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CTRI Number  CTRI/2022/01/039572 [Registered on: 19/01/2022] Trial Registered Prospectively
Last Modified On: 27/12/2021
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparitive study between two class of anti-hypertensives on intraoperative hemodynamics and surgical conditions during polypectomy surgery 
Scientific Title of Study   A comparison of Effect of oral pre-medication with Clonidine and Metoprolol on intraoperative hemodynamics and surgical conditions during functional endoscopic sinus surgery 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Swadika N 
Designation  Post Graduate 
Affiliation  Vinayaka Missions Kirupananda Variayar Medical College and Hospitals 
Address  Vinayaka Missions Kirupananda Variayar Medical College and Hospitals, Seeragapadi, Salem

Salem
TAMIL NADU
636308
India 
Phone  9952348249  
Fax    
Email  swadika3895@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shanu S 
Designation  Assistant Professor 
Affiliation  Vinayaka Missions Kirupananda Variayar Medical College and Hospitals 
Address  Vinayaka Missions Kirupananda Variayar Medical College and Hospitals, Seeragapadi, Salem

Salem
TAMIL NADU
636308
India 
Phone  8056603011  
Fax    
Email  shanushanmugasundaram@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Swadika N 
Designation  Post Graduate 
Affiliation  Vinayaka Missions Kirupananda Variayar Medical College and Hospitals 
Address  Vinayaka Missions Kirupananda Variayar Medical College and Hospitals, Seeragapadi, Salem

Salem
TAMIL NADU
636308
India 
Phone  9952348249  
Fax    
Email  swadika3895@gmail.com  
 
Source of Monetary or Material Support  
Vinayaka Missions Kirupananda Variayar Medical College and Hospitals 
 
Primary Sponsor  
Name  Vinayaka Missions Kirupananda Variayar Medical College and Hospitals 
Address  Vinayaka Missions Kirupananda Variayar Medical College and Hospitals Seeragapadi Salem 
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 
Swadika  Vinayaka Missions Kirupananda Variayar Medical College and Hospitals  Department of Anesthesia Seeragapadi Salem
Salem
TAMIL NADU 
9952348249

swadika3895@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics 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 
Intervention  Tablet Clonidine 300 μg  Clonidine is an α₂-adrenergic agonist medication used to treat high blood pressure, attention deficit hyperactivity disorder, drug withdrawal, menopausal flushing, diarrhea, spasticity and certain pain conditions. It is given once per orally two hours before surgery. 
Comparator Agent  Tablet Metoprolol 50 mg  Metoprolol is a selective β₁ receptor blocker medication. It is used to treat high blood pressure, chest pain due to poor blood flow to the heart, and a number of conditions involving an abnormally fast heart rate. It is given once per orally two hours before surgery. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Patients undergoing general anaesthesia

2. ASA Grading I, II
 
 
ExclusionCriteria 
Details  1. ASA 3 and ASA 4

2. Age <18 and >60 years

3. History of hypertension

4. History of asthma

5. Patients already on beta blockers or clonidine

6. Contraindication to general anaesthesia
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
estimate the quality of the operative field and to grade according to the Average Category Scale (ACS) proposed by Fromm and Boezaart.
Surgical field was graded as
Good - ACS 0 or 1
Fair - ACS 2 or 3
Poor –ACS 4 or 5
 
3 hours 
 
Secondary Outcome  
Outcome  TimePoints 
Blood loss intra operatively  3 hours 
 
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   Phase 2/ Phase 3 
Date of First Enrollment (India)   01/06/2022 
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)   Open to Recruitment 
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  

Functional endoscopic sinus surgery (FESS) has been a major advancement in the management of a chronic sinusitis and other sino-nasal diseases.Establishing a near perfect surgical field during functional endoscopic sinus surgery (FESS) is essential.Minor bleeding can severely compromise an already restricted view obtained through Hopkin’s rigid nasal endoscope.If controlled hypotension can be provided without compromising the safety of patient by a relatively effortless method, surgical field can be improved greatly. Hence, we aim to compare the hemodynamic changes and surgical conditions during FESS following oral premedication with clonidine or metoprolol in this study.

 
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