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CTRI Number  CTRI/2025/12/099857 [Registered on: 26/12/2025] Trial Registered Prospectively
Last Modified On: 22/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Study comparing melatonin and pregabalin tablets to control blood pressure and heart rate during anaesthesia for head and neck surgery 
Scientific Title of Study   A Prospective Randomized Comparative Study For Evaluation Of Clinical Efficacy Of Oral Melatonin VS Oral Pregabalin Used As Premedication For Attenuation Of Hemodynamic Response To Laryngoscopy And Endotracheal Intubation In Patients Undergoing Head And Neck 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  Charu Singh 
Designation  Junior Resident 
Affiliation  Lala Lajpat Rai Memorial Medical College Meerut 
Address  Department of anaesthesia, Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh, India

Meerut
UTTAR PRADESH
250004
India 
Phone  8279893189  
Fax    
Email  Charu.dr2025@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ravi Kumar Agrawal 
Designation  Associate Professor 
Affiliation  Lala Lajpat Rai Memorial Medical College Meerut 
Address  Department of anaesthesia, Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh, India

Meerut
UTTAR PRADESH
250004
India 
Phone  9520531558  
Fax    
Email  ravi.agrawalravi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Charu Singh 
Designation  Junior Resident 
Affiliation  Lala Lajpat Rai Memorial Medical College Meerut 
Address  Department of anaesthesia, Lala Lajpat Rai Memorial Medical College, Meerut, Uttar Pradesh, India

Meerut
UTTAR PRADESH
250004
India 
Phone  8279893189  
Fax    
Email  Charu.dr2025@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesia LLRM medical college meerut 250004 
 
Primary Sponsor  
Name  LLRM medical College 
Address  Department of Anaesthesia, LLRM medical college, meerut, uttar pradesh 250004 
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 Charu Singh  LLRM medical college meerut  Department of anaesthesia LLRM medical college meerut uttar pradesh Meerut UTTAR PRADESH
Meerut
UTTAR PRADESH 
8279893189

charu.dr2025@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethical committee LLRM Medical College  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H719||Unspecified cholesteatoma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Oral melatonin 6mg oral pregabalin 150mg oral placebo given to patients 2hours before surgery.  Ninety patients are randomly allocated into three groups to receive oral melatonin 6mg ,oral pregabalin 150mg or placebo 2 hours before induction of anaesthesia. Hemodynamic changes to larngoscopy and intubations are observed. 
Intervention  Oral melatonin, Oral Pregabalin and oral placebo given to patients 2hours before surgery.   Ninety patients are randomly allocated into three groups to receive oral melatonin 6 mg, oral pregabalin 150 mg, or placebo 2 hours before induction of anesthesia. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.(ASA) Grade I and II
2.Age: from18 to 60 years.
3.Patients of either sex
4.Patients planned for Elective surgery receiving general anesthesia requiring tracheal intubation.
5.Surgery duration: 30 minutes to 2 hrs

 
 
ExclusionCriteria 
Details  1. Patient Refusal
2. Patients with difficult airway MP grade 3 and 4.
3.Patient on Antidepressant and Anxiolytics.
4. Patients with coexisting systemic illness like respiratory and cardiovascular diseases, increased intracranial pressure.
5. Increased risk for preoperative aspiration of gastric contents (patients nil per oral not less than 6 hrs.). 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Other 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Attenuation of hemodynamic response to laryngoscopy and endotracheal intubation by oral melatonin and oral pregabalin used as premedication.

2. Requirement of induction dose of injection propofol.
 
Till 2 hours postoperatively
 
 
Secondary Outcome  
Outcome  TimePoints 
1. To find out if any adverse event occurs in patients receiving oral melatonin.

2. To find out if any adverse event occurs in patients receiving oral pregabalin.

3. Post-operative recovery profile. 
Till 2 hour postoperatively 
 
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   Phase 2/ Phase 3 
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="1"
Months="3"
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 is prospective, randomized, double-blind interventional study to compare the efficacy of oral melatonin and oral pregabalin as premedication for attenuating the hemodynamic response to laryngoscopy and endotracheal intubation. Ninety ASA I–II patients undergoing elective head and neck surgery under general anesthesia are randomly allocated to receive melatonin, pregabalin, or placebo two hours before surgery. 

Hemodynamic parameters, anesthetic drug requirements, and recovery profile is assessed and compared among the groups. The study aims to identify an effective and safe premedication for blunting sympathoadrenal responses during airway manipulation.


 
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