UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000036991
Receipt number R000042142
Scientific Title The effect of SPI (surgical pleth index)-guided analgesia on the peri-operative stress hormone secretion and postoperative immune system in the elderly patients
Date of disclosure of the study information 2023/01/01
Last modified on 2020/06/07 14:50:36

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Basic information

Public title

The effect of SPI (surgical pleth index)-guided analgesia on postoperative immune system in the elderly patients

Acronym

SPI-IEP

Scientific Title

The effect of SPI (surgical pleth index)-guided analgesia on the peri-operative stress hormone secretion and postoperative immune system in the elderly patients

Scientific Title:Acronym

SPI-SHI

Region

Asia(except Japan)


Condition

Condition

randomized controlled trial

Classification by specialty

Clinical immunology Geriatrics Surgery in general
Anesthesiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to investigate the difference between the method of empirical administration based on the increase in pulse and blood pressure and the method of administration using the Surgical Pleth Index (SPI) during the operation of the elderly patient.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

the difference of intravenous IV remifentanil dose

Key secondary outcomes

peri operative cortisol, epinephrine, norepinephrine, ACTH,IL6, TNF a, NK cell activity


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -investigator(s) and assessor(s) are blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Intavenous remifentanil wiill be titrated until surgical pleth index (SPI) value is within 20-50 in SPI group. Time intervalof administration is minimum 5min

Interventions/Control_2

Intavenous remifentanil will be titrated when blood pressure or heart rate is increased to above 20% of the baseline value in control group for 1 min. Time intervalof administration is minimum 5min .

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

65 years-old <=

Age-upper limit

100 years-old >=

Gender

Male and Female

Key inclusion criteria

Adult patients aged more than 65 years with a physical status of 1-3(the American Society of Anesthesiologists rating) who are scheduled to undergo GI cancer surgery

Key exclusion criteria

Patients with a history of hypersensitivity to drugs, and those receiving analgesics, sedatives or psychiatric medication will be excluded.

Target sample size

86


Research contact person

Name of lead principal investigator

1st name Young ju
Middle name
Last name Won

Organization

Guro Hospital, Korea University College of Medicine

Division name

Department of Anesthesiology and Pain Medicine

Zip code

03803

Address

148 Gurodong-ro, Guro-gu, Seoul, Korea

TEL

82-2-2626-1437

Email

moma2@naver.com


Public contact

Name of contact person

1st name Young Ju
Middle name
Last name Won

Organization

Guro Hospital, Korea University College of Medicine

Division name

Department of Anesthesiology and Pain Medicine

Zip code

08308

Address

148 Gurodong-ro, Guro-gu, Seoul, Korea

TEL

82-2-2626-2-1437

Homepage URL


Email

moma2@naver.com


Sponsor or person

Institute

Korea University

Institute

Department

Personal name



Funding Source

Organization

Korea University
national research foundation of korea

Organization

Division

Category of Funding Organization

Government offices of other countries

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Guro Hospital, Korea University College of Medicine

Address

gurodong ro 148

Tel

02-2626-1964

Email

kughirb@naver.com


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

2023 Year 01 Month 01 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

Open public recruiting

Date of protocol fixation

2019 Year 05 Month 27 Day

Date of IRB

2019 Year 05 Month 27 Day

Anticipated trial start date

2019 Year 05 Month 27 Day

Last follow-up date

2023 Year 01 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2019 Year 06 Month 07 Day

Last modified on

2020 Year 06 Month 07 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000042142


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name