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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03432351
Registration number
NCT03432351
Ethics application status
Date submitted
2/01/2018
Date registered
14/02/2018
Titles & IDs
Public title
Multi-center Isoelectric EEG Study in Children Under General Anesthesia
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Scientific title
An International Multicenter Study of Isoelectric EEG Events in Infants and Young Children During Anesthesia for Surgery
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Secondary ID [1]
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17-014608
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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:
Electroencephalography
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General Anesthesia
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Pediatric Anesthesia
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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
Children: 0-36mo - EEG sensor will be placed on the subject's forehead to observe and record EEG activity. No other applicable intervention.
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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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Incidence of isoelectric EEG events in young children.
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Assessment method [1]
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Isoelectric EEG event is defined as low amplitude EEG for = 2 seconds simultaneously across all 4 EEG channels.
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Timepoint [1]
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Up to 6 months after EEG recording
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Secondary outcome [1]
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Discontinuity of isoelectric EEG events among age groups
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Assessment method [1]
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Patient age associated with isoelectric EEG events will be analyzed using a Pearson Chi square test to compare discontinuity of isoelectric EEG events among the age groups
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Timepoint [1]
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Up to 12 months after EEG recording.
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Secondary outcome [2]
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Association of isoelectric EEG events between gender groups
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Assessment method [2]
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Sample t-test or Wilcoxon rank-sum test, as appropriate will be used to analyze patient gender associated with isoelectric EEG events
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Timepoint [2]
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Up to 12 months after EEG recording
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Secondary outcome [3]
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Patient Weight associated with isoelectric EEG events
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Assessment method [3]
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Weight (kg)
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Timepoint [3]
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Up to 12 months after EEG recording
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Secondary outcome [4]
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Changes in patient's physical status associated with isoelectric EEG events
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Assessment method [4]
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Sample t-test or Wilcoxon rank-sum test, as appropriate, will be used to determine any association between the patient's physical status outcome associated with isoelectric EEG events.
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Timepoint [4]
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Up to 12 months after EEG recording
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Secondary outcome [5]
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Patient Gestational Age associated with isoelectric EEG events
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Assessment method [5]
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Gestational Age (weeks)
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Timepoint [5]
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Up to 12 months after EEG recording
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Secondary outcome [6]
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Procedure length associated with isoelectric EEG events
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Assessment method [6]
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Procedure length (min)
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Timepoint [6]
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Up to 12 months after EEG recording.
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Secondary outcome [7]
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Incidence of anesthetic type
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Assessment method [7]
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Sample t-test or Wilcoxon rank-sum test, as appropriate, will be used to determine incidence of anesthetic type (gas vs. TIVA) associated with isoelectric EEG events.
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Timepoint [7]
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Up to 12 months after EEG recording.
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Secondary outcome [8]
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Anesthesia dose
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Assessment method [8]
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Sample t-test or Wilcoxon rank-sum test, as appropriate, will be used to determine variation in anesthesia dose associated with isoelectric EEG events.
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Timepoint [8]
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Up to 12 months after EEG recording.
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Secondary outcome [9]
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Heart rate associated with isoelectric EEG events
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Assessment method [9]
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Sample t-test or Wilcoxon rank-sum test, as appropriate, will be used to determine variation in heart rate (beats per minute) associated with isoelectric EEG events.
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Timepoint [9]
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Up to 12 months after EEG recording.
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Secondary outcome [10]
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Blood pressure associated with isoelectric EEG events
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Assessment method [10]
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Sample t-test or Wilcoxon rank-sum test, as appropriate, will be used to determine variation in blood pressure (mmHg) associated with isoelectric EEG events.
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Timepoint [10]
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Up to 12 months after EEG recording.
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Secondary outcome [11]
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End tidal carbon dioxide (CO2) associated with isoelectric EEG events.
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Assessment method [11]
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Sample t-test or Wilcoxon rank-sum test, as appropriate, will be used to determine variation in end tidal CO2 (mmHg) associated with isoelectric EEG events.
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Timepoint [11]
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Up to 12 months after EEG recording.
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Secondary outcome [12]
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Anesthesia Recovery time associated with isoelectric EEG events.
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Assessment method [12]
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Recovery time (min)
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Timepoint [12]
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Up to 12 months after EEG recording.
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Secondary outcome [13]
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Changes in quality of life
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Assessment method [13]
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The patient's parent or guardian will complete the PedsQL questionnaire, which measures pediatric quality of life. It consist of up to 45 questions for a total score ranging from 0 to 180. The lower the total score, the better the outcome.
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Timepoint [13]
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Up to 2 months after EEG recording
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Eligibility
Key inclusion criteria
* Age 0 to 36 (inclusive) months
* Greater than 36 weeks post-menstrual age (PMA) on the day of study
* Undergo general anesthesia for surgery that is expected to last more than 30 minutes (combined anesthesia and surgical time).
* Anesthetic maintenance with Sevoflurane if using volatile anesthetic or Propofol infusion if using total intravenous anesthetic.
* Expected airway management with a Laryngeal Mask Airway (LMA) or tracheal tube.
* Parental/legal guardian permission (informed consent) obtained
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Minimum age
No limit
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Maximum age
36
Months
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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
* American Society of Anesthesiology (ASA) (physical status) greater than 3
* Structural/anatomical frontal brain malformations or other circumstances that make it difficult to apply the sensor to the forehead.
* History of abnormal EEG or severe neurological abnormalities.
* Scheduled for surgery above the neck, cardiac, brain, or emergency surgery.
* Known allergy or adverse reaction to ECG adhesives.
* On a sedative infusion (eg, propofol, morphine, fentanyl, midazolam, dexmedetomidine, ketamine) or recently on a sedative infusion (discontinued <24 hours ago)
* Received ketamine within 8 hours prior to the induction of general anesthesia
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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
21/06/2018
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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
27/02/2020
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Sample size
Target
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Accrual to date
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Final
687
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,WA
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Recruitment hospital [1]
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Children's Hospital at Westmead - Westmead
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Recruitment hospital [2]
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Royal Children's Hospital (RCH, Melbourne, Australia) - Parkville
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Recruitment hospital [3]
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Princess Margaret Hospital for Children (PMH, Perth, Australia) - Subiaco
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Recruitment postcode(s) [1]
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2145 - Westmead
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Recruitment postcode(s) [2]
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3052 - Parkville
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Recruitment postcode(s) [3]
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6008 - Subiaco
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Ohio
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Country [2]
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United States of America
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State/province [2]
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Pennsylvania
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Country [3]
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United States of America
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State/province [3]
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Texas
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Country [4]
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China
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State/province [4]
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Beijing
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Country [5]
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China
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State/province [5]
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Guangdong
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Country [6]
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China
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State/province [6]
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Liaoning
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Country [7]
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China
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State/province [7]
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Shanghai
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Country [8]
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China
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State/province [8]
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Sichuan
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Country [9]
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China
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State/province [9]
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Zhejiang
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Country [10]
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Netherlands
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State/province [10]
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Rotterdam
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Country [11]
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Switzerland
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State/province [11]
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Geneva
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Funding & Sponsors
Primary sponsor type
Other
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Name
Children's Hospital of Philadelphia
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Address
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Other collaborator category [1]
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Other
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Name [1]
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Sydney Children's Hospitals Network
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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Royal Children's Hospital
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Address [2]
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Country [2]
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Other collaborator category [3]
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Other
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Name [3]
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Princess Margaret Hospital for Children
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Address [3]
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Country [3]
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Other collaborator category [4]
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Other
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Name [4]
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Guangzhou Women and Children's Medical Center
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Address [4]
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Country [4]
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Other collaborator category [5]
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Other
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Name [5]
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Yuying Children's Hospital of Wenzhou Medical University
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Address [5]
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Country [5]
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Other collaborator category [6]
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Other
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Name [6]
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Sichuan Provincial People's Hospital
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Address [6]
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Country [6]
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Other collaborator category [7]
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Other
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Name [7]
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Beijing Children's Hospital
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Address [7]
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Country [7]
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Other collaborator category [8]
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Other
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Name [8]
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Shanghai Children's Medical Center
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Address [8]
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Country [8]
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Other collaborator category [9]
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Other
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Name [9]
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Shengjing Hospital
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Address [9]
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Country [9]
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Other collaborator category [10]
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Other
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Name [10]
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West China Hospital
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Address [10]
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Country [10]
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Other collaborator category [11]
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Other
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Name [11]
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University of Geneva, Switzerland
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Address [11]
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Country [11]
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Other collaborator category [12]
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Other
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Name [12]
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Erasmus Medical Center
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Address [12]
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Country [12]
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Other collaborator category [13]
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Other
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Name [13]
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Children's Hospital Medical Center, Cincinnati
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Address [13]
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Country [13]
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Other collaborator category [14]
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Other
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Name [14]
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University of Texas Southwestern Medical Center
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Address [14]
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Country [14]
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Ethics approval
Ethics application status
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Summary
Brief summary
Multi-center, prospective, observational study investigating the incidence of isoelectric electroencephalography (EEG) events and the associated peri-operative factors in infants 0-3yo undergoing general anesthesia.
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Trial website
https://clinicaltrials.gov/study/NCT03432351
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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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Paula Hu
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Address
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Clinical Research Manager
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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?
Coded limited dataset with minimum necessary protected health information (PHI) such as dates will be shared with Masimo and statisticians for EEG interpretation and data analysis.
Supporting document/s available: Study protocol, Statistical analysis plan (SAP)
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When will data be available (start and end dates)?
Limited dataset will be available to other researchers for up to 2 years after end of study.
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Available to whom?
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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/NCT03432351