Anesthesia, GeneralNCT01715857
Clinical Practice of Inhalation Anesthesia With Sevoflurane in China
An observational study of Anesthesia, General, run by AbbVie (prior sponsor, Abbott) at 36 sites in China.
Trial summary
Until recently, there was a lack of understanding and consensus among Chinese anesthesiologists how they should practice general anesthesia with volatile anesthetics, since there was no standard of inhalation practice. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- Anesthesia, General
- How many people
- 4,100 participants
- Where
- 36 sitesChina
- Study dates
- Jul 2012to Jul 2013
- Phase
- Observational
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 70 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Chinese patients undergoing surgery require general anesthesia (sevoflurane) with endotracheal intubation or laryngeal mask.
Who may be able to join
- Man or woman, aged from 18 to 70 years old.
- American Society of Anesthesiologists (ASA) physical status: I, II and III.
- Surgery requiring sevoflurane anesthesia with endotracheal intubation or laryngeal mask airway (LMA).
- The type of surgery is either general surgery, or orthopedics, or gynecology.
- The duration of anesthesia ranges from 1 to 5 hours.
Who cannot join
- History of clinically significant cardiovascular, pulmonary, renal, hepatic or central nervous system or muscle disease.
- Known hypersensitivity or history of unusual response to any halogenated anesthetics.
- Personal or familial history of malignant hyperthermia.
- Female patients who are either pregnant or breast feeding.
- General anesthesia is administered with total intravenous anesthesia (TIVA) of propofol or sevoflurane maintenance combined with propofol continuous infusion during maintenance.
Trial locations and contacts
36 sites in 1 country.
36 sites in 1 country
China36 sites
Site Reference ID/Investigator# 84317
Beijing, 100000
Site Reference ID/Investigator# 86755
Beijing, 100029
Site Reference ID/Investigator# 96155
Beijing, 100191
Site Reference ID/Investigator# 84320
Beijing, 100730
Site Reference ID/Investigator# 84316
Beijing, Xicheng District, 100044
Site Reference ID/Investigator# 84321
Changchun, Jilin, 130031
Site Reference ID/Investigator# 86754
Changchun, Jilin, 130033
Site Reference ID/Investigator# 86764
Changsha, Hunan, 410008
Site Reference ID/Investigator# 86767
Changsha, Hunan, 410013
Site Reference ID/Investigator# 100206
Chengdu, 610041
Site Reference ID/Investigator# 86762
Chongqing, 400042
Site Reference ID/Investigator# 84338
Guangzhou, 510030
Site Reference ID/Investigator# 106416
Guangzhou, 510405
Site Reference ID/Investigator# 84337
Guangzhou, 510515
Site Reference ID/Investigator# 102457
Guangzhou, 511400
Site Reference ID/Investigator# 84333
Guangzhou, Guangdong, 510010
Site Reference ID/Investigator# 100095
Guangzhou, Guangdong, 510655
Site Reference ID/Investigator# 84334
Harbin, Heilongjiang, 150081
Site Reference ID/Investigator# 86759
Jinan, Shandong, 250014
Site Reference ID/Investigator# 84318
Kunming, Yunnan, 650032
Site Reference ID/Investigator# 86757
Kunming, Yunnan, 650101
Site Reference ID/Investigator# 84336
Lanzhou, Gansu, 730000
Site Reference ID/Investigator# 84322
Lanzhou, Gansu, 730030
Site Reference ID/Investigator# 86761
Nanchang, Jiangxi, 330006
Site Reference ID/Investigator# 102455
Qingdao, 266011
Site Reference ID/Investigator# 78434
Shanghai, 200025
Site Reference ID/Investigator# 86073
Shanghai, 200127
Site Reference ID/Investigator# 84342
Shanghai, 200438
Site Reference ID/Investigator# 84314
Shenyang, Liao Ning, 110042
Site Reference ID/Investigator# 84319
Shijiazhuang Hebei, 500011
Site Reference ID/Investigator# 100207
Tianjin, 300052
Site Reference ID/Investigator# 95295
Tianjin, 300162
Site Reference ID/Investigator# 86760
Wuhan, Hubei, 430022
Site Reference ID/Investigator# 86766
Zhengzhou, Henan, 450000
Site Reference ID/Investigator# 86763
Zhengzhou, Henan, 450008
Site Reference ID/Investigator# 86769
Zunyi, Guizhou, 563099
About this study
Official title: A Multicenter Registry on the Clinical Practice of Inhalation Anesthesia With Sevoflurane in China
Until recently, there was a lack of understanding and consensus among Chinese anesthesiologists how they should practice general anesthesia with volatile anesthetics, since there was no standard of inhalation practice. In August 2011, the Anesthesiology branch of the Chinese Medical Association launched the first version of Chinese Consensus of Standard Clinical Practice for Inhalation Anesthesia (Consensus) in order to standardize the practice in China.
The proposed registry is aimed to evaluate the current inhalation practice one year after the Consensus has been released, and related patient outcome. This registry evaluated sevoflurane anesthesia, including screening, induction, maintenance, emergence, and follow-up within 24 hours post-operation.
- Conditions
- Anesthesia, General
- Keywords
- Economics, Pharmaceutical, Physician's Practice Patterns, Chinese, Sevoflurane
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| Chinese Patients Requiring Surgery with Sevoflurane Anesthesia | Participants who were scheduled for surgery requiring sevoflurane anesthesia with endotracheal intubation or laryngeal mask airway (LMA) per approved product information of sevoflurane in China |
What is being measured
The primary outcome is the main question the study is designed to answer.
Anesthesiologist Satisfaction With the Anesthesia Using a Numeric Analog Scale (NAS)
Anesthesiologist satisfaction with the anesthesia was recorded by the anesthesiologist at the end of the operation using a NAS from 0 (not satisfied at all) to 10 (completely satisfied). The satisfaction of induction, maintenance, and emergence accounts for 20%, 50%, and 30% of the score, respectively.
Measured: End of surgery
Participant Satisfaction With the Anesthesia Using a Numeric Analog Scale (NAS)
Participant satisfaction with the anesthesia recorded approximately 24 hours after the end of the operation using a NAS from 0 (not satisfied at all) to 10 (completely satisfied).
Measured: 24 hours after end of surgery
Secondary outcomes (5)
Time to Eye Opening
After cessation of anesthesia, the investigators lightly tapped on the participant's forehead or shoulder and asked the participant to open their eyes. This process was repeated approximately every minute until eye opening occurred.
Measured: From cessation of sevoflurane administration until the participant opened their eyes, up to 80 minutes
Time to Extubation
Time to extubation was measured from the time sevoflurane administration had stopped until tracheal extubation or laryngeal mask airway (LMA) removal occurred.
Measured: From cessation of sevoflurane administration until tracheal extubation occurred, up to 80 minutes
Cost of Anesthetics Including Sevoflurane (Yuan Renminbi [RMB]/Hour)
Cost of anesthetics is the sum of the cost of sevoflurane and other anesthetics including narcotics and muscle relaxants. Cost of sevoflurane = unit price of sevoflurane multiplied by the used volume of sevoflurane. Cost of other anesthetics = unit price of anesthetics multiplied by the total volume of anesthetics in the ampoule.
Measured: Anesthetic duration between 1 to 5 hours
Non-compliance of Sevoflurane End Tidal Concentration Following the Consensus
Non-compliance of sevoflurane end tidal concentration was defined as the percentage of time points for the maintenance period (excluding washout phase) that were below the sevoflurane end tidal concentration boundary of 0.6 minimal alveolar concentration (MAC) based on the Consensus. A higher percentage indicates a higher degree of non-compliance.
Measured: During maintenance (up to 5 hours)
Non-compliance of Sevoflurane Vaporizer Setting Following the Consensus
Non-compliance of sevoflurane vaporizer setting was defined as the percentage of time points for the maintenance period outside the range of 1.0 - 1.5 minimal alveolar concentration (MAC) during the maintenance period (excluding washout phase) based on the Consensus. A higher percentage indicates a higher degree of non-compliance.
Measured: During maintenance (up to 5 hours)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted29 Oct 2012 (estimated)
- Study startJul 2012
- Primary completionJul 2013
- Study completionJul 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Anesthesia, GeneralStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case only
- Time perspective
- Prospective
- Enrolment
- 4,100 participants (actual)
Sponsor and investigators
- Lead sponsor
- AbbVie (prior sponsor, Abbott)
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Yue Kang, MD, Study director, AbbVie
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01715857
- Sponsor's protocol ID
- P13-934
- Status last verified
- Aug 2014
- First submitted
- 2 Sep 2012
- Last updated
- 19 Aug 2014
- Results posted
- Yes, on ClinicalTrials.gov
Study at a glance
From the registry record, last updated by the sponsor on 19 Aug 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multicenter Registry on the Clinical Practice of Inhalation Anesthesia With Sevoflurane in China
- ClinicalTrials.gov ID
- NCT01715857
- Acronym / sponsor ID
- P13-934
- Conditions
- Anesthesia, General
- Keywords
- Economics, Pharmaceutical, Physician's Practice Patterns, Chinese, Sevoflurane
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 4,100 participants (actual)
- Lead sponsor
- AbbVie (prior sponsor, Abbott)Industry (pharma, biotech, devices)
- Study start
- Jul 2012
- Primary completion
- Jul 2013 (actual)
- Study completion
- Jul 2013 (actual)
- First posted
- 29 Oct 2012 (estimated)
- Results
- Posted 13 Aug 2014
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Until recently, there was a lack of understanding and consensus among Chinese anesthesiologists how they should practice general anesthesia with volatile anesthetics, since there was no standard of inhalation practice. In August 2011, the Anesthesiology branch of the Chinese Medical Association launched the first version of Chinese Consensus of Standard Clinical Practice for Inhalation Anesthesia (Consensus) in order to standardize the practice in China.
The proposed registry is aimed to evaluate the current inhalation practice one year after the Consensus has been released, and related patient outcome. This registry evaluated sevoflurane anesthesia, including screening, induction, maintenance, emergence, and follow-up within 24 hours post-operation.
Study design
- Observational model
- Case only
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Chinese Patients Requiring Surgery with Sevoflurane Anesthesia | – | –Participants who were scheduled for surgery requiring sevoflurane anesthesia with endotracheal intubation or laryngeal mask airway (LMA) per approved product information of sevoflurane in China |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Chinese patients undergoing surgery require general anesthesia (sevoflurane) with endotracheal intubation or laryngeal mask.
Key inclusion criteria (5 listed)
- Man or woman, aged from 18 to 70 years old.
- American Society of Anesthesiologists (ASA) physical status: I, II and III.
- Surgery requiring sevoflurane anesthesia with endotracheal intubation or laryngeal mask airway (LMA).
- The type of surgery is either general surgery, or orthopedics, or gynecology.
- The duration of anesthesia ranges from 1 to 5 hours.
Key exclusion criteria (5 listed)
- History of clinically significant cardiovascular, pulmonary, renal, hepatic or central nervous system or muscle disease.
- Known hypersensitivity or history of unusual response to any halogenated anesthetics.
- Personal or familial history of malignant hyperthermia.
- Female patients who are either pregnant or breast feeding.
- General anesthesia is administered with total intravenous anesthesia (TIVA) of propofol or sevoflurane maintenance combined with propofol continuous infusion during maintenance.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Anesthesiologist Satisfaction With the Anesthesia Using a Numeric Analog Scale (NAS)
Time frame: End of surgery
Anesthesiologist satisfaction with the anesthesia was recorded by the anesthesiologist at the end of the operation using a NAS from 0 (not satisfied at all) to 10 (completely satisfied). The satisfaction of induction, maintenance, and emergence accounts for 20%, 50%, and 30% of the score, respectively.
Participant Satisfaction With the Anesthesia Using a Numeric Analog Scale (NAS)
Time frame: 24 hours after end of surgery
Participant satisfaction with the anesthesia recorded approximately 24 hours after the end of the operation using a NAS from 0 (not satisfied at all) to 10 (completely satisfied).
5 secondary outcomes
Time to Eye Opening
Time frame: From cessation of sevoflurane administration until the participant opened their eyes, up to 80 minutes
Time to Extubation
Time frame: From cessation of sevoflurane administration until tracheal extubation occurred, up to 80 minutes
Cost of Anesthetics Including Sevoflurane (Yuan Renminbi [RMB]/Hour)
Time frame: Anesthetic duration between 1 to 5 hours
Non-compliance of Sevoflurane End Tidal Concentration Following the Consensus
Time frame: During maintenance (up to 5 hours)
Non-compliance of Sevoflurane Vaporizer Setting Following the Consensus
Time frame: During maintenance (up to 5 hours)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 19 Aug 2014.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Related InfoLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Yue Kang, MD study director
AbbVie
36 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Anesthesia, General, run by AbbVie (prior sponsor, Abbott) at 36 sites in China.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 19 Aug 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 36 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 13 Aug 2014). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Anesthesiologist Satisfaction With the Anesthesia Using a Numeric Analog Scale (NAS) (time frame: End of surgery). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Aug 2014.