Trial Outcomes & Findings for Propofol Pharmacokinetics and Pharmacodynamics Modelling (NCT NCT02713698)

NCT ID: NCT02713698

Last Updated: 2018-09-26

Results Overview

Arterial blood samples were obtained after LOC and every 20-30 minutes during propofol infusion. After stopping propofol infusion, arterial blood samples were obtained immediately after recovery of consciousness. At the end of the surgery arterial blood samples were centrifuged at 2862xg for 5 minutes and they were preserved at -80ºC until analysis. The quantification of propofol in serum was performed using gas chromatography/ion trap-mass spectrometry (GC/IT-MS)

Recruitment status

COMPLETED

Target enrollment

60 participants

Primary outcome timeframe

up to 2 hours

Results posted on

2018-09-26

Participant Flow

Participant milestones

Participant milestones
Measure
Group 1 (≥18 Years, BMI<35kg/m2)
Patients with 18 or more years presenting for inpatient nose and ear surgery.
Group 2 (≥18 Years, BMI≥35kg/m2)
Patients with 18 or more years presenting for inpatient bariatric surgery.
Group 3 (≥65 Years)
Patients with 65 or more years presenting for urgent orthopaedic surgery.
Overall Study
STARTED
20
20
20
Overall Study
COMPLETED
20
20
20
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Propofol Pharmacokinetics and Pharmacodynamics Modelling

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1 (≥18 Years, BMI<35kg/m2)
n=20 Participants
Patients with 18 or more years presenting for inpatient nose and ear surgery.
Group 2 (≥18 Years, BMI≥35kg/m2)
n=20 Participants
Patients with 18 or more years presenting for inpatient bariatric surgery.
Group 3 (≥65 Years)
n=20 Participants
Patients with 65 or more years presenting for urgent orthopaedic surgery.
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
43.7 years
STANDARD_DEVIATION 12.5 • n=5 Participants
47.9 years
STANDARD_DEVIATION 9.4 • n=7 Participants
77.7 years
STANDARD_DEVIATION 8.6 • n=5 Participants
56.4 years
STANDARD_DEVIATION 18.3 • n=4 Participants
Sex: Female, Male
Female
13 Participants
n=5 Participants
18 Participants
n=7 Participants
13 Participants
n=5 Participants
44 Participants
n=4 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
2 Participants
n=7 Participants
7 Participants
n=5 Participants
16 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
White
20 Participants
n=5 Participants
20 Participants
n=7 Participants
20 Participants
n=5 Participants
60 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
Portugal
20 Participants
n=5 Participants
20 Participants
n=7 Participants
20 Participants
n=5 Participants
60 Participants
n=4 Participants

PRIMARY outcome

Timeframe: up to 2 hours

Arterial blood samples were obtained after LOC and every 20-30 minutes during propofol infusion. After stopping propofol infusion, arterial blood samples were obtained immediately after recovery of consciousness. At the end of the surgery arterial blood samples were centrifuged at 2862xg for 5 minutes and they were preserved at -80ºC until analysis. The quantification of propofol in serum was performed using gas chromatography/ion trap-mass spectrometry (GC/IT-MS)

Outcome measures

Outcome measures
Measure
Group 1 (≥18 Years, BMI<35kg/m2)
n=20 Participants
Patients with 18 or more years presenting for inpatient nose and ear surgery.
Group 2 (≥18 Years, BMI≥35kg/m2)
n=20 Participants
Patients with 18 or more years presenting for inpatient bariatric surgery.
Group 3 (≥65 Years)
n=20 Participants
Patients with 65 or more years presenting for urgent orthopaedic surgery.
Plasma Propofol Concentration (mcg/mL)
2.36 mcg/mL
Standard Deviation 1.38
3.12 mcg/mL
Standard Deviation 1.5
2.91 mcg/mL
Standard Deviation 2.45

Adverse Events

Group 1 (≥18 Years, BMI<35kg/m2)

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

Group 2 (≥18 Years, BMI≥35kg/m2)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Group 3 (≥65 Years)

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Group 1 (≥18 Years, BMI<35kg/m2)
n=20 participants at risk
Patients with 18 or more years presenting for inpatient nose and ear surgery.
Group 2 (≥18 Years, BMI≥35kg/m2)
n=20 participants at risk
Patients with 18 or more years presenting for inpatient bariatric surgery.
Group 3 (≥65 Years)
n=20 participants at risk
Patients with 65 or more years presenting for urgent orthopaedic surgery.
Cardiac disorders
Mean arterial pressure (MAP) variation >40% after induction of general anesthesia
0.00%
0/20 • Perioperative period
The proposed study is a cross sectional analytical study.The whole anaesthetic procedure was standard except for additional body composition assessment with Body Composition Monitor - BCM (Fresenius Medical Care, Germany) and arterial blood samples collection.
5.0%
1/20 • Perioperative period
The proposed study is a cross sectional analytical study.The whole anaesthetic procedure was standard except for additional body composition assessment with Body Composition Monitor - BCM (Fresenius Medical Care, Germany) and arterial blood samples collection.
30.0%
6/20 • Perioperative period
The proposed study is a cross sectional analytical study.The whole anaesthetic procedure was standard except for additional body composition assessment with Body Composition Monitor - BCM (Fresenius Medical Care, Germany) and arterial blood samples collection.

Additional Information

Ana Maria Araujo

Centro Hospitalar do Porto

Phone: 22 2077549

Results disclosure agreements

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