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CTRI Number  CTRI/2025/03/082242 [Registered on: 12/03/2025] Trial Registered Prospectively
Last Modified On: 11/03/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Prospective Observational Study 
Study Design  Other 
Public Title of Study   The Role Of Pre Emptive Ketamine In Optimizing Post Operative Pain Control For Breast Surgery Patients 
Scientific Title of Study   Role Of Pre Emptive Ketamine In Post Operative Pain Control For Patients Undergoing Modified Radical Mastectomy  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nadira 
Designation  Junior Resident 
Affiliation  Government Medical College Kozhikode 
Address  Junior Resident Department Of Anaesthesiology Government Medical College Kozhikode Kerala

Kozhikode
KERALA
673008
India 
Phone  9495478423  
Fax    
Email  nadiraummer@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Indu.S 
Designation  Professor 
Affiliation  Government Medical College Kozhikode  
Address  Professor Department Of Anaesthesiology Government Medical College Kozhikode Kerala

Kozhikode
KERALA
673008
India 
Phone  9447426051  
Fax    
Email  indusatish2000@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Syamkumar.S 
Designation  Assistant Professor 
Affiliation  Government Medical College Kozhikode  
Address  Assistant Professor Department Of Anaesthesiology Government Medical College Kozhikode Kerala

Kozhikode
KERALA
673008
India 
Phone  9447801936  
Fax    
Email  shyamvadavanthur@gmail.com  
 
Source of Monetary or Material Support  
Government Medical College Kozhikode Medical College Junction,17, Mavoor road,near Police Station Kozhikode,Kerala,India 673008  
 
Primary Sponsor  
Name  Dr Nadira  
Address  Junior Resident Department Of Anaesthesiology Government Medical College Kozhikode Medical College Junction,17,Mavoor road, near Police Station, Kozhikode, Kerala, India 673008  
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 
Nadira  Government medical college Kozhikode  Oncosurgery operation theatre.Department of Anaesthesiology,Kozhikode,Kerala, India
Kozhikode
KERALA 
9495478423

nadiraummer@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee ,Government Medical College Kozhikode   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C50||Malignant neoplasm of breast,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Female 
Details  Adult female patients aged between 18 to 80 years undergoing modified radical mastectomy.
American Society Of Anaesthesiologist (ASA) physical status I,II and III. 
 
ExclusionCriteria 
Details  Known history of drug or alcohol abuse
Patients with chronic pain syndrome
Past history of drug allergy
Liver failure
Renal insufficiency
Cognitive impairment with difficulties in pain evaluation
Psychiatric illness  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To assess the severity of post operative pain using Visual Analogue Scale score among post modified radical mastectomy patients who received and not received pre emptive ketamine.  30 minutes, 2 hours, 4 hours, 6 hours, 12 hours and 24 hours post operatively 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the
Interval time for first rescue analgesic
Total number and dose of analgesic injections in first 24 hours.
Occurrence of adverse effects like hallucination,delirium and visual disturbances within first 24 hours  
Within 24 hours post operatively  
 
Target Sample Size   Total Sample Size="98"
Sample Size from India="98" 
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   N/A 
Date of First Enrollment (India)   22/03/2025 
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)   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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report
    Response -  Analytic Code

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [nadiraummer@gmail.com].

  6. For how long will this data be available start date provided 14-12-2024 and end date provided 14-12-2024?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary   This study is a prospective observational study to determine the role of pre emptive intravenous ketamine in post operative pain control of patients undergoing modified radical mastectomy.The primary objective of the study is to assess the severity of post operative pain using Visual Analogue Scale score among post modified radical mastectomy patients who received and not received pre emptive ketamine.And the secondary objective of the study is to asses the Interval time for first rescue analgesic,Total number and dose of analgesic injections in first 24 hours,Occurence of adverse effects like hallucination,delirium and visual disturbances within first 24 hours.This study helps in determining the role of intravenous ketamine as pre emptive analgesic and its post operative analgesic sparing effect on patients undergoing modified radical mastectomy.Low dose ketamine (less than 1mg/kg) helps in attaining adequate post operative pain with minimal adverse effects and haemodynamic changes.Adequate post operative analgesia with opioid sparing and minimal adverse effects can help in increasing patient satisfaction. 
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