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Anesthesia; Adverse EffectNCT06015074

Ciprofol vs Propofol for Reducing Hypoxia Incidence in ERCP

A study testing Propofol and Ciprofol in people with Anesthesia; Adverse Effect and Biliary Tract Diseases, run by RenJi Hospital 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 The sponsor has not verified this record for over two years, so it may be out of date.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

Intravenous anesthesia has been widely used in endoscopic retrograde cholangiopancreatography (ERCP). In the past decade, many practices have been carried out under the propofol-based monitored anesthesia care without endotracheal intubation in patients undergoing ERCP. Read more about this study

Who is it for?
Ages 18 to 80 years
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
136 participants
Where
1 siteChina
Study dates
15 Jun 2024to 28 Feb 2025
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • patients undergoing ERCP, ASA I-III
  • normal renal function
  • BMI ≥ 18kg/m 2 and ≤ 30kg/m 2

Who cannot join

  • Previous serious cerebrovascular accidents and other neurological diseases
  • mental diseases, long-term use of drugs that affect the function of the central nervous system, benzodiazepines or opioids
  • history of anesthetic allergy
  • preoperative hypotension or preoperative SpO2 < 90%, or chronic respiratory failure
  • patients suspected of having difficult airways
  • screening for drug addiction and alcohol abuse within the first 3 months (> = 6standarddrinks/day)
Show all 12Show fewer
  • patients diagnosed with severe cardiopulmonary disease, or respiratory or respiratory diseases such as sleep apnea syndrome;
  • bradycardia or atrioventricular block.
  • participate in other clinical trials within 4 weeks;
  • cognitive or communication abnormalities determined by the researchers;
  • emergent and critical conditions during the operation;
  • other conditions that the researchers believe are not suitable to participate in the study.

Trial locations and contacts

1 site in 1 country.

Peiying Li, Doctor contact

15800616866

peiyingli.md@gmail.com

China1 site
  • Renji Hospital, Shanghai Jiao Tong University School of Medicine,

    Shanghai, Shanghai Municipality, 200127

    Peiying Li, Doctor, +8615800616866, peiyingli.md@gmail.com

Other trials in China

About this study

Official title: Ciprofol vs Propofol for Reducing Hypoxia Incidence in Intravenous Anesthesia During Elective Endoscopic Retrograde Cholangiopancreatography-A Randomized Double Blinded Controlled Trial.

Intravenous anesthesia has been widely used in endoscopic retrograde cholangiopancreatography (ERCP). In the past decade, many practices have been carried out under the propofol-based monitored anesthesia care without endotracheal intubation in patients undergoing ERCP.

Ciprofol is a newly developed intravenous anesthetic with a potency 4-5 times than that of propofol. Ciprofol seems a promising anesthetic agent for intravenous anesthesia but the evidence supported its application in ERCP is still limited.

Read the detailed description

This is a prospective, randomized, double-blind trial comparing the incidence of hypoxia in the propofol versus ciprofol intravenous Anesthesia. A total 136 patients will be recruited and randomly assigned to either the propofol or the ciprofol group. The primary outcome is the proportion of patients experiencing hypoxia. The secondary outcomes include: the incidence of hypotension in perioperative period; the incidence of conversion from intravenous anesthesia to general anesthesia; sedation-related procedure interruption; carbon dioxide( CO2) accumulation during operation; Patients' satisfaction with anesthesia and postoperative recovery / VAS score / incidence of nausea and vomiting; the incidence of intraoperative and postoperative adverse events, such as adverse excretion, severe hypoxemia, severe circulatory dysfunction; length of stay and mortality within 30 days after operation.

Being tested
Propofol, Ciprofol
Keywords
Ciprofol, Propofol, Intravenous Anesthesia, Elective Endoscopic Retrograde Cholangiopancreatography, Hypoxia
Medical subject headings
Biliary Tract Diseases, Hypoxia

What participants receive

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

  • PropofolDrug

    Also called Fresenius Kabi,China

    patients in Propofol group receive sufentanil(0.1ug/kg)+ propofol (1.5-2mg/kg) for anesthesia induction, and continuous infusion of propofol 5mg/kg/h for anesthesia maintain.

  • CiprofolDrug

    Also called Haisike,China

    patients in Ciprofol group receive sufentanil(0.1ug/kg)+ ciprofol(0.4-0.5mg/kg) for anesthesia induction, and continuous infusion of ciprofol 0.8mg/kg/h for anesthesia maintain.

Study groups in NCT06015074
Study groupRoleWhat they receive
Propofol groupActive comparatorpatients in Propofol group receive sufentanil+ propofol
Receives: Drug: Propofol
Ciprofol groupExperimentalpatients in Ciprofol group receive sufentanil+ ciprofol
Receives: Drug: Ciprofol

What is being measured

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

  1. the incidence of hypoxia

    the definition of hypoxemia: any event of SpO2 (oxygen saturation measured by pulse oximetry) < 90%

    Measured: from the induction of anesthesia to the patient leaving the postanesthesia care unit,about an average of 1.5 hours

Secondary outcomes (11)
  1. the incidence of hypercapnia

    arterial carbon dioxide partial pressure(PaCO2)>50mmHg

    Measured: 5 minutes each time(base line, 10 minutes after beginning of surgery, completion of surgery, 10 minutes after awakening)

  2. the incidence of hypotension

    invasive systolic pressure<90mmHg

    Measured: from the induction of anesthesia to the patient leaving the postanesthesia care unit,about an average of 1.5 hours

  3. sedation-related procedure interruption

    the incidence of interruption of procedure due to intolerance or severe adverse events

    Measured: from the induction of anesthesia to completion of ERCP, about 30 minutes

  4. conversion from intravenous anesthesia to general anesthesia

    the incidence of conversion from intravenous anesthesia to general anesthesia due to intolerance or severe adverse events

    Measured: from the induction of anesthesia to completion of ERCP, about 30 minutes

  5. patient satisfaction score

    Patients' satisfaction score is measured by patient recovery satisfaction score, from -33 the worst to 33 the best.

    Measured: 5 minutes

  6. visual analog scale (VAS) scores

    perioperative pain is measured by visual analog scale (VAS) scores,from painless score 0 to the imagined most severe pain score 10

    Measured: 30 seconds

  7. length of stay

    length of stay in hospital

    Measured: 2-7days

  8. the incidence of postoperative adverse bile excretion

    patients with symptoms or signs of postoperative adverse bile excretion

    Measured: 30 days after operation

  9. the incidence of severe postoperative hypoxia

    patients with symptoms or signs of severe postoperative hypoxia

    Measured: 30 days after operation

  10. the incidence of severe postoperative circulatory disfunction

    patients with symptoms or signs of severe postoperative circulatory disfunction

    Measured: 30 days after operation

  11. the incidence of mortality within 30 days after operation

    mortality within 30 days after operation

    Measured: 30 days after operation

Timeline

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

  1. First posted29 Aug 2023
  2. Study start15 Jun 2024 (estimated)
  3. Primary completion31 Dec 2024 (estimated)
  4. Study completion28 Feb 2025 (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 N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
136 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06015074
Sponsor's protocol ID
C-Anesthesia
Status last verified
May 2024
First submitted
21 Jun 2023
Last updated
31 May 2024
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Adler DG, Baron TH, Davila RE, Egan J, Hirota WK, Leighton JA, Qureshi W, Rajan E, Zuckerman MJ, Fanelli R, Wheeler-Harbaugh J, Faigel DO; Standards of Practice Committee of American Society for Gastrointestinal Endoscopy. ASGE guideline: the role of ERCP in diseases of the biliary tract and the pancreas. Gastrointest Endosc. 2005 Jul;62(1):1-8. doi: 10.1016/j.gie.2005.04.015. No abstract available.

    PubMed 15990812
  • Alzanbagi AB, Jilani TL, Qureshi LA, Ibrahim IM, Tashkandi AMS, Elshrief EEA, Khan MS, Abdelhalim MAH, Zahrani SA, Mohamed WMK, Nageeb AM, Abbushi B, Shariff MK. Randomized trial comparing general anesthesia with anesthesiologist-administered deep sedation for ERCP in average-risk patients. Gastrointest Endosc. 2022 Dec;96(6):983-990.e2. doi: 10.1016/j.gie.2022.06.003. Epub 2022 Jun 9.

    PubMed 35690151
  • Cote GA, Hovis RM, Ansstas MA, Waldbaum L, Azar RR, Early DS, Edmundowicz SA, Mullady DK, Jonnalagadda SS. Incidence of sedation-related complications with propofol use during advanced endoscopic procedures. Clin Gastroenterol Hepatol. 2010 Feb;8(2):137-42. doi: 10.1016/j.cgh.2009.07.008. Epub 2009 Jul 14.

    PubMed 19607937
  • Amornyotin S, Srikureja W, Chalayonnavin W, Kongphlay S. Dose requirement and complications of diluted and undiluted propofol for deep sedation in endoscopic retrograde cholangiopancreatography. Hepatobiliary Pancreat Dis Int. 2011 Jun;10(3):313-8. doi: 10.1016/s1499-3872(11)60052-0.

    PubMed 21669577
  • Qadeer MA, Vargo JJ, Dumot JA, Lopez R, Trolli PA, Stevens T, Parsi MA, Sanaka MR, Zuccaro G. Capnographic monitoring of respiratory activity improves safety of sedation for endoscopic cholangiopancreatography and ultrasonography. Gastroenterology. 2009 May;136(5):1568-76; quiz 1819-20. doi: 10.1053/j.gastro.2009.02.004.

    PubMed 19422079
  • Vargo JJ, Zuccaro G Jr, Dumot JA, Conwell DL, Morrow JB, Shay SS. Automated graphic assessment of respiratory activity is superior to pulse oximetry and visual assessment for the detection of early respiratory depression during therapeutic upper endoscopy. Gastrointest Endosc. 2002 Jun;55(7):826-31. doi: 10.1067/mge.2002.124208.

    PubMed 12024135
  • Paspatis GA, Manolaraki MM, Vardas E, Theodoropoulou A, Chlouverakis G. Deep sedation for endoscopic retrograde cholangiopancreatography: intravenous propofol alone versus intravenous propofol with oral midazolam premedication. Endoscopy. 2008 Apr;40(4):308-13. doi: 10.1055/s-2007-995346. Epub 2007 Dec 5.

    PubMed 18058653
  • Vargo JJ, Zuccaro G Jr, Dumot JA, Shermock KM, Morrow JB, Conwell DL, Trolli PA, Maurer WG. Gastroenterologist-administered propofol versus meperidine and midazolam for advanced upper endoscopy: a prospective, randomized trial. Gastroenterology. 2002 Jul;123(1):8-16. doi: 10.1053/gast.2002.34232.

    PubMed 12105827
  • Liu Y, Yu X, Zhu D, Zeng J, Lin Q, Zang B, Chen C, Liu N, Liu X, Gao W, Guan X. Safety and efficacy of ciprofol vs. propofol for sedation in intensive care unit patients with mechanical ventilation: a multi-center, open label, randomized, phase 2 trial. Chin Med J (Engl). 2022 May 5;135(9):1043-1051. doi: 10.1097/CM9.0000000000001912.

    PubMed 34924506
  • Liu Y, Chen C, Liu N, Tong L, Nie Y, Wu J, Liu X, Gao W, Tang L, Guan X. Efficacy and Safety of Ciprofol Sedation in ICU Patients with Mechanical Ventilation: A Clinical Trial Study Protocol. Adv Ther. 2021 Oct;38(10):5412-5423. doi: 10.1007/s12325-021-01877-6. Epub 2021 Aug 21.

    PubMed 34417990

Questions about this trial

What is this clinical trial studying?

A study testing Propofol and Ciprofol in people with Anesthesia; Adverse Effect and Biliary Tract Diseases, run by RenJi Hospital 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 12 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 31 May 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.

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 Peiying Li, Doctor (15800616866, peiyingli.md@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

the incidence of hypoxia (time frame: from the induction of anesthesia to the patient leaving the postanesthesia care unit,about an average of 1.5 hours). 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 NCT06015074, which also lists 10 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 31 May 2024; AzTrials last refreshed its copy on 1 Nov 2026.

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