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CTRI Number  CTRI/2025/09/095463 [Registered on: 30/09/2025] Trial Registered Prospectively
Last Modified On: 29/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Use Of Dexamethasone Before Caesarean Delivery To Prevent Low Blood Pressure Caused By Spinal Anesthesia 
Scientific Title of Study   Preoperative Dexamethasone IV For Prevention Of Post Spinal Anaesthesia Hypotension During Caesarean Delivery A Randomised Controlled Study 
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 Lohit Vvd  
Designation  Resident Anesthesiology 
Affiliation  Pacific Medical College and Hospital 
Address  Department Of Anesthesiology and Critical Care, Third Floor Pacific Medical College and Hospital, Bilo ka Bedla Udaipur Rajasthan Udaipur RAJASTHAN 313001 India

Udaipur
RAJASTHAN
313001
India 
Phone  7674830120  
Fax    
Email  lohitvvd@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nishi Gandha Manoj Mahajan  
Designation  Associate Professor  
Affiliation  Pacific Medical College and Hospital 
Address  Department Of Anesthesiology and Critical Care, Third Floor Pacific Medical College and Hospital, Bilo ka Bedla Udaipur Rajasthan Udaipur RAJASTHAN 313001 India

Udaipur
RAJASTHAN
313001
India 
Phone  9552076478  
Fax    
Email  drnishi.mahajan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nishi Gandha Manoj Mahajan  
Designation  Associate Professor  
Affiliation  Pacific Medical College and Hospital 
Address  Department Of Anesthesiology and Critical Care, Third Floor Pacific Medical College and Hospital, Bilo ka Bedla Udaipur Rajasthan Udaipur RAJASTHAN 313001 India

Udaipur
RAJASTHAN
313001
India 
Phone  9552076478  
Fax    
Email  drnishi.mahajan@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology and Critical Care,Third Floor Main Camus , Pacific Medical College and Hospital Udaipur Rajasthan Pin Code313001 
 
Primary Sponsor  
Name  PACIFIC MEDICAL COLLEGE AND HOSPITAL UDAIPUR 
Address  Department of Anaesthesiology and Critical care, Pacific Medical College and Hopsital,Third Floor Bilo Ka bedla ,Udaipur Rajasthan Pin Code 313001 
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 
Dr Lohit Vvd  Pacific Medical college and Hospital  Pacific Medical college and Hospital,Department of Anaesthesiology and Critical care,Third Floor,Bilo ka bedla Udaipur Udaipur RAJASTHA
Udaipur
RAJASTHAN 
7674830120

lohitvvd@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutionalethiccommit eepacificmedicalcollege andhospitaludaipur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O80||Encounter for full-term uncomplicated delivery,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Injection Dexamethasone   Single Dose Of 8 mg Intravenous Dexamethasone Administered 30 Minutes Before Spinal Anesthesia For Elective Caesarean Delivery. 
Comparator Agent  Normal Saline Placebo  Single Dose Of 10 Ml 0.9 Percent Normal Saline Administered 30 Minutes Before Spinal Anesthesia For Elective Caesarean Delivery 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Female 
Details  American Society of Anesthesiologists Physical Status I&II
Gestational age More Than 37 Weeks Planned For Elective Caesarean Delivery Under Spinal Anesthesia
 
 
ExclusionCriteria 
Details  History Of Gestational Diabetes Or Chronic D Diabetes
Hypertensive Disorders Of Pregnancy
Cardiovascular Insufficiency
Body Mass Index More Than 40 kg/m²
History Of Allergy To Dexamethasone
Participants With Underlying Medical Conditions Using Long Term Steroids
Patient Refusal To Participate In The Study
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To Compare The Incidence Of Post Spinal Anesthesia Hypotension After Preoperative Use Of Dexamethasone 8mg IV With Placebo In Elective Caesarean Delivery  Baseline (Pre-Spinal) Then Every 1 Minute For First 20 Minutes After Spinal Anesthesia And Every 5 Minutes Thereafter Until The End Of Surgery 
 
Secondary Outcome  
Outcome  TimePoints 
To Compare incidence of Use of Phenylephrine in incidence of post spinal anesthesia Hypotension
Maternal bradycardia
Maternal Hyperglycemia
Post op Nausea Vomiting Shivering
 
From Induction Of Spinal Anesthesia Until End Of Surgery And In Immediate Postoperative Period 
 
Target Sample Size   Total Sample Size="160"
Sample Size from India="160" 
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)   15/10/2025 
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="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   Double Blinded Randomized Study Of The Efficacy Of Intravenous Dexamethasone 8 Mg For Prevention Of Post Spinal Anesthesia Hypotension In women undergoing Elective Caesarean Delivery

 
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