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CTRI Number  CTRI/2025/08/093427 [Registered on: 21/08/2025] Trial Registered Prospectively
Last Modified On: 19/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A study involving participants undergoing breast cancer surgery , comparing Two anesthesia interventions( standard balanced anesthesia using opioid and opioid free anesthesia), to see which leads to better postoperative recovery as the main outcome 
Scientific Title of Study   Comparing Conventional Balanced Anesthesia And Opioid Free Anesthesia On Post Operative Recovery In Breast Cancer Surgery: A Randomized Control Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  FARHANA VP 
Designation  DNB RESIDENT 
Affiliation  RAJAGIRI HOSPITAL, ALUVA 
Address  DEPARTMENT OF ANESTHESIOLOGY DIVISION 1 RAJAGIRI HOSPITAL

Ernakulam
KERALA
683112
India 
Phone  7356596352  
Fax    
Email  vpfarhana1@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  JOJI ANTONY 
Designation  HEAD OF THE DEPARTMENT 
Affiliation  RAJAGIRI HOSPITAL, ALUVA 
Address  HEAD OF THE DEPARTMENT DEPARTMENT OF ANESTHESIOLOGY RAJAGIRI HOSPITAL

Ernakulam
KERALA
683112
India 
Phone  9446464513  
Fax    
Email  Joji.Antony@rajagirihospital.com  
 
Details of Contact Person
Public Query
 
Name  FARHANA VP 
Designation  DNB RESIDENT 
Affiliation  RAJAGIRI HOSPITAL, ALUVA 
Address  DEPARTMENT OF ANESTHESIOLOGY DIVISION 1 RAJAGIRI HOSPITAL

Ernakulam
KERALA
683112
India 
Phone  7356596352  
Fax    
Email  vpfarhana1@gmail.com  
 
Source of Monetary or Material Support  
RAJAGIRI HOSPITAL, ALUVA 
 
Primary Sponsor  
Name  NIL 
Address  NIL 
Type of Sponsor  Other [NIL] 
 
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 
FarhanaVP  RAJAGIRI HOSPITAL  DEPARTMENT OF ANESTHESIOLOGY DIVISION 1
Ernakulam
KERALA 
7356596352

vpfarhana1@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Rajagiri Hospital Institutional Ethics Committee   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  Dexmedetomidine   Dexmedetomidine bolus and IV infusion will be using in the Opioid free group along with nerve block  
Intervention  Remifentanil  Remifentanil bolus and IV infusion along with nerve block will be using in the conventional balanced anesthesia using opioid group 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Female 
Details  Age more than 18 years
American society of anesthesiolgy 1 to 3 classification
Breast Cancer surgeries - Breast conservation surgery and Modified radical mastectomy
 
 
ExclusionCriteria 
Details  Age less than 18 years
Known allergy to any of the study drugs
Refusal to participate or refusal to nerve block
Any contraindications to nerve block
Atrioventricular block
Heart rate less than 50 beats per minute
Patients with cognitive dysfunction or with psychiatric disorder
Patients with chronic pain or on opioid therapy  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare quality of post operative recovery measuring by QoR 15 score between opioid free anesthesia and opioid based anesthesia in patients undergoing breast cancer surgeries  24 HOURS AFTER SURGERY 
 
Secondary Outcome  
Outcome  TimePoints 
To compare intra operative hemodynamic parameters, post operative nausea & vomiting, sedation level, length of stay in post anesthesia care unit & post operative analgesic requirement between opioid free anesthesia & opioid based anesthesia in patients undergoing breast cancer surgeries  At baseline before induction of anesthesia
Intraoperatively every 15 min for first hour, every 30 minutes for remaining time
Post surgery 0 hour, 6 hour, 12 hour 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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)   01/09/2025 
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 will be comparing post operative recovery between conventional balanced anesthesia and opioid free anesthesia in patients undergoing breast cancer surgeries in Rajagiri hospital aluva. Patients admitting for surgery in Rajagiri hospital only will be included in the study. 
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