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CTRI Number  CTRI/2023/08/056012 [Registered on: 02/08/2023] Trial Registered Prospectively
Last Modified On: 31/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A comparitive study between two muscle relaxants.  
Scientific Title of Study   Comparison of Cisatracurium with Atracurium with regard to intubating conditions and haemodynamic parameters during laryngoscopy in patients undergoing surgical procedures under general anaesthesia in a Tertiary Care Hospital in Sikkim. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Thumu Jaisheel Gabriel Joseph 
Designation  Post Graduate Trainee 
Affiliation  Central Referral Hospital 
Address  Room No 1, PG Room, Dept of Anaesthesiology and Critical Care, Main OT complex, Level 6, Central Referral Hospital, Sikkim Manipal Institute of Medical Sciences, 5th Mile, Tadong, Gangtok, Sikkim

East
SIKKIM
737102
India 
Phone  8116212923  
Fax    
Email  jaisheel1996@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Meyong Pincho Bhutia 
Designation  Professor 
Affiliation  Sikkim Manipal Institute of Medical Sciences 
Address  Consultants Room, Dept of Anaesthesiology and Critical Care, Main OT complex, Level 6, Central Referral Hospital, Sikkim Manipal Institute of Medical Sciences, 5th Mile, Tadong, Gangtok, Sikkim

East
SIKKIM
737102
India 
Phone  8617064429  
Fax    
Email  meyongbhutia@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Meyong Pincho Bhutia 
Designation  Professor 
Affiliation  Sikkim Manipal Institute of Medical Sciences 
Address  Consultants Room, Dept of Anaesthesiology and Critical Care, Main OT complex, Level 6, Central Referral Hospital, Sikkim Manipal Institute of Medical Sciences, 5th Mile, Tadong, Gangtok, Sikkim

East
SIKKIM
737102
India 
Phone  8617064429  
Fax    
Email  meyongbhutia@gmail.com  
 
Source of Monetary or Material Support  
Level 6, Main OT Complex, Central Referral Hospital, Sikkim Manipal Institute of Medical Sciences, 5th Mile, Tadong, Gangtok ,Sikkim 737102 
 
Primary Sponsor  
Name  Dr Thumu Jaisheel Gabriel Joseph  
Address  Room 507, PG Hostel, Sikkim Manipal Institute of Medical Sciences, 5th Mile, Tadong, Gangtok, Sikkim 737102 
Type of Sponsor  Other [Principal Investigator] 
 
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 Thumu Jaisheel Gabriel Joseph  Central Referral Hospital, Sikkim Manipal Institute of Medical Sciences  Room No 1, PG Room, Dept of Anaesthesiology and Critical Care, Main OT complex, Level 6, Central Referral Hospital, Sikkim Manipal Institute of Medical Sciences, 5th Mile, Tadong, Gangtok, Sikkim
East
SIKKIM 
8116212923

jaisheel1996@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
SMIMS Institution Ethics 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 
Comparator Agent  Atracurium  A comparison of already used Atracurium with a newer muscle relaxant Cisatracurium in regards to heamodynamic parameters and intubating conditions. 
Intervention  Cisatracurium  A comparison of Cisatracurium a newer muscle relaxant with Atracurium with regards to heamodynamic parameters and intubating conditions. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  1. American society of Anaesthesiology score [ASA]
I and 2
2. Both Males and Females
3. Age between 18 years and 60 years
4. Patients requiring endotracheal intubation
undergoing General anaesthesia
5. Patients undergoing only Elective Procedures 
 
ExclusionCriteria 
Details  1. Any systemic co-morbidity including uncontrolled hypertension and diabetes, Heart block, renal impairment (serum creatinine greater than 2mg/dl, hepatic impairment (trans-aminases greater than double the normal values), psychiatric disorders like Schizophrenia and Mania
2. Patient not giving consent
3. ASA Grade 3 and Grade 4 patients
4. Patients with history of Bronchial Asthma
5. Patient on any addictive drug or allergic to any drugs used in the trial
6. Pregnant patient and lactating mothers
7. Anticipated Difficult Airway (Mallampati Class III and IV, thyromental height < 6 cm, inter-incisor distance <3cm and cervical instability.) 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
1. To compare the effect of Muscle Relaxation between Atracurium & Cis Atracurium by comparing the ease of intubation
2. To compare the change in haemodynamic parameters while using either Atracurium or Cis Atracurium 
10 minutes after induction 
 
Secondary Outcome  
Outcome  TimePoints 
1. To compare the Time interval for first maintenance dose between Atracurium & Cis atracurium
2. To compare cost effectiveness between Atracurium & Cis atracurium 
At baseline 
 
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   Phase 4 
Date of First Enrollment (India)   08/08/2023 
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   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   This study aims at the comparison of two routinely used muscle relaxants which are Cisatracurium and Atracurium in regards to Haemodynamic conditions using ASA approved cardiac monitors, intubating conditions using stardardized gradings and compiling these results to conclude the better among the two drugs involved  
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