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CTRI Number  CTRI/2022/12/048238 [Registered on: 19/12/2022] Trial Registered Prospectively
Last Modified On: 14/12/2022
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of Magnesium sulphate adjuvant Perineurally vs intravenously to levobupivacaine in usg guided supraclavicular block  
Scientific Title of Study   Comparison of perineural and intravenous magnesium sulphate as an adjuvant to levobupivacaine in ultrasound – guided supraclavicular brachial plexus block: A prospective randomized trial  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Koushallya Sri S  
Designation  First year postgraduate  
Affiliation  Chettinad Academy Of Research and Education 
Address  Chettinad Academy Of Research and Education ( Deemed to be university ) Chettinad health city Rajiv Gandhi salai ( OMR ) Kelambakkam
Chettinad Academy Of Research and Education ( Deemed to be university ) Chettinad health city Rajiv Gandhi salai ( OMR ) Kelambakkam
Chennai
TAMIL NADU
603103
India 
Phone  7299224444  
Fax    
Email  akskoush@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Anand S  
Designation  Professor  
Affiliation  Chettinad Academy Of Research and Education  
Address  Department of Anaesthesiology Chettinad Academy Of Research and Education ( Deemed to be university ) Chettinad health city Rajiv Gandhi salai ( OMR ) Kelambakkam
Department of Anaesthesiology Chettinad Academy Of Research and Education ( Deemed to be university ) Chettinad health city Rajiv Gandhi salai ( OMR ) Kelambakkam ,603103
Chennai
TAMIL NADU
603103
India 
Phone  9444486183  
Fax    
Email  dranandmurugan@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Koushallya Sri S  
Designation  First year postgraduate  
Affiliation  Chettinad Academy of Research and Education  
Address  Chettinad Academy Of Research and Education ( Deemed to be university ) Chettinad health city Rajiv Gandhi salai ( OMR ) Kelambakkam
Chettinad Academy Of Research and Education ( Deemed to be university ) Chettinad health city Rajiv Gandhi salai ( OMR ) Kelambakkam ,603103
Chennai
TAMIL NADU
603103
India 
Phone  7299224444  
Fax    
Email  akskoush@gmail.com  
 
Source of Monetary or Material Support  
Chettinad Academy of Research and Education ( Deemed to be university ) Chettinad health city Rajiv Gandhi salai ( OMR ) Kelambakkam ,603103 
 
Primary Sponsor  
Name  Chettinad Academy of Research and Education 
Address  Chettinad Academy of Research and Education ( Deemed to be university ) Chettinad health city Rajiv Gandhi salai ( OMR ) Kelambakkam ,603103 
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 Koushallya Sri S   Chettinad Hospital and Research Institute   Department of anaesthesia ,A block ,2nd floor Chettinad Academy of Research and Education ( Deemed to be university ) Chettinad health city Rajiv Gandhi salai ( OMR ) Kelambakkam ,603103
Chennai
TAMIL NADU 
7299224444

akskoush@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Human Ethics Committee for Student Research  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  Intravenous magnesium sulphate   patient will receive 0.5% levobupivacaine (24.5ml) with 0.5ml NS total volume of 25ml in usg guided supraclavicular nerve block plus 30 mg/kg iv magnesium sulphate 
Comparator Agent  Perineural and intravenous magnesium sulphate   Group 1 perineural magnesium sulphate – patient will receive 0.5% levobupivacaine (24.5ml) with 250 mg of magnesium sulphate (0.5ml) total volume of 25ml in usg guided supraclavicular nerve block Group 2 intravenous magnesium sulphate – patient will receive 0.5% levobupivacaine (24.5ml) with 0.5ml NS total volume of 25ml in usg guided supraclavicular nerve block plus 30 mg/kg iv magnesium sulphate  
Intervention  Perineural magnesium sulphate   patient will receive 0.5% levobupivacaine (24.5ml) with 250 mg of magnesium sulphate (0.5ml) total volume of 25ml in usg guided supraclavicular nerve block 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. Age between 18 - 60 years 2.Both sexes 3. ASA Classes I,II and III patients 4. Patients posted for upper limb surgery below shoulder 
 
ExclusionCriteria 
Details  1.Patient refusal 2. Coagulopathy 3. History of allergy to local anesthetics 4. Infection at the site of block 5. Neurodeficit involving brachial plexus 6. Pregnant women 7. Patients with psychiatric behavior 8. ASA Class IV patients
9.Obese patients BMI>35kg/m2 
 
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 compare the duration of analgesia
 
2 years  
 
Secondary Outcome  
Outcome  TimePoints 
• To compare the onset of sensory and motor block
•To compare the requirement of rescue analgesic in the postoperative period
•To compare the side effects (if any) 
2 years  
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
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)   12/01/2023 
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="2"
Months="2"
Days="2" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   None yet  
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
To compare analgesic efficacy between perineural and intravenous magnesium sulphate as an adjuvant to levobupivacaine in ultrasound-guided supraclavicular brachial plexus block

Group 1 perineural magnesium sulphate – patient will receive 0.5% levobupivacaine (24.5ml) with 250 mg of magnesium sulphate (0.5ml) total volume of 25ml in usg guided supraclavicular nerve block
Group 2 intravenous magnesium sulphate – patient will receive 0.5% levobupivacaine  (24.5ml) with 0.5ml NS total volume of 25ml in usg guided supraclavicular nerve block plus 30 mg/kg iv magnesium sulphate 

Primary objective 
•To compare the duration of analgesia 
Secondary objective 
•To compare the onset of sensory and motor block 
•To compare the requirement of rescue analgesic in the postoperative period 
•To compare the side effects (if any)
 
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