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CTRI Number  CTRI/2020/02/023181 [Registered on: 07/02/2020] Trial Registered Prospectively
Last Modified On: 02/02/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study to compare Fentanyl and Butorphanol as adjuvant drugs to local anesthetics in combined spinal and epidural anaesthesia in surgeries on legs 
Scientific Title of Study   Comparison between fentanyl and butorphanol as epidural adjuvants in combined spinal epidural anaesthesia for lower limb surgeries - A prospective randomized study 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sangeetha G G 
Designation  Post Graduate  
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 India

Kancheepuram
TAMIL NADU
603108
India 
Phone  9840769194  
Fax    
Email  prithi2293@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  S N Krishnamoorthy 
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 India

Kancheepuram
TAMIL NADU
603108
India 
Phone  9786743120  
Fax    
Email  esenkeyem@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sangeetha G G 
Designation  Post Graduate 
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 India

Kancheepuram
TAMIL NADU
603108
India 
Phone  9840769194  
Fax    
Email  prithi2293@gmail.com  
 
Source of Monetary or Material Support  
Shri Sathya Sai Medical College and Research Institute Thiruporur Guduvanchery Main Road Ammapettai Nellikuppam Kancheepuram 503108 Tamil Nadu India 
 
Primary Sponsor  
Name  Sangeetha G G 
Address  Plot No: 31, second Street, Ravi Colony, St. Thomas Mount, Chennai 600016, Tamil Nadu 
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 
Sangeetha G G  Shri Sathya Sai Medical College and Research Institute  Room number 3, Orthopaedics department, Second Floor, OT Complex, Thiruporur Guduvanchery Main Road, Ammapettai Nellikuppam, Kancheepuram 603108 Kancheepuram TAMIL NADU
Kancheepuram
TAMIL NADU 
9840769194

prithi2293@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Human Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M80-M85||Disorders of bone density and structure,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Butorphanol  At the end of surgery, Epidural bolus of 10ml 0.125% Bupivacaine with 10mcg/kg of Butorphanol will be given for post-operative pain relief  
Intervention  Fentanyl  At the end of surgery, Epidural bolus of 10ml 0.125% Bupivacaine with 1mcg/kg of Fentanyl will be given for post-operative pain relief 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients undergoing elective lower limb surgeries under combined spinal and epidural anaesthesia
American Society of Anaesthesiologist I or II 
 
ExclusionCriteria 
Details  Patient refusal
Patients allergic to local anesthetics/Butorphanol/Fentanyl
American Society of Anaesthesiologist III and above
Patients with coagulation disorders
Local site infection
BMI above 30
Poorly controlled Hypertension
Poorly controlled Diabetes mellitus
Patients with cardiac pathology
Pregnant patients 
 
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 determine the quality and duration of analgesia postoperatively using Visual analogue scale and time of requirement of rescue analgesia respectively  Postoperative Period 
 
Secondary Outcome  
Outcome  TimePoints 
To assess sedation score and adverse effects such as pruritis, nausea and vomiting, shivering, hemodynamic stability up to 24 hours postoperatively between the two groups  Postoperative Period 
 
Target Sample Size   Total Sample Size="46"
Sample Size from India="46" 
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)   10/02/2020 
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 randomized controlled trial to compare the efficacy of Fentanyl and Butorphanol as adjuvants to combined spinal epidural anaesthesia among 46 patients posted for lower limb surgeries over a period of 18 months. The primary objective is to determine the quality and duration of analgesia post-operatively. The secondary outcomes are to assess sedation score and incidence of adverse effects such as pruritis, nausea, vomiting, shivering, hemodynamic instability. 
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