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CTRI Number  CTRI/2025/08/093785 [Registered on: 27/08/2025] Trial Registered Prospectively
Last Modified On: 27/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparing Sugammadex in reversing muscle relaxation from Rocuronium and Vecuronium during operations 
Scientific Title of Study   Efficacy of Sugammadex in reversal of Rocuronium versus Vecuronium induced Neuromuscular Blockade - a randomized controlled double blind trial 
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 Gunnam Lakshmi Prathyusha 
Designation  Post Graduate Trainee 
Affiliation  Kalinga Institute Of Medical Sciences 
Address  Department Of Anaesthesiology, Kalinga Institute Of Medical Sciences, KIIT Deemed to be University, Bhubaneswar, Kordha

Khordha
ORISSA
751024
India 
Phone  9573782325  
Fax    
Email  gprathyusha39@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ritesh Roy 
Designation  Professor 
Affiliation  Kalinga Institute Of Medical Sciences 
Address  Department Of Anaesthesiology, Kalinga Institute Of Medical Sciences, KIIT Deemed to be University, Bhubaneswar, Kordha

Khordha
ORISSA
751024
India 
Phone  7008016886  
Fax    
Email  drriteshroy@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ayesha Pattnaik 
Designation  Assistant Professor 
Affiliation  Kalinga Institute Of Medical Sciences 
Address  Department Of Anaesthesiology, Kalinga Institute Of Medical Sciences, KIIT Deemed to be University, Bhubaneswar, Kordha

Khordha
ORISSA
751024
India 
Phone  9439616053  
Fax    
Email  ayesha.pattnaik@kims.ac.in  
 
Source of Monetary or Material Support  
Kalinga Institute Of Medical Sciences 
 
Primary Sponsor  
Name  Gunnam Lakshmi Prathyusha 
Address  Department Of Anaesthesiology, KIIT Deemed to be University, Bhubaneswar, Kordha 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NOT APPLICABLE  NOT APPLICABLE 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Gunnam Lakshmi Prathyusha  Pradyumna Bal Memorial Hospital, Kalinga Institute of Medical Sciences  Department of Anaesthesiology, Kalinga Institute of Medical Sciences, Bhubaneswar, 751024
Khordha
ORISSA 
9573782325

gprathyusha39@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Kalinga Institute Of Medical Sciences  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  Sugammadex in reversal of Rocuronium induced Neuromuscular Blockade  Group 1 - 2mg/kg of Sugammadex will be administered for reversal of Rocuronium induced neuromuscular blockade.  
Comparator Agent  Sugammadex in reversal of Vecuronium induced Neuromuscular Blockade  Group 2- 2mg/kg of Sugammadex will be administered for reversal of Vecuronium induced neuromuscular blockade 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients posted for Elective Surgery under General Anaesthesia.
American Society of Anaesthesiologists (ASA) physical status I and II.
 
 
ExclusionCriteria 
Details  Neuromuscular disorder.
Suspected renal insufficiency.
Significant hepatic dysfunction.
Allergy to one of the drugs used in this study.
Pregnant and breast-feeding.
Surgery more than 2 hours
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To assess the time (in minutes) needed to achieve a TOF ratio of greater than 0.9 after administration of sugammadex.
 
To assess the time (in minutes) needed to achieve a TOF ratio of greater than 0.9 after administration of sugammadex.
 
 
Secondary Outcome  
Outcome  TimePoints 
To assess Hemodynamic Parameters (SBP, DBP, MAP, HR, SP02) at 2, 5, 10, 15, 30, 60, 120 minutes.

Incidence of adverse effects like Hypotension, Bradycardia, PONV.
 
2, 5, 10, 15, 30, 60, 120 minutes.
 
 
Target Sample Size   Total Sample Size="62"
Sample Size from India="62" 
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 
Date of First Enrollment (India)   26/09/2025 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
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 randomized study aims to evaluate the efficacy of sugammadex in reversing neuromuscular block induced by rocuronium versus vecuronium in adult patients undergoing elective surgery under general anesthesia. Neuromuscular blockade is routinely achieved using steroidal agents such as rocuronium and vecuronium, and reversal is traditionally done with neostigmine, which carries risks of incomplete recovery and adverse effects. Sugammadex, a novel  gamma cyclodextrin, offers rapid and predictable reversal by encapsulating these agents, with a higher binding affinity for rocuronium. Patients will be randomized into two groups Group R which is rocuronium with sugammadex and Group V which is  vecuronium with sugammadex. The primary outcome is time to recovery of train-of-four ratio greater than 0.9. Secondary outcomes include hemodynamic stability and adverse effects. The results may guide anesthesiologists in optimizing the choice of neuromuscular blocking agent when sugammadex is planned for reversal. 
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