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CTRI Number  CTRI/2025/03/082275 [Registered on: 13/03/2025] Trial Registered Prospectively
Last Modified On: 12/03/2025
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   A scientific experiment comparing two drugs Fentanyl and Buprenorphine when used along with the drug Hyperbaric Levobupivacaine in patients coming for cesarean section. 
Scientific Title of Study   The Efficacy of Fentanyl versus Buprenorphine as an adjuvant to intrathecal hyperbaric levobupivacaine in Cesarean section:A prospective Randomised comparative clinical Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nandakishor A Mane 
Designation  Postgraduate student 
Affiliation  MYSORE MEDICAL COLLEGE AND RESEARCH INSTITUTE 
Address  2nd floor Department of Anaesthesiology, New Stone Building, Mysore Medical College and Research Institute, Irwin road, Mysore.

Mysore
KARNATAKA
570001
India 
Phone  8073071417  
Fax    
Email  nandkishoremane319@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR B C Vijayalakshmi 
Designation  PROFESSOR 
Affiliation  MYSORE MEDICAL COLLEGE AND RESEARCH INSTITUTE 
Address  2nd floor Department Of Anaesthesiology, New Stone Building, Mysore Medical College And Research Institute, Irwin Road, Mysore.

Mysore
KARNATAKA
570001
India 
Phone  9886239622  
Fax    
Email  vijayanagaraj@yahoo.co.in  
 
Details of Contact Person
Public Query
 
Name  Nandakishor A Mane 
Designation  Postgraduate student 
Affiliation  MYSORE MEDICAL COLLEGE AND RESEARCH INSTITUTE 
Address  2nd Floor Department Of Anaesthesiology, New Stone Building, Mysore Medical College And Research Institute, Irwin Road, Mysore.

Mysore
KARNATAKA
570001
India 
Phone  8073071417  
Fax    
Email  nandkishoremane319@gmail.com  
 
Source of Monetary or Material Support  
Cheluvamba Hospital, Irwin road, Devaraj Mohalla, Yadavgiri, Mysore, Karnataka 570001 
 
Primary Sponsor  
Name  Mysore Medical College 
Address  Mysore Medical College and Research Institute, Irwin road, Mysore, Karnataka 570001 
Type of Sponsor  Government 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 
Dr Nandakishor A Mane  Cheluvamba hospital  1st Floor Department of OBG, Irwin road, Devaraja mohalla, Yadavgiri, Mysore, Karnataka 570001
Mysore
KARNATAKA 
8073071417

nandkishoremane319@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE MYSORE MEDICAL COLLEGE AND RESEARCH INSTITUTE  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  Buprenorphine  Under aseptic precautions lumbar puncture done at L3-L4 level using 25G Quincke spinal needle, after getting free flow of CSF 1.8ml injection hyperbaric levobupivacaine 0.5% heavy + 60mcg (0.2ml) of injection Buprenorphine given intrathecally.Total 2ml 
Intervention  Fentanyl  Under aseptic precautions lumbar puncture done at L3-L4 level using 25G Quincke spinal needle, after getting free flow of CSF 1.8ml injection hyperbaric levobupivacaine 0.5% heavy + 20mcg (0.4ml) of injection Fentanyl given intrathecally. Total 2.2ml 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  All patients of age group 18 to 35 years, belonging to ASA grade 1 and 2 ,with height ranging from 150-180cms.,and weight ranging from 50-90kgs. coming for cesarean delivery. 
 
ExclusionCriteria 
Details  .Patients with spinal deformity
.Gestational age less than 36 weeks
.Patients with medical and obstetric complication
.Patients allergic to study drugs
.Patients with local skin infections
.Patients with impaired renal and liver function tests
.Patients with coagulation disorder
,Patients not willing to give consent 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
.Onset and duration of sensory blockade
.Maximum sensory blockade and time taken for it
.Time for two segment sensory regression
.Total duration of analgesia
.Onset and duration of motor blockade
.Quality of motor blockade and time taken for maximum motor blockade. 
.Time of onset of sensory block at T10
.Time of attaining maximum sensory blockade
.Time for two segment sensory regression
.Total duration of analgesia
.Time taken for maximum motor blockade. 
 
Secondary Outcome  
Outcome  TimePoints 
.Hemodynamic parameters like HR,SBP,DBP,MAP
.Neonatal assessment using APGAR scoring
.Adverse effects 
24hrs 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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)   25/03/2025 
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 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   This study is a prospective randomized comparative clinical study comparing the efficacy of Fentanyl and Buprenorphine  when used as an adjuvant to 0.5% Hyperbaric levobupivacaine in patients coming for cesarean delivery where the effect of Fentanyl and Buprenorphine on sensory block ,motor block ,duration of analgesia is compared in Cheluvamba hospital. 
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