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CTRI Number  CTRI/2023/10/058966 [Registered on: 20/10/2023] Trial Registered Prospectively
Last Modified On: 13/08/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of two drugs, Lignocaine and Ketamine intravenous infusion in management of difficult cancer pain  
Scientific Title of Study   Comparison of Ketamine Vs Lignocaine intravenous infusion in refractory cancer pain 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Pulluri Sai Sowmya 
Designation  Dnb resident 
Affiliation  Baswatarakam Indo American cancer Hospital and research Institute 
Address  Department of Pain and Palliative,block 1- Room -120, Baswatarakam Indo American cancer Hospital and research Institute, Banjara hills

Hyderabad
TELANGANA
500034
India 
Phone  9515376746  
Fax    
Email  pullurisai22@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Praveen Kumar Kodisharapu 
Designation  Sr Consultant Onco Anaesthesia,Pain and Palliative medicine 
Affiliation  Baswatarakam Indo American cancer Hospital and research Institute 
Address  Department of Pain and Palliative,block 1- Room -120 Baswatarakam Indo American cancer Hospital and research Institute, Banjara hills

Hyderabad
TELANGANA
500034
India 
Phone  9959893915  
Fax    
Email  drprawin78@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Pulluri Sai Sowmya 
Designation  Dnb resident 
Affiliation  Baswatarakam Indo American cancer Hospital and research Institute 
Address  Department of Pain and Palliative,block 1- Room -120 Baswatarakam Indo American cancer Hospital and research Institute, Banjara hills

Hyderabad
TELANGANA
500034
India 
Phone  500034  
Fax    
Email  pullurisai22@gmail.com  
 
Source of Monetary or Material Support  
Department of Pain and Palliative,block 1- Room -120 Basavatarakam Indo American cancer Hospital and Research Institute Hyderabad 
 
Primary Sponsor  
Name  Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad 
Address  BIACHRI, Road no 10, Banjara Hills,Hyderabad 
Type of Sponsor  Research institution and hospital 
 
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 
Sai Sowmya Pulluri  Basavatarakam Indo American cancer Hospital and Research Institute Hyderabad  Department of Pain and Palliative,block 1- Room -120 BIACHRI, Road no. 10, banjara hills, Hyderabad 500034
Hyderabad
TELANGANA 
9515376746

pullurisai22@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute Ethics Committe-BIACHRI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: C00-D49||Neoplasms,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Ketamine   Inj Ketamine 0.3mg/kg/hr over 6hrs 2 infusions with 12hrs apart FOLLOW UP for 6weeks 
Intervention  Lignocaine  Inj Lignocaine 2mg/kg/hr over 6hrs 2 infusions with 12hrs apart-FOLLOW UP for 6weeks  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Patients with Refractory cancer pain with NRS >6-7/10 despite optimal opioid drugs (OME
>300 mg / day)
Patients with refractory neuropathic/mixed pain Patients with life span >8weeks
 
 
ExclusionCriteria 
Details  H/O psychosis
Any liver, kidney and heart abnormalities Patients with altered cognitive function
H/O drugs hypersensitivity
Patients not giving consent

 
 
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 
Comparison of Ketamine Vs Lignocaine intravenous infusion in refractory cancer pain in reducing severity of pain atleast by 50%  1 year 
 
Secondary Outcome  
Outcome  TimePoints 
1.Comparison of side effect profile & tolerability of both drugs
2.Comparison of time interval in both drugs till next relapse of acute pain crisis 
1 year 
 
Target Sample Size   Total Sample Size="66"
Sample Size from India="66" 
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)   30/10/2023 
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="0"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Yet Recruiting 
Recruitment Status of Trial (India)  Open to Recruitment 
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 is a randomized, double blind, parallel group, comparing the lignocaine 2mg/kg/hr IV infusion and Ketamine 0.3mg/kg/hr IV infusion over 6hrs -2 infusions with 12hrs apart , efficacy in reducing the refractory cancer pain in 66 patients that will be conducted in one center in India. The primary outcome will be comparison of both the drugs in reducing severity of refractory cancer pain at least by 50% and secondary outcome will be comparison of side effect profile and tolerability of both drugs and time interval of next relapse of acute pain crisis.


 
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