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CTRI Number  CTRI/2025/11/098066 [Registered on: 25/11/2025] Trial Registered Prospectively
Last Modified On: 24/11/2025
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   Study to compare the Effect of Dexamethasone Versus Dexmedetomidine as an additive to Ropivacaine in Transversus Abdominis Plane Block for Postoperative Analgesia in Patients undergoing Caesarean Section under Spinal Anaesthesia 
Scientific Title of Study   Efficacy and Safety of Dexamethasone Versus Dexmedetomidine as an adjuvant to Ropivacine in Transversus Abdominis Plane Block for Postoperative Analgesia in Patients undergoing Caesarean Section undergoing Spinal Anaesthesia - A Comparative 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  Tony Francis 
Designation  Junior Resident 
Affiliation  MGM Medical College and Hospital 
Address  Department of Anaesthesia, Medical College and Hospital, N6, CIDCO, Chhatrapati Sambhajinagar Maharashtra 431003 India

Aurangabad
MAHARASHTRA
431003
India 
Phone  9961660655  
Fax    
Email  tonyf1995@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Pradnya Joshi 
Designation  Professor 
Affiliation  MGM Medical College and Hospital 
Address  Department of Anaesthesia, Medical College and Hospital, N6, CIDCO, Chhatrapati Sambhajinagar Maharashtra 431003 India

Aurangabad
MAHARASHTRA
431003
India 
Phone  9823752665  
Fax    
Email  joshispradnya@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pradnya Joshi 
Designation  Professor 
Affiliation  MGM Medical College and Hospital 
Address  Department of Anaesthesia, Medical College and Hospital, N6, CIDCO, Chhatrapati Sambhajinagar Maharashtra 431003 India

Aurangabad
MAHARASHTRA
431003
India 
Phone  9823752665  
Fax    
Email  joshispradnya@gmail.com  
 
Source of Monetary or Material Support  
MGM Medical College and Hospital, N6, CIDCO, Chhatrapati Sambhajinagar, 431003, Maharashtra 
 
Primary Sponsor  
Name  MGM Medical College and Hospital 
Address  Department of Anaesthesia, MGM Medical College and Hospital, N6, CIDCO, Chhatrapati Sambhajinagar, 431003, Maharashtra 
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 Tony Francis  MGM Medical College and Hospital  OT 1 and 2, Postop Recovery Room, OT Complex and Department of Anaesthesia, MGM Medical College and Hospital, N6, CIDCO, 431003, Maharashtra
Aurangabad
MAHARASHTRA 
9961660655

tonyf1995@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MGM Ethics Committee for Research on Human Subjects  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O00-O9A||Pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Transversus Abdominis Plane block using Inj Ropivacaine with Inj Dexamethasone  To administer Transversus Abdominis Plane block using Inj Ropivacaine 0.2% 40ml with Inj Dexamethasone 8mg 2ml for Postop analgesia in Post Caeserian Section patients and parameters are monitored for a period of 24 hours.  
Comparator Agent  Transversus Abdominis Plane block using Inj Ropivacaine with Inj Dexmedetomidine  To administer Transversus Abdominis Plane block using Inj Ropivacaine 0.2% 40ml with Inj Dexmedetomidine 0.5mcg/kg diluted to 2ml for Postop analgesia in Post Caeserian Section patients and parameters are monitored for a period of 24 hours. 
 
Inclusion Criteria  
Age From  19.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  Patients undergoing lower segment caeserian section procedure under spinal anaesthesia will be included in the study. Weight 55-90 kg and Patients graded ASA 1 and ASA 2.  
 
ExclusionCriteria 
Details  Patients with pre-existing bradycardia and conducting blocks, on beta adrenergic blockers, diabetes mellitus, morbid obesity, allergy to study drugs, patients whose plan of anaesthesia gets converted to general anaesthesia.  
 
Method of Generating Random Sequence   Other 
Method of Concealment   Alternation 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
Duration of postoperative analgesia, Total VAS score in 24 hours, Number of rescue analgesia requested in the first 24 hours  To study and compare Duration of postoperative analgesia, Total VAS score in 24 hours, Number of rescue analgesia requested in the first 24 hours among the two study groups. 
 
Secondary Outcome  
Outcome  TimePoints 
To study & compare hemodynamic parameters, Ramsay sedation score, side effects like bradycardia, hypotension, nausea & vomiting  To study & compare hemodynamic parameters, Ramsay sedation score, side effects like bradycardia, hypotension, nausea & vomiting over time periods - 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 8 hours, 12 hours, 24 hours. 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   14/01/2026 
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  
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