Trial record 9 of 514 for:    Open Studies | "Infant, Newborn, Diseases"

Exploratory Propofol Dose Finding Study In Neonates (NEOPROP)

This study is currently recruiting participants.
Verified August 2012 by Universitaire Ziekenhuizen Leuven
Sponsor:
Information provided by (Responsible Party):
Universitaire Ziekenhuizen Leuven
ClinicalTrials.gov Identifier:
NCT01621373
First received: June 8, 2012
Last updated: August 14, 2012
Last verified: August 2012
  Purpose

The aim of the study is to explore the optimal propofol dose in neonates receiving a single intravenous propofol bolus for endotracheal intubation during (semi-)elective INSURE (intubation-surfactant-extubation) procedure (preterm neonates) and (semi-)elective non-INSURE procedures (term-preterm neonates).


Condition Intervention Phase
Drug Safety
Neonatal Disorder
Drug: propofol administration
Phase 2

Study Type: Interventional
Study Design: Endpoint Classification: Pharmacokinetics/Dynamics Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Prospective Exploratory Dose-finding Study in Neonates Receiving a Single Intravenous Propofol Bolus for Endotracheal Intubation During (Semi-)Elective INSURE Procedure or Non-INSURE Procedures in Neonates

Resource links provided by NLM:


Further study details as provided by Universitaire Ziekenhuizen Leuven:

Primary Outcome Measures:
  • Number of neonates where successful in- and extubation in INSURE conditions and successful intubation in non-INSURE conditions is achieved [ Time Frame: 1 hour after propofol administration ] [ Designated as safety issue: No ]
    Using predefined scoring systems we will evaluate in how many patients successful intubation and extubation in INSURE-conditions was achieved. In non-INSURE conditions only successful intubation will be evaluated. Afterward we will explore the given dose of propofol in each stratum to reach this outcome measure.


Estimated Enrollment: 50
Study Start Date: August 2012
Estimated Study Completion Date: August 2013
Estimated Primary Completion Date: August 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
propofol
All patients receive propofol. Dose will be defined based on response of previous patient in the same stratum.
Drug: propofol administration
Single IV bolus propofol start at 1 mg/kg. Dose will be adapted based on predefined scoring systems with +/-0.5 mg/kg.
Other Name: Diprivan

Detailed Description:

The aim of the study is to evaluate the pharmacokinetics and pharmacodynamics of propofol (short acting anesthetic) in 50 neonates to whom the drug is administered as a intravenous bolus. This is part of routine clinical care in patients receiving (semi-) elective intubation. It's the aim to explore the most effective IV propofol dose for a successful INSURE (intubation, surfactant, extubation) procedure and for successful (semi-) elective intubation in non-INSURE procedures. We hereby aim to define the most optimal dose regimen for propofol in neonates.

we will hereby use

  • predefined scoring systems to evaluate sedation, relaxation and intubation conditions
  • vital parameter monitoring
  • pharmacokinetic analysis with blood samples
  • brain monitoring with NIRS derived cerebral oxygenation and aEEG.
  Eligibility

Ages Eligible for Study:   up to 28 Days
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Neonates admitted to the Neonatal Intensive Care Unit who need short procedural sedation for (semi-) elective intubation will be considered for inclusion, after informed written consent of the parents.
  • Patients can be included if they are hemodynamically stable and did not receive sedative or analgesic agents during the previous 24 hours.

Exclusion Criteria:

  • Known propofol intolerance
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01621373

Contacts
Contact: Liesbeth Thewissen, MD +3216343211 Liesbeth.thewissen@uzleuven.be
Contact: Anne Smits, MD +3216343211 Anne.smits@uzleuven.be

Locations
Belgium
Neonatal Intensive Care Unit UZ Leuven Recruiting
Leuven, Vlaams brabant, Belgium, 3000
Contact: Liesbeth Thewissen, MD    +3216343211    Liesbeth.thewissen@uzleuven.be   
Contact: Anne Smits, MD    +3216343211    anne.smits@uzleuven.be   
Sponsors and Collaborators
Universitaire Ziekenhuizen Leuven
Investigators
Principal Investigator: Liesbeth Thewissen, MD UZ Leuven, Belgium
  More Information

No publications provided

Responsible Party: Universitaire Ziekenhuizen Leuven
ClinicalTrials.gov Identifier: NCT01621373     History of Changes
Other Study ID Numbers: s54472, 2012-002648-26
Study First Received: June 8, 2012
Last Updated: August 14, 2012
Health Authority: Belgium: Federal Agency for Medicinal Products and Health Products

Keywords provided by Universitaire Ziekenhuizen Leuven:
neonatology
intratracheal intubation
propofol

Additional relevant MeSH terms:
Infant, Newborn, Diseases
Propofol
Anesthetics, Intravenous
Anesthetics, General
Anesthetics
Central Nervous System Depressants
Physiological Effects of Drugs
Pharmacologic Actions
Central Nervous System Agents
Therapeutic Uses
Hypnotics and Sedatives

ClinicalTrials.gov processed this record on April 16, 2014