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CTRI Number  CTRI/2025/04/085808 [Registered on: 28/04/2025] Trial Registered Prospectively
Last Modified On: 27/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of change in blood pressure using two different drugs for anesthesia for prostate surgery 
Scientific Title of Study   haemodynamic effect of subarachnoid block using hyperbaric bupivacaine versus isobaric ropivacaine in patients undergoing transurethral resection of prostate: a double blind 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 Shikha sharma 
Designation  senior consultant 
Affiliation  sir ganga ram hospital 
Address  Sir Gangaram hospital Sir Gangaram hospital Marg Old Rajendar Nagar New Delhi  110060

New Delhi
DELHI
110060
India 
Phone  9810382283  
Fax    
Email  sshikha18@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shikha sharma 
Designation  senior consultant 
Affiliation  sir ganga ram hospital 
Address  Sir Gangaram hospital Sir Gangaram hospital Marg Old Rajendar Nagar New Delhi  110060


DELHI
110060
India 
Phone  9810382283  
Fax    
Email  sshikha18@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shikha sharma 
Designation  senior consultant 
Affiliation  sir ganga ram hospital 
Address  Sir Gangaram hospital Sir Gangaram hospital Marg Old Rajendar Nagar New Delhi  110060


DELHI
110060
India 
Phone  9810382283  
Fax    
Email  sshikha18@gmail.com  
 
Source of Monetary or Material Support  
Sir Ganga Ram Hospital sir ganga ram hospital marg, old rajinder nagar, New Delhi, India. Pin- 110060 
 
Primary Sponsor  
Name  sir ganga ram hospital 
Address  Sir Gangaram hospital Sir Gangaram hospital Marg Old Rajendar Nagar New Delhi  110060 
Type of Sponsor  Research institution and hospital 
 
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 Sayak Banerjee  Sir Ganga Ram Hospital  Sir Gangaram hospital Sir Gangaram hospital Marg Old Rajendar Nagar New Delhi  110060
New Delhi
DELHI 
9038472247

sayak.howrah@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sir Ganga Ram Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N401||Benign prostatic hyperplasia withlower urinary tract symptoms,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Hyperbaric 0.5% bupivacaine  Hyperbaric 0.5% bupivacaine 10mg in subarachnoid block and monitored for 3 hours for haemodynamic effect and 8 hours for sensory and motor block starting from sub arachnoid drug injection 
Intervention  isobaric 0.75% ropivacaine   isobaric 0.75% ropivacaine 15mg in subarachnoid space and monitored for 3 hours for haemodynamic effect and 8 hours for sensory and motor block starting from sub arachnoid drug injection 
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  75.00 Year(s)
Gender  Male 
Details  1. Age- 50 to 75 years
2. Body Mass Index (BMI)- 18-30 kg/m2
3. American Society of Anaesthesiology (ASA) Grade - I and II
 
 
ExclusionCriteria 
Details  1. Inability to obtain written informed consent
2. History of hypersensitivity to local or systemic anaesthetic agents
3. Patient already on any vasopressor
4. Preoperative bradycardia or tachycardia or hypotension
5. Failure of subarachnoid block
 
 
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 
Haemodynamic effects (hypotension) in the intraoperative period  every 5 min in the intraoperative period and then every 15 min in the postoperative period for a total of 3 hours followinng subarachnoid block 
 
Secondary Outcome  
Outcome  TimePoints 
1. Bradycardia & tachycardia in the intraoperative period  heart rate will be monitored continuously & recorded every 5 min for the intraoperative period & then every 15 min in the postop period for 3 hours 
2. Cumulative dose of vasopressor in the intraoperative period  Total dose of vasopressor needed in the intraoperative period will be recorded by the investigator after each operation is completed 
3. Level of sensory block assessed on 5 & 10 min after subarachnoid block administration  5min, 10 min following subarachnoid block 
4. Duration of sensory block assessed in the postop period hourly up to 8 hours  1st hour, 2nd hour, 3rd hour, 4th hour, 5th hour, 6th hour, 7th hour, 8th hour following subarachnoid block 
5. Degree of motor block assessed using modified Bromage scale assessed on 5 min & 10 min after subarachnoid block administration  5min, 10 min following subarachnoid block 
6. Duration of motor block assessed using modified Bromage scale done hourly in the postoperative period up to 8 hours  1st hour, 2nd hour, 3rd hour, 4th hour, 5th hour, 6th hour, 7th hour, 8th hour following subarachnoid block 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   10/05/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  10/05/2025 
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 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
  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 - 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 - Any purpose.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [sayak.howwrah@gmail.com].

  6. For how long will this data be available start date provided 20-12-2025 and end date provided 20-05-2030?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary  

Spinal anaesthesia is a technique involving the introduction of local anaesthetics into the subarachnoid space. Currently, bupivacaine, a long-acting local anaesthetic, is the agent of choice for spinal anaesthesia. Although bupivacaine provides dense motor and sensory block, it can be associated with significant cardiovascular side effects, particularly hypotension and bradycardia. Ropivacaine, another long-acting anaesthetic like bupivacaine, is becoming a popular alternative. It, reportedly has fewer cardiovascular side effects and is more selective for blockage of sensory fibres than motor and autonomic fibres. This property allows patients to regain mobility sooner, reduces urinary retention, and even makes spinal anaesthesia feasible for same-day discharge after surgery.

In the proposed randomized controlled trial, we aim to evaluate the haemodynamic stability of isobaric (0.75%) ropivacaine versus hyperbaric (0.5%) bupivacaine (control) for subarachnoid block in patients undergoing transurethral resection of prostate. The study will be carried out in 100 subjects divided into two groups of 50 each as bupivacaine and ropivacaine group. We will administer 2 ml of equipotent dose of the respective drug (10 mg of bupivacaine or 15 mg of ropivacaine) in each group and record their haemodynamic parameters (heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure) using standard multipara monitor with appropriate sized (bladder length 80% of the patient’s arm circumference, and the bladder width >= 40% of the arm circumference) non invasive blood pressure cuff every 5 min for the intraoperative period, then every 15 min in postoperative period for 3 hours total. Hear rate will be monitored continuously and recorded as an average of last 4 secs every 5 min the intraoperative period, then every 15 min in the postoperative period for 3 hours total. Our objective is to compare the haemodynamic effects in the intraoperative period.

By comparing the haemodynamic effects of these drugs, we can make more informed decisions to minimize complications associated with spinal anaesthesia.

We hypothesize that ropivacaine would provide a more hemodynamically stable spinal anaesthesia than bupivacaine.  
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