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CTRI Number  CTRI/2025/07/090145 [Registered on: 03/07/2025] Trial Registered Prospectively
Last Modified On: 05/02/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To compare the effect of two different drugs as an additional agent to epidural drug on duration of pain relief after surgery in lower abdominal surgeries. 
Scientific Title of Study
Modification(s)  
Comparison of the Effect of Dexmedetomidine and Clonidine as an Adjuvant to Epidural Levobupivacaine on Duration of Post-Operative Analgesia in Total Abdominal Hysterectomy-A Randomized Controlled 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  Mahesh kumar M 
Designation  post graduate 
Affiliation  SRM medical college and research centre 
Address  Room No. 209, B-Block, 2nd Floor, Dept of Anaesthesiology, SRM medical college hospital and research centre , kattankulathur campus , chengalpattu 603203

Kancheepuram
TAMIL NADU
603203
India 
Phone  9791196482  
Fax    
Email  muruganmahesh97@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Balaji R 
Designation  Professor MD anesthesia 
Affiliation  SRM medical college and research centre 
Address  Room No. 209, B-Block, 2nd Floor, Dept of Anaesthesiology, SRM medical college hospital and research centre , kattankulathur campus , chengalpattu 603203

Kancheepuram
TAMIL NADU
603203
India 
Phone  9677053310  
Fax    
Email  aarbee79@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Mahesh kumar M 
Designation  post graduate MD anesthesia 
Affiliation  SRM medical college and research centre 
Address  Room No. 209, B-Block, 2nd Floor, Dept of Anaesthesiology, SRM medical college hospital and research centre , kattankulathur campus , chengalpattu 603203

Kancheepuram
TAMIL NADU
603203
India 
Phone  9791196482  
Fax    
Email  muruganmahesh97@gmail.com  
 
Source of Monetary or Material Support  
self 
 
Primary Sponsor  
Name  SRM medical college hospital and research centre 
Address  SRM medical college hospital research centre , kattankulathur campus , chengalpattu 603203 
Type of Sponsor  Private 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 
Mahesh kumar M  SRM medical college hospital and research centre  Room No. 209, B-Block, 2nd Floor, Dept of Anaesthesiology, SRM medical college hospital and research centre , kattankulathur campus , chengalpattu 603203
Kancheepuram
TAMIL NADU 
9791196482

muruganmahesh97@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SRM MEDICAL COLLEGE HOSPITAL AND RESEARCH CENTRE INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N950||Postmenopausal bleeding,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  post operative epidural analgesia  effect of clonidine at 1 microgram per kilogram in epidural drug of 0.5% levobupivacaine 15 ml to check post operative analgesia 
Intervention  post operative epidural analgesia  effect of dexmeditomidine at 1 microgram per kilogram dose along with epidural drug of 0.5% Levobupivacaine 15ml in epidural to check post operative analgesia  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  2. American society of anesthesiologist physicial status grade I , grade II and grade III 
 
ExclusionCriteria 
Details  1.Sepsis and Coagulopathy
2. Uncorrected hypovolemia
3. Elevated ICP , infection in localized site and neurological disease
4. Preexisting liver disease, renal disease , cardiac diseaseĀ 
5. BMI >30 kg/m^2
6. Surgeries lasting more than two hours. 
 
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 compare the duration of post operative analgesia  0-24 hours 
 
Secondary Outcome  
Outcome  TimePoints 
motor blockade  5 mins for the first half hour followed by every 10 minutes for two hours  
sensory blockade  every minute 
modified bromage scale   every 5 minutes for first 15 minutes 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
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)   07/07/2025 
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 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  
Epidural anesthesia using long-acting local anesthetics is safe, familiar, and inexpensive technique, and it also provides postoperative analgesia. Quality and duration of analgesia is improved when local anesthetic is combined with alpha 2 adrenergic agonist. No studies seen on the effect of dexmedetomidine and clonidine as adjuvant to epidural levobupivacaine previously. We hypothesise that Dexmedetomidine prolongs the duration of post operative analgesia better than clonidine when used as an adjuvant to levobupivacaine in epidural analgesia
 
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