- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT07637279
Patient Controlled Propofol Sedation Versus Standard Sedation in Advanced Therapeutic Colonoscopy With a Focus on Patient Satisfaction (PCAPS2)
Patient-Controlled Anesthesia for Endoscopic Procedural Sedation (PCAPS). A Randomized Controlled Trial Evaluating Patient-controlled Propofol Sedation in Therapeutic Colonoscopies
The goal of this clinical trial is to learn if patient administered propofol sedation results in superior patient satisfaction compared to standard conscious sedation in advanced therapeutic endoscopy.
• 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 standard conscious sedation
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.
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Studietype
Registrering (Antatt)
Fase
- Fase 4
Kontakter og plasseringer
Studiekontakt
- Navn: Richard E Marsk, MD, Docent
- Telefonnummer: +46 8 123 71956
- E-post: richard.marsk@ki.se
Studiesteder
-
-
-
Stockholm, Sverige
- Endoscopy Unit, StGörans Hospital
-
Ta kontakt med:
- Tamaki Ichiya, MD, PhD student
- Telefonnummer: +46 8 587 010 00
- E-post: tamaki.ichiya@ki.se
-
Stockholm, Sverige
- Endoskopicentrum, Danderyds Hospital
-
Ta kontakt med:
- Ylva Falkén, MD, PhD
- Telefonnummer: +46 123 550 00
- E-post: ylva.falken@regionstockholm.se
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske 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 questioneeres
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 studiet utformet?
Designdetaljer
- Primært formål: Helsetjenesteforskning
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Patient controlled propofol sedation
Patient controlled propofol sedation.
By pushing a button the patient will be administred a bolusdose of propofol 5 mg intravenously.
There is a lock-out function of max 8 administrations per minute, ie the maximum propofol dose per minute is 40 mg.
|
Patient controlled propofol sedation.
5 mg propofol iv per push.
Max 8 pushes/minute
|
|
Aktiv komparator: Standard conscious sedation with midazolam and fentanyl
Conscious sedation with midazolam and/or fentanyl administred by the endoscopy nurse.
Midazolam will be given in doses of 1-2 mg intravenously.
Fentanyl will be given, if needed, in doses of 0.25-0.5 mg intravenously
|
Midazolam and/or fentanyl given intravenously as needed by endoscopy nurse
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Patient satisfaction
Tidsramme: One hour after the procedure and one week after the procedure
|
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.
|
One hour after the procedure and one week after the procedure
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Recovery time
Tidsramme: <4 hours post examination
|
Time before the patient can be discharged from the endoscopy unit.
|
<4 hours post examination
|
|
Procedure duration
Tidsramme: Postprocedure
|
Time to completion of the procedure (min)
|
Postprocedure
|
|
Adverse events
Tidsramme: 30 days
|
Any adverse events related to sedation within 30 days
|
30 days
|
Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Hovedetterforsker: Richard E Marsk, MD, Docent, Karolinska Institutet
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- PCAPS2
- 2025-524859-31-00 (Ctis)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (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 Støtteinformasjonstype
- STUDY_PROTOCOL
- ANALYTIC_CODE
- CSR
Legemiddel- og utstyrsinformasjon, studiedokumenter
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