Physiologic Study of Cerebral Perfusion
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Quebec
-
Sherbrooke, Quebec, Canada, J1H 5N4
- Université de Sherbrooke
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Healthy Subjects :
Inclusion criteria :
- being over 18 years old
Exclusion criterias :
- having a positive serum pregnancy test
- having a contraindication to MRI
- having a contraindication to receive light sedation with propofol
- suffering of claustrophobia or of anxiety disorder
Shock Subjects :
Inclusion criterias :
- being over 18 years old
- being hospitalized to the medical intensive care unit of the CHUS Fleurimont
- being in a stabilized shock state, primarily of distributive etiology
- having received an appropriate fluid resuscitation, as judged by the attending physician
Exclusion criterias :
- having a different primary etiology of shock than distributive (cardiogenic, hypovolemic, obstructive)
- needing vasopressor therapy as the result of extracorporeal circulation
- having known cerebral lesions
- having an intra-aortic balloon pump
- being in a palliative or near end-of-life situation
- having a contraindication to MRI
- suffering of claustrophobia or of anxiety disorder
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Shock lower Mean Arterial Pressure (MAP)
Vasopressor-dependent treated to lower MAP (65 mmHg)
|
Propofol for light sedation
|
|
Experimental: Shock higher MAP
Vasopressor-dependent treated to higher MAP (75 mmHg)
|
Propofol for light sedation
|
|
No Intervention: Healthy participant awake
|
|
|
Experimental: Healthy participant sedated
Healthy participant Under light sedation
|
Propofol for light sedation
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Global and regional cerebral blood flow
Time Frame: Within 15 minutes of intervention initiation
|
Cerebral blood flow will be measured by the arterial spin labeling technique (ASL) which provides information expressed in mL/100g/min.
Using 3-T MRI technology,we will first acquire T1 images of the brain and sub-regions of interest.
Thereafter, ASL sequences will be acquired in contiguous slices.
The procedure will be followed on sedation and off sedation for healthy volunteers (in random order) and at mean arterial pressure of 65 mmHg and 75 mmHg (in random order) in patients receiving vasopressor therapy.
|
Within 15 minutes of intervention initiation
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: François Lamontagne, Université de Sherbrooke
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2016-1267
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.