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ObeseNCT03748342

Second Generation LMA Versus Endotracheal Tube in Obese Patients

A study testing Second-Generation Laryngeal Mask Airway in people with Obese and Endotracheal Tube, run by University of Texas Southwestern Medical Center at 2 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This prospective, randomized, comparative study is intended to enroll a total of 148 patients with a BMI 30-49.9 kg/m2 undergoing surgery at Parkland Hospital. The efficacy and performance of a second-generation LMA will be compared to endotracheal intubation. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Obese, Endotracheal Tube, Laryngeal Mask Airway
What is being tested?
Second-Generation Laryngeal Mask Airway
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
97 participants
Where
2 sitesUnited States
Study dates
27 Jun 2019to 3 Feb 2025
Phase
Interventional
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 18-80 years old
  • Obese (BMI > or equal to 30 kg/m2
  • Scheduled for a non-emergent surgery that requires general anesthesia (e.g., orthopedic, breast, urological, colorectal, ENT, vascular, general surgery)
  • Willing and able to consent in English or Spanish
  • No current history of advanced pulmonary or cardiac disease

Who cannot join

  • Age less than 18 or older than 80
  • BMI ≥50 or < 30 kg/m2
  • Patient does not speak English or Spanish
  • Expected surgical duration longer than 4 hours
  • Planned postoperative ICU admission
  • Patient refusal
Show all 14Show fewer
  • Monitored anesthesia care (MAC) or regional anesthesia planned
  • Pregnant or nursing women
  • "Stat" (emergent) cases
  • Known or suspected difficult airway
  • Full stomach/significant aspiration risk (gastroparesis, emergency surgery, untreated moderate to severe gastroesophageal reflux disease, hiatal hernia)
  • No history of gastric surgery
  • Surgery in position other than supine (e.g., Trendelenburg)
  • Laparoscopic surgery

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Parkland Health & Hospital System

    Dallas, Texas, 75211

  • MD Anderson Cancer Center

    Houston, Texas, 77030

Other trials in United States

About this study

Official title: The Use of a Second-Generation Laryngeal Mask Airway Versus Endotracheal Tube in Obese Patients

This prospective, randomized, comparative study is intended to enroll a total of 148 patients with a BMI 30-49.9 kg/m2 undergoing surgery at Parkland Hospital. The efficacy and performance of a second-generation LMA will be compared to endotracheal intubation. A standardized anesthetic protocol that is usual and customary for the type of operation the patient is having will be provided to the anesthesia teams of enrolled subjects. The remainder of the anesthetic care of the subject will not deviate from the standard of care.

Being tested
Second-Generation Laryngeal Mask Airway
Medical subject headings
Obesity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Second-Generation Laryngeal Mask AirwayDevice

    A second-generation LMA will be used for airway management (instead of ETT).

Study groups in NCT03748342
Study groupRoleWhat they receive
Standard Endotracheal TubeNo interventionNot described
Second-Generation LMAActive comparatorNot described
Receives: Device: Second-Generation Laryngeal Mask Airway

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of Participants With Postoperative Hypoxia

    Patients in the 2 groups will be assessed for postoperative hypoxia (1 or more episodes) in the PACU using a visual analog scale.

    Measured: Up to 80 minutes post-operatively

Secondary outcomes (7)
  1. Alterations in Blood Pressure

    Blood pressure monitor readings (events) will be recorded throughout the surgery and compared to baseline pre-operative values.

    Measured: Intra-operatively

  2. Alterations in Heart Rate

    Heart rate monitor readings (events) will be recorded throughout the surgery and compared to baseline pre-operative values.

    Measured: Intra-operatively

  3. Alterations in Oxygen Saturation (at Baseline)

    Oxygen saturation readings (events) will be recorded throughout the surgery and compared to baseline pre-operative values. Number of participants that did not require O2 is reported in the data table below.

    Measured: Baseline

  4. Alterations in Oxygen Saturation (at T15)

    Oxygen saturation readings (at T15- after 15 mins in PACU) will be recorded throughout the surgery and compared to baseline pre-operative values.

    Measured: at 15 mins postoperatively

  5. Alterations in Oxygen Saturation (at T45)

    Oxygen saturation readings (at T45- after 45 mins in PACU) will be recorded throughout the surgery and compared to baseline pre-operative values.

    Measured: at 45 mins postoperatively

  6. Alterations in Oxygen Saturation (at T80)

    Oxygen saturation readings (at T80- after 80 mins in PACU) will be recorded throughout the surgery and compared to baseline pre-operative values.

    Measured: at 80 mins postoperatively

  7. Alterations in Respiratory Rate

    Respiratory rate readings (events) will be recorded at baseline.

    Measured: Baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted20 Nov 2018
  2. Study start27 Jun 2019
  3. Primary completion2 Feb 2024
  4. Study completion3 Feb 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
97 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03748342
Sponsor's protocol ID
STU-112017-050
Status last verified
Mar 2025
First submitted
22 Oct 2018
Last updated
17 Apr 2025
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A study testing Second-Generation Laryngeal Mask Airway in people with Obese and Endotracheal Tube, run by University of Texas Southwestern Medical Center at 2 sites in United States.

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 14 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 17 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. 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 17 Apr 2025). 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?

Proportion of Participants With Postoperative Hypoxia (time frame: Up to 80 minutes post-operatively). 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 17 Apr 2025.

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