UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000040880
Receipt number R000046626
Scientific Title Impact of intraoperative use of Dexmedetomidine versus Remifentanil on postoperative enhanced recovery and Morphine consumption in obese patients for laparoscopic sleeve gastrectomy
Date of disclosure of the study information 2020/06/24
Last modified on 2020/09/20 02:29:04

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Basic information

Public title

Effect of Dexmedetomidine versus Remifentanil on early recovery from anesthesia and Morphine consumption in laparoscopic sleeve gastrectomy obese patients

Acronym

Effect of Dexmedetomidine versus Remifentanil on early recovery and Morphine consumption in laparoscopic sleeve gastrectomy patients

Scientific Title

Impact of intraoperative use of Dexmedetomidine versus Remifentanil on postoperative enhanced recovery and Morphine consumption in obese patients for laparoscopic sleeve gastrectomy

Scientific Title:Acronym


Impact of intraoperative use of dexmedetomidine versus remifentanil on the enhanced recovery characteristics following laparoscopic sleeve gastrectomy. A clinical observational pilot study

Region

Asia(except Japan)


Condition

Condition

No any

Classification by specialty

Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the impact of intraoperative anesthesia adjuvants Dexmedetomidine and Remifentanil on postoperative pain in obese patients scheduled for laparoscopic sleeve gastrectomy

Basic objectives2

Others

Basic objectives -Others

To evaluate the impact of Dexmedetomidine and Remifentanil on Morphine consumption and quality of recovery in obese patients scheduled for laparoscopic sleeve gastrectomy.

Trial characteristics_1

Exploratory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

To assess the effect of Dexmedetomidine and Remifentanil on postoperative pain in obese patients scheduled for laparoscopic sleeve gastrectomy under general anesthesia

Key secondary outcomes

To assess the effect of Dexmedetomidine and Remifentanil on postoperative quality of recovery from general anesthesia (i.e. pain, hemodynamics, sedation, agitation, shivering, postoperative nausea & vomiting, length of hospital stay) and Morphine consumption in obese patients scheduled for laparoscopic sleeve gastrectomy.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Double blind -all involved are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Medicine

Interventions/Control_1

Dexmedetomidine 200 micrograms (mics) diluted in 50 milliliters (ml) normal saline. The final concentration will be 4 mics/ml.
Dose 0.2- 0.7 mics/kg/hour under general anesthesia for the duration of surgery approximately 45 to 120 minutes.

Interventions/Control_2

Remifentanil 5 milligrams (mg) will also be diluted in 50 ml normal saline. The final concentration will be 100 mics/ml. Dose- 0.05-1 mics/kg/minute for the duration of surgery approximately 45 to 120 minutes.

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

18 years-old <=

Age-upper limit

60 years-old >=

Gender

Male and Female

Key inclusion criteria

1- ASA I, II
2- Age 18-60 years
3- Either gender
4- Obese patients (BMI >35 for laparoscopic
sleeve gastrectomy)

Key exclusion criteria

1- Uncontrolled Hypertension
2- Age below 18 and older than 60
3- Non-Obese patients (BMI< 35)
4- Heart block > Ist degree
5- Allergic to morphine, alpha-2 agonist
5- Clinically significant neurological, cardiovascular, renal hepatic disease
6- History of drug abuse or chronic opioid use

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Abdul Sattar
Middle name
Last name Narejo

Organization

King Saud University Medical City

Division name

Anesthesia

Zip code

P.O. Box 7805 Riyadh, 11472 K.S.A.

Address

Department of Anesthesia, King Saud University Medical City, Riyadh, Saudi Arabia

TEL

00966556314525

Email

narejo27@hotmail.com


Public contact

Name of contact person

1st name Abdul Sattar
Middle name
Last name Narejo

Organization

King Saud University Medical City

Division name

Anesthesia

Zip code

P.O. Box 7805 Riyadh, 11472 K.S.A.

Address

Department of Anesthesia, King Saud University Medical City, Riyadh, Saudi Arabia

TEL

00966556314525

Homepage URL

https://medicalcity.ksu.edu.sa/en

Email

narejo27@hotmail.com


Sponsor or person

Institute

King Saud University College of Medicine
Riyadh, Saudi Arabia





INSTITUTIONAL REVIEW BOARD (201)

Institute

Department

Personal name



Funding Source

Organization

Saudi Anesthesia Society (SAS)
Riyadh, Saudi Arabia
http://www.saudianas.com/contact

Organization

Division

Category of Funding Organization

Non profit foundation

Nationality of Funding Organization

Kingdom of Saudi Arabia


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

King Saud University College of Medicine and King Khalid University Hospital

Address

INSTITUTIONAL REVIEW BOARD (201) 3rd Floor Room 317, Block 22 (near Theatre C) King Saud University College of Medicine and King Khalid University Hospital P.O. Box 7805 Riyadh, 11472 K.S.A.

Tel

(+966-11) 469-1531; (+966-11) 469-1532

Email

rdeocampo@ksu.edu.sa


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

King Saud University College of Medicine and King Khalid University Hospital (Riyadh)


Other administrative information

Date of disclosure of the study information

2020 Year 06 Month 24 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

40

Results


Results date posted


Results Delayed

Delay expected

Results Delay Reason

COVID-19 Pandemic

Date of the first journal publication of results


Baseline Characteristics

-Dexmedetomidine
-Remifentanil
-Laparoscopic Sleeve Gastrectomy
-Pain
-Enhanced Recovery after Surgery & Anesthesia
-Morphine Consumption

Participant flow


Adverse events

-Mild Hypotension
-Bradycardia
-Postoperative Nausea & Vomiting (PONV)
-Sedation

Outcome measures

Primary- Pain with 10 cm long Numerical Rating Scale (NRS)

Secondary- Enhance recovery from surgery & anesthesia in terms of (Hemodynamics, PONV, Shivering, sedation, agitation, length of hospital stay)

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2019 Year 11 Month 10 Day

Date of IRB

2019 Year 12 Month 24 Day

Anticipated trial start date

2019 Year 12 Month 25 Day

Last follow-up date

2020 Year 03 Month 26 Day

Date of closure to data entry

2020 Year 05 Month 14 Day

Date trial data considered complete

2020 Year 05 Month 14 Day

Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 06 Month 24 Day

Last modified on

2020 Year 09 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000046626


Research Plan
Registered date File name
2020/09/20 METHODOLOGY pdf.pdf

Research case data specifications
Registered date File name
2020/06/29 Individual data specification.docx

Research case data
Registered date File name
2020/09/20 Dex & Remi-coded.xlsx