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CTRI Number  CTRI/2021/08/035835 [Registered on: 23/08/2021] Trial Registered Prospectively
Last Modified On: 19/08/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Study comparing intravenous Dexmedetomidine and intravenous Dexmedetomidine for attenuation of hemodynamic responses on laryngoscopy, intubation and skull pin application during open brain surgery 
Scientific Title of Study   COMPARATIVE STUDY OF EFFECTIVENESS OF INTRAVENOUS DEXMEDETOMIDINE VERSUS INTRANASAL DEXMEDETOMIDINE FOR ATTENUATION OF HEMODYNAMIC RESPONSES TO LARYNGOSCOPY,INTUBATION AND FIXATION OF SKULL PIN HOLDER IN PATIENTS UNDERGOING CRANIOTOMY: A RANDOMIZED CONTROLLED DOUBLE-BLIND STUDY 
Trial Acronym  NA 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Garima Singh 
Designation  Junior Resident 
Affiliation  KGMU 
Address  Department of Anaesthesia Kgmu Lucknow

Lucknow
UTTAR PRADESH
226003
India 
Phone  9956886567  
Fax    
Email  garimasinghetw@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Hemlata 
Designation  Associate Professor 
Affiliation  KGMU 
Address  Department of Anaesthesia Kgmu Lucknow
Department of Anesthesia, Kgmu Lucknow
Lucknow
UTTAR PRADESH
226003
India 
Phone  9415410236  
Fax    
Email  hema2211@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Garima Singh 
Designation  Junior Resident 
Affiliation  KGMU 
Address  Department of Anaesthesia Kgmu Lucknow

Lucknow
UTTAR PRADESH
226003
India 
Phone  9956886567  
Fax    
Email  garimasinghetw@gmail.com  
 
Source of Monetary or Material Support  
King George Medical University 
 
Primary Sponsor  
Name  King George Mrdical University 
Address  Kgmu Lucknow Uttar Pradesh 
Type of Sponsor  Other [NIL] 
 
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 
Garima  Kgmu  Department of Anaesthesia and Department of Neurosurgery
Lucknow
UTTAR PRADESH 
9956886567

garimasinghetw@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kgmu institutional ethics committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G96||Other disorders of central nervoussystem,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intranasal dexmedetomidine  Group 2 will receive intranasal dexmedetomidine 1microgram per kg in undiluted format from parenteral preparation dripped in both nostril in equal volume in supine head down position 10 min before induction. They will also receive normal saline at same rate as in group 1 
Intervention  Intravenous dexmedetomidine  Group 1 will receive iv dexmedetomidine 0.5 micrograms per kg through infusion over 10 min before induction. They will also receive intranasal dexmedetomidine in same volume as intranasal dexmedetomidine ingroup 2 
Comparator Agent  Not applicable  NA 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Patient belonging to ASA 1and 2
Patient belongings to age 18 to 70 years
Patient giving informed and written consent 
 
ExclusionCriteria 
Details  Patient with known allergy or hypersensitivity to dexmedetomidine
Patient with history of ischemic heart disease, second or third degree heart block, head injury, uncontrolled hypertension, uncontrolled diabetes, pregnancy,and previous craniotomy incision
Patient with respiratory disease and predicted difficult airway
Patient who refuse to give consent 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare mean arterial pressure  Baseline 5 min after, 10 min after after drug administration before laryngosopy and intubation, at 1 min, 3 min, 5 min after intubation,before pin insertion at 1min, 5 min, 10 min,20 min,30 min,60 min afterpin insertion,sedation status at baseline and 10 min after drug administration 
 
Secondary Outcome  
Outcome  TimePoints 
To compare systolic and diastolic blood pressure along with sedation score and adverse effects  Baseline 5 min after, 10 min after after drug administration before laryngosopy and intubation, at 1 min, 3 min, 5 min after intubation,before pin insertion at 1min, 5 min, 10 min,20 min,30 min,60 min afterpin insertion,sedation status at baseline and 10 min after drug administration 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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   Phase 4 
Date of First Enrollment (India)   30/08/2021 
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="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Will be published after completion of study 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This study will compare Intravenous dexmedetomidine with intranasal dexmedetomidine for attenuation of hemodynamic response to laryngoscopy, intubation and fixation of skull pin holder in patient undergoing elective craniotomy 
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