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CTRI Number  CTRI/2025/05/087427 [Registered on: 22/05/2025] Trial Registered Prospectively
Last Modified On: 21/05/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Preventive 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of intravenous Ketamine or Magnesium sulphate given during operation after induction for assessment of pain in surgical site in patients undergoing MRM Surgeries 
Scientific Title of Study   Effect of Intraoperative Ketamine versus Magnesium sulphate on Incidence of Chronic Postsurgical pain in Patients Undergoing Modified radical mastectomy 
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 Arun Kumram 
Designation  PG Resident 
Affiliation  Pt JNM Medical College Raipur CG 
Address  Department of Anaesthesiology and Pain Medicine Pt JNM Medical College Raipur Chhattisgarh

Raipur
CHHATTISGARH
492001
India 
Phone  9098848522  
Fax    
Email  dr.arunkumram0591@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pratiksha Agrawal 
Designation  Associate Professor 
Affiliation  Pt JNM Medical College Raipur CG 
Address  Department of Anaesthesiology and Pain Medicine Pt JNM Medical College Raipur Chhattisgarh

Raipur
CHHATTISGARH
492001
India 
Phone  8815155558  
Fax    
Email  dr.pratiksha.agrawal@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Arun Kumram 
Designation  PG Resident 
Affiliation  Pt JNM Medical College Raipur CG 
Address  Department of Anaesthesiology and Pain Medicine Pt JNM Medical College Raipur Chhattisgarh

Raipur
CHHATTISGARH
492001
India 
Phone  9098848522  
Fax    
Email  dr.arunkumram0591@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology and Pain Medicine Pt JNM Medical College , Opposit jail Road,Raipur, Chhattisgarh, India PIN CODE - 492001 
 
Primary Sponsor  
Name  Pt JNM Medical College Raipur CG 
Address  Department of Anaesthesiology and Pain Medicine, Pt. JNM Medical college, Opposit jail road,Raipur, Chhattisgarh , India Pin Code 492001 Type of Sponsor 
Type of Sponsor  Government 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 Arun Kumram  Dr Bhim Rao Ambedkar Memorial Hospital Raipur Chhattisgarh  Major OT, 2nd Floor Department Of Anaesthesiology and Pain Medicine Raipur CHHATTISGARH
Raipur
CHHATTISGARH 
9098848522

dr.arunkumram0591@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee,Pt JNM Medical College Raipur Chhattisgarh  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  Ketamine   Intraoperative Ketmine 0.25 mg Per kg intravenous infusion in 100ml NS over 10 minutes followed by iv infusion 0.15mg per kg per till extubation 
Comparator Agent  Magnesium sulphate   Intraoperative Ketmine 50 mg Per kg intravenous infusion in 100ml NS over 10 minutes followed by iv infusion 08mg per kg per till extubation 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  Age: 18-65 years
Sex : Female
ASA physical status: I-II
Scheduled for elective modified radical mastectomy.

 
 
ExclusionCriteria 
Details  Patient Refusal
Morbid Obesity
History of Psychological Problems
Pregnancy or Breastfeeding
Known case of Neuropathic disease
Patients on Chronic pain medications
Any known contraindication to drugs understudy
 
 
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 
The incidence of chronic post surgical pain within 6 months.
Time to first rescue analgesia. 
The incidence of chronic post surgical pain within 6 months.
Time to first rescue analgesia. 
 
Secondary Outcome  
Outcome  TimePoints 
The incidence of chronic post surgical pain within 6 months.
Time to first rescue analgesia..
Patients satisfaction score, (likert’s scale).
Effect of chronic pain on quality of life (EuroQol 5-dimension).
Incidence of postoperative complications such as PONV, hallucination & pruritis, urine output, decrease in respiratory rate.
 
Intraoperative monitoring at induction 0 15 30 45 90 105 120minutes
acute postoperative pain & monitoring VAS SCORE,HR, BP,SP02 AT 0 1 2 3 4 8 12 24minutes
Time to Rescue Analgesia in hours
EuroQol 5D Score 01 03 06month
DN 4 Questionnaire score 01 03 06month 
 
Target Sample Size   Total Sample Size="74"
Sample Size from India="74" 
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)   10/06/2025 
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="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   This study is randomised double blind  and study the effect of intraoperative ketamine versus magnesium sulphates on post surgical pain on ongoing modified medical mastectomy  which conducted in India  the primary outcome will be the  chronic post surgical pain at 6 month time to give first rescue analgesia and number of dose  and likerts scale n effect of chronic pain on quality not life euroQol 5 d and sample size is 74



 
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