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CTRI Number  CTRI/2023/11/060300 [Registered on: 28/11/2023] Trial Registered Prospectively
Last Modified On: 28/11/2023
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   tendency of vomiting with two different drugs who undergo breast surgery. 
Scientific Title of Study   Effects of sugammadex versus neostigmine on postoperative nausea and vomiting after general anesthesia in patients undergoing breast surgery : A Randomized Clinical Trial  
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 Bibha Kumari  
Designation  Associate professor  
Affiliation  Indira Gandhi institute of medical sciences 
Address  Department of Anesthesiology and CCM ,Ward block First floor, IGIMS Patna

Patna
BIHAR
800014
India 
Phone  8252410069  
Fax    
Email  drbibha98aditi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sarthak Misra  
Designation  Md Anaesthesia trainee  
Affiliation  Indira Gandhi institute of medical sciences  
Address  Department of Anesthesiology and CCM, Ward block First floor floor, IGIMS Patna

Patna
BIHAR
800014
India 
Phone  8210641979  
Fax    
Email  drsarthakmisra2021@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sarthak Misra  
Designation  Md Anaesthesia trainee  
Affiliation  Indira Gandhi institute of medical sciences  
Address  Department of Anesthesiology and CCM, Ward block First floor floor, IGIMS Patna


BIHAR
800014
India 
Phone  8210641979  
Fax    
Email  drsarthakmisra2021@gmail.com  
 
Source of Monetary or Material Support  
Department of Anesthesiology and CCM Ward block First floor,Indira Gandhi institute of medical sciences sheikhpura Patna  
 
Primary Sponsor  
Name  Dr Bibha Kumari  
Address  Indira Gandhi institute of medical sciences sheikhpura Patna  
Type of Sponsor  Other [self] 
 
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 Sarthak Misra   Indira Gandhi institute of medical sciences   State cancer institute Ot and icu complex, room no 356,357 3rd floor, state cancer institute, Near emergency and trauma, Indira Gandhi institute of medical sciences sheikhpura Patna
Patna
BIHAR 
8210641979

drsarthakmisra2021@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE, IGIMS  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  Neostgimine  Effect of nausea and vomiting after giving neostgimine in other group till 12 hours post operative. 
Intervention  Sugammadex  effect of nausea and vomiting will be seen after sugammadex 2mg per kg till 12 hours post operative. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Female 
Details  1.Patients willing to participate.
2.Patients 18-70 years of age.
3.ASA grade 1-4 patients.
4.Breast surgery requiring General Anaesthesia.
 
 
ExclusionCriteria 
Details  1.Patients with history of PONV
2.Impaired renal function
3.Requiring postoperative ventilation
4.Allergic to any study drugs

 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To evaluate the incidence of PONV in patients undergoing reversal with sugammadex versus Neostigmine after general anaesthesia in breast surgery.
 
8 months. 
 
Secondary Outcome  
Outcome  TimePoints 
To asses the postoperative need of anti-emetics and respiratory complications i.e. laryngospasm, bronchospasm & sore throat.  8 months 
 
Target Sample Size   Total Sample Size="84"
Sample Size from India="84" 
Final Enrollment numbers achieved (Total)= "84"
Final Enrollment numbers achieved (India)="84" 
Phase of Trial   N/A 
Date of First Enrollment (India)   07/10/2024 
Date of Study Completion (India) 31/07/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="8"
Days="0" 
Recruitment Status of Trial (Global)   Closed to Recruitment of Participants 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - YES
  1. What data in particular will be shared?
    Response - All of the individual participant data collected during the trial, after de-identification.

  2. What additional supporting information will be shared?
    Response -  Study Protocol
    Response -  Statistical Analysis Plan
    Response - Clinical Study Report

  3. Who will be able to view these files?
    Response - Anyone

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [drsarthakmisra2021@gmail.com].

  6. For how long will this data be available start date provided 31-10-2023 and end date provided 31-10-2028?
    Response - Beginning 9 months and ending 36 months following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - nil
Brief Summary   Sugammadex is a selective gamma-cyclodextrin drug that terminates the action of muscle paralysis by encapsulating aminosteroid non-depolarizing muscle relaxant. It is a fast-onset drug without the muscarinic side effects of neostigmine. The well-known side effects of sugammadex were nausea and vomiting but these side effects had been shown to be well-tolerated in adult patients . A meta-analysis involving 17 randomized clinical trials that recruited 1,553 patients were unable to conclusively confirm any evidence for the differences in PONV effects between sugammadex and neostigmine.
Due to these findings, we will be conducting this study with the aim of comparing the PONV effects when neuromuscular blockade was antagonized with sugammadex compared to neostigmine–atropine combination after abdomen surgery in oncological patients undergoing general anaesthesia.

 
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