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CTRI Number  CTRI/2025/09/095229 [Registered on: 22/09/2025] Trial Registered Prospectively
Last Modified On: 20/09/2025
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   To compare the reversal of vecuronium induced neuromuscular blockade using sugammadex 100mg and neostigmine 2.5mg in surgery under general anaesthesia. 
Scientific Title of Study   Comparison of reversal of vecuronium induced neuromuscular blockade using sugammadex 100mg and neostigmine 2.5mg in surgery under general anaesthesia. 
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 Avnish Kaur Saluja 
Designation  Junior resident  
Affiliation  Datta meghe institute of higher education and research  
Address  Department of Anaesthesiology , Jawaharlal Nehru Medical College, sawangi meghe

Wardha
MAHARASHTRA
442001
India 
Phone  9521420339  
Fax    
Email  salujaavnishkaur@gmail.con  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sanjot Ninave 
Designation  Professor 
Affiliation  Datta meghe institute of higher education and research  
Address  Department of Anaesthesiology , Jawaharlal Nehru Medical College, sawangi meghe

Wardha
MAHARASHTRA
442001
India 
Phone  9921213404  
Fax    
Email  drsusann02@rediffmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sanjot Ninave 
Designation  Professor 
Affiliation  Datta meghe institute of higher education and research  
Address  Department of Anaesthesiology , Jawaharlal Nehru Medical College, sawangi meghe

Wardha
MAHARASHTRA
442001
India 
Phone  9921213404  
Fax    
Email  drsusann02@rediffmail.com  
 
Source of Monetary or Material Support  
Jawaharlal Nehru Medical College , Sawangi Meghe, Wardha 442001 
 
Primary Sponsor  
Name  Jawaharlal Nehru Medical College 
Address  Sawangi meghe, wardha, 442001 
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 
Dr Avnish Kaur Saluja  Jawaharlal Nehru Medical College  Department of Anaesthesiology, JNMC, sawangi meghe, wardha
Wardha
MAHARASHTRA 
9521420339

salujaavnishkaur@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Datta Meghe Institute of higher education and research, Deemed to be university   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M279||Disease of jaws, unspecified, (2) ICD-10 Condition: Z00-Z99||Factors influencing health status and contact with health services, (3) ICD-10 Condition: O||Medical and Surgical, (4) ICD-10 Condition: M958||Other specified acquired deformities of musculoskeletal system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Neiostigmine  Inj. Neostigmine 2.5mg intravenously for reversal after general anaesthesia 
Intervention  Sugammadex  Inj. Sugammadex 100mg intravenously for reversal after general anaesthesia 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA I,II, III
Patients willing to participate in the study
Prolonged duration surgery under general anaesthesia for more than four hours.
Preoperative oxygen saturation of 98-100 percent on room air. 
 
ExclusionCriteria 
Details  Lack of valid informed written consent.
ASA grade IV.
Patients with bleeding disorders.
Patients on anticoagulants.
Allergies to food and drugs.
Patients with cardiac, renal, hepatic and respiratory co-morbidities.
Patients on medication known to interact with neuromuscular blocking drugs e.g.: Antibiotics
(aminoglycosides, tetracycline), antidepressants, anticonvulsants, antiarrhythmics (calcium channel blockers and quinidine) and magnesium sulphate and patients with known allergy to
cisatracurium. 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the time of complete recovery (TOF=0.9) from vecuronium induced shallow neuromuscular blockade following administration of sugammadex 100mg with neostigmine 2.5mg on reversal to muscle relaxant.  2 hours 
 
Secondary Outcome  
Outcome  TimePoints 
1. To compare the number of patients requiring top-up doses of respective reversal agent to reach a Train-of-Four (TOF) ratio of more than equal to 0.9 in both groups.
2 . To compare the incidence of residual neuromuscular blockade, recurarization and any adverse effects associated between two groups.
3. To compare hemodynamic effects (e.g., heart rate, blood pressure) following administration of
each dose. 
2 hours 
 
Target Sample Size   Total Sample Size="55"
Sample Size from India="55" 
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 2 
Date of First Enrollment (India)   13/10/2025 
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="2"
Months="0"
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  

Neuromuscular blocking agents are essential to ensure optimal surgical conditions during general

anesthesia. Sugammadex, a selective binding agent, is widely used to reverse neuromuscular

blockade. While weight-based dosing (2 mg/kg for shallow blockade) is recommended, many

clinicians administer a fixed dose of 100 mg in clinical practice. Other option is the use of

neostigmine 2.5mg for reversal of neuromuscular blockade. This study aims to compare efficacy

of reversal using sugammadex 100mg with neostigmine 2.5mg after surgery in General

Anaesthesia.



 
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