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CTRI Number  CTRI/2024/10/075613 [Registered on: 22/10/2024] Trial Registered Prospectively
Last Modified On: 17/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Crossover Trial 
Public Title of Study   Which transdermal patch is better for post operative analgesia:fentanyl or buprenorphine? 
Scientific Title of Study   A Comparative study between transdermal patches of buprenorphine and fentanyl for post operative analgesia following infraumbilical surgeries under regional anaesthesia  
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sailee Mahale 
Designation  Junior Resident 
Affiliation  Goa Medical College 
Address  Department Of Anaesthesiology, Goa Medical College Bambolim Goa

North Goa
GOA
403507
India 
Phone  9637336356  
Fax    
Email  mahalesailee10@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sharmila Borkar 
Designation  Associate Professor 
Affiliation  Goa Medical College 
Address  Department Of Anaesthesiology Goa Medical College

North Goa
GOA
403202
India 
Phone  9922851257  
Fax    
Email  drsharmila_borkar@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sharmila Borkar 
Designation  Associate Professor 
Affiliation  Goa Medical College 
Address  Department Of Anaesthesiology Goa Medical College

North Goa
GOA
403202
India 
Phone  9922851257  
Fax    
Email  drsharmila_borkar@yahoo.com  
 
Source of Monetary or Material Support  
Goa Medical College Bambolim Goa India 403202 
 
Primary Sponsor  
Name  GOA MEDICAL COLLEGE 
Address  Goa Medical College Bambolim Goa India 403202 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NONE   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr SaileeMahale  Goa Medical College   Operation Theatre and ward Goa Medical College Bambolim North Goa
North Goa
GOA 
09637336356

mahalesailee10@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
GOA MEDICAL COLLEGE INSTITUITIONAL ETHICAL COMMITTEE  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  transdermal patch buprenorphine  transdermal buprenorphine patch of 10mg releasing fentanyl @10mcg/hr will be applied 12 hrs prior to surgery. Patient will be induced with spinal anaesthesia with 3cc of 0.5% heavy bupivacaine and pulse NIBP nad SpO2 will be monitored at every 15 mins interval and postoperative for 3 days 
Comparator Agent  Transdermal patch fentanyl  Transdermal patch of fentanyl of 3mg releasing fentanyl @25mcg/hr will be applied 12 hrs prior to surgery Patient will be induced with 3cc of 0.5% heavy bupivacaine and pulse NIBP and SpO2 will be monitored at every 15 mins interval and post operative for 3 days 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patients aged between 21 years to 60 years giving informed consent
ASA I and II 
 
ExclusionCriteria 
Details  Patients allergic to buprenorphine and fentanyl
Pregnancy 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To see whether fentanyl or buprenorphine transdermal patch is a good analgesic   12 hrs
3 days 
 
Secondary Outcome  
Outcome  TimePoints 
To compare whether transdermal fentanyl or buprenorphine patch is associated with more side effects  12 hrs
3 days 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   22/11/2024 
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   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary  
Patients will be randomly divided into 2 groups.
• Transdermal patch will be applied 12 hours prior to the surgery.
• Buprenorphine patch of 10mg releasinf buprenorphine at the
rate of 10mcg/hr and fentanyl patch of 3mg releasing fentanyl
at the rate of 25mcg /hr will be used.
• For induction, spinal anaesthesia with 3cc of 0.5% heavy
bupivacaine will be given . No adjuncts will be added.
• Intraoperatively,pulse, noninvasive blood pressure,ECG and
SpO2 will be monitored at every 15 minutes interval.
• Post operatively, pulse , blood pressure and respiratory rate ,
total duration of analgesia, requirement of rescue analgesic(iv
paracetamol 1 gm) and side effects like nausea ,vomiting
,pruritis, sedation and respiratory depression will be noted for
3 days.
• Patients will be explained about Visual Analogue Scale (VAS),
which is a 10cm scale, where in
0:No pain
1-3:mild pain
4-7:moderate to severe pain
8-9:very severe pain
10:worst pain ever

Statistical analysis:Data collected will be analyzed using the latest
SPSS software to find out clinical and statistical
significance. A p value of <0.05 will be considered
as statistically significant.
 
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