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CTRI Number  CTRI/2018/12/016739 [Registered on: 19/12/2018] Trial Registered Prospectively
Last Modified On: 12/12/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A Clinical tiral to compare the effects of two drugs, Fentanyl and Nalbuphine when added in Spinal anaesthesia for patients undergoing cesarean section.  
Scientific Title of Study   Comparison of efficacy of intrathecal nalbuphine vs fentanyl as adjuvant to subarachnoid block in caesarean section. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SHANMUGAVALLI E 
Designation  Assistant professor 
Affiliation  Velammal Medical College Hospital and Research Institute,Madurai. 
Address  Department of anaesthesiology, Aarupadai Veedu Medical College and Hospital,Pondicherry.

Pondicherry
PONDICHERRY
607402
India 
Phone  9940882722  
Fax    
Email  Vallijegan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  RAMADEVI P 
Designation  Assistant professor 
Affiliation  Velammal medical college and research institute 
Address  Department of anaesthesiology,Velammal Medical College and Research Institute ,Madurai.

Madurai
TAMIL NADU
625009
India 
Phone  8695752109  
Fax    
Email  rama_rathi86@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  RAMADEVI P 
Designation  Assistant professor 
Affiliation  Velammal medical college and research institute 
Address  Department of Anaesthesiology,Velammal Medical College and Research Institute ,Madurai.

Madurai
TAMIL NADU
625009
India 
Phone  8695752109  
Fax    
Email  rama_rathi86@yahoo.co.in  
 
Source of Monetary or Material Support  
Self 
 
Primary Sponsor  
Name  SHANMUGAVALLI E 
Address  Department of Anaesthesiology,Aarupadai Veedu Medical College and Hospital,Madurai. 
Type of Sponsor  Other [Self] 
 
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 
DrRamadevi  Velammal medical college and research institute  Department of anaesthesia, Velammalmedicalcollege and research institute Madurai-625009.
Madurai
TAMIL NADU 
8695752109

rama_rathi86@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
VELAMMAL MEDICAL COLLEGE HOSPITAL AND RESEARH INSTITUE,INSTITUTIONAL ETHICS COMMITTEE  Approved 
VELAMMAL MEDICAL COLLEGE HOSPITAL AND RESEARH INSTITUE,INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O94-O9A||Other obstetric conditions, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Intrathecal fentanyl 25 mcg  Subarachnoid block for cesarean section. Group 1 will receive inj. Nalbuphine 0.8 mg along with inj.buphivacaine 0.5 %heavy 10 mg total volume 2.5 ml. Group 2 will receive inj.fentanyl 25 mcg along with inj.buphivacaine heavy 0.5%heavy 10 mg total volume of 2.5 ml .the analgesic effect and efficacy of intrathecal nalbuphine will be compared with intrathecal fentanyl. Patient will be observed for five hours. Subarachnoid block will be given once only.  
Intervention  Subarachnoid block in cesarean section  Subarachnoid block for cesarean section wil be given. Group 1 will receive inj.nalbuphine 0.8 mg along with inj.buphivacaine 0.5%heavy 10 mg total volume 2.5 ml Group 2 will receive inj.fentanyl 25 mcg along with inj.buphivacaine 0.5%heavy 10 mg total volume 2.5 ml.Patient will be monitored for five hours. Subarachnoid block will be given only once.  
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  ASA Physical statusII
Weight between 50 to 80 kilogram
Height between 150 to 160 cm
Cesarean section 
 
ExclusionCriteria 
Details  ASA Physical status III,IV and V.patients receiving long term analgesic therapy,hypnotics or long term CNS depressants.Peripheral neuropathy.cogulopathy,infction at the site of injection.cardiac,hepatic or renal diseases. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Pre-numbered or coded identical Containers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Analgesic effect.
Onset time of sensry blockade.
Onset time of motor blockade.
Highest level of sensory blockade.
Two segment regression time.
Duration of effective analgesia.
Duration of motor blockade.
Ramsay sedation score in te post operative period. 
Analgesic effect.
Onset time of sensry blockade.
Onset time of motor blockade.
Highest level of sensory blockade.
Two segment regression time.
Duration of effective analgesia.
Duration of motor blockade.All these parameters will be monitored at 0 mins,2mins,5mins,10mins,15mins,30mins,45mins,60mins,90mins,120mins,150mins,180mins,210mins,240mins,270mins and 300mins.
Ramsay sedation score in te post operative period will be documented. 
 
Secondary Outcome  
Outcome  TimePoints 
Intra operative parameters heart rate
Systolic blood pressure
Diastolic blood pressure
Respiratory rate
Hypotension
Bradycardia
Respiratory depression are monitored 
6 hrs 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   25/12/2018 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="2"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   None yet. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This study is a randomized double blind controlled study to compare the efficacy and analgesic effect of intrathecal nalbuphine versus fentanyl as adjuvant to subarachnoid block in cesarean section 
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