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CTRI Number  CTRI/2025/09/095467 [Registered on: 30/09/2025] Trial Registered Prospectively
Last Modified On: 18/10/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Role of intravenous magnesium and vitamin C in reducing severity of pain in the immediate postoperative period 
Scientific Title of Study   Efficacy of intraoperative magnesium and vitamin C in the reduction of severity of pain in immediate postoperative period 
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 Rajmala Jaiswal  
Designation  Senior Professor  
Affiliation  Pt BD Sharma University of Health Sciences Rohtak  
Address  Department of Anesthesiology and Critical Care PGIMS Rohtak

Rohtak
HARYANA
124001
India 
Phone  8222897449  
Fax    
Email  Para3007@rediff.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Priyanka Aggarwal  
Designation  Senior Resident  
Affiliation  Pt BD Sharma University of Health Sciences Rohtak  
Address  Department of Anesthesiology and Critical Care PGIMS Rohtak

Rohtak
HARYANA
124001
India 
Phone  08607920759  
Fax    
Email  aggarwal.priyanka93@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Rajmala Jaiswal  
Designation  Senior Professor  
Affiliation  Pt BD Sharma University of Health Sciences Rohtak  
Address  Department of Anesthesiology and Critical Care PGIMS Rohtak

Rohtak
HARYANA
124001
India 
Phone  8222897449  
Fax    
Email  Para3007@rediff.com  
 
Source of Monetary or Material Support  
Department of Anesthesiology and Critical Care PGIMS Rohtak Haryana India 124001 
 
Primary Sponsor  
Name  Department of Anaesthesiology and Critical Care PGIMS Rohtak , Haryana ,India,124001 
Address  Department of Anesthesiology and Critical Care PGIMS Rohtak  
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 Priyanka Aggarwal   Pt BD Sharma University of Health Sciences PGIMS Rohtak   Department of Anesthesiology and Critical Care PGIMS Rohtak
Rohtak
HARYANA 
08607920759

aggarwal.priyanka93@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Pt BD Sharma University of Health Sciences PGIMS Rohtak   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M899||Disorder of bone, unspecified, (2) ICD-10 Condition: M974||Periprosthetic fracture around internal prosthetic elbow joint, (3) ICD-10 Condition: M979||Periprosthetic fracture around unspecified internal prosthetic joint, (4) ICD-10 Condition: M668||Spontaneous rupture of other tendons,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intravenous magnesium and intravenous vitamin C  Post intubation 3 grams of intravenous vitamin C in 100 ml NS and 2 grams of intravenous magnesium sulphate in 100 ml NS over 30 minutes 
Comparator Agent  Intravenous normal saline   100 ml of normal saline will be given post intubation over 30 minutes 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients on agr group 18 to 60 years of either sex belonging to ASA I and II will be included in study who will undergo upper limb orthopedic surgery under general anaesthesia  
 
ExclusionCriteria 
Details  Unwillingness of patient to participate in study, history of chronic pain, opioid or analgesic abuse, Cardiovascular disease, respiratory, neuromuscular, renal and hepatic disease, anaemia, dyselectrolytemia and massive blood loss, major oncosurgeries, duration of surgery more than 3 hours, pregnant and lactating women, previous history of allergy to study drug 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Severity of postoperative pain as measured on VAS scale (0-10) in immediate postoperative period at 0 hour (in recovery room) followed by at every 10 minutes over the next 3 hours  Severity of postoperative pain as measured on VAS scale (0-10) in immediate postoperative period at 0 hour (in recovery room )followed by at every 10 minutes over the next 3 hours 
 
Secondary Outcome  
Outcome  TimePoints 
Time to request for first dose of rescue analgesia(I.V Tramadol 1 mg/kg) over 3 hours in recovery room
Time interval after administration of study drug to time to request for 1st dose of rescue analgesia.
Total dose of analgesia after 1st requirement with a lock out interval of 10 minutes (I.V Tramadol 0.25 mg/kg with maximum dose of 1 mg/kg) over next 3 hours
 
Time to request for first dose of rescue analgesia(I.V Tramadol 1 mg/kg) over 3 hours in recovery room
Time interval after administration of study drug to time to request for 1st dose of rescue analgesia.
Total dose of analgesia after 1st requirement with a lock out interval of 10 minutes (I.V Tramadol 0.25 mg/kg with maximum dose of 1 mg/kg) over next 3 hours
 
 
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 4 
Date of First Enrollment (India)   24/10/2025 
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="1"
Months="1"
Days="1" 
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   All patients will be subjected to the pre-anaesthetic assessment prior to enrollment in the study. Their detailed medical and surgical history will be taken along with any previous anaesthetic exposure with its outcome. A thorough airway, systemic examination will also be done. All patients scheduled for surgery will be kept fasting for at least 6 hours prior to surgery. Randomization will be done by using computer generated numbers into three groups; Group 1 study group (n=30)- patients receiving intravenous vitamin C 3 grams in 100 ml NS, Group II study group (n=30)- patients receiving intravenous magnesium sulphate 2 grams in 100 ml NS, Group III control group (n=30) - patients receiving normal saline. The study drug will be prepared and administered by anaesthesia resident who is not further involved in study. After extubation, postoperative pain will be assessed using VAS scale (0-10) by anaesthesia resident who is involved in the study. Other observations includes time to request for 1st dose of rescue analgesia (i.v Tramadol 1mg/kg) followed by 0.25 mg/kg every 10 minutes over next 3 hours to reduce VAS to 4, time interval between administration of study drug to time to request for first dose of rescue analgesia, total dose of Tramadol,  side effects. 
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