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CTRI Number  CTRI/2023/08/055936 [Registered on: 01/08/2023] Trial Registered Prospectively
Last Modified On: 29/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia
Preventive 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Study of change of blood pressure and heart rate response to placement of tube into windpipe by an instrument to see voice box inside throat by giving tablet Ivabradine (heart rate lowering medication) and tablet Clonidine (decreases heart rate) 
Scientific Title of Study   “Study of attenuation of the hemodynamic response to laryngoscopy and endotracheal intubation comparing oral Ivabradine and oral Clonidine - A Randomized control study “ 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  NEELAVANNAN PRASANTH VEDHA 
Designation  Post Graduate  
Affiliation  Sri Manakula Vinayagar Medical College and Hospital 
Address  Department of Anaesthesiology Sri Manakula Vinayagar Medical College and Hospital Kalitheerthalkuppam Madagadipet
Department of Anaesthesiology Sri Manakula Vinayagar Medical College and Hospital Kalitheerthalkuppam Madagadipet
Pondicherry
PONDICHERRY
605107
India 
Phone  9597797694  
Fax    
Email  prasanth2040@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  NEELAVANNAN PRASANTH VEDHA 
Designation  POST GRADUATE  
Affiliation  Sri Manakula Vinayagar Medical College and Hospital  
Address  Department of Anaesthesiology Sri Manakula Vinayagar Medical College and Hospital Kalitheerthalkuppam Madagadipet
Department of Anaesthesiology Sri Manakula Vinayagar Medical College and Hospital Kalitheerthalkuppam Madagadipet
Pondicherry
PONDICHERRY
605107
India 
Phone  9597797694  
Fax    
Email  prasanth2040@gmail.com  
 
Details of Contact Person
Public Query
 
Name  RANJAN R V  
Designation  PROFESSOR 
Affiliation  Sri Manakula Vinayagar Medical College and Hospital 
Address  DEPARTMENT OF ANAESTHESIOLOGY SRI MANAKULA VINAYAGAR MEDICAL COLLEGE AND HOSPITAL KALITHEERTHALKUPPAM MADAGADIPET
Department of Anaesthesiology Sri Manakula Vinayagar Medical College and Hospital Kalitheerthaljuppam Madagadipet
Pondicherry
PONDICHERRY
605107
India 
Phone  9600823772  
Fax    
Email  ranjanrv2005@gmail.com  
 
Source of Monetary or Material Support  
Sri Manakula Vinayagar Medical College and Hospital  
 
Primary Sponsor  
Name  Sri Manakula Vinayagar Medical College and Hospital 
Address  Department of Anaesthesiology SMVMCH Kalitheerthalkuppam Madagadipet 605107 
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 Neelavannan Prasanth vedha   Sri Manakula Vinayagar medical college and hospital   Room no 107 / Department Of Anaesthesiology /Kalitheerthalkuppam , Madagadipet,
Pondicherry
PONDICHERRY 
9597797694

prasanth2040@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sri Manakula Vinayagar Medical College and Hospital ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Patient undergoing surgery under general anesthesia who needs endotracheal intubation  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Atropine   During bradycardia within 1 minute to 5 mins  
Comparator Agent  oral clonidine  clonidine will be used as cparing agent 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Patient should be of age 18-60 yrs.
Patient to get fit under ASA PS I and II
Patient should undergo Elective non cardiac surgery under General Anesthesia
 
 
ExclusionCriteria 
Details  Patient who refused to give consent for study.
Patient with known hypersensitivity to these study drugs.
Baseline Heart rate less than 60
Baseline systolic Bp less than 100.
Those with ECG abnormalities.
Patients with history of chest pain/palpitations/syncope,
Patients with history of any visual disturbances, with Sick sinus syndrome.
Patients already on calcium channel blockers, azole antifungals, antiretroviral drugs and macrolide antibiotics, with hepatic impairment or renal dysfunction, pregnant and breastfeeding females and
9.


Patients in whom intubation is thought to be difficult (time taken to intubate >
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded 
Primary Outcome  
Outcome  TimePoints 
To the best of literature . There is no study evaluating the hemodynamic attenuation of laryngoscope
and endotracheal intubation comparing oral ivabradine & oral clonidine & with the previous
studies & previous records .however studies have done between clonidine vs gabapentin & ivabradine alone.
 
Laryngoscopic response till 5 minutes 
 
Secondary Outcome  
Outcome  TimePoints 
1. To the study the effect of these drugs on hemodynamic during intra operative & post operative
Period .
2. To study about the side effects & complications such as visual disturbances , arrhythmias, etc
, if any due to the study drugs.
 
At baseline ,1 hr , 2hrs , 3hrs , one week 
 
Target Sample Size   Total Sample Size="98"
Sample Size from India="98" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   15/08/2023 
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="6"
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   The background of the study is that previously a tablet Ivabradine and Tablet Clonidine have been used in attenuation of laryngoscopic response on separate study for intubation response . And it was found with less or no side effects . And the purpose is to compare Tablet Ivabradine and Tablet clonidine  during laryngoscope and to find which is better and stable 
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