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CTRI Number  CTRI/2018/05/013827 [Registered on: 11/05/2018] Trial Registered Retrospectively
Last Modified On: 04/05/2018
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Reduction of pain due to propofol by ondansetron or lignocaine - a comparative study 
Scientific Title of Study   Comparison of ondansetron or lignocaine pretreatment for reduction in pain due to propofol intravenous injection: Single blind randomized study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
Nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Bhuvana K 
Designation  Professor and HOD 
Affiliation  Sri Devaraj Urs Medical College 
Address  Dr.Bhuvana K Professor and HOD Department of Pharmacology Sri Devaraj Urs Medical College Sri Devaraj Urs Academy of Higher Education and Research Tamaka

Kolar
KARNATAKA
563101
India 
Phone  9900383738  
Fax  08152243006  
Email  drbhuvanak2010@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Bhuvana K 
Designation  Professor and HOD 
Affiliation  Sri Devaraj Urs Medical College 
Address  Dr.Bhuvana K Professor and HOD Department of Pharmacology Sri Devaraj Urs Medical College Sri Devaraj Urs Academy of Higher Education and Research Tamaka


KARNATAKA
563101
India 
Phone  9900383738  
Fax  08152243006  
Email  drbhuvanak2010@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Bhuvana K 
Designation  Professor and HOD 
Affiliation  Sri Devaraj Urs Medical College 
Address  Dr.Bhuvana K Professor and HOD Department of Pharmacology Sri Devaraj Urs Medical College Sri Devaraj Urs Academy of Higher Education and Research Tamaka


KARNATAKA
563101
India 
Phone  9900383738  
Fax  08152243006  
Email  drbhuvanak2010@gmail.com  
 
Source of Monetary or Material Support  
Sri Devaraj Urs Academy of Higher Education and Research, Tamaka, Kolar, Karnataka, India 
 
Primary Sponsor  
Name  Sri Devaraj Urs Academy of Higher Education and Research 
Address  Sri Devaraj Urs Academy of Higher Education and Research Tamaka, Kolar, Karnataka, India Pin 563102 
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 
Bhuvana K  Sri Devaraj Urs Medical College  Departments of Pharmacology and Anaesthesiology, RL Jalappa Hospital and Research Centre Sri Devaraj Urs Academy of Higher Education and Research Tamaka
Kolar
KARNATAKA 
9900383738
8152243006
drbhuvanak2010@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Central Ethics Committee, Sri Devaraj Urs Academy of Higher Education and Research, Kolar  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  Pain due to propofol administration,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Lignocaine   Injection 2ml(20mg) of 1% lignocaine intravenously for a period of 10 seconds 
Intervention  Ondansetron  Injection ondansetron 4mg(2ml) intravenously for a period of 10 seconds 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  1.Patients of either gender aged between 21- 50 years
2.Patients with body weight of 50-80 Kg
3.Patients undergoing elective surgeryunder general anesthesia
4.Patients belonging to American Society of Anesthesiology (ASA) physical status I and II
 
 
ExclusionCriteria 
Details  1.History of allergy to study drugs
2.Pregnant and lactating women
3.Patients receiving analgesics 48 hours before surgery
4.Patients with pain posted for elective surgery
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the effect of ondansetron and lignocaine in reducing pain following propofol injection using Verbal Rating Scale (VRS)   Baseline and 15 seconds after propofol injection intravenoulsy 
 
Secondary Outcome  
Outcome  TimePoints 
To assess the adverse effect in both groups using WHO causality assessment and Naranjo probability scales  Study drugs administration to 6 hrs postoperatively 
 
Target Sample Size   Total Sample Size="546"
Sample Size from India="546" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   15/12/2016 
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="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   No publications pertaining to this trial - "none yet"  
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   To reduce pain due to propofol injection, various drugs have been tried such as lignocaine, ketorolac, paracetamol, ketamine, magnesium sulfate or topical nitroglycerine application but complete attenuation of pain due to propofol injection was not observed. Mixing lignocaine with propofol is most commonly used method for prevention of propofol injection pain. Ondansetron is a selective serotonin receptor antagonist (5-HT3), currently used for the prophylaxis and treatment of postoperative nausea and vomiting. Some studies have demonstrated that ondansetron can produce local anesthetic effect, probably by blocking sodium channels. It blocks the peripheral nociceptive effect of serotonin thus having antinociceptive effect. Ondansetron binds to the opioid μ receptors and acts as an agonist. Two comparative studies between lignocaine and ondansetron have been carried out in India with variable results and they had recruited 40-50 patients.7,8  Routinely ondansetron is administered preoperatively to prevent post-operative nausea and vomiting. Therefore, instead of another drug, ondansetron will be compared with lignocaine to assess the analgesic effect in larger number of individuals.   
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