Effect of Age on Propofol-BIS Response
BIS3
Effect of Age on Propofol-Bispectral Index Response Relationship Among Different Age Groups From Vicenarians to Nonagenarians. A New Logistic Model Compared With Traditional Sigmoid Emax Model
1 other identifier
observational
80
1 country
1
Brief Summary
Recently, reports appeared of an 88-yr-old octogenarian exhibiting bispectral index (BIS) value of 46 before anaesthesia induction, and a 91-yr-old nonagenarian fully conscious at BIS value of 52 after propofol anaesthesia recovery. BIS algorithm was heuristically derived from a database of mostly "relatively fit, young healthy" volunteers. To date there are no studies precisely quantifying BIS response to propofol concentrations among different age groups
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Sep 2011
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2013
CompletedFirst Submitted
Initial submission to the registry
October 16, 2015
CompletedFirst Posted
Study publicly available on registry
October 23, 2015
CompletedJune 24, 2019
June 1, 2019
1.7 years
October 16, 2015
June 20, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Difference in Bispectral Index value-TCI response curves
Gradual Induction with propofol over 3.5 minutes from 0 to 3.5 microgram ml-1
During Induction 3.5 minutes
Study Arms (8)
vicenarian
20 to 29 years. Five males and five females
tricenarian
30 to 39 years. Five males and five females
quadragenarian
40 to 49 years. Five males and five females
quinquagenarian
50 to 59 years. Five males and five females
sexagenarian
60 to 69 years. Five males and five females
septuagenarian
70 to 79 years. Five males and five females
octogenarian
80 to 89 years. Five males and five females
nonagenarian
90-99 years. Five males and five females
Eligibility Criteria
80 patients, five male and five female, divided by age decades from vicenarian (20-29 yr) to nonagenarians (90-99 yr)
You may qualify if:
- patients, five male and five female, divided by age decades from vicenarian (20-29 yr) to nonagenarians (90-99 yr)
You may not qualify if:
- Patients with liver disease
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ashraf Dahaba
Xi'an, China
Related Publications (5)
Schultz A, Grouven U, Zander I, Beger FA, Siedenberg M, Schultz B. Age-related effects in the EEG during propofol anaesthesia. Acta Anaesthesiol Scand. 2004 Jan;48(1):27-34. doi: 10.1111/j.1399-6576.2004.00258.x.
PMID: 14674970BACKGROUNDDahaba AA. Different conditions that could result in the bispectral index indicating an incorrect hypnotic state. Anesth Analg. 2005 Sep;101(3):765-773. doi: 10.1213/01.ane.0000167269.62966.af.
PMID: 16115989BACKGROUNDDahaba AA, Worm HC, Zhu SM, Bao FP, Salah A, Zakaria S, Bornemann H, Stadlbauer V, Rehak PH, Metzler H, Stauber RE. Sensitivity and specificity of bispectral index for classification of overt hepatic encephalopathy: a multicentre, observer blinded, validation study. Gut. 2008 Jan;57(1):77-83. doi: 10.1136/gut.2007.129130. Epub 2007 Aug 14.
PMID: 17698861BACKGROUNDSchnider TW, Minto CF, Shafer SL, Gambus PL, Andresen C, Goodale DB, Youngs EJ. The influence of age on propofol pharmacodynamics. Anesthesiology. 1999 Jun;90(6):1502-16. doi: 10.1097/00000542-199906000-00003.
PMID: 10360845BACKGROUNDDahaba AA, Xiao Z, Zhu X, Dong H, Xiong L, Rehak P, Zelzer S, Wang K, Reibnegger G. Age progression from vicenarians (20-29 year) to nonagenarians (90-99 year) among a population pharmacokinetic/pharmacodynamic (PopPk-PD) covariate analysis of propofol-bispectral index (BIS) electroencephalography. J Pharmacokinet Pharmacodyn. 2020 Apr;47(2):145-161. doi: 10.1007/s10928-020-09678-0. Epub 2020 Feb 25.
PMID: 32100175DERIVED
Study Officials
- STUDY DIRECTOR
Zhaoyang Xiao
Guest Professor
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principle Investigator
Study Record Dates
First Submitted
October 16, 2015
First Posted
October 23, 2015
Study Start
September 1, 2011
Primary Completion
May 1, 2013
Study Completion
May 1, 2013
Last Updated
June 24, 2019
Record last verified: 2019-06