
Department of Anaesthesiology
OT block 2nd floor
SSG hospital Vadodara
Vadodara GUJARAT 390001 India |
| Phone |
9879541238 |
| Fax |
|
| Email |
dr.mantujr@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Jyotsna F Maliwad |
| Designation |
Assistant Professor |
| Affiliation |
Government Medical College Baroda |
| Address |
Department of Anaesthesiology
OT block 2nd floor
SSG hospital Vadodara
Vadodara GUJARAT 390001 India |
| Phone |
9879541238 |
| Fax |
|
| Email |
dr.mantujr@gmail.com |
|
|
Source of Monetary or Material Support
|
| Department of Anaesthesiology
OT block 2nd floor
SSG hospital
Vadodara 390001
Gujarat. |
|
|
Primary Sponsor
|
| Name |
Government Medical College Baroda |
| Address |
Department of Anaesthesiology
OT block 2nd floor
SSG hospital
Vadodara 390001
Gujarat. |
| Type of Sponsor |
Government 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 Praveen Rathod |
SSG hospital |
Cesarean section OT
1st floor
Rukmini building
SSG hospital Vadodara 390001
Gujarat Vadodara GUJARAT |
9449602799
praveendrpraveen007@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Institutional ethics committee for biomedical and health research, government medical College Baroda |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: O82||Encounter for cesarean delivery without indication, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Intervention |
ROPIVACAINE+3µg DEXMEDETOMIDINE |
The spinal anesthesia procedure is performed under aseptic and antiseptic conditions.
A 23-gauge needle is used to administer 2cc of ropivacaine heavy combined with 3µg dexmedetomidine in the L3-L4 space.
The total injected volume is 2.0cc.
The anesthesias effectiveness is then evaluated by assessing motor and sensory responses. |
| Comparator Agent |
ROPIVACAINE+5µg DEXMEDETOMIDINE |
The spinal anesthesia procedure is performed under aseptic and antiseptic conditions. A 23-gauge needle is used to administer 2cc of ropivacaine heavy combined with 3µg dexmedetomidine in the L3-L4 space. The total injected volume is 2.0cc. The anesthesias effectiveness is then evaluated by assessing motor and sensory responses. |
|
|
Inclusion Criteria
|
| Age From |
18.00 Year(s) |
| Age To |
40.00 Year(s) |
| Gender |
Female |
| Details |
1.Age Group – 18 years to 40 years
2.ASA – I/II
3.Elective Caesarean section
|
|
| ExclusionCriteria |
| Details |
1.Patients Refusal
2.Multifetal pregnancy
3.Heart block & ventricular dysfunction
4.Patient on anticoagulant therapy
5.Patient with local site infection
6.Patients with allergy to study drugs
7.Fetal distress in utero.
8.Severe hypovolemia.
9.Severe operative blood loss expected. (Placenta Previa, Accrete etc.)
10.Height less than or equal to 150cm |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
On-site computer system |
|
Blinding/Masking
|
Participant and Investigator Blinded |
|
Primary Outcome
|
| Outcome |
TimePoints |
1.Monitoring of spinal characteristics (sensory and motor blockade, satisfaction of spinal anesthesia, visceral traction response, the quality of abdominal muscle relaxation and shivering & sedation score)
2.Hemodynamic stability (intraoperative) |
Till 24hrs |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1.Postoperative analgesia score (VAS SCORE)
2. Apgar score of neonates |
Till 24hrs |
|
|
Target Sample Size
|
Total Sample Size="126" Sample Size from India="126"
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)
|
29/11/2024 |
| 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="1" Months="0" 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
- Who will be able to view these files?
Response - Anyone
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [praveendrpraveen007@gmail.com].
- For how long will this data be available start date provided 12-11-2024 and end date provided 12-08-2025?
Response - Immediately following publication. No end date.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - nil
|
|
Brief Summary
|
We first determined whether dexmedetomidine combined with intrathecal hyperbaric ropivacaine could improve Hemodynamic stability during cesarean section with block characteristics and prolong postoperative sensory block with no effect on the motor block. Then, we determined which dose of dexmedetomidine was better. |