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CTRI Number  CTRI/2018/05/013656 [Registered on: 03/05/2018] Trial Registered Prospectively
Last Modified On: 02/05/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing two drugs i.e. Nalbuphine and Dexmedetomidine in attenuating intubation response ( increase in blood pressure and heart rate while inserting endotracheal tube) in patients for surgeries under general anaesthesia.  
Scientific Title of Study   A comparative study of nalbuphine and dexmedetomidine on haemodynamic response to tracheal intubation in patients for surgeries under general anaesthesia  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vishal Vashist 
Designation  Junior resident 
Affiliation  Dr.RPGMC Kangra at Tanda,HPU 
Address  Department of Anaesthesia, Dr. Rajendra Prasad Govt Medical College Kangra at Tanda, Himachal Prasad

Kangra
HIMACHAL PRADESH
176001
India 
Phone  9418115612  
Fax    
Email  vishalvashist1986@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sudarshan Kumar 
Designation  Professor and Head 
Affiliation  Dr. RPGMC Kangra at Tanda,HPU 
Address  Department of Anaesthesia, Dr. Rajendra Prasad Govt Medical College Kangra at Tanda,Himachal Pradesh

Kangra
HIMACHAL PRADESH
176001
India 
Phone  9418086604  
Fax    
Email  sudarshan_58@rediff.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sudarshan Kumar 
Designation  Professor and Head 
Affiliation  Dr. RPGMC Kangra at Tanda,HPU 
Address  Department of Anaesthesia, Dr. Rajendra Prasad Govt Medical College Kangra at Tanda,Himachal Pradesh

Kangra
HIMACHAL PRADESH
176001
India 
Phone  9418086604  
Fax    
Email  sudarshan_58@rediff.com  
 
Source of Monetary or Material Support  
Principal Dr RPGMC Kangra at Tanda 
 
Primary Sponsor  
Name  Principal Dr RPGMC Kangra at Tanda 
Address  Department of Anaesthesia, Dr RPGMC kangra at Tanda, Himachal Prasad 176001  
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 
Vishal Vashist  Department of Anaesthesia  SSB FLOOR 3, Dr. RPGMC,Tanda, Kangra
Kangra
HIMACHAL PRADESH 
9418115612

vishalvashist1986@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  patients undergoing elective surgery under general anaesthesia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  intravenous nalbuphine or dexmedetomidine drug before intubation   to give the said drugs before intubation to prevent the intubation response and compare the two drugs 
Comparator Agent  to compare nalbuphine and dexmedetomidine for intubation response  compare the two drugs to see effectiveness in preventing the intubation response 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1.Male and female patients undergoing elective surgeries under general anaesthesia.
2.Amercian society of Anesthesiologist physical status I-II.
3.BMI between 18.5-29.9 Kg/m2 
 
ExclusionCriteria 
Details  1. Age <20yrs and >60yrs.
2. ASA grade 3 and 4.
3. History of allergy to any of study drugs.
4. Patients with peri-operative heart rate < 55bpm and/or Systolic BP < 90mmHg.
5. Patients receiving other alpha 2 agonists like clonidine or other opioid.
6.Patients noted to have dysrhythmias on the electrocardiogram (ECG).
7.Unwilling patients.
8.Patients who are opioid tolerant or opioid dependent.
9.Pregnant women.
10.Anticipated difficult intubation.
11.Patient with cardiac, pulmonary, neurologic, kidney diseases.  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the changes in HR and BP after laryngoscopy and intubation.  Haemodynamic response every 1 min till 5 min and there onwards at 10 min,20 min,30 min 
 
Secondary Outcome  
Outcome  TimePoints 
To study and compare PONV and sedation score.
To observe for side effects of any of study drugs, if any.  
in interval of 2nd, 4th, 8th, 12th, 18th, 24th hour in post-operative period:
 
 
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   N/A 
Date of First Enrollment (India)   09/05/2018 
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   None yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   The present study will be carried out on 60 patient, ASA I,aged between 20-60 yrs, scheduled for surgery under general anaesthesia.The patientwill be randomly divided into two groups. The allocated groups will be labelled  as- Group D (n=30) receiving 1mcg/kg of dexmedetomidine in normal saline (total volume 20ml), Group N(n=30) receiving 0.2mg/kgof nalbuphine in normal saline (total volume 20 ml).
                The effect of nalbuphine and dexmedetomidine will be studied in two groups at intubation for the changes in haemodynamic parameters- pulse rate,systolic blood pressure,diastolic blood pressure,mean arterial pressure and oxygen saturation. Also sedation will be evaluated using Ramsay Sedation Score. The patients will also be closely monitored for any side effects in form of post operative nausea, vomiting and bradycardia.
 
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