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Serum Tryptase Concentration During General Anaesthesia With Rocuronium

Primary Purpose

Hypersensitivity Reaction

Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Rocuronium
general volatile anaesthesia
Sponsored by
Medical University of Bialystok
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Hypersensitivity Reaction focused on measuring general anaesthesia, mast cell, rocuronium, tryptase

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Inclusion Criteria:

  • ASA 1-2, no allergy and perioperative hypersensitivity reactions during anaesthesia

Exclusion Criteria:

  • steroid therapy, allergy in medical history, mastocytosis

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Experimental

    Arm Label

    anaesthesia with rocuronium

    anaesthesia without rocuronium

    Arm Description

    rocuronium is used during anaesthesia

    during anaesthesia rocuronium is not used

    Outcomes

    Primary Outcome Measures

    tryptase
    serum tryptase concentration

    Secondary Outcome Measures

    Full Information

    First Posted
    July 11, 2019
    Last Updated
    July 25, 2019
    Sponsor
    Medical University of Bialystok
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    1. Study Identification

    Unique Protocol Identification Number
    NCT04035707
    Brief Title
    Serum Tryptase Concentration During General Anaesthesia With Rocuronium
    Official Title
    Serum Tryptase Concentration During General Anaesthesia With Rocuronium
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2019
    Overall Recruitment Status
    Completed
    Study Start Date
    June 25, 2009 (Actual)
    Primary Completion Date
    June 25, 2010 (Actual)
    Study Completion Date
    May 15, 2014 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Medical University of Bialystok

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Rocuronium is a aminosteroid structured, non-depolarizing neuromuscular blocking agents (NMB). Epidemiological data presents that the frequency of hypersensitivity reactions caused by rocuronium have been increased. Determinations of serum tryptase concentrations are interdisciplinary recommended in diagnosis of its adverse reactions. No studies have been performed to explain specific role of rocuronium doses on serum tryptase values. The aim of this study was to investigate the potential effect of rocuronium on serum tryptase concentrations.
    Detailed Description
    The greatest risk of hypersensitivity occurs during anesthesia for female patients and it is connected with the induction phase using skeletal muscle relaxants . Epidemiological data presents that the frequency of hypersensitivity reactions caused by rocuronium have been increased. Due to the multiple advantages reports of triggering allergic or hypersensitivity reactions caused by rocuronium create doubts about the safety of application .

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Hypersensitivity Reaction
    Keywords
    general anaesthesia, mast cell, rocuronium, tryptase

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Model Description
    The study included 126 women given a general volatile anesthesia: group I - 66 - using the rocuronium and group II - 60 - without neuromuscular relaxants. Informations about perioperative fluid therapy and doses of rocuronium were noticed. The blood samples were collected to perform tryptase concentration analysis: preoperatively - before anesthesia and postoperatively - after recovery from anesthesia.
    Masking
    Investigator
    Masking Description
    qualification according surgical operation
    Allocation
    Non-Randomized
    Enrollment
    126 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    anaesthesia with rocuronium
    Arm Type
    Experimental
    Arm Description
    rocuronium is used during anaesthesia
    Arm Title
    anaesthesia without rocuronium
    Arm Type
    Experimental
    Arm Description
    during anaesthesia rocuronium is not used
    Intervention Type
    Drug
    Intervention Name(s)
    Rocuronium
    Intervention Description
    using rocuronium as a relaxants during general anaesthesia
    Intervention Type
    Drug
    Intervention Name(s)
    general volatile anaesthesia
    Intervention Description
    method of anaesthesia
    Primary Outcome Measure Information:
    Title
    tryptase
    Description
    serum tryptase concentration
    Time Frame
    up to 40 minutes after surgery

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: ASA 1-2, no allergy and perioperative hypersensitivity reactions during anaesthesia Exclusion Criteria: steroid therapy, allergy in medical history, mastocytosis
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Urszula Kosciuczuk
    Organizational Affiliation
    Medical University in Bialystok
    Official's Role
    Principal Investigator

    12. IPD Sharing Statement

    Plan to Share IPD
    No
    IPD Sharing Plan Description
    IPD are available only for investigators
    Citations:
    PubMed Identifier
    32785569
    Citation
    Kosciuczuk U, Knapp P, Jakubow P. Effect of body mass index and rocuronium on serum tryptase concentration during volatile general anesthesia: an observational study. Clinics (Sao Paulo). 2020;75:e1701. doi: 10.6061/clinics/2020/e1701. Epub 2020 Aug 10.
    Results Reference
    derived

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    Serum Tryptase Concentration During General Anaesthesia With Rocuronium

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