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CTRI Number  CTRI/2025/12/099594 [Registered on: 22/12/2025] Trial Registered Prospectively
Last Modified On: 22/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   Study of two medicines IV paracetamol and IV tramadol for pain after laparoscopic gallbladder surgery 
Scientific Title of Study   Comparative study of intravenous paracetamol and intravenous tramadol for post operative analgesia in laparoscopic cholecystectomy 
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 Prachi Thakur 
Designation  1st year PG 
Affiliation  PCMS and RC bhopal 
Address  Room No 2 3rd floor Department of General Surgery PCMS and RC bhanpur bhopal
Peoples Hospital Bhanpur bhopal
Bhopal
MADHYA PRADESH
462037
India 
Phone  9752405504  
Fax    
Email  prachithakur.vds@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nitin Garg 
Designation  Professor And Head of the Department of General Surgery  
Affiliation  Peoples hospital bhanpur Bhopal  
Address  Room no 2 Third floor Department of General Surgery People’s Hospital bhanpur Bhopal Madhyapradesh 462037

Bhopal
MADHYA PRADESH
462037
India 
Phone  9303235020  
Fax    
Email  Drnitin75@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nitin Garg 
Designation  Professor And Head of the Department of General Surgery  
Affiliation  Peoples hospital bhanpur Bhopal  
Address  Room no 2 Third floor Department of General Surgery People’s Hospital bhanpur Bhopal Madhyapradesh 462037

Bhopal
MADHYA PRADESH
462037
India 
Phone  9303235020  
Fax    
Email  Drnitin75@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Peoples Hospital 
Address  People’s college of medical sciences and research centre Ayodhya bypass road Bhanpur Bhopal Madhya Pradesh India 462037 
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 
Prachi Thakur  Peoples Hospital   Room no 2 3rd floor Department of General Surgery PCMS and RC Bhopal
Bhopal
MADHYA PRADESH 
9752405504

prachithakur.vds@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Peoples college of medical sciences and research centre bypass road bhanpur bhopal 462037 MP Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K802||Calculus of gallbladder without cholecystitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Intavenous Tramadol   100mg of Tramadol diluted in 100 ml of Normal Saline given 8 hourly in three doses 
Intervention  Intravenous Paracetamol  100 ml infusion containing 1 gram Paracetamol given 8 hourly in three doses 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients of ASA physical states stage one and Two
BMI less than 40 kg per meter square
Patients posted for elective laparoscopic cholecystectomy  
 
ExclusionCriteria 
Details  Emergency Cholecystectomy
If the surgery required conversion to open Cholecystectomy
Known hypersensitivity to paracetamol and tramadol
Daily intake of analgesics or steroids within two weeks surgery
Pregnant women and Lactating women
Patients with ASA physical states stages greater than 2 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Post operative pain score measured using the Visual Analogue Score 0 to 10 at 0hr 8th hr 16th hr and 24 th hr after laparoscopic cholecystectomy   Every 8 hour upto 24 hours of post operative laparoscopic cholecystectomy  
 
Secondary Outcome  
Outcome  TimePoints 
Number of times rescue analgesia was required within 24 hours & incidence of adverse effects using iv paracetamol & iv tramadol  0 to 24hours post surgery continuous  
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   03/01/2026 
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="0"
Months="6"
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  

The prospective study will be conducted from 1st Sept 2025 to 28th Feb 2027 after approval from the Institutional Ethics Committee

Informed written consent will be obtained from every participant in the study

Adult patients between 18 to 55 years of age ASA I or ASA II who will be scheduled for elective laparoscopic cholecystectomy under general anesthesia will be enrolled

Patients will be receiving analgesic as per prescription of the operating surgeon and investigator will not be deciding the analgesic Investigator will only observe the results once analgesic is used

The patients will be divided into two groups

Group A Patients who will receive intravenous Paracetamol 1g in 100 ml solution

Group B Patients who will receive intravenous Tramadol 100 mg in 100 ml NS

After surgery, initial dose of analgesic either Tramadol 100 mg intravenous or Paracetamol 1g intravenous will be given ondemand to the patients in the postoperative period Thereafter Tramadol 100 mg or Paracetamol 1g intravenous infusion will be given at 8 th 16 and 24 hours

Pain intensity will be measured based on a 10 point Visual Analogue Scale  VAS 0 to 10 cm 0 no pain and 10 worst imaginable pain

VAS pain scores will be obtained postoperatively at just after the operation T0 before analgesic administration and 30 minute after the administration of intravenous paracetamol or intravenous tramadol at 8hour T1 and T2 16th hour T3 and T4 and 24 hour T5 and T6 duration

Any pain score above 5 on VAS will be considered a breakthrough pain It will be managed by rescue analgesia with intravenous Diclofenac sodium 1.5 mg per kg in 100 ml NS repeated as required

Observe and to be noted any adverse events of nausea vomiting and pain at intravenous site with intravenous paracetamol and intravenous tramadol

Collection of all data will be done in EXCEL SHEET and then will be analyzed using SPSS software

 
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