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CTRI Number  CTRI/2021/09/036386 [Registered on: 09/09/2021] Trial Registered Prospectively
Last Modified On: 07/09/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   comparison between two drugs for post spinal shivering 
Scientific Title of Study   Comparative evaluation of nalbuphine and tramadol for control of post spinal anaesthesia shivering 
Trial Acronym  NAL TRAM  
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sonalika Tudimilla  
Designation  junior resident 
Affiliation  dr. d. y patil vidyapeeth 
Address  Dr. D. Y. Patil medical college and research centre
Pimpri Pune 411018
Pune
MAHARASHTRA
411018
India 
Phone  9676989293  
Fax    
Email  sona3668@hotmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Chhaya suryawanshi  
Designation  Professor  
Affiliation  dr. d. y patil vidyapeeth 
Address  Dr. D. Y. Patil medical hospital and research centre, Pune

Pune
MAHARASHTRA
411018
India 
Phone  9922888201  
Fax    
Email  chhayasuryawanshi@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sonalika Tudimilla  
Designation  junior resident 
Affiliation  dr. d. y patil vidyapeeth 
Address  Dr. D. Y. Patil medical hospital and research centre, Pune

Pune
MAHARASHTRA
411018
India 
Phone  9676989293  
Fax    
Email  sona3668@hotmail.com  
 
Source of Monetary or Material Support  
Dr. D. Y Patil medical hospital and research centre  
 
Primary Sponsor  
Name  Dr D Y Patil medical college 
Address  Dr. D. Y. Patil medical college and research centre Pune  
Type of Sponsor  Research institution and hospital 
 
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 Sonalika Tudimilla   Dr. D. Y. Patil medical hospital and research centre   operation theatre, 5th floor
Pune
MAHARASHTRA 
9676989293

sona3668@hotmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics sub committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nalbuphine   0.05mg/kg post spinal shivering 4 hrs  
Intervention  Post spinal shivering   Two drugs for post spinal shivering  
Comparator Agent  Tramadol  0.5mg/kg diluted in ns for post spinal shivering for 3 hrs  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients undergoing surgeries under spinal anaesthesia
Stable asa I and II patients  
 
ExclusionCriteria 
Details  1.Patients not willing to get enrolled in this study.
2.Patients with ASA physical status III or more.
3. Patients below 18 years and above 60 years of age.
4. Patients posted for emergency procedures.
5.Patients with uncontrolled systemic disorders like diabetes mellitus, heart disease, chronic hypertension, pulmonary disorders, etc.
6.Patients with spine deformities or local skin interactions overlying the lumbar vertebral region.
7.Patients with bleeding or coagulation disorders.
8.Patients with known allergies to the study drugs.
9.Patients with history of alcohol or drug abuse. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Wrench grade -0-1
Ramsay Sedation score 1-2 
2 years 
 
Secondary Outcome  
Outcome  TimePoints 
Effect of drugs from Onset of shivering post spinal and duration   1 year and 2 years  
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   23/09/2021 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   yet to be published 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Informed Consent Form
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Researchers who provide a methodologically sound proposal.

  4. For what types of analyses will this data be available?
    Response - For individual participant data meta-analysis.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [sona3668@hotmail.com].

  6. For how long will this data be available start date provided 07-01-2022 and end date provided 07-07-2029?
    Response - Immediately following publication. No end date.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - Nil
Brief Summary   Post spinal anaesthesia, Patients who developed either Grade 3 or 4 shivering lasting for a minimum period of 2 minutes, were included in the study. Injection nalbuphine 0.05mg/kg or Injection Tramadol 0.5 mg/kg were diluted to a volume of 10 ml in a 10 ml syringe and presented as coded syringes as per randomization list by an anesthesiologist who was unaware of the group allocation. This was then administered to the patient as a slow IV injection over a period of 10 minutes. All the hemodynamic parameters monitored. 

 
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