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CTRI Number  CTRI/2025/04/085646 [Registered on: 25/04/2025] Trial Registered Prospectively
Last Modified On: 25/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   We are trying to see the effect of fentanyl and dexmedetomidine as an additive drug to levobupivacine in blocking the nerves in thoracic area present in paravertebral space in cases of modified breast surgery to see pain relief after operation. 
Scientific Title of Study   Effect of fentanyl and dexmedetomidine as an adjuvant to levobupivacaine in paravertebral block for post operative analgesia in the patient undergoing modified radical mastectomy: A prospective randomised double blind study 
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 Nafis Anwar 
Designation  Post graduation resident  
Affiliation  Rajendra Institute Of medical sciences  
Address  Department of Anaesthesiology RIMS Ranchi

Ranchi
JHARKHAND
834009
India 
Phone  7870929552  
Fax    
Email  anwarnafis99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vishwanath Kumar  
Designation  Associate Professor Department of Anaesthesiology RIMS Ranchi  
Affiliation  Rajendra institute of medical sciences Ranchi  
Address  Department of Anaesthesiology RIMS Ranchi

Ranchi
JHARKHAND
834009
India 
Phone  8439512490  
Fax    
Email  drvishwanathkumar@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Bharati  
Designation  Assistant Professor Department of Anaesthesiology RIMS Ranchi  
Affiliation  Rajendra institute of medical sciences  
Address  Department of Anaesthesiology RIMS Ranchi

Ranchi
JHARKHAND
834009
India 
Phone  9599277395  
Fax    
Email  bharati.bediya@gmail.com  
 
Source of Monetary or Material Support  
Rajendra institute of medical sciences Bariyatu Ranchi Jharkhand India 834009 
 
Primary Sponsor  
Name  Dr Nafis Anwar 
Address  Department of Anaesthesiology RIMS Ranchi Jharkhand India 834009 
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 Nafis Anwar   Rajendra institute of medical sciences Ranchi Jharkhand India 834009  Room no 1 Department of Anaesthesiology RIMS Ranchi Jharkhand India 834009
Ranchi
JHARKHAND 
7870929552

anwarnafis99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee RIMS Ranchi   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Paravertebral block   Effect of fentanyl as an adjuvant to levobupivacaine in paravertebral block for post operative analgesia in Modified radical mastectomy patients  
Comparator Agent  paravertebral block  Use of Dexmedetomidine as an adjuvant to Levobupivacaine in paravertebral block for post operative analgesia in the patient undergoing modified radical mastectomy 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  ASA grade I and II
Modified radical mastectomy surgery requiring general anaesthesia
Written and informed consent from patient
BMI 20 to 25 kg/meter square 
 
ExclusionCriteria 
Details  Patient not giving consent
Hypersensitivity to either study drug
Patient having spinal deformity
Infection at the site of block
Patient having coagulopathy pregnancy and severe cardiopulmonary disease  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare time for first rescue analgesic request   Till 24 hrs from successful paravertebral block 
 
Secondary Outcome  
Outcome  TimePoints 
To compare Visual analogue scale score for pain & total analgesic consumption
To compare side effects like Sedation nausea vomiting bradycardia & hypotension in the post operative period till 24 hours 
Till 24 hrs from the time of successful paravertebral block 
 
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 4 
Date of First Enrollment (India)   10/05/2025 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   We will compare the effect of fentanyl and dexmedetomidine as an adjuvant to levobupivacaine for post operative analgesia in paravertebral block in cases of modified radical mastectomy

Purpose of trial is to minimise the use of intravenous analgesic agent to prevent the incidence of post operative nausea and vomiting thus reducing the duration of hospital stay and patient morbidity
 
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