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CTRI Number  CTRI/2021/11/038007 [Registered on: 12/11/2021] Trial Registered Prospectively
Last Modified On: 07/11/2021
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 OF DIFFERENT DOSES OF NALBUPHINE AS AN ADJUVANT IN SPINAL ANESTHESIA IN LOWER ABDOMEN AND LOWER LIMB SURGERIES 
Scientific Title of Study   COMPARISON OF DIFFERENT DOSES OF INTRATHECAL NALBUPHINE AS AN ADJUVANT TO 0.5% HYPERBARIC BUPIVACAINE IN SUB-ARACHNOID BLOCK IN LOWER ABDOMEN AND LOWER LIMB SURGERIES 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Tavleen Kaur Brar 
Designation  Resident 
Affiliation  Dr DY Patil Medical College and Hospital, Pimpri, Pune 
Address  OPD Building, 5th floor, HiTech OT complex, Department of Anesthesia, Dr DY Patil Medical College and Hospital, Pimpri, Pune

Pune
MAHARASHTRA
411018
India 
Phone  9592911024  
Fax    
Email  tavleenbrar95@yahoo.in  
 
Details of Contact Person
Scientific Query
 
Name  Dr Smita Joshi 
Designation  Professor and Head of Department 
Affiliation  Dr DY Patil Medical College and Hospital, Pimpri, Pune 
Address  OPD Building, 5th floor, HiTech OT complex, Department of Anesthesia, Dr DY Patil Medical College and Hospital, Pimpri, Pune

Pune
MAHARASHTRA
411018
India 
Phone  9822053792  
Fax    
Email  smitajoshi6@rediff.com  
 
Details of Contact Person
Public Query
 
Name  Dr Smita Joshi 
Designation  Professor and Head of Department 
Affiliation  Dr DY Patil Medical College and Hospital, Pimpri, Pune 
Address  OPD Building, 5th floor, HiTech OT complex, Department of Anesthesia, Dr DY Patil Medical College and Hospital, Pimpri, Pune

Pune
MAHARASHTRA
411018
India 
Phone  9822053792  
Fax    
Email  smitajoshi6@rediff.com  
 
Source of Monetary or Material Support  
Central pharmacy, OPD Building, 5th floor, HiTech OT complex, Department of Anesthesia, Dr DY Patil Medical College and Hospital, Pimpri, Pune 
 
Primary Sponsor  
Name  Dr Tavleen Kaur Brar 
Address  Dr DY Patil Medical College and Hospital, Pimpri, Pune 
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 
Dr Tavleen Kaur Brar  OPD Building, HiTech OT, 5th Floor  OPD Building, 5th floor, HiTech OT complex, Department of Anesthesia, Dr DY Patil Medical College and Hospital, Pimpri, Pune
Pune
MAHARASHTRA 
9592911024

tavleenbrar95@yahoo.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IESC  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  0.2 mg of intrathecal nalbuphine as an adjuvant to 0.5% hyperbaric bupivacaine in subarachnoid block for elective lower abdomen and lower limb surgeries 
Comparator Agent  Nalbuphine  0.4 mg of intrathecal nalbuphine as an adjuvant to 0.5% hyperbaric bupivacaine in subarachnoid block for elective lower abdomen and lower limb surgeries 
Intervention  Spinal anesthesia  After painting and draping of the lumbar area, a 26G Quincke spinal needle will be introduced in L3-L4 intervertebral space. Free and clear flow of CSF will be confirmed and subarachnoid block will be given and study will be done till the surgery lasts and 12 hours in post operative period 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Age between 18 to 60 years of either gender.
2. ASA grade I and II.
3. Patients posted for elective lower abdomen and lower limb surgeries under spinal anaesthesia.
4. Weight of the patient being in normal range for that age and sex.
5. Patients who are not on any antihypertensive, anti-platelet, fibrinolytic or anticoagulant drugs.
6. Haemodynamically stable patients with normal laboratory investigations.
7. Patients who give informed consent and are willing to be a part of the study. 
 
ExclusionCriteria 
Details  1. Patients with pre-existing cardiovascular diseases (IHD, hypertension, valvular heart disease), deranged liver functions or renal functions.
2. Patients with any neurological or psychiatric disorders.
3. Patients with any contraindications for neuraxial block.
4. Patients posted for emergency procedures
5. History of allergy to any of the drugs being used under study
6. Unwilling patients. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Determine the
1-Optimum dose with quicker onset
2-Duration of sensory and motor block
3-Duration of analgesic effect
4-Side effects, if any 
0 secs, 3 mins, 5 mins, 10 mins, 15 mins, 20 mins, 25 mins, 30 mins 
 
Secondary Outcome  
Outcome  TimePoints 
To study the
1-Onset time of sensory block
2-Onset time of motor block
3-Two segment regression time of sensory block
4-Duration of motor block
5-Duration of effective analgesia
6-To study their side effects if any
 
T1-baseline
T2-3mins,
T3-5 mins,
T4-10 mins,
T5- 15 mins,
T6 - 20 mins,
T7 - 25 mins,
T8 - 30 mins 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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)   22/11/2021 
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="0"
Months="6"
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)?  

Response - NO
Brief Summary   Comparison of two different doses of nalbuphine as an adjuvant to hyperbaric bupivacaine in subarachnoid block for elective lower abdomen and lower limb surgeries and determine the Optimum dose with quicker onset, Duration of sensory and motor block, Duration of analgesic effect, Side effects 
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