- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07653867
Patient Controlled Propofol Sedation Versus Nurse-assisted Propofol Sedation in Diagnostic Colonoscopies With a Focus on Patient Satisfaction (PCAPS1)
Patient-Controlled Anesthesia for Endoscopic Procedural Sedation (PCAPS). A Randomized Controlled Trial Evaluating Patient-controlled Propofol Sedation in Diagnostic Colonoscopies
The goal of this clinical trial is to learn if patient administered propofol sedation results in superior patient satisfaction compared to nurse administered propofol sedation in diagnostic colonoscopies.
• Does self administration of the sedative propofol increase patient satisfaction? Researchers will compare patient administered propofol sedation (where the patient administers propofol by pushing a button) with nurse administered propofol sedation (where a nurse gives the patient bolus doses of propofol as deemed necessary)
Participants will:
- Be randomized to either sedation route.
- Answer a preendoscopy questioneere and a postendoscopy questioneere 1 hour after the examination as well as one week after the examination.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 4
Kontakter og lokationer
Studiekontakt
- Navn: Richard E Marsk, Docent
- Telefonnummer: +46 8 123 71956
- E-mail: richard.marsk@ki.se
Studiesteder
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-
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Stockholm, Sverige
- Endoscopy Unit, StGörans Hospital
-
Kontakt:
- Tamaki Ichiya, MD, PhD student
- Telefonnummer: +46 8 587 010 00
- E-mail: tamaki.ichiya@ki.se
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Stockholm, Sverige
- Endoskopicentrum, Danderyds Hospital
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Kontakt:
- Ylva Falkén, MD,PhD
- Telefonnummer: +46 123 550 00
- E-mail: ylva.falken@regionstockholm.se
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Scheduled for elective diagnostic colonoscopy in propofol sedation
- Able to understand the study information and provide inform consent
- ASA I-II
- Able to understand and use the patient-controlled sedation device
- Able to complete study quistioneeres
Exclusion Criteria:
- ASA >=III
- Known hypersensitivity or contraindication to propofol or any excipient in the formulation.
- Pregnancy or breastfeeding.
- Inability to provide valid informed consent
- Cognitive impairment, severe psychiatric illness, or other condition limiting reliable participation or questionnaire completion.
- Inability to understand study procedures or insufficient language proficiency without available validated study support.
- History of serious adverse reaction or complication related to sedation or anesthesia.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Patient controlled propofol sedation
Patients will self administer propofol by pushing a button (5 mg iv, 8 activations per minute resulting in max dose of 40 mg propofol/minute) as needed
|
Patients will self administer propofol by pushing a button.
When pushed a dose of 5 mg propofol will be given intravenously.
The button can be pushed a maximum of 8 times per minute.
|
|
Aktiv komparator: Nurse assisted propofol sedation
The endoscopy nurse will administer propofol in bolus doses of 10 mg iv as needed
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The endoscopy nurse will administer bolus dosus of propofol (10 mg iv) as needed during the examination
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Patient satisfaction
Tidsramme: One hour after the examination and one week after the examination
|
Patient satisfaction measured using Patient satisfaction with sedation index (PSSI), a validated Likert-scale questionnaire with 13 questions.
Each question with 5 ranks (1-5).
Minimum score 13 , maximum score 65.
Higher score indicates higher satisfaction with the sedation.
|
One hour after the examination and one week after the examination
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Adverse events
Tidsramme: 30 days
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Any adverse events related to sedation within 30 days
|
30 days
|
|
Total propofol dose (mg)
Tidsramme: 0 hours after examination
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Total given dose during the examination
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0 hours after examination
|
|
Recovery time
Tidsramme: 4 hours after the examination
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Time to patient is ready for discharge.
Patient will be assesed every 15 minutes until ready for discharge, maximum 4 hours
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4 hours after the examination
|
|
Procedure duration
Tidsramme: 0 hours after examination
|
Time to completion of the procedure (min)
|
0 hours after examination
|
Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Richard E Marsk, Docent, Karolinska Institutet
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- PCAPS1
- 2025-524859-31-00 (Ctis)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
De-identified individual participant data (IPD) underlying the results reported in this study will be made available upon reasonable request. The shared data will include all variables necessary to reproduce the findings presented in the article.
Data will be available beginning immediately following publication and will remain available for 5 years to researchers who provide a methodologically sound proposal.
IPD-delingstidsramme
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- ANALYTIC_CODE
- CSR
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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