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CTRI Number  CTRI/2023/01/049073 [Registered on: 18/01/2023] Trial Registered Prospectively
Last Modified On: 05/03/2024
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   which drug reduces preoperative anxiety 
Scientific Title of Study   A comparative study of melatonin and gabapentin in reducing preoperative anxiety 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Kelika Prakash 
Designation  Assistant Professor, 
Affiliation  Department of anaesthesiology AIIMS  
Address  Assistant Professor, Department of anaesthesiology AIIMS

South
DELHI
110029
India 
Phone  9540947117  
Fax    
Email  kelika.prakash@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Kelika Prakash 
Designation  Assistant Professor, 
Affiliation  Department of anaesthesiology AIIMS  
Address  Department of anaesthesiology AIIMS

South
DELHI
110070
India 
Phone  09540947117  
Fax    
Email  kelika.prakash@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Kelika Prakash 
Designation  Assistant Professor, 
Affiliation  Department of anaesthesiology AIIMS  
Address  Department of anaesthesiology AIIMS

South
DELHI
110070
India 
Phone  09540947117  
Fax    
Email  kelika.prakash@gmail.com  
 
Source of Monetary or Material Support  
Intramural fund, AIIMS new delhi 
 
Primary Sponsor  
Name  AIIMS New delhi 
Address  department of anaesthesiology AIIMS, New Delhi 
Type of Sponsor  Research institution 
 
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 
Kelika Prakash  AIIMS, new delhi  Room no 1, porta cabin, Department of anaesthesiology, pain and criticcal cre medicine
South
DELHI 
9540947117

kelika.prakash@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
AIIMS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S00-T88||Injury, poisoning and certain other consequences of external causes,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Gabapentin  300 mg to be administerd30 minutes prio orally preoperatively 30 minutes prior to surgery Duration of therapy : 30 minutes prior to surgery  
Intervention  Melatonin  melatonin tablet 6 mg to be swallowed Orally preoperatively 30 minutes prior to surgery Duration of therapy: 30 minutes prior to surgery 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  PAtients undergoing routine surgery after trauma
ASA I and asa II patients 
 
ExclusionCriteria 
Details  a) Patients for emergency surgeries
b) Surgeries taking place after 1pm (to account for diurnal variation in cortisol levels)
c) Patients having altered mental state, history of psychiatric disorder, history of drug abuse or those on chronic pain medication
 
 
Method of Generating Random Sequence   Permuted block randomization, fixed 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Difference in the change in VAS anxiety score  Difference in the change in VAS anxiety score at 90 minutes after drug administration 
 
Secondary Outcome  
Outcome  TimePoints 
Change in IL6 and serum cortisol levels  90 minutes post drug administration 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="0" 
Phase of Trial   N/A 
Date of First Enrollment (India)   18/01/2023 
Date of Study Completion (India) 20/12/2023 
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)?  

Response - NO
Brief Summary  

 Reduction in preoperative anxiety reduces postoperative pain, improves post surgery recovery and even leads to early discharge. In addition providing analgesia before the start of surgery(Preemptive analgesia) has been also been associated with reduced postoperative pain. Patients suffering from trauma have high stress levels making them it even more pertinent to tackle preoperative anxiety and pain. Through this project we intend to find the appropriate premedication which reduces preoperative anxiety and thereby reduces postoperative pain and thus improves patient outcome.

Expected Outcome: It is expected that melatonin will be superior to alprazolam and gabapentin in reducing preoperative anxiety as well as postoperative analgesic requirements.

 
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