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CTRI Number  CTRI/2019/02/017870 [Registered on: 28/02/2019] Trial Registered Prospectively
Last Modified On: 27/02/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A study to compare Fentanyl and Clonidine for post operative pain relief when added to Ropivacaine in caudal epidural for children who undergo surgeries below the umbilicus 
Scientific Title of Study   Efficacy of Fentanyl vs Clonidine as an adjuvant to Ropivacaine compared to Ropivacaine for postoperative analgesia in caudal block for infraumbilical surgeries: A Prospective double blinded randomized control study 
Trial Acronym   
Secondary IDs if Any    
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Balu Sankar J 
Designation  PG Resident 
Affiliation  Shri Sathya Sai Medical College and Research Institute 
Address  Department of Anaesthesiology Shri Sathya Sai Medical College and Research Institute Thiruporur Guduvanchery Main Road Ammapettai Nellikuppam Kancheepuram 603108

Kancheepuram
TAMIL NADU
603108
India 
Phone  8547045150  
Fax    
Email  bsj91sankar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  S N Krishnamurthy 
Designation  Professor 
Affiliation  Shri Sathya Sai Medical College and Research Institute 
Address  Department of Anaesthesiology Shri Sathya Sai Medical College and Research Institute Thiruporur Guduvanchery Main Road Ammapettai Nellikuppam Kancheepuram 603108

Kancheepuram
TAMIL NADU
603108
India 
Phone  9786743120  
Fax    
Email  esenkeyem@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Balu Sankar J 
Designation  PG Resident 
Affiliation  Shri Sathya Sai Medical College and Research Institute 
Address  Department of Anaesthesiology Shri Sathya Sai Medical College and Research Institute Thiruporur Guduvanchery Main Road Ammapettai Nellikuppam Kancheepuram 603108

Kancheepuram
TAMIL NADU
603108
India 
Phone  8547045150  
Fax    
Email  bsj91sankar@gmail.com  
 
Source of Monetary or Material Support  
Shri Sathya Sai Medical College and Research Institute Thiruporur Guduvanchery Main Road Ammapettai Nellikuppam Kancheepuram 603108 Tamil Nadu India 
 
Primary Sponsor  
Name  Balu Sankar J 
Address  Vysakh Puthiyavila Pattolimarket PO Alapuzha 690531 Kerala, India 
Type of Sponsor  Other [Principal Investigator] 
 
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 
Balu Sankar J  Shri Sathya Sai Medical College and Research Institute  Surgery OT 1 and 2, Ortho OT Second Floor OT complex Shri Sathya Sai Medical College and Research Institute Thiruporur Guduvanchery Main Road Ammapettai Nellikuppam Kancheepuram 603108
Kancheepuram
TAMIL NADU 
8547045150

bsj91sankar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Human Ethics Committe  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K35-K38||Diseases of appendix, (2) ICD-10 Condition: M84||Disorder of continuity of bone, (3) ICD-10 Condition: K40-K46||Hernia, (4) ICD-10 Condition: N30-N39||Other diseases of the urinary system,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Clonidine  As adjuvant to Ropivacaine in Caudal Epidural 
Intervention  Fentanyl  As adjuvant to Ropivacaine in Caudal Epidural 
Comparator Agent  Ropivacaine  To be used in Caudal Epidural 
 
Inclusion Criteria  
Age From  2.00 Year(s)
Age To  8.00 Year(s)
Gender  Both 
Details  ASA PS 1 and 2
Weight between 10 and 30 Kilograms 
 
ExclusionCriteria 
Details  Refusal for caudal block
ASA 3 and above physical status
Allergic to local anaesthetics and adjuvants
Children less than 2 years of age
Infection at block site
Bleeding diasthesis, pre-existing neurological, spinal diseases, mental retardation, neuromuscular disorders 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To study the duration of analgesia in terms of pain score and total analgesic requirement.  Post Operative Period 
 
Secondary Outcome  
Outcome  TimePoints 
To study sedation, hemodynamic changes, incidence of nausea, vomiting and pruritis  Intraoperative and post operative period. 
 
Target Sample Size   Total Sample Size="72"
Sample Size from India="72" 
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)   05/03/2019 
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="1"
Months="6"
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   This is a prospective double blinded randomised control study to compare the efficacy of fentanyl and clonidine as an adjuvant to ropivacaine and with ropivacaine alone in caudal block for 72 pediatric patients posted for infraumbilical surgeries. The primary outcome is to study the duration of analgesia in terms of pain score and total analgesic requirements. The secondary objectives are to study the level of sedation, hemodynamic changes, incidence of nausea, vomiting and pruritis. 
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