Intravenous Lidocaine to Reduce Propofol Consumption During Gastroscopy.

NCT ID: NCT05944887

Last Updated: 2023-09-18

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

Clinical Phase

NA

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-21

Study Completion Date

2023-08-25

Brief Summary

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The goal of this clinical trial is to assess if intravenous administration of linisol reduce the propofol consumption and the sides effects of sedation during gastroscopy in healthy patients (ASA 1 and 2 patients).

Prior to propofol sedation, participants will receive either an intravenous bolus of linisol (1.5 mg/kg) = treated group or placebo = control group.

After the gastroscopy, patients will be asked to complete a satisfaction questionnaire

Detailed Description

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Conditions

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Diagnostic Gastroscopy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
computered randomisation, sealed enveloppes linisol versus placebo prepared by anesthesist not involved in the study or in patient care

Study Groups

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Linisol

Patients will receive 1.5 mg/kg of intravenous linisol before propofol sedatation and gastroscope introduction

Group Type ACTIVE_COMPARATOR

Lidocaine 2% Injectable Solution

Intervention Type DRUG

administration of a bolus of lidocaine 1.5 mg/kg

Propofol injection

Intervention Type DRUG

Sedation by total intravenous administration (TIVA) of propofol

gastroscopy

Intervention Type PROCEDURE

esogastroduodenoscopy

Sham

Patients will receive intravenous placebo (saline solution),before propofol sedation and gastroscope introduction

Group Type PLACEBO_COMPARATOR

Saline administration as placebo

Intervention Type DRUG

administration of a bolus of saline solution as a placebo

Propofol injection

Intervention Type DRUG

Sedation by total intravenous administration (TIVA) of propofol

gastroscopy

Intervention Type PROCEDURE

esogastroduodenoscopy

Interventions

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Lidocaine 2% Injectable Solution

administration of a bolus of lidocaine 1.5 mg/kg

Intervention Type DRUG

Saline administration as placebo

administration of a bolus of saline solution as a placebo

Intervention Type DRUG

Propofol injection

Sedation by total intravenous administration (TIVA) of propofol

Intervention Type DRUG

gastroscopy

esogastroduodenoscopy

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients scheduled for gastroscopy under narcosis and who have signed the consent.
* ASA score: 1 and 2
* BMI between 18 and 30 kg/m2

Exclusion Criteria

* Lidocaine allergy
* Anesthesia within the last 7 days
* Use of local anesthesia in the last 24 hours
* Rhythm disorder or HR \<50
* Pregnant women and breastfeeding
* Participation in another clinical study in the last months
* Cannot understand VAS score or French
* Severe central nervous disease and mental illness.
* obstructive sleep apnea (known or STOP BANG score \>5)
* Upper lung infection.
* Liver or kidney function disorder
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Erasme University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Omar Assam

principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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celine Boudart, MD PhD

Role: PRINCIPAL_INVESTIGATOR

Erasme University Hospital

Locations

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Erasme Hospital

Brussels, , Belgium

Site Status

Countries

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Belgium

References

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Qi XR, Sun JY, An LX, Zhang K, Xue FS. Effects of intravenous lidocaine on hypoxemia induced by propofol-based sedation for gastrointestinal endoscopy procedures: study protocol for a prospective, randomized, controlled trial. Trials. 2022 Sep 24;23(1):800. doi: 10.1186/s13063-022-06719-6.

Reference Type BACKGROUND
PMID: 36153625 (View on PubMed)

Qi XR, Sun JY, An LX, Zhang K. Effect of intravenous lidocaine on the ED50 of propofol for inserting gastroscope without body movement in adult patients: a randomized, controlled study. BMC Anesthesiol. 2022 Oct 17;22(1):319. doi: 10.1186/s12871-022-01861-9.

Reference Type BACKGROUND
PMID: 36253717 (View on PubMed)

Hu S, Wang M, Li S, Zhou W, Zhang Y, Shi H, Ye P, Sun J, Liu F, Zhang W, Zheng L, Hou Q, Wang Y, Sun W, Chen Y, Lu Z, Ji Z, Liao L, Lv X, Wang Y, Wang X, Yang H. Intravenous Lidocaine Significantly Reduces the Propofol Dose in Elderly Patients Undergoing Gastroscopy: A Randomized Controlled Trial. Drug Des Devel Ther. 2022 Aug 12;16:2695-2705. doi: 10.2147/DDDT.S377237. eCollection 2022.

Reference Type BACKGROUND
PMID: 35983429 (View on PubMed)

Other Identifiers

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P2023/236

Identifier Type: -

Identifier Source: org_study_id

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