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CTRI Number  CTRI/2025/05/086787 [Registered on: 13/05/2025] Trial Registered Prospectively
Last Modified On: 13/05/2025
Post Graduate Thesis  Yes 
Type of Trial  PMS 
Type of Study   Surgical/Anesthesia 
Study Design  Other 
Public Title of Study   Comparing effectiveness of two injections in preventing fall in BP after spinal anaesthesia in Caesarean section  
Scientific Title of Study   A Prospective Randomised double blinded study to compare the efficacy of prophylactic intravenous administration of Ondansetron 4 mg and granisetron 3mg for attenuation of spinal induced hypotension in parturients undergoing elective lower segment Caesarean section  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sushma  
Designation  Second year post graduate student 
Affiliation  Mysore medical college and research institute, mysuru 
Address  2nd floor Department of Anaesthesiology, New stone building, KR hospital, Mysore medical college and research institute, irwin road, mysore

Mysore
KARNATAKA
570001
India 
Phone  8951994799  
Fax    
Email  sushmamaroorkar@gmail.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr B C Vijayalakshmi 
Designation  Professor 
Affiliation  Mysore medical college and research institute, mysuru 
Address  2nd floor Department of Anaesthesiology, New stone building, KR hospital, Mysore medical college and research institute, irwin road, mysore

Mysore
KARNATAKA
570001
India 
Phone  9886239622  
Fax    
Email  vijayanagaraj@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr B C Vijayalakshmi 
Designation  Professor 
Affiliation  Mysore medical college and research institute, mysuru 
Address  2nd floor Department of Anaesthesiology, New stone building, KR hospital, Mysore medical college and research institute, irwin road, mysore

Mysore
KARNATAKA
570001
India 
Phone  9886239622  
Fax    
Email  vijayanagaraj@yahoo.co.in  
 
Source of Monetary or Material Support  
Mysore Medical College and Research Institute irwin road, mysore, karnataka, India Pincode-570001  
 
Primary Sponsor  
Name  Sushma  
Address  1st floor department of anaesthesiology, stone building, kr hospital, mysore karnataka, india pincode-570001 
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 Sushma   Mysore medical college and research institute   1st floor department of anaesthesiology stone building kr hospital irwin road Devaraja mohalla yadavagiri
Mysore
KARNATAKA 
8951994799

sushmamaroorkar@gmail.com  
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE MYSORE MEDICAL COLLEGE AND RESEARCH INSTITUTE   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  Group G  Intravenous Granisetron 3mg, 5 minutes before spinal anaesthesia in parturients undergoing elective LSCS 
Intervention  Group O  Intravenous ondansetron 4mg, 5 minutes before spinal anaesthesia in parturients undergoing elective LSCS 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  Parturients belonging to ASA grade 1 and 2 with more than 36 weeks gestation undergoing elective LSCS for a singleton pregnancy with Height 150 - 170cm. 
 
ExclusionCriteria 
Details  Patient refusal
Parturients with spinal deformity
Parturients with medical and obstretric complications like anemia, cardiac disease, gestational hypertension, gestational diabetes, shock, liver disorders, septicemia and hypertension.
Known hypersensitivity to local anaesthetics and study drugs.
Subjects having any absolute or relative contraindications for spinal anaesthesia like raised intracranial pressure, severe hypovolemia, bleeding diathesis and local infection.
Parturients with BMI more than 30
On drugs like selective serotonin reuptake inhibitors and migraine medications.
Intraoperative blood loss more than1 litre 
 
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 
Comparison of hemodynamic parameters like systolic blood pressure and heart rate  2,4,6,8,10,15,20,25,30,35,40,50,60,70,80,90 minutes and till 3 hours postoperative period 
 
Secondary Outcome  
Outcome  TimePoints 
To assess total requirement of intravenous ephedrine to treat hypotension and to assess intravenous atropine to treat bradycardia
to assess incidence of nausea vomiting and intra operative and post operative shivering 
2,4,6,8,10,15,20,25,30,35,40,50,60,70,80,90 minutes and till 3 hours postoperative period 
 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   25/05/2025 
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)   Other (Terminated) 
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 study is a prospective, randomised, double blinded, comparative trial, to compare the efficacy of prophylactic intravenous administration of two serotonin receptor antagonists i.e., ondansetron 4 mg and granisetron 3 mg in preventing spinal induced hypotension and bradycardia in parturients undergoing elective lower segment caesarean section. The study population will be allocated in two groups with 50 parturients in each group, and one of the study drug will be given 5 minutes before spinal anaesthesia and hemodynamic parameters such as blood pressure, heart rate and mean arterial pressure will b monitored intraoperatively. 
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