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Trial registered on ANZCTR
Registration number
ACTRN12612000910808
Ethics application status
Approved
Date submitted
20/08/2012
Date registered
27/08/2012
Date last updated
27/08/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Sevoflurane aggravate minimal hepatic encephalopath in cirrhosis patients
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Scientific title
Sevoflurane aggravate minimal hepatic encephalopathy in cirrhosis patients compared to propofol
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Secondary ID [1]
281065
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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:
minimal hepatic encephalopathy
287207
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general anesthesia
287208
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Condition category
Condition code
Anaesthesiology
287541
287541
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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
2-3% sevoflurane (to maintain bispectral index values 40-60) inhaled during the operation (2-4h, vary on a case by case basis depending on the operation).
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Intervention code [1]
285521
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Treatment: Drugs
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Comparator / control treatment
administration of propofol through target controlled infusion at 4-8mg/kg/h (to maintain bispectral index values 40-60) during the operation
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Control group
Active
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Outcomes
Primary outcome [1]
287784
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Minimal hepatic encephalopathy detected by 20% increase in the number connection test (NCT) score
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Assessment method [1]
287784
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Timepoint [1]
287784
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2 day and 7 day after surgery
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Secondary outcome [1]
298831
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Minimal hepatic encephalopathy detected by 20% increase in the line tracing test (LTT) score
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Assessment method [1]
298831
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Timepoint [1]
298831
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2 day and 7 day after surgery
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Eligibility
Key inclusion criteria
patients who had evidence of cirrhosis by clinical, biochemical, and/or histological criteria with ASA class 1 or 2 scheduled for elective surgery
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
patients with active bleeding or with overt encephalopathy, patients with known allergy to sedative, known significant respiratory disease, active neurological impairment, advanced or decompensated liver disease (CP score >9, Child-Pugh class C), ongoing alcohol or drug abuse, psychiatric illness, monocular vision, mental impairment.
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Study design
Purpose of the study
Prevention
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/01/2012
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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]
4495
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China
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State/province [1]
4495
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Funding & Sponsors
Funding source category [1]
285848
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Government body
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Name [1]
285848
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National Natural Science Foundation of China
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Address [1]
285848
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83 Shuangqing Road, Beijing 100085
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Country [1]
285848
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China
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Primary sponsor type
Government body
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Name
National Natural Science Foundation of China
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Address
83 Shuangqing Road, Beijing 100085
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Country
China
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Secondary sponsor category [1]
284671
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Hospital
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Name [1]
284671
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Eastern Hepatobiliary Surgery Hospital
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Address [1]
284671
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225 Changhai Road, Shanghai 200438
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Country [1]
284671
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China
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Ethics approval
Ethics application status
Approved
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Summary
Brief summary
Patients with minimal hepatic encephalopathy (MHE) have impaired motor function and visuomotor cordination, which make them unsafe in their life. Evaluation of MHE stage in surgery patients with hepatic cirrhosis is an important problem for the inhalation of anesthetics. We have previously observed that sevoflurane induced increased MHE scores in non-hepatic surgery patients with cirrhosis, suggesting that inhaled anesthetics can. In this study, we try to demonstrate the effect of sevoflurane on MHE in cirrhosis patients by a randomized controlled clinical observation. This study would be helpful for the perioperative anesthetic application in patients with cirrhosis.
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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
34597
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Address
34597
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Country
34597
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Phone
34597
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Fax
34597
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Email
34597
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Contact person for public queries
Name
17844
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Xue-rong Miao
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Address
17844
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225 Changhai Road, Shanghai 200438, China.
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Country
17844
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China
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Phone
17844
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+86 13636551152
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Fax
17844
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Email
17844
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[email protected]
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Contact person for scientific queries
Name
8772
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Xue-rong Miao
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Address
8772
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225 Changhai Road, Shanghai 200438, China.
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Country
8772
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China
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Phone
8772
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+86 13636551152
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Fax
8772
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Email
8772
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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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