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CTRI Number  CTRI/2025/09/094493 [Registered on: 10/09/2025] Trial Registered Prospectively
Last Modified On: 09/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Adductor canal block is a type of injection given near thigh to numb specific nerves that carry pain. The nerve is blocked using certain drugs. The study is conducted in patients undergoing lower limb operations to reduce their pain after operation. 
Scientific Title of Study   Comparison between Dexmedetomidine Versus Clonidine as Adjuvant to Ropivacaine in Ultrasound Guided Adductor canal block for Post-operative Analgesia in Lower Limb Orthopaedic Surgery: A Prospective Observational Study in a Tertiary Care Hospital in Mandya. 
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 Shivakumar G 
Designation  Professor and HOD 
Affiliation  Mandya Institute of Medical College Mandya 
Address  Department of Anaesthesiology Mandya Institute of Medical College Mandya

Mandya
KARNATAKA
571401
India 
Phone  9900468451  
Fax    
Email  dranashiv@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shivakumar G 
Designation  Professor and HOD 
Affiliation  Mandya Institute of Medical College Mandya 
Address  Department of Anaesthesiology Mandya Institute of Medical College Mandya

Mandya
KARNATAKA
571401
India 
Phone  9900468451  
Fax    
Email  dranashiv@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shivakumar G 
Designation  Professor and HOD 
Affiliation  Mandya Institute of Medical College Mandya 
Address  Department of Anaesthesiology Mandya Institute of Medical College Mandya

Mandya
KARNATAKA
571401
India 
Phone  9900468451  
Fax    
Email  dranashiv@gmail.com  
 
Source of Monetary or Material Support  
Mandya Institute of Medical Sciences, Mandya, Karnataka- 571401 
 
Primary Sponsor  
Name  Dr Shivakumar G 
Address  Professor and HOD Department of Anaesthesiology Mandya Institute of Medical Sciences Mandya 
Type of Sponsor  Other [] 
 
Details of Secondary Sponsor  
Name  Address 
Dr Archana B N  Assistant Professor Department of Anaesthesiology Mandya Institute of Medical Sciences Mandya 
Dr Shwetha A  Post graduate Student Mandya Institute of Medical Sciences Mandya  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shwetha A  Mandya Institute of Medical Sciences Mandya   Major OT complex Department of Anaesthesiology Mandya Institute of Medical Sciences Mandya Karnatka
Mandya
KARNATAKA 
9940839422

shwethaarun08@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institution Ethics Committee  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 
Comparator Agent  Clonidine  30 ml of Ropivacaine 0.2% with 150 mcg Clonidine is given as single shot dose 
Intervention  Dexmedetomidine  30 ml of Ropivacaine 0.2 % with 100mcg Dexmedetomidine is given as single shot dose 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients of height 150-180 cm
Weight 40- 80 kg
Patient undergoing lower limb orthopaedic surgeries
Patients with ASA PS grade 1 and 2.
Patients willing to give informed consent. 
 
ExclusionCriteria 
Details  Patients having any local infection at site of insertion of needle.
patients having any known allergy to local anesthesia, peripheral neuropathy and coagulopathy. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the duration of analgesia of clonidine and dexmedetomidine as adjuvant to 0.2% ropivacaine in adductor canal block
To compare the intraoperative hemodynamic parameters between the groups. 
To compare the adverse effects and the sedation scores between the groups upto a duration of 24 hours 
 
Secondary Outcome  
Outcome  TimePoints 
to compare the adverse effects and sedation scores between the groups  24 hours 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   20/09/2025 
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="0"
Months="6"
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   Various adjuvants have been added in peripheral nerve block to prolong the duration of analgesia. The present study is conducted to compare the clinical efficacy between Clonidine and Dexmedetomidine as adjuvants to Ropivacaine in ultrasound guided Adductor canal block in parameters of sensory blockade, duration of analgesia, number of rescue analgesia required in 24 hours and perioperative complications. The study is mainly conducted for post operative analgesia for patients undergoing elective lower limb orthopaedic surgeries. The adjuvants used in this study prolongs the duration of analgesia in the patients. Dexmedetomidine and clonidine are both having alpha 2 agonistic action and thus when added to a local anaesthetic like ropivacaine, have synergestic action. 
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