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CTRI Number  CTRI/2022/07/043635 [Registered on: 01/07/2022] Trial Registered Prospectively
Last Modified On: 08/07/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   compare the after surgery pain prevention effect of two different doses of drug 
Scientific Title of Study   To Compare The Post Operative Analgesic effect Of Two Different Doses Of Magnesium Sulphate As An Adjuvant To Levobupivacaine In Sub-Arachnoid 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  Dr Lakshmi Mahajan 
Designation  Associate Professor 
Affiliation  Sri Guru Ram Das Institute of Medical Sciences and Research 
Address  Operation Theatre, Sri Guru Ram Das Institute of Medical Sciences and Research, Sri Amritsar.

Amritsar
PUNJAB
143001
India 
Phone  7986469143  
Fax    
Email  drlakshmimahajan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sunil Chawla 
Designation  Professor 
Affiliation  Sri Guru Ram Das Institute of Medical Sciences and Research 
Address  Sri Guru Ram Das Institute of Medical Sciences and Research, Sri Amritsar.
Sri Guru Ram Das Institute of Medical Sciences and Research, Sri Amritsar.
Amritsar
PUNJAB
143001
India 
Phone  9915530033  
Fax    
Email  sunilchawla30@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Kanwarvir Singh 
Designation  Junior Resident 
Affiliation  SGRDIMSAR 
Address  Operation Theatre, Sri Guru Ram Das Institute of Medical Sciences and Research, Sri Amritsar.

Amritsar
PUNJAB
143001
India 
Phone  9729324360  
Fax    
Email  hirakanwar@gmail.com  
 
Source of Monetary or Material Support  
NA 
 
Primary Sponsor  
Name  SGRDIMSAR 
Address  Mehta Road, Vallah 
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 Ruchi Gupta  SGRD Hospital  Department of Anaesthesia, SGRDIMSAR
Amritsar
PUNJAB 
9814320805

drruchisgrd@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SGRD ethical committe  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  Magnesium sulphate  Compare two different doses of magnesium sulphate and normal saline 
Intervention  Spinal Anaesthesia  group A:0.5% Isobaric LEVOBUPIVACAINE 15mg+100mg magnesium sulphate diluted in N.S(0.2ml), group B: 0.5% isobaric LEVOBUPIVACAINE 15mg+75mgmagnesium sulphate diluted in N.S. (0.2 ml)and group C: only isobaric LEVOBUPIVACAINE 0.5%+0.2ML(NS) intrathecally.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Patients undergoing infra-umbilical surgeries
American Society of Anesthesiology (ASA) Grade I and II
Hemodyanamically stable
 
 
ExclusionCriteria 
Details  1. Neurological and musculoskeletal disease.
2. Patients with cardiovascular diseases.
3. Contraindications to regional anesthesia such as patient refusal, local infections/sepsis at the site of lumbar puncture, anatomical disorders of spine, shock, any bleeding disorder and patient on anticoagulants.
4. Hypersensitivity to study drugs
5. Pregnant women
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   An Open list of random numbers 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To Compare Post Operative Analgesic effect of Two Different Doses of Magnesium Sulphate as an Adjuvant to Levobupivacaine in Sub-Arachnoid Block for Infra-Umbilical Surgeries  from the time of giving spinal anaesthesia till 24 hours postopertively 
 
Secondary Outcome  
Outcome  TimePoints 
Complications  from the time of giving spinal anaesthesia till 24 hours postopertively 
 
Target Sample Size   Total Sample Size="90"
Sample Size from India="90" 
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)   02/07/2022 
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
Modification(s)  
Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NA 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  

Hyperbaric bupivacaine 0.5% iscommonly used in spinal anesthesia. Hyperbaric solutions may cause sudden cardiac arrest due to hypotension, bradycardia because of higher extend of sympathetic blockade. The use of isobaric solutions may decrease these risks. LEVOBUPIVACAINE is newer drug and should be  preferred during spinal anesthesia due to its lower cardiovascular side-effects and central nervous system toxicity. Intrathecal adjuvants are commonly used to improve the quality of intraoperative analgesia and extend it in the postoperative period without significant motor or autonomic blockade.

 

The study will consist of 90 patients randomly divided into three groups of 30 each- group A:0.5% Isobaric LEVOBUPIVACAINE 15mg + 100mg magnesium sulphate diluted in N.S(0.2ml), group B: 0.5% isobaric LEVOBUPIVACAINE 15mg +75mgmagnesium sulphate diluted in N.S. (0.2 ml)and group C: only isobaric LEVOBUPIVACAINE 0.5%+0.2ML(NS) intrathecally. These groups will be compared with respect to onset and duration of sensory and motor blockade, duration of postoperative analgesia, sedation score, side effects and complications.

 
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