- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01141036
Propofol Versus Midazolam for Upper Endoscopy in Cirrhotic Patients
June 9, 2010 updated by: Ziv Hospital
Upper GI endoscopy is often performed in patients with chronic liver disease to screen for esophageal and gastric varices.
The purpose of this study is to compare propofol to midazolam for sedation in patients with chronic liver disease undergoing diagnostic upper GI endoscopy.
Study Overview
Detailed Description
Background : Upper GI endoscopy is often performed in patients with chronic liver disease to screen for esophageal and gastric varices.
AIM: The purpose of this study is to compare propofol to midazolam for sedation in patients with chronic liver disease undergoing diagnostic upper GI endoscopy.
Methods: 60 outpatients who has known chronic liver disease (Child-Pugh class A or B) (cirrhosis) and are undergoing variceal screening will be randomized to receive propofol or midazolam for sedation.
Administration of sedation was performed by a anesthesist.
Outcome measures studied are induction and recovery times, efficacy and safety of sedation, patient satisfaction, and return to baseline function and subclinical hepatic encephalopathy (number connection test), and saturation of oxygen.
expected results: The mean time to achieve adequate sedation will be shorter for for the propofol group in comparison to midazolam group.
The level of sedation achieved by the propofol group will be greater.
Time to full recovery will be faster in the propofol group.
Propofol do not exacerbate subclinical hepatic encephalopathy as compared to midazolam.
patients receiving propofol will express greater overall mean satisfaction with the quality of their sedation at the time of discharge.
Conclusions: Propofol sedation is expected not to exacerbate subclinical hepatic encephalopathy in cirrhotics.
Study Type
Interventional
Enrollment (Anticipated)
60
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
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Safed, Israel, Israel, 13100
- Ziv medical center liver unit
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Known chronic liver disease (Child-Pugh class A or B) who presented for upper GI endoscopy for routine variceal screening.
- The diagnosis of liver disease will be based on available past history, serological testing, radiological imaging, and liver histology when available.
- Staging of cirrhosis will be determined by MELD score and by Child-Pugh score . All patients will complete a standard preprocedure history and physical examination to establish current degree of encephalopathy and ascites.
Exclusion Criteria:
Exclusion criteria will include the following:
- known allergy or adverse reaction to sedative or component thereof
- patients with known significant respiratory disease or airway abnormality)
- active neurological impairment including clinically detectable hepatic encephalopathy
- advanced or decompensated liver disease ( CP score >10, MELD >24) (Child-Pugh class C)
- active alcohol consumption or illicit drug abuse
- active prescription for sedation or narcotics
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: propofol
|
Propofol will be initiated with a 30-50 mg i.v.
bolus followed by repeated 10-20 mg doses at variable intervals (approximately 15 s, at the discretion of the endoscopist/nurse) until an appropriate level of sedation will be achieved.
|
ACTIVE_COMPARATOR: Midazolam
|
Midazolam (0.5-1.0 mg) will be administered in a similar fashion with incremental dosing at intervals of approximately 1-3 min until a level of sedation will be achieved
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
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Exacerbation of hepatic encephalopathy
|
Secondary Outcome Measures
Outcome Measure |
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Recovery time, time to discharge
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
July 1, 2008
Primary Completion (ACTUAL)
January 1, 2009
Study Completion (ACTUAL)
February 1, 2009
Study Registration Dates
First Submitted
June 8, 2010
First Submitted That Met QC Criteria
June 9, 2010
First Posted (ESTIMATE)
June 10, 2010
Study Record Updates
Last Update Posted (ESTIMATE)
June 10, 2010
Last Update Submitted That Met QC Criteria
June 9, 2010
Last Verified
June 1, 2010
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Pathologic Processes
- Fibrosis
- Physiological Effects of Drugs
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Anesthetics, Intravenous
- Anesthetics, General
- Anesthetics
- Tranquilizing Agents
- Psychotropic Drugs
- Hypnotics and Sedatives
- Adjuvants, Anesthesia
- Anti-Anxiety Agents
- GABA Modulators
- GABA Agents
- Midazolam
- Propofol
Other Study ID Numbers
- 006-08
- 006-08ziv
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.
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