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CTRI Number  CTRI/2019/05/019271 [Registered on: 23/05/2019] Trial Registered Prospectively
Last Modified On: 22/05/2019
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   "Comparing 0.1% Ropivacaine and 0.0625% Bupivacaine, with fentanyl for labour pain relief"  
Scientific Title of Study   "Comparison of 0.1% Ropivacaine and 0.0625% Bupivacaine, with fentanyl as an adjuvant for labour analgesia"  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  G Ranganaayaki 
Designation  Post Graduate Resident 1st year 
Affiliation  Sri Manakula Vinayagar Medical College and Hospital  
Address  Department of Anaesthesiology Sri Manakula Vinayagar medical college and Hospital, kalitheerthalkuppam, Madagadipet Pondicherry 605107

Pondicherry
PONDICHERRY
605107
India 
Phone  9789709095  
Fax    
Email  rangaganesan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Krishna Prabu 
Designation  Professor 
Affiliation  Professor 
Address  Department of Anaesthesiology Sri Manakula Vinayagar medical college and Hospital, kalitheerthalkuppam, Madagadipet Pondicherry 605107
Department of Anaesthesiology Sri Manakula Vinayagar medical college and Hospital, kalitheerthalkuppam, Madagadipet Pondicherry 605107
Pondicherry
PONDICHERRY
605107
India 
Phone  9943770977  
Fax    
Email  drkrishnaprabu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  G Ranganaayaki 
Designation  Post Graduate Resident 
Affiliation  Sri Manakula Vinayagar Medical College and Hospital 
Address  Department of Anaesthesiology Sri Manakula Vinayagar medical college and Hospital, kalitheerthalkuppam, Madagadipet Pondicherry 605107

Pondicherry
PONDICHERRY
605107
India 
Phone  9789709095  
Fax    
Email  rangaganesan@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology Sri Manakula Vinayagar medical college and Hospital, kalitheerthalkuppam, Madagadipet Pondicherry  
 
Primary Sponsor  
Name  G Ranganaayaki 
Address  Department of Anaesthesiology Sri Manakula Vinayagar medical college and Hospital, kalitheerthalkuppam, Madagadipet Pondicherry  
Type of Sponsor  Other [Self sourcing] 
 
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 
G Ranganaayaki  Sri ManakulaVinayagar Medical College and Hospital  OG OT complex Department of Anaesthesiology Sri Manakula Vinayagar medical college and Hospital, kalitheerthalkuppam, Madagadipet
Pondicherry
PONDICHERRY 
9789709095

rangaganesan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SMVMCH ETHICS COMMITEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: 1||Obstetrics,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  0.0625% Bupivacaine  0.0625% Bupivacaine with 2 micrograms/ml fentanyl as an adjuvant for epidural labour analgesia. Loading dose 10ml given after cervical dilatation of 4cm. Epidural top up given with ml after assessing visual analogue scale 
Intervention  0.1% of Ropivacaine   0.1% of Ropivacaine with 2 micrograms/ml fentanyl as an adjuvant for epidural labour analgesia. Loading dose of 10ml after 4cm of cervical dilatation. Epidural top up given with 5ml after assessing visual analogue scale. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  1. Parturients requesting epidural analgesia in SMVMCH from May 2019 to September 2020
2. Parturients of ASA physical status 1 and 2
3.Parturients in active labour with cervical dilation of more than 3 cm
4. Full term live fetus without any obstetric complication 
 
ExclusionCriteria 
Details  1) Height < 150cm
2) BMI >30
3) Age <18 years
4) Anticipated difficult intubation
5) Contraindications for epidural catheter placement
6) Hyper-sensitivity to study drugs.
7) Administration of IV analgesics within 1hr of epidural request
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Pain relief  Visual analog scale score will be recorded every 5 min for first 30 min, then at every 30 min till the end of labor. VAS at the end of the first stage and second stage is also noted. 
 
Secondary Outcome  
Outcome  TimePoints 
maternal sedation
sensory blockade
motor blockade 
Maternal sedation will be assessed using modified Ramsay sedation score. Motor block will be assessed by Bromage scale and peak motor block achieved during study is noted. Sensory block will be assessed by loss of cold sensation in midclavicular line, every 30 min and peak sensory level achieved during the study will be noted down. Fetal heart rate will be recorded throughout the study; neonatal welfare will be assessed by Apgar score.  
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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   Phase 1 
Date of First Enrollment (India)   23/05/2019 
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   Nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   With the help of this study, we would like to identify the drug which is safe and long acting with less adverse effects to be used as a labour analgesia. I would like to implicate findings of this study so as to provide adequate analgesia during labour. We would like to compare between 0.1% Ropivacaine and 0.0625% Bupivacaine in releiving labour pain with less or no adverse effects, duration of action of each drug. 
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