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CTRI Number  CTRI/2023/04/051462 [Registered on: 11/04/2023] Trial Registered Prospectively
Last Modified On: 10/04/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Study to compare effect of Bupivacaine with Tramadol and Levobupivacaine with Tramadol for pain in below umblical surgeries after operation by epidural catheter. 
Scientific Title of Study   Comparitive study of Bupivacaine with Tramadol and Levobupivacaine with Tramadol in below umbilical surgeries for post operative epidural analgesia.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Ankit Gupta 
Designation  POST GRADUATE RESIDENT 
Affiliation  PEOPLES COLLEGE OF MEDICAL SCIENCES & RESEARCH CENTRE BHANPUR BHOPAL 
Address  DEPARTMENT OF ANAESTHESIA PEOPLES MEDICAL COLLEGE BHANPUR BHOPAL

Bhopal
MADHYA PRADESH
462037
India 
Phone  9993007222  
Fax    
Email  ankit.gupta37@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR MAHIMA BATRA 
Designation  PROFESOR 
Affiliation  PEOPLES COLLEGE OF MEDICAL SCIENCES & RESEARCH CENTRE BHANPUR BHOPAL 
Address  DEPARTMENT OF ANAESTHESIA PEOPLES MEDICAL COLLEGE PEOPLES CAMPUS BHANPUR BHOPAL

Bhopal
MADHYA PRADESH
462037
India 
Phone  975207418  
Fax    
Email  drmahimabatra@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Ankit Gupta 
Designation  POST GRADUATE RESIDENT 
Affiliation  PEOPLES COLLEGE OF MEDICAL SCIENCES & RESEARCH CENTRE BHANPUR BHOPAL 
Address  DEPARTMENT OF ANAESTHESIA PEOPLES MEDICAL COLLEGE PEOPLES CAMPUS BHANPUR BHOPAL

Bhopal
MADHYA PRADESH
462037
India 
Phone  9993007222  
Fax    
Email  ankit.gupta37@gmail.com  
 
Source of Monetary or Material Support  
Peoples college of medical sciences,bhopal,madhya pradesh 
 
Primary Sponsor  
Name  Peoples University,bhopal,madhya pradesh 
Address  Karond Bypass Rd,peoples campus,bhanpur,bhopal,madhya pradesh 
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 ANKIT GUPTA  PEOPLES COLLEGE OF MEDICAL SCIENCES BHOPAL  PEOPLES UNIVERSITY KAROND BYPASS ROAD PEOPLES CAMPUS BHANPUR BHOPAL MADHYA PRADESH
Bhopal
MADHYA PRADESH 
9993007222

ankit.gupta37@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
institutional ethics committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: S829||Unspecified fracture of lower leg, (2) ICD-10 Condition: N809||Endometriosis, unspecified, (3) ICD-10 Condition: D269||Other benign neoplasm of uterus, unspecified, (4) ICD-10 Condition: N814||Uterovaginal prolapse, unspecified, (5) ICD-10 Condition: C55||Malignant neoplasm of uterus, partunspecified, (6) ICD-10 Condition: M179||Osteoarthritis of knee, unspecified, (7) ICD-10 Condition: M169||Osteoarthritis of hip, unspecified, (8) ICD-10 Condition: M879||Osteonecrosis, unspecified, (9) ICD-10 Condition: M163||Unilateral osteoarthritis resulting from hip dysplasia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  BUPIVACAINE WITH TRAMADOL  All the patients having VAS SCORE more then 4 post operatively will be divided into 2 groups.Group 1(BT) will receive 2ml 0.5 percent Bupivacaine with 1ml(50mg) Tramadol diluted up to 10ml with NS via epidural catheter.Pt.can receive maximum 4 doses within 24 hours postoperatively.  
Comparator Agent  LEVOBUPIVACAINE AND TRAMADOL  All the patients having VAS SCORE more then 4 post operatively will be divided into 2 groups.Group 2(LT) will receive 2ml 0.5 percent Levobupivacaine with 1ml(50mg) Tramadol diluted up to 10ml with NS via epidural catheter.Pt.can receive max 4 doses within 24 hours postoperatively.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  ASA GRADE 1& 2
SCHEDULE FOR ELECTIVE IN BELOW UMBILICAL SURGERIES THAT REQUIRE POST OPERATIVE EPIDURAL ANALGESIA.
DOSE OF INJ.BUPIVACAINE 3.5ML WITHOUT ADJUVANT.
DURATION OF SURGERY 90-120 MINS. 
 
ExclusionCriteria 
Details  LACK OF PATIENTS CONSENT.
AGE <18YRS & >60YRS.
ASA GRADE 3 AND MORE.
HISTORY OF SERIOUS PULMONARY DISEASE,ISCHEMIC HEART DISEASE,RENAL/HEPATIC DYSFUNCTION,CORONARY ARTERY OR CERVICAL SPINE DISEASE AND PATIENTS WITH ABNORMAL COAGULATION PROFILE.
PATIENTS WITH LOCAL SKIN INFECTIONS.
PATIENTS WITH HYPERSENSITIVITY TO ANY OF THE DRUGS USED.
PREGNANT AND LACTATING MOTHERS.
 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Alternation 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
TO COMPARE NUMBER OF EPIDURAL ANALGESIA (top up) required in first 24 hours in both groups.  FIRST 24 HOURS AFTER THE SURGERY 
 
Secondary Outcome  
Outcome  TimePoints 
TO COMPARE HEMODYNAMIC CHNAGES IN THE POST OPRETIVE PERIOD.  FIRST 24 HOURS AFTER THE SURGERY 
 
Target Sample Size   Total Sample Size="70"
Sample Size from India="70" 
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)   15/04/2023 
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 Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   POST OPERATIVE PAIN AFTER MAJOR INFRAUMBLICAL SURGERIES IS THE MAINSTAY OF CONCERN ,AS IT CAN INCREASE RISK OF RESPIRATORY & CARDIOVASCULAR COMPLICATIONS AND GASTROINTESTINAL MOTILITY ,AMBULATION & HOSPITAL STAY.EPIDURAL ANALGESIA CAN PROVIDE EXCELLENT POST OPERATIVE ANALGESIA.
         VARIOUS STUDIES HAVE FOUND THAT DIFFERENT LOCAL ANAESTHETIC CAN PROVIDE ANALGESIA.WE ARE COMPARING EFFECT OF BUPIVACAINE WITH TRAMADOL & LEVOBUPIVACAINE WITH TRAMADOL AS THEY ARE HAVING LOW SIDE EFFECT PROFILE &CAN PROVIDE EXCELLENT POST OPERATIVE ANALGESIC EEFECT FOR FIRST 24 HOURS POST OPERATIVELY IN INFRAUMBLICAL SURGERIES.
 
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