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CTRI Number  CTRI/2020/04/024801 [Registered on: 22/04/2020] Trial Registered Prospectively
Last Modified On: 17/01/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   comparing the effectiveness of different doses of norepinephrine immediately after giving spinal anaesthesia to prevent fall in blood pressure during caesarean section. 
Scientific Title of Study   Comparision of efficacy of two different bolus doses of norepinephrine as prophylactic to prevent postspinal hypotension during elective 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  Dr Garapati Pranathi 
Designation  Post graduate in M.D. anaesthesiology and critical care 
Affiliation  Kasturba Medical College, Mangaluru 
Address  203, Light househill road, Hampankatta, Mangaluru, Karnataka6,Dakshina kannada.

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9666740160  
Fax    
Email  pranathi.garapati@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Madhusudan Upadya 
Designation  Professor 
Affiliation  Kasturba Medical College, Mangaluru 
Address  203, Light househill road, Hampankatta, Mangaluru, Karnataka6,Dakshina kannada.

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9845225340  
Fax    
Email  madhusudan.upadya@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Garapati Pranathi 
Designation  post graduate in M.D. anaesthesiology and critical care 
Affiliation  Kasturba Medical College, Mangaluru 
Address  203, Light househill road, Hampankatta, Mangaluru, Karnataka6,Dakshina kannada.

Dakshina Kannada
KARNATAKA
575001
India 
Phone  9666740160  
Fax    
Email  pranathi.garapati@gmail.com  
 
Source of Monetary or Material Support  
Kasturba Medical College 
 
Primary Sponsor  
Name  Kasturba medical college 
Address  203, Light househill road, Hampankatta, Mangaluru, Dakshina kannada,Karnataka. 
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 Garapati Pranathi  Kasturba Medical College,Wenlock Government Hospital,Mangalore  203, Light househill road, Hampankatta, Mangaluru, Dakshina kannada,Karnataka.
Dakshina Kannada
KARNATAKA 
9666740160

pranathi.garapati@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Manipal University Institutional Ethics Committee,Kasturba Medical College, Mangaluru  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O998||Other specified diseases and conditions complicating pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Norepinephrine  norepinephrine 0.1 mcg/kg iv bolus 
Intervention  Norepinephrine  norepinephrine 0.15 mcg/kg iv bolus 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  1.Pregnant females undergoing elective caesarean section under spinal anaesthesia.
2.Full term pregnancy.
3.Singleton pregnancy.
4.BP range 90-140 mmHg
5.ASA physical status II
6.Age 18 years and older.
7.Weight between 50 and 100 kg.
8.Height between 150 and 170 cm.
 
 
ExclusionCriteria 
Details  1. Patient refusal.
2. Hypertension, cardiovascular or cerebrovascular disease.
3. Fetal abnormalities.
4. Diabetes (excluding gestational diabetes).
5. Contraindications to spinal anaesthesia


 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Success of prophylactic iv bolus of norepinephrine to maintain SBP at or above 80% of baseline  from induction to delivery of foetus 
 
Secondary Outcome  
Outcome  TimePoints 

1.Hypertension
2.Bradycardia
3.nausea and vomiting
4. APGAR score

4.Nausea
5.Vomiting
6.Apgar score
 
From induction to delivery of baby 
 
Target Sample Size   Total Sample Size="84"
Sample Size from India="84" 
Final Enrollment numbers achieved (Total)= "80"
Final Enrollment numbers achieved (India)="80" 
Phase of Trial   N/A 
Date of First Enrollment (India)   02/05/2020 
Date of Study Completion (India) 31/05/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary  

Comparison of efficacy of two different bolus doses of norepinephrine as prophylactic to prevent postspinal hypotension during elective caesarean section.  

This study aims to compare the efficacy of two different bolus dosages of norepinephrine in effectively reducing the incidence of post spinal hypotension during elective caesarean section thereby improves maternal and fetal outcomes.
 
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