Population Pharmacokinetics and Clinical Individual Dosage Regimen of Propofoll Injection

NCT ID: NCT03422315

Last Updated: 2021-06-09

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-09-03

Study Completion Date

2021-09-30

Brief Summary

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Propofol is a widely used sedative anesthetic, but there are large individual differences, which making different patients with different sensitivity to propofol. The aim of this study was to analyze the effects of age, height, body weight, Drinking, metabolic enzymes CYP2B6 and UGT1A9 on Pharmacological effects and pharmacokinetics of propofol, and to provide a reasonable reference for clinical anesthesia patients and evidence for individual dosage regimens.

Detailed Description

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Propofol is a widely used sedative anesthetic, but there are large individual differences, which making different patients with different sensitivity to propofol. In recent years, the concept of individualized administration came into being.Individual administration refers to according to the condition of patients,the drug's safety and efficacy, and pharmacokinetics, pharmacodynamics and clinical response ,then gives different dosing regimens for individual patients and promotes the development of rational drug use. Different people have differences metabolism of propofol, reported in the literature, genetic polymorphism, demographic characteristics, combined with drug and other variability factors, all of them will affect the pharmacokinetics and pharmacodynamics of propofol.The aim of this study was to analyze the effects of age, height, body weight, Drinking, metabolic enzymes CYP2B6 and UGT1A9 on Pharmacological effects and pharmacokinetics of propofol, and to provide a reasonable reference for clinical anesthesia patients and evidence for individual dosage regimens.

Conditions

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General Anesthesia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

BASIC_SCIENCE

Blinding Strategy

NONE

Study Groups

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External control

propofol;injection;2mg/kg;single-dose

Group Type EXPERIMENTAL

Propofol

Intervention Type DRUG

injection;2mg/kg;single-dose

Interventions

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Propofol

injection;2mg/kg;single-dose

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* patients aged 18-60 years (including those aged 18 and 60) who underwent gastrointestinal endoscopy;
* weight should not be less than (≥) 50kg, not more than (≤) 80kg. Body mass index (BMI) = body weight kg / \[(height m) 2\], in the normal range of 19 to 25;
* American Society of Anesthesiologists (ASA) grading (Appendix I): I or II;
* no heart, liver, lung, kidney, digestive tract, nervous system, mental disorders and other medical history, no blood and metabolic diseases and other medical history, no potential difficulties airway and special past history,
* blood, urine, stool routine, liver and kidney function, blood lipids, ECG, chest X-ray and blood pressure normal, or abnormal but no clinical significance, the researchers believe that can be grouped.
* agree and sign informed consent.

Exclusion Criteria

* important organs have primary disease;
* persons with mental or physical disabilities;
* those suffering from neurological or mental illness, a history of epilepsy;
* patients with cardiovascular or respiratory insufficiency and hypovolemia;
* obese or those with dyslipidemia;
* hereditary acute porphyria;
* infections, especially those with respiratory and central infections;
* language exchange barriers;
* suspected or indeed a history of alcohol, drug abuse; especially long-term use of non-steroidal anti-inflammatory drugs, opioids, tranquilizers;
* allergies, if the history of drugs or food allergies; or known to propofol, soybeans, peanuts, coconut oil allergy;
* smoking history (smoking ≥ 5 per day);
* 2 weeks before the trial had used all kinds of Chinese and Western medicine;
* the last 3 months of blood donors and test blood donors;
* other circumstances that the researcher thinks can not be grouped (eg, frail, etc.).
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zhongyuan Xu

OTHER

Sponsor Role lead

Responsible Party

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Zhongyuan Xu

Director of GCP Office

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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zhongyuan xu, Ph.D.

Role: STUDY_DIRECTOR

Nanfang Hospital, Southern Medical University

Locations

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Nanfang Hospital,Southern Medical University

Guangzhou, Guangdong, China

Site Status RECRUITING

Countries

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China

Central Contacts

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zhongyuan xu, Ph.D.

Role: CONTACT

13926186470 ext. 020-62787926

wanwen cao, master

Role: CONTACT

13631304126 ext. 020-62787926

Facility Contacts

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zhongyuan xu, Ph.D

Role: primary

wanwen cao, master

Role: backup

References

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Kansaku F, Kumai T, Sasaki K, Yokozuka M, Shimizu M, Tateda T, Murayama N, Kobayashi S, Yamazaki H. Individual differences in pharmacokinetics and pharmacodynamics of anesthetic agent propofol with regard to CYP2B6 and UGT1A9 genotype and patient age. Drug Metab Pharmacokinet. 2011;26(5):532-7. doi: 10.2133/dmpk.dmpk-11-rg-039. Epub 2011 Aug 23.

Reference Type BACKGROUND
PMID: 21869535 (View on PubMed)

Bernard O, Guillemette C. The main role of UGT1A9 in the hepatic metabolism of mycophenolic acid and the effects of naturally occurring variants. Drug Metab Dispos. 2004 Aug;32(8):775-8. doi: 10.1124/dmd.32.8.775.

Reference Type BACKGROUND
PMID: 15258099 (View on PubMed)

Takahashi H, Maruo Y, Mori A, Iwai M, Sato H, Takeuchi Y. Effect of D256N and Y483D on propofol glucuronidation by human uridine 5'-diphosphate glucuronosyltransferase (UGT1A9). Basic Clin Pharmacol Toxicol. 2008 Aug;103(2):131-6. doi: 10.1111/j.1742-7843.2008.00247.x.

Reference Type BACKGROUND
PMID: 18816295 (View on PubMed)

Khan MS, Zetterlund EL, Green H, Oscarsson A, Zackrisson AL, Svanborg E, Lindholm ML, Persson H, Eintrei C. Pharmacogenetics, plasma concentrations, clinical signs and EEG during propofol treatment. Basic Clin Pharmacol Toxicol. 2014 Dec;115(6):565-70. doi: 10.1111/bcpt.12277. Epub 2014 Jul 19.

Reference Type BACKGROUND
PMID: 24891132 (View on PubMed)

Other Identifiers

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C1033453

Identifier Type: -

Identifier Source: org_study_id

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