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Comparative Population Pharmacodynamic Modeling for Sevoflurane Effects Using ADMS and Bispectral Index

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ClinicalTrials.gov Identifier: NCT03069456
Recruitment Status : Unknown
Verified February 2017 by Seongwook Jeong, Chonnam National University Hospital.
Recruitment status was:  Recruiting
First Posted : March 3, 2017
Last Update Posted : March 3, 2017
Sponsor:
Information provided by (Responsible Party):
Seongwook Jeong, Chonnam National University Hospital

Brief Summary:
The investigators want to compare the performance of anesthetic depth monitoring for sedation (ADMS) to the bispectral index (BIS) as electroencephalographic measures of sevoflurane effect using two combined sigmoidal Emax models via population pharmacodynamic approach.

Condition or disease Intervention/treatment Phase
Anesthesia Device: BIS Device: ADMS Not Applicable

Detailed Description:
Intraoperative awareness under general anesthesia is rare, but it may cause serious psychological sequelae. Anesthetic depth monitoring system based on electroencephalography(EEG) or evoked potential are broadly used methods. Bispectral index (BIS) monitor is most popular anesthetic depth monitoring system. Anesthetic depth monitoring for sedation (ADMS) is developed in Korea as an electroencephalographic monitor for measuring the depth of anesthesia. The investigators want to compare the performance of ADMS to the bispectral index (BIS) as electroencephalographic measures of sevoflurane effect using two combined sigmoidal Emax models via population pharmacodynamic approach.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Intervention Model Description: Combined sigmoidal Emax models from anesthetic depth monitoring for sedation (ADMS) and combined sigmoidal Emax models from bispectral index (BIS) via population pharmacodynamic approach.
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Comparative Population Pharmacodynamic Modeling for Sevoflurane Effects Using Anesthetic Depth Monitoring for Sedation (ADMS) and Bispectral Index System (BIS)
Study Start Date : April 2016
Estimated Primary Completion Date : June 2017
Estimated Study Completion Date : December 2017

Resource links provided by the National Library of Medicine

Drug Information available for: Sevoflurane

Arm Intervention/treatment
Active Comparator: BIS group
Combined sigmoidal Emax models from the BIS data
Device: BIS
Experimental: ADMS group
Combined sigmoidal Emax models from the ADMS data
Device: ADMS



Primary Outcome Measures :
  1. Bispectral Index (BIS) [ Time Frame: Data capture will be started 45 minutes after induction of general anesthesia for 70 minutes ]
    captured BIS data (0~100) from the BIS system after induction of general anesthesia, sevoflurane concentrations will be progressively increased and then decreased over 70 min.

  2. Anesthetic depth monitoring for sedation (ADMS) [ Time Frame: Data capture will be started 45 minutes after induction of general anesthesia for 70 minutes ]
    captured ADMS data (0~100) from the ADMS system after induction of general anesthesia, sevoflurane concentrations will be progressively increased and then decreased over 70 min.


Secondary Outcome Measures :
  1. Adverse events [ Time Frame: visit patients 24 hours after operation. ]
    Observe all adverse events both groups



Information from the National Library of Medicine

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Ages Eligible for Study:   20 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • adult patients scheduled for an elective operation and postoperative epidural PCA with ASA physical status 1,2,3 who have signed the wrtten informed consent.

Exclusion Criteria:

  • preventive anticoagulation treatment
  • Significant liver, kidney, coagulation dysfunction
  • Clinically significant ECG abnormalities
  • administration of psychologic durgs or opioid within 14 days before surgery

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03069456


Contacts
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Contact: Tae-hee Pyeon, MD +82-10-2705-9901 skybluevus@naver.com

Locations
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Korea, Republic of
Chonnam National University Hwasun Hospital Recruiting
Hwasun, Korea, Republic of, 519-763
Contact: Chanhong Park    +82-61-379-7598    cnuhpch@naver.com   
Sponsors and Collaborators
Chonnam National University Hospital
Investigators
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Principal Investigator: SEONGWOOK JEONG, MD, PhD. Chonnam National University Hospital
Publications:
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Responsible Party: Seongwook Jeong, professor, Chonnam National University Hospital
ClinicalTrials.gov Identifier: NCT03069456    
Other Study ID Numbers: CNUHH-2015-067
First Posted: March 3, 2017    Key Record Dates
Last Update Posted: March 3, 2017
Last Verified: February 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No
Keywords provided by Seongwook Jeong, Chonnam National University Hospital:
sevoflurane
Bistpectral index
Anesthetic Depth Monitoring System
population pharmacodynamics