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HemodynamicsPhase 4NCT05664386

Effect of Ciprofol Infusion for Induction and Maintenance on Hemodynamics and Postoperative Recovery

A Phase 4 study testing propofol and ciprofol in people with Hemodynamics and Postoperative Recovery, run by Xiumei Song at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

To study the Effect of Ciprofol Infusion for Induction and Maintenance of anesthesia on Hemodynamics and Postoperative Recovery in Patients Undergoing Thoracoscopic Lobectomy:a randomized, controlled trial. Read more about this study

Who is it for?
Ages 18 to 65 years
Conditions the study is for
Hemodynamics, Postoperative Recovery, Anesthesia
What is being tested?
propofol and ciprofol
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
126 participants
Where
1 siteChina
Study dates
10 Apr 2023to Dec 2024
Phase
Phase 4
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 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • American Society of Anesthesiology (ASA)Ⅰ~Ⅱ grade;
  • 18-65 years;
  • Body mass index (BMI) 20-30kg/m2 ;
  • Scheduled for thoracoscopic lobectomy under general anesthesia;

Who cannot join

  • Refused to participate in the clinical study;
  • Predictable airway difficulties requiring awake intubation;
  • Allergy to the drugs which were used in this study;
  • Tracheal intubation failed for twice;
  • Patients with mental diseases or consciousness disorder;
  • long-term use of sedatives or Antidepressants;
  • Patients who are participating in other clinical studies.

Trial locations and contacts

1 site in 1 country.

NA GUO, Doctor contact

18615605135

xinzangbianshu@163.com

China1 site, 1 recruiting
  • Department of Anesthesiology, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital

    Jinan, Shandong, 250014

    NA GUO, master, 18615605135, xinzangbianshu@163.com

    Recruiting

Other trials in China

About this study

Official title: Effect of Ciprofol Infusion for Induction and Maintenance on Hemodynamics and Postoperative Recovery in Patients Undergoing Thoracoscopic Lobectomy : a Randomized, Controlled Trial

To study the Effect of Ciprofol Infusion for Induction and Maintenance of anesthesia on Hemodynamics and Postoperative Recovery in Patients Undergoing Thoracoscopic Lobectomy:a randomized, controlled trial.

Read the detailed description

Patients undergoing Thoracoscopic Lobectomy aged 18~65 years old were randomly assigned to Group P and Group C . Group P was given propofol 2 ~ 2.5mg/kg, group C was given ciprofol 0.4 ~ 0.5mg/kg, if bispectral index(BIS) value ≤60 during anesthesia induction, cisatracurium 0.2mg/kg and sufentanil 0.5μg/kg were injected intravenously, endotracheal intubation was performed after the improvement of muscle relaxation. If the BIS value was greater than 60, propofol was added intravenously 1mg/kg each time or ciprofol 0.2mg/kg each time, and the interval of administration was greater than 1min, until BIS≤60. Cisatracurium and sufentanil were injected intravenously, followed by endotracheal intubation.Then propofol was maintained in group P at 4-12 mg/kg/h and remifentanil was maintained at 0.1-0.3 ug/kg/min .Ciprofol was maintained in Group C at 0.8-2.5 mg/kg/h and remifentanil was maintained at 0.1-0.3 ug/kg/min . Intermittent addition of cisatracurium. Sufentanil was added as required, and total dosage of Sufentanil was 0.7ug ~ 1ug/kg. BIS was kept at 40 ~ 60 during the surgery, and infusion drugs were stopped at the end of the operation. The patients were Transfer to Postanesthesia care unit(PACU) after the operation.

The primary outcomes were the fluctuations in hemodynamic parameters during induction and the surgery. Systolic blood pressure (SBP), diastolic blood pressure (DBP), mean blood pressure (MAP),heart rate (HR) and BIS values at various time points were collected.

The secondary outcome were as follows:

  1. The time of lose consciousness(LOC) during the induction, The Time and dosage of additional drug, and the BIS value during the induction process.
  2. The incidence of adverse events such as injection pain, body movement, muscle twitching, hypotension, hypertension, bradycardia or tachycardia, cough and bronchospasm during induction.
  3. quality of recovery 15(QOR15) score at pre-operation(Preop) 、on the first day of postoperation (POD1)and on the second day of postoperation (POD2) .
  4. the recovery time of consciousness (ROC), extubation time, PACU stay time, postoperative hospital stay time.
  5. Incidence of postoperative nausea and vomiting, incidence of postoperative agitation and delayed recovery, and intraoperative awareness.
Being tested
propofol, ciprofol
Keywords
Ciprofol, Hemodynamics, Postoperative Recovery, propofol

What participants receive

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

  • propofolDrug

    propofol 2~2.5mg/kg was used for anesthesia induction. propofol is an intravenous sedative-hypnotic and a short-acting GABAA receptor agonist. It activates GABAergic neurons by enhancing chloride ion influx. It is used for anesthesia of induction and maintenance.

  • ciprofolDrug

    Ciprofol 0.4~0.5mg/kg was used for anesthesia induction. Ciprofol is an intravenous sedative-hypnotic and a short-acting GABAA receptor agonist. It activates GABAergic neurons by enhancing chloride ion influx. It is used for anesthetic induction and maintenance agents include rapid induction of general anesthesia, rapid recovery of consciousness, minimal residual effects on the central nervous system and less injection pain.

Study groups in NCT05664386
Study groupRoleWhat they receive
propofol groupActive comparatorAccording to grouping,patients were premeditated with injection of Propofol 2-2.5mg / kg IV . If BIS is ≤ 60, Tracheal intubation was facilitated with cisatracurium 0.2mg/kg a IV and sufentanil 0.3 μ g / kg IV. if BIS is >60, propofol 1mg/kg was titrated intravenously, with an interval of more than 1min until the BIS is ≤ 60,and intubation was performed after cisatracurium and sufentanil injected .General anesthesia was maintained with Propofol and remifentanil.Then propofol was maintained in group P at 4-12 mg/kg/h and remifentanil was maintained at 0.1-0.3 ug/kg/min .BIS was kept at 40 ~ 60 during the surgery, and infusion drugs were stopped at the end of the operation. The patients were Transfered to Postanesthesia care unit(PACU) after the operation.
Receives: Drug: propofol
ciprofol groupExperimentalGroup C was given ciprofol 0.4 ~ 0.5mg/kg, if bispectral index(BIS) value ≤60 during anesthesia induction, cisatracurium 0.2mg/kg and sufentanil 0.5μg/kg were injected intravenously, endotracheal intubation was performed after the improvement of muscle relaxation. If the BIS value was greater than 60, ciprofol 0.2mg/kg each time, and the interval of administration was greater than 1min, until BIS≤60. Cisatracurium and sufentanil were injected intravenously, followed by endotrachealintubation.Ciprofol was maintained in Group C at 0.8-2.5 mg/kg/h and remifentanil was maintained at 0.1-0.3 ug/kg/min . Intermittent addition of cisatracurium,Sufentanil was added as required, and total dosage of Sufentanil was 0.7ug ~ 1ug/kg. BIS was kept at 40 ~ 60 during the surgery, and infusion drugs were stopped at the end of the operation. The patients were Transfered to Postanesthesia care unit(PACU) after the operation.
Receives: Drug: ciprofol

What is being measured

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

  1. Hemodynamic fluctuations: Systolic blood pressure(SBP)

    Systolic blood pressure(SBP) during anesthesia induction and surgery.

    Measured: during anesthesia induction,perioperative

  2. Hemodynamic fluctuations: Diastolic blood pressure(DBP)

    Diastolic blood pressure(DBP) during anesthesia induction and surgery.

    Measured: during anesthesia induction,perioperative

  3. Hemodynamic fluctuations: mean blood pressure (MAP)

    MAP during anesthesia induction and surgery.

    Measured: during anesthesia induction,perioperative

  4. Hemodynamic fluctuations: Heart rate (HR)

    Heart rate (HR) during anesthesia induction and surgery.

    Measured: during anesthesia induction,perioperative

Secondary outcomes (5)
  1. The time of lose consciousness(LOC) during the induction

    The time of lose consciousness(LOC) during the induction was defined as from the drug was administered until the patients loss of consciousness(when the BIS≤60)

    Measured: during anesthesia induction

  2. The incidence of adverse events during induction

    The incidence of adverse events such as injection pain, body movement, muscle twitching, hypotension, hypertension, bradycardia or tachycardia, cough and bronchospasm during induction.

    Measured: during induction

  3. quality of recovery

    quality of recovery 15(QOR15) score at pre-operation(Preop) 、 postoperation day 1 ,postoperation of day2

    Measured: pre-operation, postoperation of day 1 ,postoperation of day2

  4. postoperative recovery

    Incidence of postoperative nausea and vomiting was record use Classification of nausea and vomiting

    Measured: 2 hours after surgery

  5. Incidence of intraoperative awareness

    Brice Questionnaire was used to assess the occurrence of intraoperative awareness.

    Measured: 2 hours after surgery

Timeline

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

  1. First posted23 Dec 2022
  2. Study start10 Apr 2023
  3. Primary completion31 Oct 2024 (estimated)
  4. Study completionDec 2024 (estimated)

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
126 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05664386
Sponsor's protocol ID
20221128C
Status last verified
Jan 2024
First submitted
29 Nov 2022
Last updated
10 Jan 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: We plan to upload and share data with other researchers. Protecting patient privacy when sharing patient-level data from clinical trial

Publications

  • Teng Y, Ou M, Wang X, Zhang W, Liu X, Liang Y, Li K, Wang Y, Ouyang W, Weng H, Li J, Yao S, Meng J, Shangguan W, Zuo Y, Zhu T, Liu B, Liu J. Efficacy and safety of ciprofol for the sedation/anesthesia in patients undergoing colonoscopy: Phase IIa and IIb multi-center clinical trials. Eur J Pharm Sci. 2021 Sep 1;164:105904. doi: 10.1016/j.ejps.2021.105904. Epub 2021 Jun 8.

    PubMed 34116176
  • Wang X, Wang X, Liu J, Zuo YX, Zhu QM, Wei XC, Zou XH, Luo AL, Zhang FX, Li YL, Zheng H, Li H, Wang S, Wang DX, Guo QL, Liu CM, Wang YT, Zhu ZQ, Wang GY, Ai YQ, Xu MJ. Effects of ciprofol for the induction of general anesthesia in patients scheduled for elective surgery compared to propofol: a phase 3, multicenter, randomized, double-blind, comparative study. Eur Rev Med Pharmacol Sci. 2022 Mar;26(5):1607-1617. doi: 10.26355/eurrev_202203_28228.

    PubMed 35302207
  • Qin K, Qin WY, Ming SP, Ma XF, Du XK. Effect of ciprofol on induction and maintenance of general anesthesia in patients undergoing kidney transplantation. Eur Rev Med Pharmacol Sci. 2022 Jul;26(14):5063-5071. doi: 10.26355/eurrev_202207_29292.

    PubMed 35916802
  • Chen BZ, Yin XY, Jiang LH, Liu JH, Shi YY, Yuan BY. The efficacy and safety of ciprofol use for the induction of general anesthesia in patients undergoing gynecological surgery: a prospective randomized controlled study. BMC Anesthesiol. 2022 Aug 3;22(1):245. doi: 10.1186/s12871-022-01782-7.

    PubMed 35922771
  • Ding YY, Long YQ, Yang HT, Zhuang K, Ji FH, Peng K. Efficacy and safety of ciprofol for general anaesthesia induction in elderly patients undergoing major noncardiac surgery: A randomised controlled pilot trial. Eur J Anaesthesiol. 2022 Dec 1;39(12):960-963. doi: 10.1097/EJA.0000000000001759. No abstract available.

    PubMed 36214498
  • Guo N, Cao J, Duan M, Zhou F, Wang W, Xu L, Wei C, Song X. Effects of ciprofol infusion on hemodynamics during induction and maintenance of anesthesia and on postoperative recovery in patients undergoing thoracoscopic lobectomy: Study protocol for a randomized, controlled trial. PLoS One. 2024 Jul 10;19(7):e0305478. doi: 10.1371/journal.pone.0305478. eCollection 2024.

    PubMed 38985796

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing propofol and ciprofol in people with Hemodynamics and Postoperative Recovery, run by Xiumei Song 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 4 inclusion and 7 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: status not confirmed, as of the sponsor's last update on 10 Jan 2024. 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.

What does this phase mean?

Phase 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

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

Contact NA GUO, Doctor (18615605135, xinzangbianshu@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Hemodynamic fluctuations: Systolic blood pressure(SBP) (time frame: during anesthesia induction,perioperative). The study lists 4 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 NCT05664386, 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 10 Jan 2024.

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