Clinical trial

Propofol and Etomidate Admixtures Comparisons Trial (PEAC Trial)

Name
STU-TBD
Description
The purpose of this study is to evaluate the hemodynamics and adverse event profile in comparison between two treatment arms, one using an admixture of propofol and etomidate at a ratio by volume of 25%/75% (P2E7), and one using an admixture of propofol and etomidate at a ratio by volume of 75%/25% (P7E2), for anesthesia during endoscopic procedures at the Clements University Hospital (CUH) endoscopy lab (Endo).
Trial arms
Trial start
2022-09-19
Estimated PCD
2024-06-01
Trial end
2024-12-01
Status
Recruiting
Phase
Early phase I
Treatment
Admixture of propofol and etomidate at a ratio by volume of 75%/25% (P7E2)
The purpose of this study is to evaluate the hemodynamics and adverse event profile in comparison between two treatment arms, one using an admixture of propofol and etomidate at a ratio by volume of 25%/75% (P2E7), and one using an admixture of propofol and etomidate at a ratio by volume of 75%/25% (P7E2), for anesthesia during endoscopic procedures at the Clements University Hospital (CUH) endoscopy lab (Endo). The objectives are to compare the treatment arms, P2E7 and P7E2, in a randomized controlled double-blind trial for anesthesia for endoscopic procedures. Comparison between an admixture of Propofol/Etomidate 75%/25% versus 25%/75% being utilized as principal anesthetic for endoscopic procedures at CUH endoscopy lab.
Arms:
Admixture of propofol and etomidate at a ratio by volume of 75%/25% (P7E2)
Other names:
propofol, etomidate, P7E2, propofol 75% by volume, etomidate 25% by volume
Admixture of propofol and etomidate at a ratio by volume of 25%/75% (P2E7)
The purpose of this study is to evaluate the hemodynamics and adverse event profile in comparison between two treatment arms, one using an admixture of propofol and etomidate at a ratio by volume of 25%/75% (P2E7), and one using an admixture of propofol and etomidate at a ratio by volume of 75%/25% (P7E2), for anesthesia during endoscopic procedures at the Clements University Hospital (CUH) endoscopy lab (Endo). The objectives are to compare the treatment arms, P2E7 and P7E2, in a randomized controlled double-blind trial for anesthesia for endoscopic procedures. Comparison between an admixture of Propofol/Etomidate 75%/25% versus 25%/75% being utilized as principal anesthetic for endoscopic procedures at CUH endoscopy lab.
Arms:
Admixture of propofol and etomidate at a ratio by volume of 25%/75% (P2E7)
Other names:
propofol, etomidate, P2E7, propofol 25% by volume, etomidate 75% by volume
Size
200
Primary endpoint
Time weighted average mean arterial pressure within treatment arm
Throughout entire study estimated to take 6 to 12 months to complete
Average within treatment arm vasopressor use by number of units
Throughout entire study estimated to take 6 to 12 months to complete
Average within treatment arm total minutes under 92% oxygen saturation
Throughout entire study estimated to take 6 to 12 months to complete
% of cases with any MAP below 50
Throughout entire study estimated to take 6 to 12 months to complete
% of cases with any MAP >60% below patient's immediate preoperative MAP
Throughout entire study estimated to take 6 to 12 months to complete
% of cases with any treatment for Post Operative Nausea and Vomiting
Throughout entire study estimated to take 6 to 12 months to complete
% of cases with any oxygen saturation event below 85% by pulse oximetry
Throughout entire study estimated to take 6 to 12 months to complete
% of cases with any rapid response or code blue event within 24 hours from anesthesia start
Throughout entire study estimated to take 6 to 12 months to complete
Within treatment arm % of total group with a composite MACE event in the 30 days
Throughout entire study estimated to take 6 to 12 months to complete
Within treatment arm % of total group with a classic MACE event in the 30 days
Throughout entire study estimated to take 6 to 12 months to complete
Average within treatment arm antiemetic use by number of doses
Throughout entire study estimated to take 6 to 12 months to complete
Average within treatment arm time in minutes after dressing complete to discharge
Throughout entire study estimated to take 6 to 12 months to complete
Eligibility criteria
Inclusion Criteria: 1. Adult patients (age ≥18 years old) 2. Having endoscopic procedure at CUH with anesthesia 3. ASA 3 or above 4. Ejection Fraction test result available Exclusion Criteria: 1. Known allergies or adverse reactions to study drugs or study drug components or preservatives 2. Patient refusal 3. Clinician refusal 4. Documented cognitive impairments precluding subject ability to consent for themselves unless a surrogate documented legally acceptable decision maker consents for patient participation 5. Prisoner or incarcerated or patients held by law enforcement officials in custody 6. Pregnancy or patient refusal for pregnancy testing or screening (standard UTSW policy and protocol requires pregnancy testing for appropriate patients prior to anesthesia)
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'This a prospective double blind randomized controlled clinical trial. The purpose of this study is to evaluate the hemodynamics and adverse event profile in comparison between two treatment arms, one using an admixture of propofol and etomidate at a ratio by volume of 25%/75% (P2E7), and one using an admixture of propofol and etomidate at a ratio by volume of 75%/25% (P7E2), for anesthesia during endoscopic procedures at the Clements University Hospital endoscopy lab.', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'DOUBLE', 'maskingDescription': "Blinding plan: Either the investigational drug service with the CUH central pharmacy will prepare the admixture syringes or a separate anesthesia staff not involved in subject's case will prepare admixture syringes thus preventing any case personnel involved with subject's case or subject from knowing which admixture is present within syringes for subject's case.", 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER']}}, 'enrollmentInfo': {'count': 200, 'type': 'ESTIMATED'}}
Updated at
2023-07-28

1 organization

2 products

4 indications

Indication
Anesthesia
Indication
Etomidate