ClinicalTrials.gg
CompletedNCT07901023Updated Oct 28, 2026

Comparison of Mean Arterial Pressure After Endotracheal Intubation in Patients Undergoing Spine Surgery With Pre-emptive Nitroglycerine Versus Dexmedetomidine

An interventional study of Nitroglycerin (NTG) and Dexmedetomidine in Hemodynamics and Arterial Pressure, sponsored by Mayo Hospital Lahore. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-10-28.

Sponsored by Mayo Hospital Lahore · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Jan 2026, registered Oct 2026).
Updated Oct 28, 2026Newly registeredGo to Updates ↓

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This randomized controlled study compared nitroglycerine and dexmedetomidine for controlling blood pressure after insertion of a breathing tube in adults undergoing spine surgery under general anesthesia. The study hypothesis was that average blood pressure, measured as mean arterial pressure, differed between patients who received the two medicines.

The study included 80 patients aged 18-60 years at the Department of Anesthesia, King Edward Medical University and its affiliated hospital in Lahore, Pakistan. Patients were randomly assigned by a lottery method to two groups of 40. One group received nitroglycerine through an intravenous infusion, while the other received dexmedetomidine. Both groups received the same general anesthesia protocol. Blood pressure was recorded before anesthesia and five minutes after insertion of the breathing tube. The main outcome was mean arterial pressure at five minutes after tube insertion, which was compared between the two groups.

02

Conditions studied

  • Hemodynamics
  • Arterial Pressure

Keywords

  • Nitroglycerin
  • Dexmedetomidine
  • Mean arterial pressure
  • Intubation, Intratracheal
  • Spine surgery
03

In context

Lead sponsor

Mayo Hospital Lahore is the lead sponsor of 16 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients aged 18-60 years.
  • Patients of either sex.
  • Patients undergoing elective discectomy, laminectomy, or other spine surgery under general anesthesia.
  • physical status class I or II.

Exclusion criteria

Exclusion Criteria:

  • Known or suspected allergy to dexmedetomidine.
  • Patients with hypertension, diabetes mellitus, or cardiovascular disease.
  • Patients with peripheral vascular disease.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
80 participants (actual)

Study arms

  • Active comparator
    Group A: Nitroglycerin

    Forty participants received intravenous nitroglycerin during general anesthesia for elective spine surgery. The infusion was titrated to maintain mean arterial pressure between 60 and 70 mmHg.

    Drug: Nitroglycerin (NTG)

  • Experimental
    Group B: Dexmedetomidine

    Forty participants received intravenous dexmedetomidine during general anesthesia for elective spine surgery. The infusion was titrated to maintain mean arterial pressure between 60 and 70 mmHg.

    Drug: Dexmedetomidine

Interventions

  • Nitroglycerin was administered by intravenous infusion at 120 micrograms/kg/hour and titrated to the target mean arterial pressure.

  • Dexmedetomidine was administered intravenously, followed by a continuous infusion at 1.0 microgram/kg/hour, titrated to the target mean arterial pressure.

06

What researchers measure

Primary outcomes

  1. Mean Arterial Pressure

    Mean arterial pressure was assessed using noninvasive blood pressure measurements and expressed in millimeters of mercury. It was calculated as \[systolic blood pressure + (2 × diastolic blood pressure)\] ÷ 3. Mean arterial pressure measured five minutes after endotracheal intubation was compared between the nitroglycerin and dexmedetomidine groups.

    Time frame: Five minutes after endotracheal intubation.

07

Study locations

1 site
  • Mayo Hospital, Lahore
    Lahore, Punjab Province 54000, Pakistan
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2026 to primary completion in Jun 2026, 5 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 22, 2026
First posted
Oct 28, 2026
StartActual
Jan 10, 2026
Primary completionActual
Jun 10, 2026
CompletionActual
Jun 10, 2026
Last update
Oct 28, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 28, 2026
Show all 1 update
  1. Oct 28, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07901023
Lead sponsor
Mayo Hospital Lahore
Responsible party
Adeel Ahmed (Principal Investigator, Mayo Hospital Lahore) — Principal investigator
First posted
Oct 28, 2026
Start date
Jan 10, 2026
Primary completion
Jun 10, 2026
Completion
Jun 10, 2026
Last update
Oct 28, 2026

Study contacts

Aymen Zahid
principal investigator · Mayo Hospital Lahore

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Dexmedetomidine

Start the discussion