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CTRI Number  CTRI/2023/06/054376 [Registered on: 23/06/2023] Trial Registered Prospectively
Last Modified On: 22/06/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Preventive 
Study Design  Other 
Public Title of Study   To compare the incidence of hypotension and bradycardia by using two sympathomimetic drugs ,phenylephrine and noradrenaline among patients undergoing cesarean section under spinal anesthetia 
Scientific Title of Study   Comparison of prophylactic infusion of norepinephrine and phenylephrine for the maintenance of hemodynamics following subarachnoid block during cesarean section: an interventional double blind randomised trial 
Trial Acronym  No 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ysurekha 
Designation  Post graduate 
Affiliation  Karnataka Institute of medical sciences 
Address  DrY Surekha,postgraduate,department of Anaesthesiology,room no 206,second floor,Karnataka Institute of medical sciences vidyanagar Hubbali Dharwad-580032
Vidyanagar, Hubbali Dharwad 580032
Dharwad
KARNATAKA
580032
India 
Phone  9032909554  
Fax    
Email  rekhamedico96@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sushma KS 
Designation  Associate Professor 
Affiliation  Karnataka Institute of medical sciences, 
Address  Dr Sushma KS, Associate professor,Department of Anaesthesiology, Karnataka Institute of medical sciences vidyanagar, Hubbali, Dharwad, Karnataka, Hubbali Dharwad
Dr Sushma Ks,Associate Professor,Department of Anaesthesiology,Karnataka Institute of medical sciences, Vidyanagar,Hubbali Dharwad, Karnataka 580032
Dharwad
KARNATAKA
580032
India 
Phone  9844310403  
Fax    
Email  dr.sushsam@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sushma KS 
Designation  Associate Professor 
Affiliation  Karnataka Institute of medical sciences 
Address  Dr Sushma KS, Associate Professor,Department of Anaesthesiology,Karnataka Institute of medical sciences vidyanagar, hubbali, dharwad Hubbali Dharwad
Dr Sushma KS, Associate Professor,Department of Anaesthesiology,Karnataka Institute of medical sciences,Hubbali, Dharwad, 580032,Karnataka Dharwad 580032
Dharwad
KARNATAKA
580032
India 
Phone  9844310403  
Fax    
Email  dr.sushsam@gmail.com  
 
Source of Monetary or Material Support  
Karnataka Institute of medical sciences, vidyanagar, hubbali 
 
Primary Sponsor  
Name  Dr Y Surekha 
Address  Postgraduate, Department of Anaesthesiology,Karnataka Institute of medical sciences vidyanagar ,hubbali 
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 
Y surekha  Karnataka Institute of medical sciences  Department of Anaesthesiology, Room number 206,vidyanagar,hubbali, 580032,Dharwad.
Dharwad
KARNATAKA 
9032909554

rekhamedico96@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Karnataka Institute of Medical Sciences, Hubballi Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O295||Other complications of spinal andepidural anesthesia during pregnancy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Norepinephrine  Prophylactic infusion of Norepinephrine at 2.5 mcg/hr from the time of incision to till delivery of the baby 
Comparator Agent  Phenylephrine   Prophylactic infusion of Phenylephrine at 50 mcg/hr from the time of incision to till delivery of the baby 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  1)Parturients with uncomplicated term singleton pregnancy undergoing elective cesarean delivery and belonging to American Society of Anaesthesiologists classification 2
2) Age 18 to 35 yrs
3) Parturients giving informed written and valid consent 
 
ExclusionCriteria 
Details  1) parturients having hypertensive disorders of pregnancy, diabetes milletus, cardiac, cerebrovascular, renal disorders, oligohydramnios, IUGR.
2) parturients having hypersensitivity to any of the study drugs
3) parturients with known contraindications to spinal anaesthesia 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Double Blind Double Dummy 
Primary Outcome  
Outcome  TimePoints 
To compare the incidence of bradycardia among phenylephrine and norepinephrine groups   Measuring HR every 1 minute from onset of spinal action till delivery of baby 
 
Secondary Outcome  
Outcome  TimePoints 
Incidence of hypotensive episodes, maternal systolic and diastolic blood pressure, MAP,number of boluses of vasopressors required, reactive hypertension.   Measuring, BP and MAP every one minute from onset of spinal anaesthesia to delivery of the baby 
 
Target Sample Size   Total Sample Size="128"
Sample Size from India="128" 
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 4 
Date of First Enrollment (India)   10/07/2023 
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="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
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   This is a type of randomised double blind interventional study where norepinephrine and Phenylephrine  infusions  will be given prophylactically in less dose and comparing those two drugs and observing which will prevent bradycardia in parturients undergoing cesarean section. Totally 2 groups, each group containing 64 persons. So total sample size will be 128 .  
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