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CTRI Number  CTRI/2019/01/016944 [Registered on: 07/01/2019] Trial Registered Prospectively
Last Modified On: 05/01/2019
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Incidence of pruritus after intrathecal administration of Fentanyl. 
Scientific Title of Study   Incidence of pruritus after administration of intrathecal Fentanyl in orthopaedic surgeries. 
Trial Acronym  IPIF 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Vasanti Kelkar 
Designation  Associate Prof. 
Affiliation  Mahatma Gandhi Mission Medical college and hospital  
Address  Plot no. 131, Parimal, Chintamani Housing society, Tilaknagar, Aurangabad
N - 6, CIDCO, Aurangabad Pin - 431003
Aurangabad
MAHARASHTRA
431001
India 
Phone  9370668196  
Fax    
Email  vasantikelkar70@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vasanti Kelkar 
Designation  Associate Prof. 
Affiliation  Mahatma Gandhi Mission Medical college and hospital  
Address  Plot no. 131, Parimal, Chintamani Housing society, Tilaknagar, Aurangabad
N - 6, CIDCO, Aurangabad Pin - 431003
Aurangabad
MAHARASHTRA
431001
India 
Phone  9370668196  
Fax    
Email  vasantikelkar70@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vasanti Kelkar 
Designation  Associate Prof. 
Affiliation  Mahatma Gandhi Mission Medical college and hospital  
Address  Plot no. 131, Parimal, Chintamani Housing society, Tilaknagar, Aurangabad
N - 6, CIDCO, Aurangabad Pin - 431003
Aurangabad
MAHARASHTRA
431001
India 
Phone  9370668196  
Fax    
Email  vasantikelkar70@gmail.com  
 
Source of Monetary or Material Support  
MGM Medical college Aurangabad 
 
Primary Sponsor  
Name  MGM Medical college And Hospital 
Address  N-6, CIDCO, Aurangabad,Maharashtra 
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 S J Kulkarni  MGM medical college and hospital  N 6 CIDCO Aurangabad
Aurangabad
MAHARASHTRA 
9881300645

drsanhitakulkarni@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
MGM ECRHS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: R208||Other disturbances of skin sensation,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Patients receiving spinal anaesthesia using local anaesthetics & Fentanyl for lower limb orthopaedic surgeries 
 
ExclusionCriteria 
Details  1)Patients having skin disease with pruritus
2)Patients having systemic disease with pruritus
3)Patient receiving antihistaminics or steroids
4)Patients with Opioid dependency
5)Patients with Psychiatric disorders
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Incidence of pruritus  Intraoperative and postoperative for 6 hours 
 
Secondary Outcome  
Outcome  TimePoints 
severity of pruritus  at 30 min., 1 hour, 2 hour, 4 hour and 6 hour after administration of intrathecal fentanyl 
 
Target Sample Size   Total Sample Size="85"
Sample Size from India="85" 
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)   15/01/2019 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   no publication 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   Patients to be posted for lower limb orthopaedic surgeries under spinal anaesthesia will be included in the study. After informed consent, spinal anaesthesia will be given in L3-4 intervertebral space in sitting position. Hyperbaric Bupivacaine (10 - 15 mg) and Fentanyl (25 mcg) will be injected intrathecally.
After administration of intrathecal fentanyl, occurence and severity of pruritus will be assessed. Severity of pruritus will be scored from 0-2 (where 0 = no pruritus, 1 = mild to moderate pruritus requiring no treatment, 2 = severe pruritus requiring treatment) at 30 min, 1 hour, 2 hour, 4 hour and 6 hour. Site of pruritus will also be documented.
In case of severe pruritus, Inj. Nalbuphine 2 - 3 mg will be given IV. If no response then Inj. Naloxone 0.1 - 0.2 mg will be given.
 
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