Trial Outcomes & Findings for Pilot Study on the Effect of Dexmedetomidine on Inflammatory Responses in Patients Undergoing Lumbar Spinal Fusion (NCT NCT01377623)

NCT ID: NCT01377623

Last Updated: 2017-07-11

Results Overview

The QoR-40 is a 40 item questionnaire in which each question is answered with a score of 1-5. QoR-40 scores range from 40 (extremely poor quality of recovery) to 200 (excellent quality of recovery).

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

66 participants

Primary outcome timeframe

Post-operative Day 3

Results posted on

2017-07-11

Participant Flow

Participant milestones

Participant milestones
Measure
Dexmedetomidine Group (PFD)
Anesthesia maintained with propofol/fentanyl/dexmedetomidine
Placebo Group (PFS)
Anesthesia maintained with propofol/fentanyl/saline
Overall Study
STARTED
33
33
Overall Study
COMPLETED
26
28
Overall Study
NOT COMPLETED
7
5

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pilot Study on the Effect of Dexmedetomidine on Inflammatory Responses in Patients Undergoing Lumbar Spinal Fusion

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Placebo Group
n=28 Participants
Subjects undergoing one or two level spinal fusion surgery will be screened for eligibility to participate in the study. Subject will be screened, recruited and randomized during the preadmission visit or the day of surgery. Eligible subjects will be randomized to one of the two treatment group in1:1 ratio to receive either DEX or matching placebo (PBO, LR).
Dexmedetomidine Group
n=26 Participants
Fifty six subjects (28 in each arm) will be enrolled. Subjects undergoing one or two level spinal fusion surgery will be screened for eligibility to participate in the study. Subject will be screened, recruited and randomized during the preadmission visit or the day of surgery. Eligible subjects will be randomized to one of the two treatment group in1:1 ratio to receive either DEX or matching placebo (PBO, LR).
Total
n=54 Participants
Total of all reporting groups
Age, Continuous
57 years
STANDARD_DEVIATION 11.1 • n=5 Participants
55.3 years
STANDARD_DEVIATION 12.3 • n=7 Participants
56.18 years
STANDARD_DEVIATION 11.69 • n=5 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
5 Participants
n=7 Participants
18 Participants
n=5 Participants
Sex: Female, Male
Male
15 Participants
n=5 Participants
21 Participants
n=7 Participants
36 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Post-operative Day 3

The QoR-40 is a 40 item questionnaire in which each question is answered with a score of 1-5. QoR-40 scores range from 40 (extremely poor quality of recovery) to 200 (excellent quality of recovery).

Outcome measures

Outcome measures
Measure
Dexmedetomidine Group (PFD)
n=26 Participants
Anesthesia maintained with propofol/fentanyl/dexmedetomidine
Placebo Group (PFS)
n=28 Participants
Anesthesia maintained with propofol/fentanyl/saline
Quality of Recovery Score (QoR-40)
183.04 units on a scale
Standard Deviation 2.76
169.3 units on a scale
Standard Deviation 3.87

SECONDARY outcome

Timeframe: Post-operative Day 1

Outcome measures

Outcome measures
Measure
Dexmedetomidine Group (PFD)
n=26 Participants
Anesthesia maintained with propofol/fentanyl/dexmedetomidine
Placebo Group (PFS)
n=28 Participants
Anesthesia maintained with propofol/fentanyl/saline
Concentration of TNF-alpha
10.1 pg/ml
Interval 3.8 to 12.7
7.9 pg/ml
Interval 2.1 to 11.4

SECONDARY outcome

Timeframe: Post-operative Day 1

Outcome measures

Outcome measures
Measure
Dexmedetomidine Group (PFD)
n=26 Participants
Anesthesia maintained with propofol/fentanyl/dexmedetomidine
Placebo Group (PFS)
n=28 Participants
Anesthesia maintained with propofol/fentanyl/saline
Concentration of IL-1a
2.52 pg/ml
Interval 1.4 to 3.6
2.58 pg/ml
Interval 1.4 to 2.6

SECONDARY outcome

Timeframe: Post-operative Day 1

Outcome measures

Outcome measures
Measure
Dexmedetomidine Group (PFD)
n=26 Participants
Anesthesia maintained with propofol/fentanyl/dexmedetomidine
Placebo Group (PFS)
n=28 Participants
Anesthesia maintained with propofol/fentanyl/saline
Concentration of IL-6
60.8 pg/ml
Interval 27.3 to 122.8
50.0 pg/ml
Interval 11.2 to 82.1

SECONDARY outcome

Timeframe: Post-operative Day 1

Outcome measures

Outcome measures
Measure
Dexmedetomidine Group (PFD)
n=26 Participants
Anesthesia maintained with propofol/fentanyl/dexmedetomidine
Placebo Group (PFS)
n=28 Participants
Anesthesia maintained with propofol/fentanyl/saline
Concentration of IL-8
20.9 pg/ml
Interval 12.6 to 31.2
16.4 pg/ml
Interval 6.2 to 24.6

Adverse Events

Dexmedetomidine Group (PFD)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo Group (PFS)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Alex Bekker

UMDNJ-New Jersey Medical School

Phone: 973-972-5007

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place