NCT02484352

Brief Summary

Intravenous form of oxycodone is recently used for the adjunct of anesthetic agents to avoid adverse effects of the stimulation of endotracheal intubation. The potency ratio of oxycodone to fentanyl is not absolutely defined. The aim of this study was to assess the optimal dose of intravenous oxycodone for attenuation of hemodynamic responses to laryngoscopy and endotracheal intubation. A prospective, randomized, double-blind study was conducted. Ninety one patients were randomly divided into 5 group based on the dose of oxycodone; 0, 0.05, 0.1, 0.15, 0.2 mg/kg. After giving each assigned dose of intravenous oxycodone, anesthesia was induced with thiopental and rocuronium. Heart rate (HR) and blood pressure (BP) was collected at baseline, before intubation, 1, 2, 3 minutes after intubation. The change of BP was calculated by (highest BP after intubation - baseline BP)/baseline BP.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
95

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Jul 2015

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 19, 2015

Completed
10 days until next milestone

First Posted

Study publicly available on registry

June 29, 2015

Completed
2 days until next milestone

Study Start

First participant enrolled

July 1, 2015

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2015

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 12, 2017

Completed
Last Updated

July 21, 2017

Status Verified

July 1, 2017

Enrollment Period

3 months

First QC Date

June 19, 2015

Last Update Submit

July 18, 2017

Conditions

Keywords

dosage of oxycodone during intubation

Outcome Measures

Primary Outcomes (1)

  • blood pressure changes before and after endotracheal intubation

    highest blood pressure and baseline blood pressure

    from entrance to operating room to intubation time; up to 30 minutes

Secondary Outcomes (2)

  • total dose of vasopressor; dose x frequency

    during the induction phase of anesthesia before surgical incision up to 30 minutes

  • heart rate changes before and after endotracheal intubation

    from entrance to operating room to intubation time; up to 30 minutes

Study Arms (5)

0 mg/kg of oxycodone

OTHER

Intervention: patients receive 10 ml of normal saline without oxycodone through intravenous route before intubation.

Drug: saline

0.05 mg/kg of oxycodone

OTHER

Intervention: patients receive 10 ml of fluid with 0.05 mg/kg of oxycodone in normal saline through intravenous route before intubation.

Drug: 0.05 mg/kg of oxycodone

0.1 mg/kg of oxycodone

OTHER

Intervention: patients receive 10 ml of fluid with 0.1 mg/kg of oxycodone in normal saline through intravenous route before intubation.

Drug: 0.1 mg/kg of oxycodone

0.15 mg/kg of oxycodone

OTHER

Intervention: patients receive 10 ml of fluid with 0.15 mg/kg of oxycodone in normal saline through intravenous route before intubation.

Drug: 0.15 mg/kg of oxycodone

0.2 mg/kg of oxycodone

OTHER

Intervention: patients receive 10 ml of fluid with 0.2 mg/kg of oxycodone in normal saline through intravenous route before intubation.

Drug: 0.2 mg/kg of oxycodone

Interventions

salineDRUG

different dosage of IV oxycodone was given before intubation

0 mg/kg of oxycodone

different dosage of IV oxycodone was given before intubation

Also known as: OxyNorm
0.05 mg/kg of oxycodone

different dosage of IV oxycodone was given before intubation

Also known as: OxyNorm
0.1 mg/kg of oxycodone

different dosage of IV oxycodone was given before intubation

Also known as: OxyNorm
0.15 mg/kg of oxycodone

different dosage of IV oxycodone was given before intubation

Also known as: OxyNorm
0.2 mg/kg of oxycodone

Eligibility Criteria

Age20 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • American Society of Anesthesiologists (ASA) class 1

You may not qualify if:

  • ASA class over 2
  • expected difficult intubation
  • intubation time over 30 seconds
  • intubation trial was more than once

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Department of Anesthesiology and Pain Medicine : Chung-Aung University Hospital

Seoul, South Korea

Location

Related Publications (2)

  • Sawano Y, Miyazaki M, Shimada H, Kadoi Y. Optimal fentanyl dosage for attenuating systemic hemodynamic changes, hormone release and cardiac output changes during the induction of anesthesia in patients with and without hypertension: a prospective, randomized, double-blinded study. J Anesth. 2013 Aug;27(4):505-11. doi: 10.1007/s00540-012-1552-x. Epub 2013 Jan 12.

    PMID: 23314694BACKGROUND
  • Russell WJ, Morris RG, Frewin DB, Drew SE. Changes in plasma catecholamine concentrations during endotracheal intubation. Br J Anaesth. 1981 Aug;53(8):837-9. doi: 10.1093/bja/53.8.837.

    PMID: 7272146BACKGROUND

MeSH Terms

Interventions

Sodium ChlorideOxycodone

Intervention Hierarchy (Ancestors)

ChloridesHydrochloric AcidChlorine CompoundsInorganic ChemicalsSodium CompoundsCodeineMorphine DerivativesMorphinansOpiate AlkaloidsAlkaloidsHeterocyclic CompoundsHeterocyclic Compounds, Bridged-RingHeterocyclic Compounds, 4 or More RingsHeterocyclic Compounds, Fused-RingPhenanthrenesPolycyclic Aromatic HydrocarbonsPolycyclic Compounds

Study Officials

  • Young-Cheol Woo, Ph.D.

    Chung-Ang University Hosptial, Chung-Ang University College of Medicine

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Assistant professor

Study Record Dates

First Submitted

June 19, 2015

First Posted

June 29, 2015

Study Start

July 1, 2015

Primary Completion

October 1, 2015

Study Completion

February 12, 2017

Last Updated

July 21, 2017

Record last verified: 2017-07

Locations