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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03995134
Registration number
NCT03995134
Ethics application status
Date submitted
17/06/2019
Date registered
21/06/2019
Titles & IDs
Public title
Target Controlled Infusion Using Propofol and Remifentanil for Moderate Sedation in Dentistry
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Scientific title
Target Controlled Infusion Using Propofol and Remifentanil for Moderate Sedation in Dentistry
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Secondary ID [1]
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Pro00083505
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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:
Sedative Adverse Reaction
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Condition category
Condition code
Intervention/exposure
Study type
Observational
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Patient registry
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Other interventions - Propofol and Remifentanil administered by TCI pump
Propofol and Remifentanil - Procedural sedation in Dentistry provided by a Target Controlled Infusion pump using propofol as the sedative/hypnotic agent and Remifentanil as the opioid analgesic agent.
Other interventions: Propofol and Remifentanil administered by TCI pump
Propofol, Remifentanil, Alaris PK (pharmacokinetic) infusion pump with TCI
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Intervention code [1]
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Other interventions
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Maintaining Patient Responsiveness during Target Controlled Infusion sedation
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Assessment method [1]
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Number of participants with treatment-related adverse events as assessed by loss of consciousness or responsiveness
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Timepoint [1]
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5 minute
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Secondary outcome [1]
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Rates of adverse events and side effects when using TCI for Procedural Sedation in Dentistry - oxygen desaturation
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Assessment method [1]
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Sum of time intervals of oxygen desaturation below SpO2 of 90.
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Timepoint [1]
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Baseline and 5 minute
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Secondary outcome [2]
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Rates of adverse events and side effects when using TCI for Procedural Sedation in Dentistry - blood pressure
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Assessment method [2]
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A change of Mean Arterial Pressure (MAP) of more than 25% from baseline
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Timepoint [2]
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Baseline and 5 minute
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Secondary outcome [3]
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Rates of adverse events and side effects when using TCI for Procedural Sedation in Dentistry - heart rate
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Assessment method [3]
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A change in the heart rate of more than 25% from baseline
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Timepoint [3]
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Baseline and 5 minute
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Secondary outcome [4]
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Patient Satisfaction with TCI sedation
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Assessment method [4]
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Use of a patient recall and satisfaction questionnaire as a non-technical outcome measure provides researcher/stakeholders with important information on patient's experiences and perspectives
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Timepoint [4]
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Questionnaire presented at baseline ( prior to discharge) and 24 to 48 hours post sedation
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Secondary outcome [5]
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Patient recovery time
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Assessment method [5]
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Measure of time to discharge as defined by the time from last drug administered until patient meets discharge criteria
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Timepoint [5]
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Up to 30 minutes
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Eligibility
Key inclusion criteria
* Patient age: =18 years of age.
* Patients who are generally healthy (American Society of Anesthesiology [ASA] Physical Status I), or patients with mild systemic disease (ASA Patient Physical Status II).
* Both genders eligible.
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Minimum age
18
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
* Patients who would normally be unsuitable candidates for treatment in non-hospital dental facilities undergoing intravenous sedation.
* Medically complex or unwell patients who may require medical anesthesiologist or hospital assistance, i.e., ASA III or greater.
* Patients with a history of anesthetic-related complications or difficult airway management that may require the assistance of an anesthesiologist.
* Patients allergic to propofol or fentanyl compounds.
* Patients who are unable to, or refuse to sign the consent form.
* Female patients who are pregnant, or suspect they may be.
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Study design
Purpose
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Duration
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Selection
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
3/08/2019
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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
17/01/2020
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Sample size
Target
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Accrual to date
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Final
101
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Alberta
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Country [2]
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New Zealand
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State/province [2]
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Auckland
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Alberta
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose of this university study is to evaluate the use of an advanced dental sedation technique involving two syringe-type pumps called Target Controlled Infusion (TCI) pumps. Two oral surgeons and a general dentist from New Zealand are assisting a Canadian research team as they study this intravenous sedation technique and its use in dental offices. This sedation technique is broadly used in other parts of the world and is known to reduce anxiety and discomfort during dental or medical procedures. The New Zealand Dental Council and Health Canada have approved the drugs involved and the TCI pumps. In this study, one pump will be used to administer a sedative drug called propofol and the other to administer a pain-relief analgesic drug called remifentanil. The pumps and drugs are licensed in New Zealand and Canada and are not experimental. These pumps are operated by special software modules that are specific to each drug, and a computer within the pump controls the pump operation allowing a stable and constant level of drug in the blood stream. Your oral surgeon or dentist will titrate or add small amounts of drug till the you are quite relaxed before proceeding with your dental treatment. The dentist has overall control of the pump and the amount of drug given and can change the amount if it is too little or too much for you, or completely stop the pump if necessary for safety.. The TCI sedation, including your dental treatment will be conducted by two oral surgeons and a general dentist in their respective New Zealand dental offices. Each clinician is well trained and experienced with this form of sedation.
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Trial website
https://clinicaltrials.gov/study/NCT03995134
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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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Douglas Lobb, DDS
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Address
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University of Alberta
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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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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Upon completion of the study and publication, resulting data, study protocol and other information will be shared.
Supporting document/s available: Clinical study report (CSR)
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When will data be available (start and end dates)?
Upon completion of study and publication
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Available to whom?
Study protocol, and clinical report
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03995134