UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000041944
Receipt number R000047132
Scientific Title Investigational clinical study on transpulmonary pressure in general anesthesia
Date of disclosure of the study information 2020/10/05
Last modified on 2023/10/04 10:44:28

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Basic information

Public title

Investigational clinical study on transpulmonary pressure in general anesthesia

Acronym

Investigational clinical study on transpulmonary pressure in general anesthesia

Scientific Title

Investigational clinical study on transpulmonary pressure in general anesthesia

Scientific Title:Acronym

Investigational clinical study on transpulmonary pressure in general anesthesia

Region

Japan


Condition

Condition

Patients undergoing general anesthesia for robot-assisted laparoscopic surgery

Classification by specialty

Anesthesiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To examine other parameters linked to the esophageal pressure considered to be an approximation of pleural pressure in patients undergoing robotic-assisted laparoscopic surgery and ventilatory management.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

Correlation between esophageal pressure and other respiratory parameters

Key secondary outcomes

Subgroup analysis for correlation contributions


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

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

No need to know


Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Continuous measurement of esophageal pressure with the insertion of an esophageal pressure measuring balloon device

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

Key inclusion criteria

1 Patients scheduled for robot-assisted laparoscopic surgery
2 Patients scheduled to use a cuffed endotracheal intubation tube
3 Patients who have been fully informed of the study, fully understood, and have given their voluntary written consent to participate in the study

Key exclusion criteria

1 Patients with known esophageal disease or known history of esophageal disease
2 Patients with a past history of upper gastrointestinal surgery
3 Patients with suspected abnormalities in the laryngeal trachea anatomy such as previous tracheostomy, airway stenosis, or tracheomalacia
4 Patients with potential complications with intralesional pressure balloon placement such as uncontrolled coagulation abnormalities, severe thrombocytopenia, nasal involvement, or esophageal varices
5 As determined by the Minister of Health, Labour and Welfare, patients evaluated as difficult to anesthetize in their pre-anesthetic state
6 Other patients who are deemed unsuitable as subjects by the investigator

Target sample size

20


Research contact person

Name of lead principal investigator

1st name Gaku
Middle name
Last name Kawamura

Organization

The University of Tokyo Hospital

Division name

Anesthesiology and pain relief center

Zip code

113-8655

Address

7-3-1 Hongo, Bunkyo-ku, Tokyo Japan

TEL

+81-3-3815-5411

Email

gaku-kawa@umin.ac.jp


Public contact

Name of contact person

1st name Yoko
Middle name
Last name Hoshino

Organization

The University of Tokyo Hospital

Division name

Anesthesiology and pain relief center

Zip code

113-8655

Address

7-3-1 Hongo, Bunkyo-ku, Tokyo Japan

TEL

+81-3-3815-5411

Homepage URL


Email

yoko-hoshino@umin.ac.jp


Sponsor or person

Institute

The University of Tokyo Hospital

Institute

Department

Personal name



Funding Source

Organization

The University of Tokyo Hospital

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

Office for Human Research Studies(OHRS) Graduate School of Medicine and Faculty of Medicine, The University of Tokyo

Address

7-3-1 Hongo, Bunkyo-ku,Tokyo

Tel

03-5841-0818

Email

ethics@m.u-tokyo.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

2020 Year 10 Month 05 Day


Related information

URL releasing protocol

https://center6.umin.ac.jp/cgi-bin/icdr/ctr_view_reg.cgi?recptno=R000047132

Publication of results

Unpublished


Result

URL related to results and publications

https://center6.umin.ac.jp/cgi-bin/icdr/ctr_view_reg.cgi?recptno=R000047132

Number of participants that the trial has enrolled

20

Results

Data were available for a total of 18 patients.
The correlation coefficient between intraesophageal pressure and cuff pressure during inspiration was 0.58, and the BA analysis showed a fixed error. The correlating coefficient between intraesophageal pressure and cuff pressure during expiration was 0.23, and the BA analysis showed a systematic error.

Results date posted

2023 Year 10 Month 04 Day

Results Delayed

Delay expected

Results Delay Reason

Additional verification of the results was needed.

Date of the first journal publication of results


Baseline Characteristics

Ave. (25tile-75tile)
Age 66.8 (61.3-72.3)
Hight, cm 166.9(164-169.5)
Body Weight, kg 63.5 (58.5-69)
BMI, kg/m2 22.8 (20.9-25.3)
Vital capacity, L 4.0(3.6-4.2)
Forced Vital Capacity, 72.5 (66.7-78.6)
Ope time, min 299 (223-339)
Depth of intubation tube, cm 23.7(23-24)
Depth of esophageal balloon catheter, cm 71.4(70-72.5)


Participant flow

As planned

Adverse events

no

Outcome measures

Data were available for a total of 18 patients.
The correlation coefficient between intraesophageal pressure and cuff pressure during inspiration was 0.58, and the BA analysis showed a fixed error. The correlating coefficient between intraesophageal pressure and cuff pressure during expiration was 0.23, and the BA analysis showed a systematic error.The correlation coefficient between cuff pressure and intra-airway pressure during inspiration was 0.68, and that between intra-esophageal pressure and intra-airway pressure during inspiration was 0.87.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2020 Year 08 Month 17 Day

Date of IRB

2020 Year 09 Month 18 Day

Anticipated trial start date

2020 Year 10 Month 08 Day

Last follow-up date

2021 Year 08 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2020 Year 09 Month 30 Day

Last modified on

2023 Year 10 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000047132


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name