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Efficacy and Safety of Ciprofol in Laparoscopic Sleeve Gastrectomy

Primary Purpose

Bariatric Surgery

Status
Recruiting
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Ciprofol
Propofol
Sponsored by
The Third People's Hospital of Chengdu
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Bariatric Surgery focused on measuring Efficacy, Safety, Ciprofol, General anesthesia induction, Laparoscopic sleeve gastrectomy

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • 18 < age ≤ 65, regardless of gender;
  • ASA is classified as grade I-III;
  • BMI≥35kg/m2
  • Obese patients who need laparoscopic sleeve gastrectomy under general anesthesia;
  • The subjects voluntarily participated in the trial and signed the informed consent.

Exclusion Criteria:

  • Contraindications to general anesthesia;
  • Accompanied by infectious heart disease such as myocarditis or endocarditis, septicemia;
  • Brain injury, possible intracranial hypertension, cerebral aneurysm, cerebrovascular accident history and central nervous system diseases: mental system diseases (schizophrenia, mania, insanity, etc.) and long-term history of taking psychotropic drugs, or other diseases that hinder the measurement of BIS value;
  • Acute heart failure, unstable angina pectoris, myocardial infarction within 6 months before screening, resting ECG heart rate ≤ 50 beats / min, third degree atrioventricular block and other serious arrhythmias, serious heart valve disease, QTc: male ≥ 450ms, female ≥ 470ms;
  • Abnormal liver and kidney function (ALT or AST ≥ 2.5 times the upper limit of normal value, TBIL ≥ 1.5 times the upper limit of normal value), abnormal renal function (bun or urea ≥ 1.5 times the upper limit of normal value, cr> the upper limit of normal value, or dialysis treatment within 28 days before operation), or obvious abnormal coagulation function (pt/ aptt/tt higher than the upper limit of normal value), anemia or thrombocytopenia (HB ≤ 90g/l, PLT ≤ 80 × 109/L)
  • Those whose blood pressure was not satisfactorily controlled (SBP ≥ 160mmhg and / or DBP ≥ 100 mmHg in sitting position during screening period);
  • SBP in sitting position during screening period ≤ 90mmHg;
  • Diabetes subjects whose blood glucose was not satisfactorily controlled (fasting blood glucose ≥ 11.1mmol/l in the screening period and / or random blood glucose ≥ 13.6 mmol/l);
  • Have a history of drug abuse and alcoholism within 2 years before the screening period. Alcoholism is defined as regular drinking for more than 14 times / week (once =150 ml wine or 360 ml beer or 45 ml spirits);
  • The subjects who were judged to have difficulty in respiratory management were rated as grade IV by modified Mahalanobis score;
  • Known or suspected allergy or contraindication to various components of the study drug or other benzodiazepines, opioids, propofol, muscle relaxants, etc;
  • Pregnant or lactating women or subjects with birth plan within 6 months (including men);
  • Those who participated in any clinical trial as subjects within 3 months before enrollment;
  • Other circumstances determined by the researcher as unsuitable for inclusion.

Sites / Locations

  • The Third People's Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong UniversityRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Ciprofol Group

Propofol Group

Arm Description

Experimental drug: Ciprofol; Dosage form: injection; Specification: 20ml: 50mg; Frequency and duration: intravenous infusion with micropump, anesthesia induction dose 0.4-0.5mg/kg, Administration for 30s (± 5S)

Experimental drug: Propofol; Dosage form: injection; Specification: 20ml: 200mg; Frequency and duration: intravenous infusion with micropump, anesthesia induction dose 2-2.5mg/kg, Administration for 30s (± 5S)

Outcomes

Primary Outcome Measures

The rate of successful anesthesia induction
The criteria for success are to meet the following two requirements at the same time: 1) successful induction (i.e. improved investigator awake / sedation score (MOAA / S) ≤ 1) after the administration of the study drug (at most 2 additional times are allowed); 2) No alternative anesthetics were used.

Secondary Outcome Measures

Time to LOC
Time from initial administration of study drug to loss of consciousness
Time to disappearance of eyelash reflex
Time from initial administration of study drug to disappearance of eyelash reflex
BIS
Changes in bispectral index(BIS) values during anesthesia induction

Full Information

First Posted
August 26, 2022
Last Updated
May 19, 2023
Sponsor
The Third People's Hospital of Chengdu
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1. Study Identification

Unique Protocol Identification Number
NCT05522998
Brief Title
Efficacy and Safety of Ciprofol in Laparoscopic Sleeve Gastrectomy
Official Title
Efficacy and Safety of Ciprofol for the Induction of General Anesthesia in Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
January 1, 2023 (Actual)
Primary Completion Date
April 30, 2024 (Anticipated)
Study Completion Date
September 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
The Third People's Hospital of Chengdu

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
To evaluate the efficacy and safety of ciprofol for the induction of general anesthesia in obese patients undergoing laparoscopic sleeve gastrectomy. A randomized, parallel, propofol injection positive control study will be conducted to select obese patients who will undergo laparoscopic sleeve gastrectomy in the author's hospital. To evaluate the efficacy and safety, the main observation index, secondary observation indexes, safety evaluation indexes, and the incidence of postoperative adverse reactions will be recorded and compared between the two groups.
Detailed Description
To evaluate the efficacy and safety of ciprofol for the induction of general anesthesia in obese patients undergoing laparoscopic sleeve gastrectomy. A randomized, parallel, propofol injection positive control study will be conducted to select obese patients who will undergo laparoscopic sleeve gastrectomy in the author's hospital. To evaluate the efficacy and safety, the following indexes will be recorded and compared between the two groups. The main observation index:(1) The rate of successful anesthesia induction Secondary observation indexex:(1) Time from initial administration of study drug to loss of consciousness; (2) Time from initial administration of study drug to disappearance of eyelash reflex; (3) Changes in bispectral index(BIS) values during anesthesia induction Safety evaluation indexes:(1) Adverse events; (2) Intubation response rate; (3) Vital signs; (4) Evaluation of injection pain Adverse events to be focused on:(1)The incidence of blood pressure reduction requiring treatment during anesthesia induction; (2) The incidence of respiratory depression

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Bariatric Surgery
Keywords
Efficacy, Safety, Ciprofol, General anesthesia induction, Laparoscopic sleeve gastrectomy

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
212 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Ciprofol Group
Arm Type
Experimental
Arm Description
Experimental drug: Ciprofol; Dosage form: injection; Specification: 20ml: 50mg; Frequency and duration: intravenous infusion with micropump, anesthesia induction dose 0.4-0.5mg/kg, Administration for 30s (± 5S)
Arm Title
Propofol Group
Arm Type
Active Comparator
Arm Description
Experimental drug: Propofol; Dosage form: injection; Specification: 20ml: 200mg; Frequency and duration: intravenous infusion with micropump, anesthesia induction dose 2-2.5mg/kg, Administration for 30s (± 5S)
Intervention Type
Drug
Intervention Name(s)
Ciprofol
Other Intervention Name(s)
Ciprofol Group, Experimental Group
Intervention Description
Ciprofol (0.4-0.5mg/kg) for anesthesia induction
Intervention Type
Drug
Intervention Name(s)
Propofol
Other Intervention Name(s)
Propofol Group, Control Group
Intervention Description
propofol(2-2.5mg/kg) for anesthesia induction
Primary Outcome Measure Information:
Title
The rate of successful anesthesia induction
Description
The criteria for success are to meet the following two requirements at the same time: 1) successful induction (i.e. improved investigator awake / sedation score (MOAA / S) ≤ 1) after the administration of the study drug (at most 2 additional times are allowed); 2) No alternative anesthetics were used.
Time Frame
Through study completion, an average of 1 year
Secondary Outcome Measure Information:
Title
Time to LOC
Description
Time from initial administration of study drug to loss of consciousness
Time Frame
During anesthesia induction, an average of 10 minutes
Title
Time to disappearance of eyelash reflex
Description
Time from initial administration of study drug to disappearance of eyelash reflex
Time Frame
During anesthesia induction, an average of 10 minutes
Title
BIS
Description
Changes in bispectral index(BIS) values during anesthesia induction
Time Frame
During anesthesia induction, an average of 10 minutes

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 18 < age ≤ 65, regardless of gender; ASA is classified as grade I-III; BMI≥35kg/m2 Obese patients who need laparoscopic sleeve gastrectomy under general anesthesia; The subjects voluntarily participated in the trial and signed the informed consent. Exclusion Criteria: Contraindications to general anesthesia; Accompanied by infectious heart disease such as myocarditis or endocarditis, septicemia; Brain injury, possible intracranial hypertension, cerebral aneurysm, cerebrovascular accident history and central nervous system diseases: mental system diseases (schizophrenia, mania, insanity, etc.) and long-term history of taking psychotropic drugs, or other diseases that hinder the measurement of BIS value; Acute heart failure, unstable angina pectoris, myocardial infarction within 6 months before screening, resting ECG heart rate ≤ 50 beats / min, third degree atrioventricular block and other serious arrhythmias, serious heart valve disease, QTc: male ≥ 450ms, female ≥ 470ms; Abnormal liver and kidney function (ALT or AST ≥ 2.5 times the upper limit of normal value, TBIL ≥ 1.5 times the upper limit of normal value), abnormal renal function (bun or urea ≥ 1.5 times the upper limit of normal value, cr> the upper limit of normal value, or dialysis treatment within 28 days before operation), or obvious abnormal coagulation function (pt/ aptt/tt higher than the upper limit of normal value), anemia or thrombocytopenia (HB ≤ 90g/l, PLT ≤ 80 × 109/L) Those whose blood pressure was not satisfactorily controlled (SBP ≥ 160mmhg and / or DBP ≥ 100 mmHg in sitting position during screening period); SBP in sitting position during screening period ≤ 90mmHg; Diabetes subjects whose blood glucose was not satisfactorily controlled (fasting blood glucose ≥ 11.1mmol/l in the screening period and / or random blood glucose ≥ 13.6 mmol/l); Have a history of drug abuse and alcoholism within 2 years before the screening period. Alcoholism is defined as regular drinking for more than 14 times / week (once =150 ml wine or 360 ml beer or 45 ml spirits); The subjects who were judged to have difficulty in respiratory management were rated as grade IV by modified Mahalanobis score; Known or suspected allergy or contraindication to various components of the study drug or other benzodiazepines, opioids, propofol, muscle relaxants, etc; Pregnant or lactating women or subjects with birth plan within 6 months (including men); Those who participated in any clinical trial as subjects within 3 months before enrollment; Other circumstances determined by the researcher as unsuitable for inclusion.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xiaowei Chi, M.D.
Phone
+8613708085545
Email
mzkchixiaowei@yeah.net
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Xiaowei Chi, M.D.
Organizational Affiliation
Third People's Hospital of Chengdu, Southwest Jiaotong University
Official's Role
Principal Investigator
Facility Information:
Facility Name
The Third People's Hospital of Chengdu, Affiliated Hospital of Southwest Jiaotong University
City
Chengdu
State/Province
Sichuan
ZIP/Postal Code
610031
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Xiaowei Chi, M.D.
Phone
+862861318772
Email
mzkchixiaowei@yeah.net

12. IPD Sharing Statement

Plan to Share IPD
No

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Efficacy and Safety of Ciprofol in Laparoscopic Sleeve Gastrectomy

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