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CTRI Number  CTRI/2020/06/026078 [Registered on: 23/06/2020] Trial Registered Prospectively
Last Modified On: 18/06/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Placebo Controlled Trial 
Public Title of Study   Study to compare different drugs with different routes in routine surgeries to compare blood circulation responses during tracheal intubation 
Scientific Title of Study   TO COMPARE THE EFFICACY OF INTRAVENOUS CLONIDINE , LIGNOCAINE NEBULIZATION AND A COMBINATION OF BOTH FOR ATTENUATION OF PRESSOR RESPONSE TO LARYNGOSCOPY AND TRACHEAL INTUBATION 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sunil Chawla 
Designation  Professor Department Of Anaesthesia 
Affiliation  Sri Guru Ram Das Institute Of Medical Sciences And Research 
Address  Department of Anaesthesiology and critical care sgrdimsar vallah amritsar Sri Guru Ramdas Institute Of Medical Sciences And Research Vallah

Amritsar
PUNJAB
143501
India 
Phone  9915530033  
Fax    
Email  drchawla30@yahoo.co.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sunil Chawla 
Designation  Professor Department Of Anaesthesia 
Affiliation  Sri Guru Ram Das Institute Of Medical Sciences And Research 
Address  Department of Anaesthesiology and critical care sgrdimsar vallah amritsar Sri Guru Ramdas Institute Of Medical Sciences And Research Vallah


PUNJAB
143501
India 
Phone  9915530033  
Fax    
Email  drchawla30@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Dr Manbir Kaur 
Designation  P G Resident Department Of Anaesthesia 
Affiliation  Sri Guru Ram Das Institute Of Medical Sciences And Research 
Address  Department of Anaesthesia Sri guru ram das institute of health sciences and research,vallah

Amritsar
PUNJAB
143501
India 
Phone  7973136682  
Fax    
Email  manbirdeol201647@gmail.com  
 
Source of Monetary or Material Support  
Department Of Anaesthesia Sri Guru Ram Das Institute Of Medical Sciences And Research Vallah Amritsar 
 
Primary Sponsor  
Name  Sri Guru Ram Das Institute Of Medical Sciences And Research 
Address  Department of Anaesthesiology and Critical Care Sgrdimsar Vallah Amritsar Sri Guru Ramdas Institute Of Medical Sciences And Research Vallah Amritsar PUNJAB 143501  
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 Sunil Chawla  Sri Guru Ram Das Institute Of Medical Sciences And Research  Main Operation Theatre Department of Anaesthesiology and critical care sgrdimsar Vallah Amritsar PUNJAB 143501 India Amritsar PUNJAB 143501 India
Amritsar
PUNJAB 
9915530033

drchawla30@yahoo.co.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
ethics committee Sri Guru Das Institute Of Medical Sciences And Reasearch  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: J958||Other intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  intravenous clonidine versus lignocaine nebulization for attenuation of pressor response to laryngoscopy and tracheal intubation in patients undergoing elective surgeries  to evaluate the efficacy of intravenous clonidine,lignocaine nebulization and a combination of both for attenuation of pressor response to laryngoscopy and tracheal intubation in terms of heart rate, blood pressure,oxygen saturation and ECG changes 
Comparator Agent  to compare efficacy of intravenous clonidine versus lignocaine nebulization versus combination of both for attenuation of pressor response to laryngoscopy and tracheal intubation in patients undergoing elective surgeries  to evaluate the efficacy of intravenous clonidine, lignocaine nebulization and a combination of both for attenuation of pressor response to laryngoscopy and tracheal intubation in terms of herat rate,blood pressure,oxygen saturation and ECG changes.Study will be conducted on 75 patients posted for elective surgeries with 3 groups of 25 each.Group A will be given intravenous clonidine 1mcg/kg diluted to 10 ml and nebulization with normal saline of 0.075ml/kg. Group B will be given intravenous clonidine 1 mcg /kg and nebulization with lox 4% 0.075ml/kg. Group C will be given intravenous normal saline 10ml and nebulization with lox 4% 0.075ml/kg. Every drug should be given 15 minutes prior to induction. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA grade 1 or 2
Mallampatti grade 1 or 2 
 
ExclusionCriteria 
Details  Patient refusal
Anticipated and unanticipated difficult airway
Hypertension, ischemic heart disease,pregnancy and patients receiving antihypertensives, sympathomimetics,antidepressants and vagomimetics
Known allergy to study drugs 
 
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 Evaluate The Efficacy Of Intravenous Clonidine And Lignocaine Nebulization For Attenuation Of Pressor Response To Laryngoscopy And Tracheal Intubation In Terms Of Heart Rate,Blood Pressure,Oxygen Saturation And ECG Changes  Baseline,Pre-induction,Every 1 Min For First 10 Minutes And Then Every 10 Minutes Till The End Of Surgery 
 
Secondary Outcome  
Outcome  TimePoints 
To Study The Incidence Of Intra-operative Complications Associated With Study Drugs  Intraoperatively  
 
Target Sample Size   Total Sample Size="75"
Sample Size from India="75" 
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)   25/06/2020 
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="9"
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  
a placebo controlled study to compare the effect of intravenous clonidine, lignocaine nebulization and a combination of both for attenuation of pressor response to laryngoscopy and tracheal intubation in terms of heart rate, blood pressure, oxygen saturation and ECG changes. Study will be done on 75 patients posted for elective surgeries under general anaesthesia with 25 patients in each 3 groups. Group C will receive intravenous clonidine 1 mcg/kg and nebulization with 0.075 ml/kg normal saline. Group L will receive intravenous normal saline 10 cc and nebulization with 3 mcg/kg (0.075 ml/kg) of 4% lignocaine. Group CL will receive intravenous clonidine 1 mcg/kg and nebulization with 3 mcg/kg (0.075 ml/kg) of 4 % lignocaine. Study drugs will be given 15 min prior to intubation.
Intraopertaive hemodynamic parameters  and complications will be noted.
 
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