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CTRI Number  CTRI/2022/04/041908 [Registered on: 19/04/2022] Trial Registered Prospectively
Last Modified On: 13/04/2022
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Comparison of two local anaesthetics in spinal anaesthesia  
Scientific Title of Study   A comparative study of 0.75% ropivacaine heavy versus 0.5% bupivacaine heavy in subarachnoid block for infra umbilical surgeries. 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Gayathri Ramesh 
Designation  Senior Resident 
Affiliation  Sree Balaji medical college and hospital 
Address  Department of Anaesthesiology Sree Balaji Medical college and Hospital Chrompet, Chennai

Kancheepuram
TAMIL NADU
600044
India 
Phone  9004645828  
Fax    
Email  docgayu@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Gayathri Ramesh 
Designation  Senior Resident 
Affiliation  Sree Balaji medical college and hospital 
Address  Department of Anaesthesiology Sree Balaji Medical college and Hospital Chrompet, Chennai

Kancheepuram
TAMIL NADU
600044
India 
Phone  9004645828  
Fax    
Email  docgayu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Gayathri Ramesh 
Designation  Senior Resident 
Affiliation  Sree Balaji medical college and hospital 
Address  Department of Anaesthesiology Sree Balaji Medical college and Hospital Chrompet, Chennai

Kancheepuram
TAMIL NADU
600044
India 
Phone  9004645828  
Fax    
Email  docgayu@gmail.com  
 
Source of Monetary or Material Support  
Sree Balaji Medical College and hospital, Chennai 
 
Primary Sponsor  
Name  Sree Balaji Medical College and Hospital 
Address  No 7, works road Chrompet Chennai 600044 
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 Gayathri Ramesh  Sree Balaji Medical College and Hospital  3rd and 4th floor OT complex, Department of Anaesthesiology Sree Balaji Medical College and Hospital no 7 works road, Chrompet Chennai-600044
Kancheepuram
TAMIL NADU 
9004645828

docgayu@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional   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  group 1 (Ropivacaine)  3.5 ml of 0.75% hyperbaric Ropivacaine will be administered in spinal anaesthesia  
Comparator Agent  group 2 (Bupivacaine)  3.5 ml of 0.5% hyperbaric Bupivacaine will be administered in spinal anaesthesia 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA 1&2
Undergoing infra umbilical surgery under subarachnoid block
Consenting to participate in the study 
 
ExclusionCriteria 
Details  Patient refusal
Allergy to local anaesthetics
Local infection at the site of block
Bleeding disorder
Pre operative hypotension
pregnancy
 
 
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 
onset and duration of sensory block  The onset of sensory block at T10 will be monitored from positioning the patient after spinal anaesthesia at every 30 seconds and thereafter at every 3 minutes for the 1st 15 minutes and at every 30 minutes till it recedes to S2 
 
Secondary Outcome  
Outcome  TimePoints 
onset and duration of motor block  motor block will be monitored from 0 minute at 30 seconds interval till grade 3 block according to modified Bromage scale is achieved and at 30 minutes interval till complete regression of motor block 
hemodynamic disturbance and complications.  vital parameters will be monitored from 0 minute at 3 minute interval till 1st 15 minutes, at 10 minutes interval during the surgery and at 30 minutes interval till complete recovery. fall in MAP or SBP more than 30% or heart rate below 50/min requiring pharmacological treatment will be noted and patient followed up for 24 hours to note other complications such as nausea vomiting, rashes, urinary retention if any 
 
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)   20/04/2022 
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)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   We are yet to start the study. 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

0.75% ropivacaine has equal potency to 0.5% bupivacaine and Ropivacaine has been proven to be safer than Bupivacaine. However,  Bupivacaine is still commonly used in our country and readily-available 0.75% hyperbaric ropivacaine has not been studied so far in the Indian population. Hence, we are planning to conduct this study.
 
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