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CTRI Number  CTRI/2025/07/091587 [Registered on: 24/07/2025] Trial Registered Prospectively
Last Modified On: 23/07/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A comparative study between epidural nalbuphine and fentanyl for analgesic efficacy in patients undergoing infraumbilical surgeries under spinal anesthesia  
Scientific Title of Study   A comparative study of epidural nalbuphine versus fentanyl for analgesic efficacy in patients undergoing infraumbilical surgeries under spinal anesthesia. 
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 Varshini G 
Designation  Post graduate student  
Affiliation  Bangalore medical college and research institute  
Address  Department of anesthetia, bangalore medical College and research institute,fort, K R road, bangalore
Department of anesthetia Bangalore medical college and research institute,fort, K.R road, 560002
Bangalore
KARNATAKA
562105
India 
Phone  7892051604  
Fax    
Email  vasudha49varshini@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nethra SS 
Designation  Head of the department  
Affiliation  Bangalore medical college and research institute  
Address  Department of anesthetia Bangalore medical college and research institute,fort, K.R road, Bangalore
Bangalore medical college and research institute,fort, K.R road, Bangalore,560002
Bangalore
KARNATAKA
560002
India 
Phone  9448171403  
Fax    
Email  nethra.surhonne@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nethra SS 
Designation  Head of the department  
Affiliation  Bangalore medical college and research institute  
Address  Department of anesthetia Bangalore medical college and research institute,fort, K.R road, Bangalore
Department of anesthetia Bangalore medical college and research institute,fort, K.R road, Bangalore,560002
Bangalore
KARNATAKA
560002
India 
Phone  9448171403  
Fax    
Email  nethra.surhonne@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Dr Varshini G 
Address  Bangalore medical college and research institute, fort, K.R road, Bangalore 560002 
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 Varshini G   Bangalore medical college and research institute   Department of anesthesiology, Bangalore medical college and research institute, fort, K.R road, Bangalore
Bangalore
KARNATAKA 
7892051604

vasudha49varshini@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Bangalore medical college and research institute   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 
Comparator Agent  Fentanyl 50mcg   Epidural fentanyl 50mcg with 0.125 %bupivacaine diluted to 9ml normal saline 
Intervention  Nalbuphine   Epidural nalbuphine 5mg with 0.125 %bupivacaine diluted to 9ml normal saline 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients giving consent, ASA grade 1 and 2, BMI 18 to 29 kg/m^2 
 
ExclusionCriteria 
Details  Allergy to local anesthetic, spine deformity, coagulopathy,chronic pain syndromes, cardiac diseases, liver and kidney dysfunction, neurological disorders, pregnancy and breastfeeding mothers, technical failure, patients on tricyclic antidepressants, alpha 2 agonist and opioids 
 
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 
Analgesic efficacy of epidural nalbuphine versus fentanyl in terms of duration of Analgesia in patients undergoing infraumbilical surgeries under spinal anesthesia in 24 hours  Analgesic efficacy of epidural nalbuphine versus fentanyl in terms of duration of Analgesia in patients undergoing infraumbilical surgeries under spinal anesthesia in 24 hours 
 
Secondary Outcome  
Outcome  TimePoints 
Compare onset of sensory & motor blockade, duration of motor blockade, 2 segment regression, VAS, ramsay sedation scale, time of first rescue analgesia.   In 24 hrs 
Assess hemodynamic parameters perioperatively   24 hours 
Assess incidence of any side effects of study drugs  In 24 hours 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   01/10/2025 
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="3"
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 - NO
Brief Summary   This study is a randomized control,  double blinded study, comparing the analgesic efficacy of epidural nalbuphine 5mg versus fentanyl 50 mcg in patients undergoing infraumbilical surgeries under spinal anesthesia that will be conducted in bangalore medical college and research institute and the allied hospitals. The primary outcome is to compare the analgesic efficacy and secondary outcome is to assess the onset of sensory and motor blockade,  duration of motor blockade,  2 segment regression,  VAS scores, ramsay sedation scores and time for first rescue analgesic. 
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