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CTRI Number  CTRI/2024/11/077278 [Registered on: 25/11/2024] Trial Registered Prospectively
Last Modified On: 22/07/2025
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   Post operative pain relief with a combination of tramadol and ketorolac in caesarean section 
Scientific Title of Study   The efficacy of sublingual ketorolac with tramadol in post operative pain relief in cesarean cases a double blinded randomized controlled 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 Prasanna Vadhanan 
Designation  HOD 
Affiliation  Vinayaka mission medical college and hospital 
Address  Department of anaesthesiology Vinayaka mission medical college and hospital Keezhakasakudy Medu Kottucherry Post Puducherry

Karaikal
PONDICHERRY
609609
India 
Phone  9486489690  
Fax    
Email  vadhanan.prasanna@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Jeniffer Karan PM 
Designation  Junior resident/Post Graduate 
Affiliation  Vinayaka mission medical college and hospital 
Address  Room no 2, Department of Anaesthesiology Vinayaka mission medical college and hospital KeezhakasakudyMedu Kottucherry Post Puducherry

Karaikal
PONDICHERRY
609609
India 
Phone  8056945708  
Fax    
Email  Jenny.pyr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Abhisheak Raveendran 
Designation  Junior resident/Post Graduate 
Affiliation  Vinayaka mission medical college and hospital 
Address  Room no 2, Department of Anaesthesiology Vinayaka mission medical college and hospital Keezhakasakudy Medu Kottucherry Post Puducherry

Karaikal
PONDICHERRY
609609
India 
Phone  9941078403  
Fax    
Email  rabhisheak91@gmail.com  
 
Source of Monetary or Material Support  
Vinayaka mission medical college, Department of Anaesthesiology, Vinayaka mission medical college and hospital, Keezhakasakudy Medu, Karaikal, Pondicherry 609609. 
 
Primary Sponsor  
Name  Vinayaka mission medical college  
Address  Keezhakasakudy Medu Kottucherry Post Puducherry 609609 
Type of Sponsor  Other [Self] 
 
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 Jeniffer Karan PS  Vinayaka mission medical college   Department of Anaesthesiology Keezhakasakudy Medu Kottucherry
Karaikal
PONDICHERRY 
8056945708

Jenny.pyr@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethical Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O00-O9A||Pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Control  Vitamin C 400mg sublingual tablet single dose administered per oral sublingually after cesarean section before shifting to Postoperative care unit  
Intervention  Ketrolac  Ketrolac 10mg with Tramadol 40mg sublingual tablet single dose administered per oral sublingually after cesarean section before shifting to Postoperative care unit 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  Patients schedule to undergo elective and emergency caesarean surgery under spinal anaesthesia
Patients under ASA 1 ,ASA 2
ASA – AMERICAN SOCIETY OF ANAESTHESIA
 
 
ExclusionCriteria 
Details  ASA-3ASA -4,ASA-5(ASA- AMERICAN SOCIETY OF ANAESTHESIA)
Uncontrolled systemic disorder
Contraindication to central neuraxial blockage
Neurological impairment
Demyelinating disease
Psychoactive Medications/Substance abuse
Patient refusal 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the analgesic effect of the drug post operatively and subsequent need of rescue analgesic   Until first rescue analgesia  
 
Secondary Outcome  
Outcome  TimePoints 
Presence of any adverse effects post operatively   Until first rescue analgesia 
 
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 3 
Date of First Enrollment (India)   15/12/2024 
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="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
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  
Pain management is one of the most essential components of post operative care. Analgesic namely used are nonsteroidal anti-inflammatory Drugs (NSAIDS) and opioids. Present study aimed to compare the effect of sublingual ketorolac and tramadol on post operative pain management 

Ketorolac is versatile, as it is available in multiple-dose forms: oral, nasal spray, Intravenous ,intramuscular. It is commonly used in postoperatively for pain management. The study is to compare the efficacy of sublingual ketorolac and tramadol administer after surgery with a control group 

The aim of this study is to understand the efficacy of the sublingual ketorolac and tramadol role in post operative analgesic effect 


 
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