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CTRI Number  CTRI/2025/07/091152 [Registered on: 18/07/2025] Trial Registered Prospectively
Last Modified On: 14/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   A Study on How Well Sugammadex and Neostigmine Help Muscles Recover After Surgery under general anaesthesia Using Muscle Relaxants 
Scientific Title of Study   A COMPARATIVE STUDY ON EFFECTIVENESS OF SUGAMMADEX AND NEOSTIGMINE IN REVERSING VECURONIUM AND CISTARACURIUM INDUCED NEUROMUSCULAR BLOCK 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  PAUL VARGHESE 
Designation  Junior Resident  
Affiliation  Amala Institute of Medical Sciences  
Address  Department of Anesthesiology Amala Institute of Medical Sciences,Thrissur
Amala Institute of Medical Sciences, Amala nagar,Thrissur
Thrissur
KERALA
680555
India 
Phone  9591579534  
Fax    
Email  paulvarghese97@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mithun P Raju 
Designation  Associate Professor and Guide 
Affiliation  Amala Institute of Medical Sciences  
Address  Department of Anesthesiology, Amala Institute of Medical Sciences, Thrissur

Thrissur
KERALA
680555
India 
Phone  9961738780  
Fax    
Email  mithunraju@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Lini Chacko 
Designation  Associate Professor and co-guide 
Affiliation  Amala Institute of Medical Sciences 
Address  Department of Anaesthesiology Amala Institute of Medical Sciences, Thrissur

Thrissur
KERALA
680555
India 
Phone  9496387762  
Fax    
Email  drpclini@gmail.com  
 
Source of Monetary or Material Support  
Amala Institute of Medical Sciences  
 
Primary Sponsor  
Name  Dr.Paul Varghese  
Address  Junior Resident in Department of Anesthesiology, Amala Institute of Medical Sciences,Thrissur  
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Nil   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrPaul Varghese   Amala Institute of Medical Sciences   Operation theaters Department of Anesthesiology
Thrissur
KERALA 
95915 79534

paulvarghese97@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC Amala Institute of Medical Sciences   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  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.American Society of Anesthesiologists (ASA) I / II.
2.Elective surgery under general anesthesia
3.Mallampatti Grades of I and II
 
 
ExclusionCriteria 
Details  1.Patients with a history of drug allergy to any of the studied drugs
2.Patients with difficulty in communication and pregnancy
3.Patients with significant neurologic, psychiatric, hepatic, renal or cardiac disease.
4.Morbid obesity (BMI more than 40)
5.a history of recent respiratory tract infection or sore throat anticipated difficult airway
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.To study the efficacy of sugammadex in the reversal of vecuronium induced neuromuscular block among patients receiving general anesthesia
2.To study the efficacy of neostigmine in the reversal of cisatracurium induced neuromuscular block among patients receiving general anesthesia
3.To compare the efficacy of sugammadex in the reversal of vecuronium induced neuromuscular block and neostigmine in reversal of cisatracurium induced neuromuscular block among patients receiving general anesthesia
 
TOF ratio at 0,1,2,3,4,5 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Nil 
 
Target Sample Size   Total Sample Size="114"
Sample Size from India="114" 
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)   25/07/2025 
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  
This study is an observational study comparing the effectiveness of Sugammadex versus Neostigmine in reversing neuromuscular block induced by Vecuronium and Cisatracurium, respectively, in adult patients undergoing elective surgeries under general anaesthesia. The primary objective is to assess the time taken to achieve a TOF ratio more than or equal to 0.9 using acceleromyography, along with evaluation of immediate postoperative recovery.
 
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