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CTRI Number  CTRI/2026/01/100244 [Registered on: 02/01/2026] Trial Registered Prospectively
Last Modified On: 30/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   A research study comparing the analgesic efficacy of intrathecal levo bupivacine with fentanyl versus oral tizanidine  
Scientific Title of Study   Comparison of Analgesic efficacy of intrathecal Levobupivacaine with Fentanyl versus oral Tizanidine in infra umbilical surgeries 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sivasankari  
Designation  Junior resident PG Student 
Affiliation  AIIMS RAEBERALI  
Address  DEPT OF ANAESTHESIA 2ND FLOOR MAIN HOSPITAL BUILDING AIIMS RAEBARELI DALMAU ROAD MUNSHIGANJ RAEBARELI U P Rae Bareli UTTAR PRADESH 229405 India
DEPT OF ANAESTHESIA 2ND FLOOR MAIN HOSPITAL BUILDING AIIMS RAEBARELI DALMAU ROAD MUNSHIGANJ RAEBARELI U P Rae Bareli UTTAR PRADESH 229405
Rae Bareli
UTTAR PRADESH
229405
India 
Phone  8220195148  
Fax    
Email  shivashankari699@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Jameel Abdul Aleem  
Designation  Associate professor dept of anaesthesia  
Affiliation  AIIMS RAEBERALI  
Address  DEPT OF ANAESTHESIA 2ND FLOOR MAIN HOSPITAL BUILDING AIIMS RAEBARELI DALMAU ROAD MUNSHIGANJ RAEBARELI UP Rae Bareli UTTAR PRADESH 229405 India
DEPT OF ANAESTHESIA 2ND FLOOR MAIN HOSPITAL BUILDING AIIMS RAEBARELI DALMAU ROAD MUNSHIGANJ RAEBARELI UP Rae Bareli UTTAR PRADESH 229405
Rae Bareli
UTTAR PRADESH
229405
India 
Phone  8872278644  
Fax    
Email  meeraleem@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sivasankari  
Designation  Junior resident PG Student 
Affiliation  AIIMS RAEBERALI  
Address  DEPT OF ANAESTHESIA 2ND FLOOR MAIN HOSPITAL BUILDING AIIMS RAEBARELI DALMAU ROAD MUNSHIGANJ RAEBARELI U P Rae Bareli UTTAR PRADESH 229405 India
DEPT OF ANAESTHESIA 2ND FLOOR MAIN HOSPITAL BUILDING AIIMS RAEBARELI DALMAU ROAD MUNSHIGANJ RAEBARELI U P Rae Bareli UTTAR PRADESH 229405
Rae Bareli
UTTAR PRADESH
229405
India 
Phone  8220195148  
Fax    
Email  shivashankari699@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  AIIMS RAEBERALI  
Address  AIIMS RAEBARELI DALMAU ROAD, MUNSHIGANJ RAEBARELI, UP 229405 
Type of Sponsor  Government medical college 
 
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 
Sivasankari  AIIMS RAEBERALI   DEPT OF ANAESTHESIA 2ND FLOOR MAIN HOSPITAL BUILDING AIIMS RAEBARELI DALMAU ROAD MUNSHIGANJ RAEBARELI U P Rae Bareli UTTAR PRADESH 229405 India
Rae Bareli
UTTAR PRADESH 
08220195148

shivashankari699@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NSTITUTIONAL ETHICS COMMITTEE, AIIMS RAEBARELI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Comparison of analgesic efficacy of Intrathecal levobupivacaine with fentanyl versus oral tizanidine in infra umbilical surgeries   Through the use of a computer-generated randomization table, they will be divided into groups T and F.Prior to surgery, all patients who will have elective infraumbilical surgeries and who meet our inclusion criteria will go through a Preanesthetic checkup according to institute protocol. The complications and advantages of spinal anesthesia will be discussed with the patients. All the patients will be instructed to check in one day prior to surgery and to follow the recommended Nil Per Oral rules of 6 to 8 hours for solids and 2 hours for clear liquids.One hour prior to the surgery group T will receive oral tizanidine (4mg) with a sip of water given by a nursing officer. And for the both group T and F patients, ASA standard monitoring devices will be attached when the patient enters the operating room.  
Intervention  Group F: will receive 0.5% levobupivacaine (hyperbaric) 3ml +25mcg fentanyl in subarachnoid block  Group F will receive local anesthetic medication (injection levobupivacaine 3ml + 25 mcg Fentanyl) which will be injected intrathecally using a 25- gauge needle into the L3-L4 interspace by a trained anaesthetist 
Comparator Agent  Group T: will receive 0.5% levobupivacaine (hyperbaric) 3ml subarachnoid block+ 4mg tizanidine (orally 1 hour before surgery).   After taking baseline vital readings, patient will be positioned in sitting or left/right lateral. Group T will receive local anesthetic medication (injection levobupivacaine 3ml) which will be injected intrathecally using a 25-gauge needle into the L3-L4 interspace.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  All patient of ASA grade I-II between age 18-60 years, who are undergoing elective
infraumbilical surgeries.
 
 
ExclusionCriteria 
Details  Pregnancy
Coagulopathy
Cerebrovascular disease
Systemic infection
Allergy to local anesthetics
Psychopathy that may affect patient evaluation
Infection at site of injection
Kidney diseases
Liver diseases
Myelopathy or Peripheral Neuropathy
Spinal Stenosis
Previous Spine Surgery
Raised intracranial pressure
Multiple sclerosis
Spina bifida
Patients taking thromboprophylaxis
Inability to understand the study protocol
Patient refusal
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the duration of anesthesia between the
Levobupivacaine with fentanyl versus oral Tizanidine in patients undergoing
infra umbilical surgeries. 
24hours 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the post operative analgesic efficacy between the
Levobupivacaine with fentanyl versus oral Tizanidine in patients undergoing
infraumbilical surgeries.
 
24 hours  
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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 2/ Phase 3 
Date of First Enrollment (India)   10/01/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  10/01/2026 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="1" 
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 - NO
Brief Summary   This is a randomised control trial.Comparing the analgesic efficacy of Intrathecal levobupivacaine with fentanyl versus oral tizanidine in infra
umbilical surgeries that is being conducted in AIIMS Raeberali.The primary outcome To compare the duration of anesthesia and post operative analgesic efficacy between the Levobupivacaine with fentanyl versus oral Tizanidine in patients undergoing infraumbilical surgeries.
 
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