Intravenous Propofol and Fentanyl vs Propofol for Sedation in TRUS Biopsy

August 31, 2021 updated by: Sirilak Suksompong, Mahidol University

A Randomised Controlled Trial Comparing Combined Intravenous Propofol and Fentanyl Versus Intravenous Propofol Alone for Sedation in Patients Undergoing Transrectal Ultrasound-guided (TRUS) Prostate Biopsy

Nowadays, TRUS biopsy become one of the most popular tests for diagnosis of prostate cancer. This procedure causes pain to the patients who does not received the sedative drugs or analgesic drugs. There are many ways to reduce pain and inconvenience for the patients, such as intravenous propofol, intravenous fentanyl etc. In Siriraj hospital, anesthesiologists usually give intravenous propofol with intravenous opioids but the visual analogue score after this procedure was average at 0.9-2.9. Furthermore, some systematic reviews have shown that there was no difference in pain score between periprostatic nerve block plus opioid and periprostatic nerve block only. So, this study is to find out whether opioids is need for TRUS biopsy.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

124

Phase

  • Phase 4

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

  • Thailand
      • Bangkok, Thailand, 10700
        • Sirilak Suksompong

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

Male

Description

Inclusion Criteria:

  • Age over 18 year
  • Patient American society of anesthesiology physical status I-III.
  • Scheduled for Transrectal ultrasound-guided prostate biopsy
  • BMI equal to or less than 30 kg/cm2

Exclusion Criteria:

  • Known hypersensitivity to propofol or fentanyl
  • History of bleeding tendency
  • Known case of active anal or rectal disease
  • Unable to rate pain score
  • History of drug abuse
  • Chronic opioid use

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: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Quadruple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Placebo Comparator: Control
normal saline IV plus propofol infusion
Other: Control
normal saline IV
Drug: propofol
propofol infusion
Active Comparator: Fentanyl
0.5 mcg/kg ideal body weight IV plus propofol infusion
Drug: propofol
propofol infusion
Drug: Fentanyl
fentanyl 0.5 mcg/kg ideal BW

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Pain assess using Numeric rating scale (NRS) score
Time Frame: 20 minutes
20 minutes

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of participants with hypoxia defined as oxygen saturation <92%
Time Frame: 60 minutes
The investigators define hypoxia as oxygen saturation < 92%. The investigators will report as number of episode.
60 minutes
Number of participants with hypotension, defined as systolic blood pressure <90 mmHg
Time Frame: 60 minutes
The investigators define hypotension as systolic blood pressure< 90 mmHg. The investigators will report as number of episode.
60 minutes

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Mahidol University

Investigators

  • Principal Investigator: Sirilak Suksompong, Mahidol University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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 (Actual)

January 1, 2017

Primary Completion (Actual)

May 31, 2018

Study Completion (Actual)

May 31, 2018

Study Registration Dates

First Submitted

March 27, 2016

First Submitted That Met QC Criteria

April 8, 2016

First Posted (Estimate)

April 11, 2016

Study Record Updates

Last Update Posted (Actual)

September 1, 2021

Last Update Submitted That Met QC Criteria

August 31, 2021

Last Verified

August 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • TRUS

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

Undecided

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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