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CTRI Number  CTRI/2024/05/066941 [Registered on: 07/05/2024] Trial Registered Prospectively
Last Modified On: 05/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparing the total duration of analgesia when dexamethasone and dexmedetomidine are added to bupivacaine in spinal anaesthesia.  
Scientific Title of Study   A prospective randomized comparative study to evaluate efficacy of intrathecal dexamethasone and dexmedetomidine added as adjuvant to bupivacaine in pregnant patient posted for elective LSCS. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Samarpan Patel 
Designation  Junior Resident  
Affiliation  Datta Meghe Institute of Higher Education and Research 
Address  Seminar room, Department of anaesthesia, Jawaharlal Nehru Medical College.
Sawangi,Wardha.
Wardha
MAHARASHTRA
442001
India 
Phone  7000748295  
Fax    
Email  patel.samarpan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Aruna chandak 
Designation  Professor 
Affiliation  DATTA MEGHE INSTITUTE OF HIGHER EDUCATION AND RESEARCH 
Address  Seminar room, Department of anaesthesia, JNMC, Sawangi(Meghe), Wardha.
Surabhi, Esaji layout, Nagpur road, Wardha.
Wardha
MAHARASHTRA
442001
India 
Phone  9422903551  
Fax    
Email  doctorchandak@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Samarpan Patel 
Designation  Junior Resident  
Affiliation  Datta Meghe Institute of Higher Education and Research 
Address  Seminar room, Department of anaesthesia, Near Hippocrates Hall, JNMC, Sawangi(Meghe), Wardha.
Raghobaji hostel,Room No-S1, Sawangi, Wardha.
Wardha
MAHARASHTRA
442001
India 
Phone  7000748295  
Fax    
Email  patel.samarpan@gmail.com  
 
Source of Monetary or Material Support  
Acharya vinoba Bhave Rural Hospital,sawangi,wardha. 
 
Primary Sponsor  
Name  Jawaharlal Nehru Medical College 
Address  SAWANGI,WARDHA 
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 
SAMARPAN PATEL  Acharya Vinoba Bhave Rural Hospital  Seminar Room, Department of Anaesthesia, Sawangi, and Wardha.
Wardha
MAHARASHTRA 
7000748295

patel.samarpan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE,DMIMS,Sawangi(Meghe),Wardha  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, (2) ICD-10 Condition: O754||Other complications of obstetric surgery and procedures,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Dexamethasone Group  Bupivacaine 10mg plus Dexamethasone 8mg via the intrathecal route. To see the duration of postoperative analgesia until first rescue analgesia. Route-Intrathecal Total duration of intervention: from induction until first rescue analgesia. 
Intervention  Dexmedetomidine Group  Bupivacaine 10 mg plus Dexmedetomidine 10mcg via intrathecal route. To see the duration of postoperative analgesia until first resuce analgesia. Route-Intrathecal. Total duration of intervention: from induction until first rescue analgesia. 
Comparator Agent  NIL  NIL 
Intervention  RANDOMISED CONTROLL TRIAL  Comparison of postoperative analgesia between bupivacaine (10 mg) with dexmedetomidine (10 mcg) and bupivacaine (10mg) with dexamethasone (8 mg) in spinal anaesthesia in elective caesarian section.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  ASA Grades 1 & 2
BMI 20 TO 30
No history of bleeding tendency
No previous uterine operation except cesarian section
Living foetus
 
 
ExclusionCriteria 
Details  ASA 3 & 4
Patient having systemic disease
Severe coronary insufficiency
BMI > 30
The patient requires repeat intrathecal bupivacaine. 
 
Method of Generating Random Sequence   Random Number Table 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
The duration of postoperative analgesia is longer with dexamethasone as an adjuvant with bupivacaine.   The time duration will be noted for the first rescue analgesia. 
 
Secondary Outcome  
Outcome  TimePoints 
Intraoperative hemodynamics
Prevention of perioperative shivering
comparative study of sedation
 
2 Years 
 
Target Sample Size   Total Sample Size="50"
Sample Size from India="50" 
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 2 
Date of First Enrollment (India)   16/05/2024 
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="2"
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   In our study, we are comparing the duration of postoperative analgesia between bupivacaine with dexmedetomidine and bupivacaine with dexamethasone in an elective caesarian section posted under spinal anaesthesia. Also, we are going to see intraoperative hemodynamics, sedation, and shivering. Our hypothesis says that bupivacaine with dexamethasone has better post operative analgesia than dexmedetetomidine. 
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