UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009023
Receipt number R000010588
Scientific Title Effects of perioperative propofol infusion on energy expenditure, fat metabolism, protein catabolism and clinical courses following esophageal cancer surgery
Date of disclosure of the study information 2012/10/03
Last modified on 2018/04/08 00:56:16

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Basic information

Public title

Effects of perioperative propofol infusion on energy expenditure, fat metabolism, protein catabolism and clinical courses following esophageal cancer surgery

Acronym

Comparison of two different anaesthesia/sedation techniques in esophageal cancer surgery : propofol anaesthesia/propofol sedation and sevoflurane anaesthesia/midazolam sedation

Scientific Title

Effects of perioperative propofol infusion on energy expenditure, fat metabolism, protein catabolism and clinical courses following esophageal cancer surgery

Scientific Title:Acronym

Comparison of two different anaesthesia/sedation techniques in esophageal cancer surgery : propofol anaesthesia/propofol sedation and sevoflurane anaesthesia/midazolam sedation

Region

Japan


Condition

Condition

Esophageal cancer

Classification by specialty

Gastrointestinal surgery Anesthesiology Intensive care medicine

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To Investigate the effects of perioperative propofol infusion on energy expenditure, fat metabolism, protein catabolism and clinical courses following esophageal cancer surgery

Basic objectives2

Pharmacodynamics

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary outcome is set to demonstrate that propofol has significant effects on energy expenditure, fat metabolism and protein catabolism.

Key secondary outcomes

Secondary outcome includes improvement in postoperative clinical courses by propofol.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

The patients are devided into two groups: propofol anaesthesia/propofol sedation group (Group PP, n = 10) or sevoflurane anaesthesia/midazolam sedation group (Group SM, n = 10).
In Group PP, anaesthesia is induced with propofol and fentanyl, and maintained with propofol and fentanyl. Sedation is maintained with propofol.

Interventions/Control_2

In Group SM, anaesthesia is induced with thiamylal and fentanyl, and maintained with sevoflurane and fentanyl. Sedation is maintained with midazolam.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

40 years-old <=

Age-upper limit

80 years-old >=

Gender

Male

Key inclusion criteria

Male patients who undergo elective thoracoabdominal esophagectomy with gastric tube reconstruction starting at 9:00 a.m. and had performance status 0 are entered .

Key exclusion criteria

Preoperative exclusion criteria includes the patients who are obese (Body Mass Index > 30), have histories of diabetic mellitus, hyperlipidemia, liver dysfunction, renal dysfunction(Cr > 1.0), high-calorie infusion administration or chemoradiotherapy within 1 month before the day of surgery, or take medications of beta-adrenergic blocking agents, steroid agents or non-steroid anti-inflammatory drugs (NSAIDs). Postoperative exclusion criteria includes the patients who are in need of inspiratory oxygen fraction > 0.6 or positive end-expiratory pressure > 5 cmH2O during mechanical ventilation, dopamine > 3 microgram/kg/min, insulin, diuretic drugs, NSAIDs or beta-adrenergic blocking agents during intensive care unit stay.

Target sample size

20


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Ryuichi Nakanuno

Organization

Hiroshima University Hospital

Division name

Department of Anesthesiology and Critical Care

Zip code


Address

1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan

TEL

082-257-5267

Email

nakanuno@hiroshima-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Ryuichi Nakanuno

Organization

Hiroshima University Hospital

Division name

Department of Anesthesiology and Critical Care

Zip code


Address

1-2-3 Kasumi, Minami-ku, Hiroshima 734-8551, Japan

TEL

082-257-5267

Homepage URL


Email

nakanuno@hiroshima-u.ac.jp


Sponsor or person

Institute

Department of Anesthesiology and Critical Care, Hiroshima University Hospital

Institute

Department

Personal name



Funding Source

Organization

The Hiroshima University Support Foundation

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2012 Year 10 Month 03 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results

Propofol anesthesia and postoperative propofol sedation resulted in a reduced peak postoperative bladder temperature and lower postoperative C-reactive protein levels than sevoflurane anesthesia followed by midazolam sedation. However, propofol infusion did not show significant effect on energy expenditure, fat metabolism, protein catabolism and clinical courses.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2007 Year 07 Month 01 Day

Date of IRB


Anticipated trial start date

2007 Year 07 Month 02 Day

Last follow-up date


Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2012 Year 10 Month 02 Day

Last modified on

2018 Year 04 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010588


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name