UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000016448
Receipt number R000019106
Scientific Title The effects of propofol on the cardiac conduction system and the cardiac autonomic nervous system
Date of disclosure of the study information 2015/02/05
Last modified on 2020/10/29 16:24:07

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Basic information

Public title

The effects of propofol on the cardiac conduction system and the cardiac autonomic nervous system

Acronym

The effects of propofol on the cardiac conduction system and the cardiac autonomic nervous system

Scientific Title

The effects of propofol on the cardiac conduction system and the cardiac autonomic nervous system

Scientific Title:Acronym

The effects of propofol on the cardiac conduction system and the cardiac autonomic nervous system

Region

Japan


Condition

Condition

Pediatric patients undergoing an electrophysiologic study and the radiofrequency catheter ablation

Classification by specialty

Cardiology Pediatrics Anesthesiology
Child

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to investigate dose-dependent effects of propofol on the cardiac conduction system and the cardiac autonomic nervous system.

Basic objectives2

Pharmacodynamics

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

sinus node recovery time
sinoatrial conduction time
atrial-His intervals
His-ventricular intervals
heart rate valiability analysis

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Self control

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

After continuous propofol infusion at a rate of 5mg/kg/h,2mg/kg of propofol is injected,followed by continuous infusion of propofol at a rate of 10mg/kg/h for 10min

Interventions/Control_2


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

3 years-old <=

Age-upper limit

15 years-old >=

Gender

Male and Female

Key inclusion criteria

ASA physical status 1 and 2 pediatric patients who were scheduled undergoing
electrophysiologic study and radiofrequency catheter ablation for tachyarrhythmia

Key exclusion criteria

Patients with allergy to propofol and
its solvents
Patients with severe heart diseases
Patients with liver dysfunction
Patients with renal dysfunction

Target sample size

50


Research contact person

Name of lead principal investigator

1st name Mayuka
Middle name
Last name Matsushima

Organization

Kinki University Hospital,Faculty of
Medicine

Division name

Central operation department

Zip code

5898511

Address

377-2 Oono-higashi,Oosakasayama City,Oosaka,Japan

TEL

072-366-0221

Email

m-shiba@med.kindai.ac.jp


Public contact

Name of contact person

1st name Mayuka
Middle name
Last name Matsushima

Organization

Kinki University Faculty of Medicine

Division name

Deparment of Anesthesiology

Zip code

5898511

Address

377-2 Oono-higashi,Oosakasayama City,Oosaka,Japan

TEL

072-366-0221

Homepage URL


Email

m-shiba@med.kindai.ac.jp


Sponsor or person

Institute

Deparment of Anesthesiology Kinki University Faculty of Medicine

Institute

Department

Personal name



Funding Source

Organization

Deparment of Anesthesiology Kinki University Faculty of Medicine

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethics Committee of Kindai University Faculty of Medicine

Address

377-2 Oono-higashi,Oosakasayama City,Oosaka,Japan

Tel

072-366-0221

Email

gakumu@med.kindai.ac.jp


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

近畿大学医学部附属病院


Other administrative information

Date of disclosure of the study information

2015 Year 02 Month 05 Day


Related information

URL releasing protocol

https://doi.org/10.1111/jcpt.13302

Publication of results

Published


Result

URL related to results and publications

https://doi.org/10.1111/jcpt.13302

Number of participants that the trial has enrolled

23

Results

Results and discussion
Propofol significantly suppressed intrinsic cardiac HV conduction, but did not affect the SNRT, SACT or the AH interval. As HV blocks, which occur below the His bundle, are often life-threatening, the HV conduction delay may be a cause of severe AV blocks induced by propofol. Propofol directly suppressed parasympathetic nerve activity, and sympathetic nerve activity was also suppressed.

Results date posted

2020 Year 10 Month 29 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results

2020 Year 10 Month 24 Day

Baseline Characteristics

Twenty-three patients (age: 6-15 years; males: 16, females: 7) who were scheduled to undergo radiofrequency catheter ablation (RFCA) were prospectively enrolled in this study.
All of the patients had physical statuses of I or II according to the American Society of Anesthesiologists classification and apart from their cardiac arrhythmias were otherwise healthy

Participant flow

written informed consent from the parents of the patients.
The administration of all anti-arrhythmia drugs was stopped 2 days before the RFCA. The patients did not receive any premedication.

Adverse events

none

Outcome measures

sinus node recovery time
sinoatrial conduction time
atrial-His intervals
His-ventricular intervals
heart rate valiability analysis

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2014 Year 08 Month 11 Day

Date of IRB

2014 Year 08 Month 11 Day

Anticipated trial start date

2014 Year 09 Month 08 Day

Last follow-up date

2019 Year 03 Month 08 Day

Date of closure to data entry

2019 Year 03 Month 08 Day

Date trial data considered complete

2019 Year 03 Month 08 Day

Date analysis concluded

2019 Year 03 Month 08 Day


Other

Other related information



Management information

Registered date

2015 Year 02 Month 05 Day

Last modified on

2020 Year 10 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019106


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name