NCT04226495

Brief Summary

Randomized single blind controlled clinical trial to test the benefit of sufentanil infusion over bolus dosing to reduce time to extubation and reduced length of ICU stay.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
65

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Oct 2020

Shorter than P25 for phase_4

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

January 9, 2020

Completed
4 days until next milestone

First Posted

Study publicly available on registry

January 13, 2020

Completed
9 months until next milestone

Study Start

First participant enrolled

October 13, 2020

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 28, 2021

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 28, 2021

Completed
1.3 years until next milestone

Results Posted

Study results publicly available

February 28, 2023

Completed
Last Updated

December 11, 2024

Status Verified

November 1, 2024

Enrollment Period

1 year

First QC Date

January 9, 2020

Results QC Date

November 10, 2022

Last Update Submit

November 19, 2024

Conditions

Outcome Measures

Primary Outcomes (1)

  • Time to Extubation

    We will determine if sufentanil infusion administration intra-operatively during routine cardiac surgery will decrease time to extubation from OR stop data collection time point by 60 minutes compared to sufentanil bolus administration.

    Amount of time in minutes from procedure finish to time of extubation, up to 800 minutes.

Secondary Outcomes (1)

  • Plasma Concentration

    Lab concentration is drawn when patient arrives to ICU, an average of 1 hour after procedure.

Study Arms (2)

Sufentanil Bolus

ACTIVE COMPARATOR

medication in scheduled doses (bolus)

Drug: Sufentanil Bolus

Sufentanil Infusion

EXPERIMENTAL

medication in a slow trickle (infusion)

Drug: Sufentanil Infusion

Interventions

Intra-operative sufentanil infusion

Also known as: Sufentanil
Sufentanil Infusion

Intra-operative sufentanil bolus

Also known as: Sufentanil
Sufentanil Bolus

Eligibility Criteria

Age19 Years - 80 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Scheduled non-emergency cardiac surgical patients including those with planned procedures of CABG, AVR, and combined CABG and AVR
  • to 80 years old
  • Planned pre-operative anesthesia screening visit and/or preoperative surgical clinic visit.
  • Inpatient subject that is scheduled (greater than 24hrs in advance) for a non-emergency cardiac surgical case

You may not qualify if:

  • Sufentanil allergy
  • EF less than or equal to 30%
  • Moderate or severe right ventricular dysfunction,
  • Moderate pulmonary dysfunction, to include patients with at home 02 and/or daily bronchodilator therapy.
  • End Stage Renal Disease on Dialysis
  • Chronic Kidney Disease with GFR \<30
  • Sternotomy Re-do
  • Emergency surgery
  • Greater than 4 units of RBCs or FFP combined
  • Mechanical circulatory support post-operatively such as ECMO, IABP, Impella
  • Not eligible for rapid wean extubation protocol
  • Requires infusion of sedative medication required during ICU admission
  • Greater than or equal to 15 minute ICU hold within PACU

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Nebraska Medical Center

Omaha, Nebraska, 68198, United States

Location

MeSH Terms

Interventions

Sufentanil

Intervention Hierarchy (Ancestors)

FentanylPiperidinesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Results Point of Contact

Title
Jeffrey Songster
Organization
University of Nebraska Medical Center

Study Officials

  • Jeffrey C Songster, MD

    University of Nebraska

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 9, 2020

First Posted

January 13, 2020

Study Start

October 13, 2020

Primary Completion

October 28, 2021

Study Completion

October 28, 2021

Last Updated

December 11, 2024

Results First Posted

February 28, 2023

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will not share

Locations