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Trial registered on ANZCTR
Registration number
ACTRN12611000301965
Ethics application status
Approved
Date submitted
7/03/2011
Date registered
22/03/2011
Date last updated
22/03/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Immunomodulatory effect of anaesthetic technique in breast cancer surgery
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Scientific title
Comparison of T-lymphocyte function between propofol-remifentanil and sevoflurane anaesthesia in the breast cancer surgery
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Secondary ID [1]
259744
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
breast cancer
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partial mastectomy with sentinel lymph node dissection
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Condition category
Condition code
Cancer
259473
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0
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Breast
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Anaesthesiology
259474
259474
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
general anaesthesia with propofol 3 microg/ml, remifentanil 2 ng/ml in air (1 L/min) delivered at the same time with oxygen (1L/min) mixture and continuously maintained with propofol 3 microg/ml, remifentanil 2 ng/ml in air (1 L/min) delivered at the same time with oxygen (1L/ min) mixture during operation (approximately 90-120 minutes)
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Intervention code [1]
264175
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Treatment: Other
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Intervention code [2]
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Treatment: Drugs
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Comparator / control treatment
general anaesthesia with sevoflurane 1-2 minimum alveolar concentration in air (1 L/min) delivered at the same time with oxygen (1L/min) mixture and continuously maintained with sevoflurane 1-2 minimum alveolar concentration in air (1 L/min) delivered at the same time with oxygen (1L/min) mixture during operation (approximately 90-120 minutes)
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Control group
Active
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Outcomes
Primary outcome [1]
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regulatory T cell subset(CD4/CD25/FoxP3) in peripheral blood will be evaluated using flow cytometry after monoclonal antibody staining
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Assessment method [1]
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Timepoint [1]
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before anaesthetic induction, before discharge from the post anaesthesia care unit (PACU), 24 hour after end of operation
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Primary outcome [2]
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activated T-cell panel (CD4/CD8/CD69/CTLA4) in peripheral blood will be evaluated using flow cytometry after monoclonal antibody staining
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Assessment method [2]
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Timepoint [2]
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before anaesthetic induction, before discharge from the post anaesthesia care unit (PACU), 24 hour after end of operation
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Secondary outcome [1]
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dose of vaso-active drugs
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Assessment method [1]
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Timepoint [1]
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during operation
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Secondary outcome [2]
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pain-scale (0-10 visual analogue scale score)
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Assessment method [2]
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Timepoint [2]
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before discharge from the PACU, 24 hour after end of operation
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Secondary outcome [3]
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dose of the pain killer drug
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Assessment method [3]
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Timepoint [3]
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before discharge from the PACU, 24 hour after end of operation
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Secondary outcome [4]
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hospital complications including wound problem and elevated temperature will be assessed clinically
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Assessment method [4]
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Timepoint [4]
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from end of operation until discharge
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Eligibility
Key inclusion criteria
American society of anesthesiologists physical status (ASA) I or II and scheduled for partial mastectomy with sentinel lymph node dissection due to breast cancer
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Minimum age
30
Years
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Maximum age
60
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
elevated white blood cell count, eleveted body temperature, elevated c-reactive protein, liver cirrhosis, uncontrolled DM, uncontrolled HT, medication with steroid or non-steroidal anti-inflammatory drug
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computerised sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
28/03/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Korea, Republic Of
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State/province [1]
3295
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Samsung Medical Center Clinical Research Development Program grant, CRS110-07-1
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Address [1]
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50 Ilwon-dong, Kangnam-gu, Seoul 135-710, South Korea
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Country [1]
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Korea, Republic Of
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Primary sponsor type
Individual
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Name
Jie Ae Kim
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Address
50 Ilwon-dong, Kangnam-gu, Seoul 135-710, South Korea
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Country
Korea, Republic Of
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Secondary sponsor category [1]
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Individual
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Name [1]
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Eun Sook Gang
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Address [1]
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50 Ilwon-dong, Kangnam-gu, Seoul 135-710, South Korea
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Country [1]
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Korea, Republic Of
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Institutional review board
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Ethics committee address [1]
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50 Ilwon-dong, Kangnam-gu, Seoul 135-710, South Korea
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Ethics committee country [1]
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Korea, Republic Of
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Date submitted for ethics approval [1]
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Approval date [1]
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01/08/2010
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Ethics approval number [1]
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2009-06-009-005
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Summary
Brief summary
This study will compare T-lymphocyte function including regulatory T cell subset (CD4/CD25/FoxP3) and activated T cell panel (CD4/CD8/CD69/CTLA4) and postoperative pain score and complications between propofol-remifentail and sevoflurane anaesthesia in patients undergoing partial mastectomy with sentinel lymph node dissection due to breast cancer. Sixty ASA 1-2 patients undergoing elective parial mastectomy with sentinel lymph node dissection will be randomly assigned into propofol-remifentanil or sevoflurane anaesthesia. Anaesthetic depth will be monitored with BIS with target ranges between 30-60. Blood pressure and heart rate will be maintained within 20 % of preoperative values. The administered vaso-active drugs will be recorded. Peripheral venous blood will be obtained before anaesthetic induction, before discharge from the post anaesthesia care unit, and 24 hour after end of operation and will be analyzed for regulated T-cell subset (CD4/CD25/FoxP3) and activated T cell panel(CD4/CD8/CD69/CTLA4). Postoperative pain scale score (0-10) and complications will be also evaluated.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Jie Ae Kim
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Address
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Department of anesthesiology and pain medicine. Samsung Medical Center, 50 Ilwon-dong, Kangnam-gu, Seoul 135-710, South Korea
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Country
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Korea, Republic Of
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Phone
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82-2-3410-0363
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Jie Ae Kim
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Address
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Department of anesthesiology and pain medicine. Samsung Medical Center, 50 Ilwon-dong, Kangnam-gu, Seoul 135-710, South Korea
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Country
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Korea, Republic Of
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Phone
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82-2-3410-0363
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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