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CTRI Number  CTRI/2026/04/109244 [Registered on: 23/04/2026] Trial Registered Prospectively
Last Modified On: 22/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Study in 80 Pregnant Women Undergoing Planned Cesarean Section Comparing Two Spinal Anaesthesia Drugs Levobupivacaine and Bupivacaine for Safety and Effectiveness  
Scientific Title of Study   Efficacy and safety of hyperbaric levobupivacaine vs. hyperbaric bupivacaine in spinal anaesthesia for caesarean section 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Maansi Kolle 
Designation  Junior Resident 
Affiliation  K S HEGDE MEDICAL ACADEMY 
Address  Department of Anaesthesiology and Critical Care, K S Hegde Academy, P O Nithyanandagar, Mangalore, Karnataka

Dakshina Kannada
KARNATAKA
575018
India 
Phone  9640431680  
Fax    
Email  maansikolle77@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR RASHMI SOORI 
Designation  ASSOCIATE PROFESSOR 
Affiliation  K S HEGDE MEDICAL ACADEMY 
Address  Department of Anaesthesiology and Critical Care, K S Hegde Academy, P O Nithyanandagar, Mangalore, Karnataka

Dakshina Kannada
KARNATAKA
575018
India 
Phone  8050152374  
Fax    
Email  drrashmisoori@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR RASHMI SOORI 
Designation  ASSOCIATE PROFESSOR 
Affiliation  K S HEGDE MEDICAL ACADEMY 
Address  Department of Anaesthesiology and Critical Care, K S Hegde Academy, P O Nithyanandagar, Mangalore, Karnataka

Dakshina Kannada
KARNATAKA
575018
India 
Phone  8050152374  
Fax    
Email  drrashmisoori@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  K S Hegde Medical Academy  
Address  Department of Anaesthesiology and Critical care, K S Hegde Medical Academy, P.O Nithyanandagar, Mangalore Dakshina Kannada, Karnataka 575018, India 
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 MAANSI KOLLE  K S HEGDE MEDICAL ACADEMY   Department of Anaesthesiology and Critical Care, P O Nithyanandagar, Mangalore, Karnataka, 575018
Dakshina Kannada
KARNATAKA 
9640431680

maansikolle77@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTE, K S HEGDE MEDICAL ACADEMY  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  Nil  Nil 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1.Pregnant ladies aged above 18 years undergoing lower segment caeserean section under spinal anaesthesia using 25G Quincke Babcock needle
2.ASA physical status II
3.Singleton pregnancy
4.Height of 150 cm or more 
 
ExclusionCriteria 
Details  1.History of allergy to study drugs
2.Pregnant females with neurological deficits of lower extremities
3.Complicated pregnancy
4.Conversion of spinal to general anaesthesia intraoperatively
5.Duration more than 2hours
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1.To compare the efficacy in terms of onset and duration of motor and sensory block in every 1 min until 5 min followed by every 5 min between the hyperbaric Levobupivacaine with Fentanyl versus hyperbaric Bupivacaine with Fentanyl in spinal anaesthesia for elective caesarean sections
2.To compare the safety in terms of hemodynamic profile of hyperbaric Levobupivacaine with Fentanyl versus hyperbaric Bupivacaine with Fentanyl in spinal anaesthesia for elective caesarean sections 
1.To compare the efficacy in terms of onset and duration of motor and sensory block 1 min until 5 min followed by every 5 min between the hyperbaric Levobupivacaine with Fentanyl versus hyperbaric Bupivacaine with Fentanyl in spinal anaesthesia for elective caesarean sections
2.To compare the safety in terms of hemodynamic profile of hyperbaric Levobupivacaine with Fentanyl versus hyperbaric Bupivacaine with Fentanyl in spinal anaesthesia for elective caesarean sections 
 
Secondary Outcome  
Outcome  TimePoints 
1.To compare the adverse effects during the surgery
2.To compare the APGAR scores of neonate born to mothers at 1 min after birth & 5 min after birth
3.To evaluate the time to first rescue analgesic administration within 24 hours postoperatively
4.To compare the satisfaction of operating surgeon immediately post surgery 
1.To compare the adverse effects during the surgery
2.To compare the APGAR scores of neonate born to mothers at 1 min after birth & 5 min after birth
3.To evaluate the time to first rescue analgesic administration within 24 hours postoperatively
4.To compare the satisfaction of operating surgeon immediately post surgery 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   03/05/2026 
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="0"
Days="0" 
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   This randomized controlled observational study compares the efficacy and safety of hyperbaric levobupivacaine with fentanyl versus hyperbaric bupivacaine with fentanyl for spinal anaesthesia in elective caesarean sections.The primary objective is to evaluate the onset and duration of sensory and motor block and comparison of maternal hemodynamic parameters. Pregnant women over 18 years undergoing elective caesarean delivery will be randomly allocated to either group. 
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