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CTRI Number  CTRI/2025/03/082847 [Registered on: 19/03/2025] Trial Registered Prospectively
Last Modified On: 13/03/2025
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 post operative pain relief between intravenous diclofenac with acetaminophen in combination and intravenous diclofenac alone in patients undergoing inguinal hernia surgery 
Scientific Title of Study   An evaluation of opioid sparing effects of intravenous diclofenac - acetaminophen combination when compared to diclofenac alone in patients undergoing inguinal hernia repair - A double blinded randomised 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 Indira Kumari 
Designation  Professor 
Affiliation  RNT Medical College 
Address  Department of Anaesthesiology,
RNT medical college, Udaipur
Udaipur
RAJASTHAN
313001
India 
Phone  9414176760  
Fax    
Email  dr_ikumari@hotmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Indira Kumari 
Designation  Professor 
Affiliation  RNT Medical College 
Address  Department of Anaesthesiology,
RNT medical college, Udaipur
Udaipur
RAJASTHAN
313001
India 
Phone  9414176760  
Fax    
Email  dr_ikumari@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Narla Lakshmi Bhavani Chowdary 
Designation  Post Graduate Resident 
Affiliation  RNT Medical College 
Address  Department of Anaesthesiology,
RNT medical college, Udaipur
Udaipur
RAJASTHAN
313001
India 
Phone  9603655681  
Fax    
Email  bhavanichowdary161@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesia, R.N.T Medical College, Udaipur 313001, Rajasthan, India 
 
Primary Sponsor  
Name  Rabindranath Tagore medical college 
Address  Department of Anaesthesiology RNT Medical College, Udaipur Rajasthan 313001 
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 
Dr Narla Lakshmi Bhavani Chowdary  Maharana Bhupal Government Hospital  2nd floor Main Building, Main OT Complex, RNT Medical college
Udaipur
RAJASTHAN 
9603655681

bhavanichowdary161@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RNT Medical College and Controller and Attached Hospitals Udaipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K409||Unilateral inguinal hernia, without obstruction or gangrene,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intravenous Diclofenac  At the end of surgery intravenous 75mg DICLOFENAC diluted in 10ml isotonic saline over 10min along with intravenous 100ml isotonic saline over 15min. Postoperatively in 24 hours intravenous 75mg diclofenac every 12 hours and 100ml isotonic saline intravenous every 6 hours 
Comparator Agent  Intravenous Diclofenac and Intravenous Acetaminophen  At the end of surgery Intravenous 75mg Diclofenac diluted in 10ml isotonic saline over 10 min and 100ml of intravenous 1gm Acetaminophen over 15 mins. Postoperatively in 24 hours intravenous 75mg diclofenac every 12 hours and 100ml of 1gm acetaminophen intravenous every 6 hours. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Male 
Details  ASA Grade 1 & 2
Undergoing elective inguinal hernia surgeries under subarachnoid block 
 
ExclusionCriteria 
Details  Patients who are not willing to participate in study
ASA grade 3& 4
History of drug or alcohol abuse
History of coagulation abnormalities
Known hypersensitivity to any of study medication
Patient on long term analgesia
Patient with contraindication to spinal anesthesia
Failure of spinal anesthesia
 
 
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 
To assess the total post operative rescue analgesic(Tramadol) consumption   In 24 hours post operatively  
 
Secondary Outcome  
Outcome  TimePoints 
1. To assess time to first request for rescue analgesia
2.To assess the post operative pain at rest and movement
3.To assess episodes of nausea, retching and vomiting
4. Overall patient satisfaction 
in 24 hours post operatively 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   24/03/2025 
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)   Closed to Recruitment of Participants 
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   The aim of the study will be to compare the opioid sparing effects of intravenous diclofenac - acetaminophen with diclofenac alone in providing post operative analgesia following inguinal hernia repair surgery under subarachnoid block 
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