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CTRI Number  CTRI/2023/07/055582 [Registered on: 24/07/2023] Trial Registered Prospectively
Last Modified On: 24/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug
Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To compare the effectiveness of intravenous magnesium sulphate and paracetamol in reducing the pain after surgery in patients undergoing Total abdominal hysterectomy 
Scientific Title of Study   A comparison of post operative analgesia of magnesium sulphate to paracetamol intravenously in patients undergoing total abdominal hysterectomy under subarachnoid block in tertiary care center in kerala 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  ANU ELSA BOBBY 
Designation  Postgraduate resident 
Affiliation  pushpagiri medical college and research centre thiruvalla 
Address  Pushpagiri Medical College and Research Centre Thiruvalla Pathanamthitta

Pathanamthitta
KERALA
689101
India 
Phone  8111952093  
Fax    
Email  anuelsa96@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Mathews K Thomas 
Designation  Associate Professor 
Affiliation  pushpagiri medical college and research centre thiruvalla 
Address  Pushpagiri Medical College and Research Centre Thiruvalla Pathanamthitta

Pathanamthitta
KERALA
689101
India 
Phone  7356879388  
Fax    
Email  mathewskthomas@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  ANU ELSA BOBBY 
Designation  Post graduate resident 
Affiliation  pushpagiri medical college and research centre thiruvalla 
Address  Pushpagiri Medical College and Research Centre Thiruvalla Pathanamthitta

Pathanamthitta
KERALA
689101
India 
Phone  8111952093  
Fax    
Email  anuelsa96@gmail.com  
 
Source of Monetary or Material Support  
Pushpagiri Medical College and Research Institute Thiruvalla 
 
Primary Sponsor  
Name  ANU ELSA BOBBY 
Address  Pushpagiri medical college and research centre, Thiruvalla Pathanamthitta 
Type of Sponsor  Other [] 
 
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 ANU ELSA BOBBY  Pushpagiri Medical College and Research Centre   Department of Anaesthesiology Pushpagiri Medical College Thiruvalla
Pathanamthitta
KERALA 
8111952093

anuelsa96@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
pushpagiri institute of medical science and research centre  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: N939||Abnormal uterine and vaginal bleeding, unspecified, (2) ICD-10 Condition: N926||Irregular menstruation, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Comparing the post operative analgesic effect of intravenous Magnesium sulphate and Paracetamol in patients undergoing total abdominal hysterectomy under Sub arachnoid block  patients are divided into two groups. One group will receive intravenous magnesium sulphate 30 mg/kg for 15 minutes and then 15mg/kg/hour until 4 grams is reached. Other group will receive paracetamol 1 gram intravenous infusion. The post operative analgesic requirement is monitored for 24 hours post operative patients are monitored for the 24 hour cumulative analgesic requirement monitor for adverse effects of magnesium sulphate 
Comparator Agent  comparing the post operative analgesic effect of magnesium sulphate to paracetamol in patients undergoing total abdominal hysterectomy under sub arachnoid block.  In this study 1 gram paracetamol is administered as the comparator agent after giving sub arachnoid block for total abdominal hysterectomy.  
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Female 
Details  1.ASA grade 1 and 2 patients

 
 
ExclusionCriteria 
Details  1.Emergency surgeries
2.BMI > 40kg/m2
3.Patients with known allergy to the drugs used in study
4.Patients with renal insufficiency
5.Neuromuscular diseases
6.Hepatic dysfunction
7.Cardiac disease
8.Previous oncological surgery
 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
Pain score in both the group  0hr, 4hr, 8 hr, 12hr , 16hr, 20 hr , 24hr 
 
Secondary Outcome  
Outcome  TimePoints 
•Total analgesic requirement in the two groups in first 24 hours
•Time (in minutes) to request first analgesic in both groups
•Frequency of occurrence of side-effects of magnesium sulphate 
0 hour, 4 hours, 8 hours , 12 hours , 16 hours, 20 hours, 24 hours 
 
Target Sample Size   Total Sample Size="39"
Sample Size from India="39" 
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 4 
Date of First Enrollment (India)   03/08/2023 
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 Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   Not yet 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This is a study to compare the post operative analgesic effect of intravenous magnesium sulphate and paracetamol in patients undergoing total abdominal hysterectomy under Sub arachnoid block. This surgery is associated with severe post operative pain and patients require analgesics including opioids. This study is conducted to find out if the analgesic requirement has reduced in patients receiving these drugs. 
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