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Gastrointestinal EndoscopyNCT05485064

Moderate Sedation Combined With Acupuncture Anesthesia in Gastroscopy and Colonoscopy on Screening Research

A study testing fentanyl, eletroacupuncture(transcutaneous electrical acupuncture point stimulation ) and remimazolam in people with Gastrointestinal Endoscopy, run by The Affiliated Hospital of Qingdao University at 1 site in China.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is mainly about the feasibility and rationality of moderate sedation combined with acupuncture anesthesia in the application of gastroscopy and colonoscopy ,Then we evaluate the effectiveness and advantages of the combination of acupuncture anesthesia and drug anesthesia. Read more about this study

Who is it for?
Ages 18 to 100 yearsHealthy volunteers can take part
Conditions the study is for
Gastrointestinal Endoscopy
What is being tested?
fentanyl, eletroacupuncture(transcutaneous electrical acupuncture point stimulation ) and remimazolam
Type of treatment
Surgery or procedure
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
108 participants
Where
1 siteChina
Study dates
1 Aug 2022to 3 Nov 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 100 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Outpatients
  • Patients with ASA grade I-III
  • A sufficient level of education to understand study procedures and can communicate with investigators.

Who cannot join

  • Patients with serious systemic diseases such as severe cardiopulmonary disease or hepatic diseases or renal diseases.
  • Patients under the age of 18.
  • Patients who did not sign the informed consent form.
  • Patients who have a history of alcohol abuse or drug abuse.
  • People who are allergic to anesthetic related ingredients, such as soybeans, eggs and so on.
  • Patients with extreme fear or anxiety about acupuncture.
  • Patients with relative contraindications of gastrointestinal endoscopy.
  • -

Trial locations and contacts

1 site in 1 country.

China1 site
  • Jixiangyu

    Qingdao, Shandong, 266000

Other trials in China

About this study

The purpose of this study is mainly about the feasibility and rationality of moderate sedation combined with acupuncture anesthesia in the application of gastroscopy and colonoscopy ,Then we evaluate the effectiveness and advantages of the combination of acupuncture anesthesia and drug anesthesia.

Read the detailed description

With the increase of the proportion of the patients who crave for performing painless gastroscopy and colonoscopy in recent years, it is crucial to seek a more secure and effective method of anesthesia or sedation. At present, the universal anesthetic method on gastroscopy and colonoscopy in China is the general anesthesia without intubation which usually uses propofol and opioid analgesics,Although the satisfaction of patients is high, the incidence of anesthesia-related complications and drug-related adverse reactions is high .The incidence of adverse events during the gastroscopy and colonoscopy is high, and the medical expense of anesthesia is high. At present, more than 2/3 of the patients undergo painless gastroscopy or colonoscopy are middle-aged and elderly patients, so the overdose which prolongs the recovery time、discharge time of patients and reduces the recovery quality of patients is common. The moderate sedation, which fundmentally does not affect hemodynamics、autonomous respiration and protective reflexes, is incomparable to general anesthesia . And acupuncture anesthesia also acts as a safe anesthetic method can provide safer analgesic effect.Theoretically,the combination of both of them is a relatively perfect and safe painless method.

Being tested
fentanyl, eletroacupuncture(transcutaneous electrical acupuncture point stimulation ), placebo needle, remimazolam
Keywords
eletroacupuncture, moderate sedation, remimazolam, transcutaneous electrical acupuncture point stimulation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • fentanylDrug

    The investigator 1 use fentanyl to sedate patients coordinate with remimazolam

  • eletroacupuncture(transcutaneous electrical acupuncture point stimulation )Procedure or surgery

    The investigator 1 use electroacupunture(transcutaneous electrical acupuncture point stimulation )to coordinate with remimazolam

  • placebo needleDrug

    The investigator 1 use placebo needle to sedate patients coordinate with remimazolam

  • remimazolamDrug

    The investigator 1 use remimazolam to sedate patients coordinate with eletroacupuncture(transcutaneous electrical acupuncture point stimulation )or placebo needle

Study groups in NCT05485064
Study groupRoleWhat they receive
electroacupuncture(transcutaneous electrical acupuncture point stimulation )and remimazolamExperimentalThe investigator 1 combine electroacupuncture(transcutaneous acupoint electrical stimulation ) with remimazolam to sedate patients moderately to finish gastroscopy and colonoscopy.
Receives: Procedure: eletroacupuncture(transcutaneous electrical acupuncture point stimulation ); Drug: remimazolam
placebo needle and remimazolamExperimentalThe investigator 1 combine placebo needle with remimazolam to sedate patients moderately to finish gastroscopy and colonoscopy.
Receives: Drug: placebo needle; Drug: remimazolam
fentanyl and remimazolamExperimentalThe investigator 1 combine fentanyl with remimazolam to sedate patients moderately to finish gastroscopy and colonoscopy.
Receives: Drug: fentanyl; Drug: remimazolam

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. patient satisfaction with sedation instrument,PSSI

    The investigator 2 needs to use VAS scores to evaluate satisfaction about sedation feeling when they accepted gastroscopy and colonoscopy .The score ranges from 0 to10 and need patients evaluate it by themself when the gastroscopy or colonoscopy were finished.The score from 0 (extremely dissatisfied)to 10(extremely satisfied).

    Measured: During gastroscopy and colonoscopy

  2. clinical satisfaction with sedation instrument,CSSI

    The investigator 2 needs to use VAS scores to evaluate satisfaction about doctors when they carry out the operation.The score from 0 (extremely dissatisfied)to 10(extremely satisfied).

    Measured: During gastroscopy and colonoscopy

  3. patient's pain score

    The investigator 2 needs to use VAS scores to evaluate patients' pain score .The score from 0 (extremely dissatisfied)to 10(extremely satisfied).

    Measured: During gastroscopy and colonoscopy

Secondary outcomes (10)
  1. the extent of cardia exposure

    The investigator 2 needs to record the extent of cardia exposure to evaluate these interventions'effect on gastroscopy ,the investigator 2 use the table of the extent of preventriculus exposure(score from 1 to 4,1=the extent of exposure lower than 25%;2=the extent of exposure between 25% and 50%;3=the extent of exposure between 50%and 75%;4=the extent of exposure between 75%and 100%)

    Measured: During gastroscopy and colonoscopy

  2. adverse reactions

    The investigator 2 needs to record the adverse reactions such as nausea、emesis, salivation, restlessness, and breath holding to analyze efficacy of relate treatment.

    Measured: During gastroscopy and colonoscopy

  3. patient's recovery time

    The investigator 2 needs to record to evaluate patient's recovery quality about patients

    Measured: The end of gastroscopy and colonoscopy

  4. patient's departure time

    The investigator 2 needs to record patient's departure time to evaluate recovery quality about patients

    Measured: The end of gastroscopy and colonoscopy

  5. time to resume normal operation

    The investigator 2 needs to record the time to resume normal operation about patient

    Measured: The end of gastroscopy and colonoscopy

  6. operation time about gastrointestinal endoscopy

    The investigator 2 needs to record operation time about gastrointestinal endoscopy.

    Measured: During gastroscopy and colonoscopy

  7. heart rate

    The investigator 2 needs to record heart rate(for example 60 times/min)before gastrointestinal endoscopy 、during gastrointestinal endoscopy and the end of gastrointestinal endoscopy respectively.(tachycardia:heart rate is more than 100 times/min;bradycardia:heart rate is less than 60 times/min)

    Measured: before gastrointestinal endoscopy、during gastrointestinal endoscopy and the end of gastrointestinal endoscopy

  8. pulse oximetry

    The investigator 2 needs to record pulse oximetry (for example 97% )before gastrointestinal endoscopy 、during gastrointestinal endoscopy and the end of gastrointestinal endoscopy respectively.(hypoxemia:pulse oximetry is lower than 90%)

    Measured: before gastrointestinal endoscopy、during gastrointestinal endoscopy and the end of gastrointestinal endoscopy

  9. systolic pressure 、diastolic pressure

    The investigator 2 needs to record systolic pressure 、diastolic pressure(for example 120/75mmHg ) before gastrointestinal endoscopy 、during gastrointestinal endoscopy and the end of gastrointestinal endoscopy respectively.(hypertension:systolic pressure ≥140mmHg or diastolic pressure ≥90mmHg;hypotension:systolic pressure ≤90mmHg or diastolic pressure ≤60mmHg)

    Measured: before gastrointestinal endoscopy、during gastrointestinal endoscopy and the end of gastrointestinal endoscopy

  10. respiratory rate

    The investigator 2 needs to record respiratory rate(for example 15 times/min)before gastrointestinal endoscopy 、during gastrointestinal endoscopy and the end of gastrointestinal endoscopy respectively.(tachypnea:respiratory rate is more than 20 times/min;bradypnea:respiratory rate is less than 12 times/min)

    Measured: before gastrointestinal endoscopy、during gastrointestinal endoscopy and the end of gastrointestinal endoscopy

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Aug 2022
  2. Study start1 Aug 2022
  3. Primary completion3 Nov 2022
  4. Study completion3 Nov 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
108 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05485064
Sponsor's protocol ID
QYFYKYLL 916711920
Status last verified
Nov 2022
First submitted
29 Jul 2022
Last updated
4 Nov 2022
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Eberl S, Monteiro de Olivera N, Bourne D, Streitberger K, Fockens P, Hollmann MW, Preckel B. Effect of electroacupuncture on sedation requirements during colonoscopy: a prospective placebo-controlled randomised trial. Acupunct Med. 2020 Jun;38(3):131-139. doi: 10.1136/acupmed-2017-011459. Epub 2020 Jan 22.

    PubMed 31968988
  • Yu B, Hazlewood PJ, Yin X, Li S, Yue H, Xu K, Xu S, Mi Y. Effect of electroacupuncture on discomfort during gastroscopy: a study protocol for a randomized controlled trial. Trials. 2022 Apr 27;23(1):364. doi: 10.1186/s13063-022-06165-4.

    PubMed 35477483
  • Cohen LB, Hightower CD, Wood DA, Miller KM, Aisenberg J. Moderate level sedation during endoscopy: a prospective study using low-dose propofol, meperidine/fentanyl, and midazolam. Gastrointest Endosc. 2004 Jun;59(7):795-803. doi: 10.1016/s0016-5107(04)00349-9.

    PubMed 15173791
  • Qin Z, Ding Y, Xu C, Kwong JSW, Ji Y, Wu A, Wu J, Liu Z. Acupuncture vs Noninsertive Sham Acupuncture in Aging Patients with Degenerative Lumbar Spinal Stenosis: A Randomized Controlled Trial. Am J Med. 2020 Apr;133(4):500-507.e20. doi: 10.1016/j.amjmed.2019.08.038. Epub 2019 Sep 13.

    PubMed 31525334
  • Chen JM, Li DD, Chen YS, Lian B, Wang XP, Guo YH, Xu XL, Huang P, Chen TF, Liu Y, Liu QQ. The effectiveness of electro-acupuncture combined with dyclonine hydrochloride in relieving the side effects of gastroscopy: a controlled trial. Ann Palliat Med. 2021 Mar;10(3):2958-2970. doi: 10.21037/apm-20-831. Epub 2021 Mar 1.

    PubMed 33691439
  • Xu JH, Tan HL, Zhang LN, Zhou ZG, Yuan L, Kong LX, Song MQ, Qi LJ, Ji XY. Transcutaneous Electrical Acupoint Stimulation Combined with Moderate Sedation of Remimazolam Tosilate in Gastrointestinal Endoscopy: A Prospective, Randomized, Double-Blind, Placebo-Controlled Clinical Trial. Pain Ther. 2024 Aug;13(4):919-936. doi: 10.1007/s40122-024-00618-1. Epub 2024 Jun 18.

    PubMed 38890239

Questions about this trial

What is this clinical trial studying?

A study testing fentanyl, eletroacupuncture(transcutaneous electrical acupuncture point stimulation ) and remimazolam in people with Gastrointestinal Endoscopy, run by The Affiliated Hospital of Qingdao University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 4 Nov 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

patient satisfaction with sedation instrument,PSSI (time frame: During gastroscopy and colonoscopy). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05485064, which also lists 6 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Nov 2022.

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