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CTRI Number  CTRI/2020/02/023197 [Registered on: 07/02/2020] Trial Registered Prospectively
Last Modified On: 05/05/2022
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 the efficacy of Buprenorphine and Clonidine when combined with Ropivacaine in spinal anesthesia of leg surgeries.  
Scientific Title of Study   Comparision between plain Ropivacaine, Ropivacaine with Buprenorphine and Ropivacaine with Clonidine for intrathecal use in lower limb orthopaedic surgeries - A prospective randomized controlled clinical trial 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vasanth D 
Designation  Post Graduate 
Affiliation  Shri sathya sai medical college and research institute 
Address  Department of anaesthesia Shri sathya medical college and research Institute Guduvanchery Thiruporur main road Ammapettai Nellikuppam Chengalpattu taluk

Kancheepuram
TAMIL NADU
603108
India 
Phone  8220320737  
Fax    
Email  vasanth_1686@yahoo.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 anaesthesia Shri sathya medical college and research Institute Guduvanchery Thiruporur main road Ammapettai Nellikuppam Chengalpattu taluk

Kancheepuram
TAMIL NADU
603108
India 
Phone  9786743120  
Fax    
Email  esenkeyem@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Vasanth D 
Designation  Post Graduate 
Affiliation  Shri sathya sai medical college and research institute 
Address  Department of anaesthesia Shri sathya medical college and research Institute Guduvanchery Thiruporur main road Ammapettai Nellikuppam Chengalpattu taluk

Kancheepuram
TAMIL NADU
603108
India 
Phone  8220320737  
Fax    
Email  vasanth_1686@yahoo.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  Vasanth D 
Address  Sri lakshmi illam M2 136 R M Colony Dindigul 624001 Tamilnadu 
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 
Vasanth D  Shri sathya sai medical college and research institute  Department of Anaesthesiology ORTHO OT OT number 3 Second Floor OT Complex Thiruporur Guduvanchery Main Road Ammapettai Nellikuppam Kancheepuram 603108 Tamil Nadu India Kancheepuram TAMIL NADU
Kancheepuram
TAMIL NADU 
8220320737

vasanth_1686@yahoo.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  Ropivacaine  Before the beginning of surgery, 0.75% Ropivacaine 3ml (22.75 mg ) given intrathecally.Using this drug spinal anaesthesia given single shot. 
Comparator Agent  Buprenorphine  Before the beginning of surgery,Buprenorphine 0.2ml ( 60mcg ) added with 0.75% Ropivacaine 3ml ( 22.75% ) given intrathecally.Using this drug spinal anaesthesia one time. 
Comparator Agent  Clonidine  Before the beginning of surgery, clonidine 0.2ml ( 30mcg ) added with 0.75% Ropivacaine 3ml ( 22.75% ) given intrathecally.Using this drug spinal anaesthesia given one time. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients undergoing elective upper limb surgeries
American Society of Anaesthesiologist I or II 
 
ExclusionCriteria 
Details  Patient refusal.
Allergic to opioids/ local anaesthetics.
Height < 140 cm , BMI > 30
Patient with recent history of CVA.
Coagulation disorder.
Severe CVS abnormalities.
Poorly controlled hypertension.
Poorly controlled Diabetes mellitus.
Emergency orthopaedic surgery.
 
 
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 
To compare duration of analgesia of Ropivacaine, Buprenorphine with ropivacaine, Clonidine with ropivacaine given intrathecally in terms of first
rescue analgesia requirement 
Post operative period 
 
Secondary Outcome  
Outcome  TimePoints 
Time taken for onset of sensory and motor blockade.
Intra operative haemodynamic changes.
To determine the quality of analgesia and post operative analgesic first required 
Intra operative period and post operative periods 
 
Target Sample Size   Total Sample Size="75"
Sample Size from India="75" 
Final Enrollment numbers achieved (Total)= "75"
Final Enrollment numbers achieved (India)="75" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   10/02/2020 
Date of Study Completion (India) 30/10/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 30/10/2021 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Nil 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   This is randomised controlled trial to compare the plain ropivacaine, Buprenorphine with ropivacaine and Clonidine with ropivacaine given intrathecally for patient undergoing lower limb orthopaedic surgeries,among 75 patients are divided in 3 groups over a period of 18 months.The primary objective is to compare the duration of analgesia between 3 groups.The secondary objectives are onset of sensory blockade, haemodynamic changes during intra operative period and quality of analgesia post operatively. 
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