<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20221109056455N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-07-25</date_registration>
      <primary_sponsor>Tata Main Hospital, Jamshedpur</primary_sponsor>
      <public_title>Effect of hyperbaric Ropivacine in comparison to Bupivacaine for spinal anaesthesia</public_title>
      <acronym></acronym>
      <scientific_title>A prospective randomized controlled study comparing 0.75% hyperbaric ropivacaine with 0.5% hyperbaric bupivacaine in spinal anesthesia for elective caesarean delivery</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-08-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>98</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/67189</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: This study will employ simple randomization using the sealed envelope method. Randomly generated treatment allocations will be given to participating clinicians in sealed, opaque envelopes. A patient is administered the assigned treatment regimen after their consent to participate in the trial has been obtained, Blinding description: The trial will employ the sealed envelope technique. The anesthesiologist who will be providing care will open the randomly selected sealed envelope, give the patient the appropriate medication, and record it in a document next to the patient's recruitment number. The name of the drug will not be disclosed to the investigator until the study is over. The medication will be given to the patient without her knowledge of the drug's name. An observer who is blind to the drugs given will monitor the patient both during surgery and in the recovery room. The research investigator will receive a document with the name of the drug that was administered against the participant recruitment number at the time of data analysis.</study_design>
      <phase>3</phase>
      <hc_freetext>Delivery by elective Caesarian section.</hc_freetext>
      <i_freetext>Intervention 1: Group B. 2.6 ml of Bupivacaine 0.5 % heavy intrathecal. Intervention 2: Group R : 2.6 ml of Ropivacaine 0.75 % heavy intrathecal.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
IPD data about all observations ( primary and secondary outcomes, demographics)

When:
10 years after completion of study

To whom:
people working in academics

Conditions:
for meta analysis and review of literature.

Where to obtain:
Through request to the principal investigator or corresponding author after publication

How to obtain:
emailed request letter citing purpose and credentials of applicant

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr Gunjan Wadhwa</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>road C , Northern town, Bistupur,</address>
        <city>Jamshedpur</city>
        <country1>India</country1>
        <zip>831001</zip>
        <telephone>009198368618827</telephone>
        <email>wadhwagunjan7@gmail.com</email>
        <affiliation>Tata Main Hospital</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr Gunjan Wadhwa</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>road C , Northern town, Bistupur,</address>
        <city>Jamshedpur</city>
        <country1>India</country1>
        <zip>831001</zip>
        <telephone>009198368618827</telephone>
        <email>wadhwagunjan7@gmail.com</email>
        <affiliation>Tata Main Hospital</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>India</country2>
    </countries>
    <criteria>
      <inclusion_criteria>ASA physical status 1 and 2
Pregnant adults for elective caesarean section</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Allergy to Ropivacaine or Bupivacaine
Infection at the site for spinal anaesthesia
Patient with evidence of foetal distress
Short stature (150 cm)
Tall stature (&gt;180 cm)
Obesity(BMI&gt;30)
Patient with an obstetrical complication (multiple gestations, bleeding, gestational hypertensive diseases)
Psychiatric or seizure disorder
Bleeding disorder
Cardiac disease</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>O82.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Single delivery by elective caesarean section</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Group B. 2.6 ml of Bupivacaine 0.5 % heavy intrathecal</i_keyword>
      <i_keyword>Group R : 2.6 ml of Ropivacaine 0.75 % heavy intrathecal</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Duration of motor blockade monitored by Bromage scale. Timepoint: 30 min. Method of measurement: Bromage score.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Onset of sensory blockade. Timepoint: every 2 minutes after spinal block. Method of measurement: pin prick method.</sec_outcome>
      <sec_outcome>Onset of motor blockade. Timepoint: every 2 minutes after spinal block. Method of measurement: Modified Bromage score.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Tata Main Hospital, Jamshedpur</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-06-06</approval_date>
        <contact_name>Institutional Ethics Committee Tata Main Hospital, Jamshedpur</contact_name>
        <contact_address>Road C, Northern town, Bistupur, Jamshedpur Jamshedpur Jharkhand India</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
