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CTRI Number  CTRI/2024/02/062467 [Registered on: 08/02/2024] Trial Registered Prospectively
Last Modified On: 01/02/2024
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 Study To Compare The Sensory And Muscle Paralysis Characteristics Of A Drug Named Levobupivacaine 0.5% Heavy And 0.5% Bupivacaine Heavy For Spinal Anaesthesia for surgery in pregnant patients named caesarean section 
Scientific Title of Study   A Comparative Study Of Hyperbaric Levobupivacaine 0.5% With Hyperbaric Bupivacaine 0.5% For Spinal Anaesthesia In Elective Lower Segment Cesarean Section Cases 
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 Madhu S N 
Designation  Postgraduate Medical Student 
Affiliation  Bangalore Medical College and Research Institute 
Address  Department on Anaesthesia room no 3, 3rd floor tippu sultan, Fort, Krishna Rajendra Rd, Bangalore, Karnataka

Bangalore
KARNATAKA
560002
India 
Phone  8095411038  
Fax    
Email  sn.madhu97@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Vinay Marulasiddappa 
Designation  Professor 
Affiliation  Bangalore Medical College and Research Institute 
Address  Department on Anaesthesia room no 666, 3rd floor tippu sultan, Fort, Krishna Rajendra Rd, Bangalore, Karnataka Bangalore

Bangalore
KARNATAKA
560002
India 
Phone  8073997005  
Fax    
Email  drvinaym@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Vinay Marulasiddappa 
Designation  Professor 
Affiliation  Bangalore Medical College and Research Institute 
Address  Department on Anaesthesia room no 666, 3rd floor tippu sultan, Fort, Krishna Rajendra Rd, Bangalore, Karnataka Bangalore

Bangalore
KARNATAKA
560002
India 
Phone  8073997005  
Fax    
Email  drvinaym@gmail.com  
 
Source of Monetary or Material Support  
Department of Anaesthesiology, Bangalore Medical College and Research Institute 
 
Primary Sponsor  
Name  Dr Madhu S N 
Address  Fort, Krishna Rajendra Rd, Bengaluru, Karnataka 
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 madhu s n  Bangalore Medical College  Department on Anaesthesia, Main ot complex room no 1-6, 3rd floor tippu sultan, Fort, Krishna Rajendra Rd, Bangalore, Karnataka KARNATAKA Bangalore KARNATAKA
Bangalore
KARNATAKA 
8095411038

sn.madhu97@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Bangalore 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: O00-O9A||Pregnancy, childbirth and the puerperium,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  0.5% hyperbaric Bupivacaine  Patient will be positioned in left lateral position and under strict aseptic conditions, lumbar puncture done using midline approach at L2-L3 intervertebral space with a 25G Quincke-Babcock spinal needle 2ml of drug will be delivered in subarachnoid space at rate of 0.2ml/sec. 
Intervention  0.5% Hyperbaric Levobupivacaine   Patient will be positioned in left lateral position and under strict aseptic conditions, lumbar puncture done using midline approach at L2-L3 intervertebral space with a 25G Quincke-Babcock spinal needle, 2ml of drug will be delivered in subarachnoid space at rate of 0.2ml/sec for 10 seconds 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Female 
Details  1.Parturients posted for Elective Cesarean section and who give written informed consent for spinal anaesthesia.
2.Parturients aged between 18 years and 40 years

 
 
ExclusionCriteria 
Details  1.Patients refusal to participate in the study.
2.Contraindications to spinal anaesthesia(sepsis, local infections, spinal deformity,coagulopathies).
3.Period of gestation less than 35 weeks and more than 40 weeks.
4.Height less than155cm and more than 175cm.
5.BMI less than 18.5 kg/m2and more than 30 kg/m2.
6.Parturients with gestational hypertension, cardiovascular disorders and other coexisting systemic disorders.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant, Investigator and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the effect of hyperbaric levobupivacaine 0.5% with hyperbaric bupivacaine 0.5% on :
Sensory and motor characteristics in subarachnoid block
 
and at every 1minute interval for first 3 consecutive minutes followed by 5 minute intervals for the next 15minutes and at 15 minute intervals till the end of the surgery. 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the effects of the 2 drugs on heart
rate, systolic blood pressure, diastolic blood
pressure, mean arterial pressure, saturation of
oxygen & the incidence of adverse effects if any
 
and at every 1minute interval for first 3 consecutive minutes followed by 5 minute intervals for the next 15minutes and at 15 minute intervals till the end of the surgery. 
 
Target Sample Size   Total Sample Size="112"
Sample Size from India="112" 
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)   12/02/2024 
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)   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   Studies have been done to compare the charecteristics of both drugs .The results showed that the onset of sensory block and complete motor block was shorter in patients receiving levobupivacaine than bupivacaine.Hemodynamic stability was more with levobupivacaine.

The aim of this study is to compare the anaesthetic effect and hemodynamic effects of hyperbaric levobupivacaine 0.5% with  hyperbaric bupivacaine 0.5% when given in subarachnoid block in patients undergoing lower segment cesarean section.

 
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