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CTRI Number  CTRI/2024/08/071988 [Registered on: 06/08/2024] Trial Registered Prospectively
Last Modified On: 05/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   A clinical trial to study the effect of intranasal dexmedetomidine on spinal anaesthesia shivering . 
Scientific Title of Study   Effect of intranasal dexmedetomidine on post spinal anaesthesia shivering during Cesarean delivery:A Randomized Clinical Trial  
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.Ponnada Naga Meghana  
Designation  Junior Resident  
Affiliation  SRI VENKATESWARA INSTITUTE OF MEDICAL SCIENCES  
Address  Department of Anaesthesiology and CC, SVIMS, Tirupati.

Chittoor
ANDHRA PRADESH
517501
India 
Phone  9573437969  
Fax    
Email  nagaponnada9498@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aloka Samantaray  
Designation  Professor and HOD 
Affiliation  SRI VENKATESWARA INSTITUTE OF MEDICAL SCIENCES 
Address  Dr Aloka Samantaray, MD, PDCC, Professor and HOD , Department of Anaesthesiology and CC, SVIMS, Tirupati.

Chittoor
ANDHRA PRADESH
517501
India 
Phone  9493547653  
Fax    
Email  aloksvims@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Aloka Samantaray  
Designation  Professor and HOD 
Affiliation  SRI VENKATESWARA INSTITUTE OF MEDICAL SCIENCES 
Address  Dr Aloka Samantaray , MD, PDCC, Professor and HOD, Department of Anaesthesiology and CC, SVIMS, Tirupati.

Chittoor
ANDHRA PRADESH
517501
India 
Phone  9493547653  
Fax    
Email  aloksvims@gmail.com  
 
Source of Monetary or Material Support  
Sri Venkateswara Institute of Medical Sciences,Alipiri road,Tirupati-517501,Andhra Pradesh,India 
 
Primary Sponsor  
Name  Sri Venkateswara Institute of Medical Sciences 
Address  Alipiri road, Tirupati- 517501, Andhra Pradesh,India 
Type of Sponsor  Other [Nil] 
 
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 Ponnada Naga Meghana  Sri Venkateswara Institute of Medical Sciences  Department of Anaesthesiology and CC, SVIMS, Alipiri road, TIRUPATI, 517501.
Chittoor
ANDHRA PRADESH 
9573437969

nagaponnada9498@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Venkateswara Institute of Medical Sciences, Tirumala Tirupati Devastanams,Tirupati.INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Pregnant women between 20 to 45 years undergoing Elective or Emergency Cesarean delivery 
Patients  (1) ICD-10 Condition: 1||Obstetrics,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intranasal Dexmedetomidine   Preoperative intranasal dexmedetomidine 1 mcg/kg diluted to 1 ml NS for post spinal anaesthesia shivering  
Comparator Agent  Normal Saline  Preoperative intranasal NS 1 ml for post spinal anaesthesia shivering 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1.Age between 20-45 years.
2.ASA-PS II and III.
3.Weight between 45 to 75 kgs.
4.Normothermic 36.5 to 37.5 degree C
5.Stable hemodynamics SBP greater than 100mmhg. 
 
ExclusionCriteria 
Details  1.Declining to participate or receive spinal anaesthesia.
2.Absolute contraindications to spinal anaesthesia.
3.Height less than 100 cms.
4.Morbid obesity with BMI greater than 40KG/M2 .
5.Known allergy to dexmedetomidine or bupivacaine.
6.Use of epidural catheter.
7.Presence of significant cardiac, liver or renal problems. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
TO DETERMINE THE OCCURENCE OF CLINICALLY SIGNIFICANT POST SPINAL ANAESTHESIA SHIVERING   Immediately after spinal anaesthesia, 5,10,15,20,30,45,60 mins and at the end of the surgery.Post operative every 30 mins for 120 mins  
 
Secondary Outcome  
Outcome  TimePoints 
GRADE OF SHIVERING
GRADE OF SEDATION
OCCURENCE OF NAUSEA,VOMITING,
BRADYCARDIA,HYPOTENSION.  
Immediately after spinal anaesthesia,post spinal at 1,3,5,10,20,30,40,50 min,1,2,4,6 hrs  
 
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   N/A 
Date of First Enrollment (India)   19/08/2024 
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 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

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - Any purpose.

  5. By what mechanism will data be made available?
    Response (Others) -  .

  6. For how long will this data be available start date provided 01-08-2024 and end date provided 28-02-2025?
    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 - nil
Brief Summary  
Dexmedetomidine is a potent, selective alpha2-adrenoceptor agonist and promotes sedation, anxiety reduction, and analgesia without causing respiratory depression.

The administration of intravenous dexmedetomidine has been proved to be an effective measure to treat and prevent post spinal anaesthesia shivering.

This study is about the efficacy of  intranasal dexmedetomidine for the control of post spinal anaesthesia shivering in patients undergoing cesarean delivery .


 
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