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CTRI Number  CTRI/2022/08/044705 [Registered on: 17/08/2022] Trial Registered Prospectively
Last Modified On: 20/08/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To compare phenylephrine and nor epinephrine boluses for the treatment of post spinal hypotension during elective caesarean section 
Scientific Title of Study   A STUDY TO EVALUATE PHENYLEPHRINE AND NOR EPINEPHRINE BOLUSES FOR THE TREATMENT OF HYPOTENSION POST SPINAL ANAESTHESIA FOR ELECTIVE CAESAREAN SECTION. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Reddy Gnanendra Prasad 
Designation  Junior Resident 
Affiliation  DR B R Ambedkar Medical College and Hospital 
Address  Major OT Complex,Department of Anaesthesiology, DR B R Ambedkar Medical College and Hospital,K G Halli,Bangalore

Bangalore
KARNATAKA
560045
India 
Phone  9535422875  
Fax    
Email  reddy.svis@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Santosh kumar 
Designation  Associate Professor 
Affiliation  DR B R Ambedkar Medical College and Hospital 
Address  Major OT Complex,Department of Anaesthesiology, DR B R Ambedkar Medical College and Hospital,K G Halli,Bangalore

Bangalore
KARNATAKA
560045
India 
Phone  9845785715  
Fax    
Email  drsantoshkumarcc@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Santosh kumar 
Designation  Associate Professor 
Affiliation  DR B R Ambedkar Medical College and Hospital 
Address  Major OT Complex,Department of Anaesthesiology, DR B R Ambedkar Medical College and Hospital,K G Halli,Bangalore


KARNATAKA
560045
India 
Phone  9845785715  
Fax    
Email  drsantoshkumarcc@gmail.com  
 
Source of Monetary or Material Support  
DR B R Ambedkar Medical College and Hospital,K G Halli,Bangalore. 
 
Primary Sponsor  
Name  Dr Santosh Kumar 
Address  DR B R Ambedkar Medical College and Hospital K G Halli Bangalore 
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 
DR Y Reddy Gnanendra Prasad  DR B R AMBEDKAR MEDICAL COLLEGE AND HOSPITAL   Major OT Complex,Department of Anaesthesiology, DR B R Ambedkar Medical College and Hospital,K G Halli.
Bangalore
KARNATAKA 
9535422875

reddy.svis@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institution ethics committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O759||Complication of labor and delivery, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NOR EPINEPHRINE 100mcg IV  A COMPARATIVE STUDY TO EVALUATE PHENYLEPHRINE AND NOR EPINEPHRINE BOLUSES FOR THE TREATMENT OF POST SPINAL HYPOTENSION DURING ELECTIVE CAESAREAN SECTION-[PHENYLEPHRINE NORADRENALINE CAESAREAN SECTION SAB] 
Intervention  phenylephrine 100 mcg IV  A COMPARATIVE STUDY TO EVALUATE PHENYLEPHRINE AND NOR EPINEPHRINE BOLUSES FOR THE TREATMENT OF POST SPINAL HYPOTENSION DURING ELECTIVE CAESAREAN SECTION-[PHENYLEPHRINE NORADRENALINE CAESAREAN SECTION SAB] 
 
Inclusion Criteria  
Age From  25.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  1.Patients posted for Elective cesarean section.
2.Patient aged between 20-35 years.
3.Patients belonging to American Society of Anaesthesiologists (ASA) grade I and II . 
 
ExclusionCriteria 
Details  1.patient refusal.
2.Patients with altered coagulation profile / bleeding diathesis.
3.Pre existing neurological or cardiac
diseases.
4.Alcoholism, drug abuse, psychological or other emotional problems that are likely to invalidate the informed consent, or limit the ability of the subject to comply with the protocol requirements
were excluded. 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To Study the number of bolus doses of
Phenylephrine and nor epinephrine needed to treat hypotension following Spinal Anaesthesia during Elective caesarean delivery 
Base line, during spinal, position, every 3 minutes till the baby delivered and after that every 5 mins till the end of surgery.  
 
Secondary Outcome  
Outcome  TimePoints 
To compare incidence of nausea and vomiting in mother  45 minutes to 180 minutes 
 
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)   20/08/2022 
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="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details
Modification(s)  
Nil 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
Study to compare the number of bolus doses of Phenylephrine and nor epinephrine needed to treat hypotension following Spinal Anaesthesia during Elective caesarean delivery. Hypotension is a common side effect of spinal anesthesia for cesarean section, with an incidence of up to 71% . Maternal hypotension produces unpleasant symptoms such as nausea, vomiting, and dizziness. Prompt treatment of hypotension with intravenous fluids and vasopressor is necessary to avoid detrimental maternal effects. Use of vasopressors, which lead to an increase in systemic vascular resistance and rise in mean arterial pressures, have been traditionally used for the prevention and management of hypotension after spinal anaesthesia.
 
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