UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000017213
Receipt number R000019510
Scientific Title Cuffed vs uncuffed endtrachial tube - randomized controlled trial in pediatric patients younger than 6-year-old including neonates at single institute
Date of disclosure of the study information 2015/04/21
Last modified on 2016/12/27 14:46:58

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Basic information

Public title

Cuffed vs uncuffed endtrachial tube - randomized controlled trial in pediatric patients younger than 6-year-old including neonates at single institute

Acronym

Micro-SPA (Microcuff Suitable for Pediatric Anesthesia)

Scientific Title

Cuffed vs uncuffed endtrachial tube - randomized controlled trial in pediatric patients younger than 6-year-old including neonates at single institute

Scientific Title:Acronym

Micro-SPA (Microcuff Suitable for Pediatric Anesthesia)

Region

Japan


Condition

Condition

General anesthetized patients requiring endtracheal intubation

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate safety and efficacy of cuffed pediatric tracheal tube (Microcuff endtracheal tube) compared to uncuffed endtracheal tube in Japanese children (newborn - 6 years old)

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2


Developmental phase

Phase III


Assessment

Primary outcomes

Presence of inspiratory stridor after extubation in operation room and/or recovery room

Key secondary outcomes

1. Secondary outcomes
1) Tube exchange
2) Therapy for inspiratory stridor after extubation (nebulized epinephrine and/or continuous positive airway pressure)
3) Time from extubation to leaving recovery room
4) Impaired airway track due to intubation itself (laryngospasm and/or tracheal hemorrhage)
5) Re-intubation
6) Unexpected ICU-admission due to airway problems
7) Need for oxygen at the time of leaving recovery room
8) Residual inspiratory stridor at the time of leaving recovery room

2. Experimental endpoints
1) Accidental one lung ventilation
2) Adjustment of tube position after intubation
3) Reliability of EtCO2 wave
4) Need for fresh gas flow more than 4L/min
5) Adjustment of cuff pressure due to accidental change in cuff pressure (Group A)
6) Change in length of tube position more than or equal to 1 cm
7) Need for pharyngeal gauze packing
8) Inappropriate location of tube tip detected with chest X-ray


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

YES

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Intervention: Intubate using cuffed tracheal tube (Microcuffe endotracheal tube / Halyard Healthcare, Inc.)

Interventions/Control_2

Control: Intubate using uncuffed tracheal tube (PORTEX endotracheal tube / Smiths Medical )

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

0 years-old <=

Age-upper limit

6 years-old >

Gender

Male and Female

Key inclusion criteria

1) Children who are undergoing elective surgery or examination requiring enrtracheal intubation under general anesthesia
2) Children with parental written informed consent
3) Children who are planed to extubabe in operation room, stay at recovery room until getting stable, and then go back to ward
4) Children from newborns to younger than 6 years of age (Newborns are required to be born at full-term of gestation and weight more than or equal to 3 kg.)

Key exclusion criteria

1) Children who are undergoing urgent or emergency surgery
2) Children who have impaired functions of airway and/or swallowing
3) Children who are known or predicted to have difficulty in airway management
4) Children who have upper respiratory infection within 2 weeks or lower respiratory infection within 4 weeks
5) Children who are undergoing surgical interventions into airway itself or lung (e.g. adenoidectomy)
6) Children who had been enrolled in this study
7) Children with severe general status (ASA PS >2)

Target sample size

1150


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yasuhiro Kogure

Organization

National Center for Child Health and Development

Division name

Department of intensive care and anesthesia

Zip code


Address

2-10-1 Okura, Setagaya Tokyo 157-8535, JAPAN

TEL

+81-3-3416-0181

Email

kogure-y@ncchd.go.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yasuhiro Kogure

Organization

National Center for Child Health and Development

Division name

Department of intensive care and anesthesia

Zip code


Address

2-10-1 Okura, Setagaya Tokyo 157-8535, JAPAN

TEL

+81-3-3416-0181

Homepage URL


Email

kogure-y@ncchd.go.jp


Sponsor or person

Institute

Department of intensive care and anesthesia, National Center for Child Health and Development

Institute

Department

Personal name



Funding Source

Organization

No funding

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



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

国立成育医療研究センター(東京都)


Other administrative information

Date of disclosure of the study information

2015 Year 04 Month 21 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


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

No longer recruiting

Date of protocol fixation

2015 Year 04 Month 21 Day

Date of IRB


Anticipated trial start date

2015 Year 04 Month 23 Day

Last follow-up date

2016 Year 12 Month 27 Day

Date of closure to data entry

2016 Year 12 Month 28 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2015 Year 04 Month 21 Day

Last modified on

2016 Year 12 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000019510


Research Plan
Registered date File name
2016/12/27 Microcuff_SAP_002-2.docx

Research case data specifications
Registered date File name
2016/12/27 プロトコール確認登録シート_2015.4.21_YK.docx

Research case data
Registered date File name