UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000023479
Receipt number R000027036
Scientific Title Comparion of the infusion rate of rocuronium necessary for obtain adequate surgical muscle relaxation between before and during hepatectomy with Pringle maneuver.
Date of disclosure of the study information 2016/08/08
Last modified on 2021/02/14 22:48:10

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Basic information

Public title

Comparion of the infusion rate of rocuronium necessary for obtain adequate surgical muscle relaxation between before and during hepatectomy with Pringle maneuver.

Acronym

Comparion of the infusion rate of rocuronium between before and during hepatectomy with Pringle maneuver.

Scientific Title

Comparion of the infusion rate of rocuronium necessary for obtain adequate surgical muscle relaxation between before and during hepatectomy with Pringle maneuver.

Scientific Title:Acronym

Comparion of the infusion rate of rocuronium between before and during hepatectomy with Pringle maneuver.

Region

Japan


Condition

Condition

Surgical patients requiring hepatectomy with Pringle maneuver

Classification by specialty

Anesthesiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

We investigate a continuous infusion rate of rocuronium necessary for obtain optimal muscle relaxation, before and during hepatectomy with Pringle maneuver.

Basic objectives2

Pharmacodynamics

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

continuous infusion rate for obtain muscle relaxasion(before, during, and after Pringle maneuver)

Key secondary outcomes

measured blood concentration of rocuronium during stable state of optimalmuscle relaxation


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

We adjust a continuous rocuronium infusion rate to keep T1 twitch hight from 3 to 10% with acceleromyography on the adductor pollicis in response to electrical stimulation of the ulnar nerve, also keep T1 hight to the same level during a Pringle maneuver by changing an infusion rate of rocuronium.

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

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1)ASA physical status 1~3
2)age=>20
3)total venous anesthesia with propofol
4)Operation time=>3hours
5)written informed consent was obtained from the patients before the surgery

Key exclusion criteria

excluded if any one of the following criteria applied:
1) probably pregnant
2) abnormal serum electrolytes (Na +, K +, or Cl-)
3) renal dysfunction (serum creatinine greater than 2.0 mg/dl)
4) liver dysfunction (ALT and/or AST beyond twice the normal range)
5) ICG15=>15%
6) Child-Pugh classification=>B
7) emaciation (body mass index (BMI) less than 17), obesity (BMI more than 30)
8) neuromuscular disorders,
9) a history of hypersensitive reaction to Rb,
10) a history of treatment with drugs known to interact with Rb, such as aminoglycoside antibiotics, anticonvulsants, formulation lithium, or magnesium
11) hypothermia during anesthesia
12) systemic allergy
13) inappropriate patients judged by physician-in-charge

Target sample size

25


Research contact person

Name of lead principal investigator

1st name Akira
Middle name
Last name Kajiura

Organization

Saitama Medical Center, Jichi Medical University

Division name

Department of Anesthesiology and Critical Care Medicine

Zip code

3308503

Address

1-847, Amanuma-cho, Oomiya-ku, Saitama 330-8503, Japan

TEL

048-647-2111

Email

kajiura-hki@umin.ac.jp


Public contact

Name of contact person

1st name Akira
Middle name
Last name Kajiura

Organization

Saitama Medical Center, Jichi Medical University

Division name

Department of Anesthesiology and Critical Care Medicine

Zip code

3308503

Address

1-847, Amanuma-cho, Oomiya-ku, Saitama 330-8503, Japan

TEL

048-647-2111

Homepage URL


Email

kajiura-hki@umin.ac.jp


Sponsor or person

Institute

Saitama Medical Center, Jichi Medical University

Institute

Department

Personal name



Funding Source

Organization

Saitama Medical Center, Jichi Medical University

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

Jichi medical university, Saitama medical center

Address

1-847, Amanuma-cho, Omiya-ku, Saitama-city, Saitama

Tel

0486472111

Email

kaji-akira@jichi.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



Other administrative information

Date of disclosure of the study information

2016 Year 08 Month 08 Day


Related information

URL releasing protocol

https://pubmed.ncbi.nlm.nih.gov/29704050/

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/29704050/

Number of participants that the trial has enrolled

18

Results

The infusion rate of rocuronium before, during, and after the Pringle maneuver was 7.2
plus or minus 1.8, 4.2 plus or minus 1.4, and 4.7 plus or minus 1.5 mcg/kg/min (mean plus or minus SD), respectively. The rocuronium infusion rate during the Pringle maneuver was decreased about 40% compared to that before this maneuver, and that after completion of the Pringle maneuver was not recovered to that before the Pringle maneuver. The 25% recovery time was 20 plus or minus 7 min.

Results date posted

2021 Year 02 Month 14 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Hepatectomy patients with Pringle maneuver

Participant flow

Obtained research consent before hepatectomy

Adverse events

none

Outcome measures

The infusion rate of rocuronium before, during, and after the Pringle maneuver

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 06 Month 30 Day

Date of IRB

2016 Year 06 Month 30 Day

Anticipated trial start date

2016 Year 08 Month 08 Day

Last follow-up date

2017 Year 06 Month 30 Day

Date of closure to data entry

2017 Year 06 Month 30 Day

Date trial data considered complete

2017 Year 06 Month 30 Day

Date analysis concluded

2018 Year 04 Month 27 Day


Other

Other related information



Management information

Registered date

2016 Year 08 Month 04 Day

Last modified on

2021 Year 02 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000027036


Research Plan
Registered date File name
2017/04/03 肝切臨床研究.doc

Research case data specifications
Registered date File name

Research case data
Registered date File name
2017/07/28 患者データ2.xlsx