Performance Evaluation of Four Pharmacokinetic-Pharmacodynamic(PKPD) Models of Propofol in Elderly Patients

NCT ID: NCT01435785

Last Updated: 2017-03-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

14 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-04-30

Study Completion Date

2011-12-31

Brief Summary

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Despite the wide use of propofol target-controlled infusion (TCI) in elderly patients, pharmacokinetic (PK) and pharmacodynamic (PD) models performance has not been prospectively assessed in this population. The aims of this study are to derive four PKPD models using previously published PK parameters sets, and to prospectively assess their performance in elderly people. With the obtained data we propose to build a specific PKPD model for this population.

Detailed Description

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After BIS® and routine monitors were placed, 14 ASA I-II elderly patients (\>65 yr) will be anesthetized with plasma TCI of propofol based on Schnider model. After partial recovery from a bolus dose a remifentanil infusion was started and continued throughout surgery. All BIS and TCI data will be continuously record. Arterial blood samples for propofol assays were collected at 1, 2, 3, 5, 10, 20, 40 and 60 min post-induction, and at 0, 1, 3, 5, and 10 min after stopping the infusion. A three compartment effect site model linked to a Sigmoidal Emax PD model, will be used to fit all the data simultaneously in NONMEM. Median performance errors(MDPE), and median absolute performance errors(MDAPE) were calculated to measure bias and accuracy of each model. Comparisons between models will be performed.

Conditions

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Propofol Overdose of Undetermined Intent

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Patients older than 65 years, ASA 1,2

Exclusion Criteria

* Included less than 70% or more than 130% of ideal body weight
* Neurologic disorder
* Use of psychoactive medication, including alcohol intake during the last 48 hours
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Pontificia Universidad Catolica de Chile

OTHER

Sponsor Role collaborator

Universidad del Desarrollo

OTHER

Sponsor Role lead

Responsible Party

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Pablo O. Sepulveda

MD Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Pablo O Sepulveda, MD

Role: PRINCIPAL_INVESTIGATOR

Clinica Alemana Universidad del Desarrollo

Locations

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Clinica Alemana de Santiago

Santiago, , Chile

Site Status

Clinica Alemana Santiago

Santiago, , Chile

Site Status

Countries

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Chile

Other Identifiers

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Propofol TCI in Geriatric

Identifier Type: -

Identifier Source: org_study_id

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