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
|
|
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
|
|
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
- 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 - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.
- For what types of analyses will this data be available?
Response - Any purpose.
- By what mechanism will data be made available?
Response - Proposals should be directed to [sayak.howwrah@gmail.com].
- 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.
- 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. |