- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT03064607
Neurodegeneration in Newborns After Anesthetics
Measurement of Biomarkers of Neurodegeneration in Newborns After Exposure to Anesthetics
연구 개요
상세 설명
This study will enroll 130 pregnant patients undergoing C-section or fetal surgery with EXIT (Ex Utero Intrapartum Treatment) procedures under epidural or general anesthesia with low (0.75 MAC) or high (2.5 MAC) concentrations of desflurane. Patients will be recruited from both the Hospital of the University of Pennsylvania (100 C Section) and Children's Hospital of Philadelphia (30 EXIT procedure).
The standard of care protocol for patients undergoing anesthesia for these cases will be followed throughout the surgery. These include monitoring and management of blood pressure, heart rate and rhythm, ventilation, oxygenation, temperature, and fluid status. Management of these parameters will be at the discretion of the clinical team. The choice of the anesthetic technique will also be at the discretion of the clinical team. Typical anesthetic management includes the following:
C-section under epidural anesthesia: induction and maintenance with 1.5% lidocaine, sodium bicarbonate and 1:200,000 epinephrine
C-section under general anesthesia: induction with propofol 2 mg/kg and succinylcholine 2 mg/kg intravenously; maintenance with desflurane 4.5-5%
EXIT procedure under general anesthesia: induction with propofol 2 mg/kg and succinylcholine 2 mg/kg intravenously; maintenance with desflurane 15-18%
- After the baby is delivered, and the umbilicus is cut, two ml of blood will be taken from the umbilical vein and artery on the placenta side. A portion of the blood will be used for the blood gas and the remainder will be used for the S100B study assay.
- 5 ml of blood will be taken from the mother via the existing intravenous catheter.
- 5 ml of amniotic fluid will be obtained at hysterotomy and will be used for the S100B study assay.
All subjects will receive standard of care post operative clinical care and monitoring.
연구 유형
등록 (실제)
연락처 및 위치
연구 장소
-
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Pennsylvania
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Philadelphia, Pennsylvania, 미국, 19104
- University of Pennsylvania
-
-
참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
샘플링 방법
연구 인구
설명
Inclusion Criteria:
- Women delivering a child via cesarean section or EXIT procedure
- Informed consent
Exclusion Criteria:
- Known fetal neurologic defect
- Known maternal neurologic abnormality
Sensitivity or allergy to medications used in the study
- C-section under epidural anesthesia: induction and maintenance with 1.5% lidocaine, sodium bicarbonate and 1:200,000 epinephrine
- C-section under general anesthesia: induction with propofol 2 mg/kg and succinylcholine 2 mg/kg intravenously; maintenance with desflurane 4.5-5%
- EXIT procedure under general anesthesia: induction with propofol 2 mg/kg and succinylcholine 2 mg/kg intravenously; maintenance with desflurane 15-18%
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
코호트 및 개입
그룹/코호트 |
개입 / 치료 |
---|---|
pregnant women
Women undergoing c-section or EXIT procedure
|
Fluids tested for biomarker S100beta
|
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
S100β Umbilical
기간: 1 day
|
as measured by the concentration of biomarker in umbilical arterial and venous blood
|
1 day
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
---|---|---|
S100β Amniotic
기간: 1 day
|
as measured by the concentration of biomarker in maternal amniotic fluid
|
1 day
|
S100β Blood
기간: 1 day
|
as measured by the concentration of biomarker in maternal blood
|
1 day
|
Blood gas
기간: 1 day
|
as measured by the results of umbilical arterial and venous blood
|
1 day
|
공동 작업자 및 조사자
수사관
- 수석 연구원: Huafeng Wei, MD, University of Pennsylvania
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
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