EEG Signal Correlates During Anesthesia and Sedation in Adults and Children
SPECTRALADUPED
Study of Pharmacological and Clinical Correlates of the Electroencephalographic Signal During Induction, Maintenance and Emergence Phases of General Anesthesia or Procedural Sedation in Adults and General Anesthesia in Children
2 other identifiers
observational
330
1 country
2
Brief Summary
This prospective, multicenter, non-interventional observational study investigates the correlates between electroencephalographic (EEG) signals and pharmacological/clinical parameters during general anesthesia and procedural sedation. The study will enroll 330 participants across three distinct populations at two AP-HP sites (Bichat-Claude Bernard Hospital and Louis Mourier Hospital):
- 1.Pediatric cohort (n=110): Children aged 1-17 years undergoing general anesthesia, including 55 with autism spectrum disorder (ASD) and 55 without ASD.
- 2.Elderly adult cohort (n=110): Patients over 70 years undergoing scheduled surgery under general anesthesia.
- 3.Procedural sedation cohort (n=110): Adults ≥18 years undergoing procedural sedation for digestive endoscopy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Mar 2026
2 active sites
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
First Submitted
Initial submission to the registry
March 4, 2026
CompletedFirst Posted
Study publicly available on registry
March 10, 2026
CompletedStudy Start
First participant enrolled
March 15, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 15, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
May 15, 2027
March 10, 2026
March 1, 2026
1.1 years
March 4, 2026
March 4, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Correlation of EEG features with pharmacological and clinical parameters during anesthesia
Identification of electroencephalographic (EEG) signal features (spectral power in delta, theta, alpha, beta, gamma bands; coherence; entropy measures; burst suppression patterns) that demonstrate statistically significant correlation with: 1. Pharmacological parameters including anesthetic drug type, estimated effect-site concentration, drug combinations, and pharmacokinetic/pharmacodynamic properties 2. Clinical parameters including patient age, comorbidities, surgical stimulation intensity, hemodynamic changes, and clinical signs of consciousness level Correlations will be quantified using Pearson or Spearman correlation coefficients (as appropriate) and analyzed separately for induction, maintenance, and emergence phases. Features will be extracted from multi-channel EEG recordings using advanced signal processing and machine learning techniques.
During anesthesia/sedation procedure (typically 1-6 hours per participant)
Development of mathematical tools for EEG analysis during maintenance phase
Development of new mathematical descriptors to quantify spectral density matrix (SDM) EEG profiles during anesthesia maintenance in adults and children, distinguishing stationary phases from transitions between states. Collaboration with mathematical team at ENS (Prof. David Holcman). Measured variables: Novel mathematical descriptors quantifying SDM EEG profiles during anesthetic maintenance. Outcome: Linearity of relationship between quantitative descriptors and clinical anesthesia phase, measured by R² correlation coefficient between new descriptors and clinical classification (awake, induction, light/medium/deep maintenance, emergence).
During anesthesia maintenance phase (varies per participant, typically 1-5 hours)
Secondary Outcomes (8)
Development of mathematical tools for induction phases
During induction (typically 2-5 minutes) and emergence (typically 5-20 minutes)
Development of mathematical tools for emergence phases
During induction (typically 2-5 minutes) and emergence (typically 5-20 minutes)
Analysis of individual sensitivity to anesthetic drugs during induction
During induction phase (first 2-5 minutes of anesthetic exposure)
Consistency of individual anesthetic sensitivity across induction
Throughout entire anesthesia procedure (induction through emergence, typically 1-6 hours)
Consistency of individual anesthetic sensitivity across maintenance
Throughout entire anesthesia procedure (induction through emergence, typically 1-6 hours)
- +3 more secondary outcomes
Study Arms (3)
COHORT 1 - Pediatric (n=110)
Children aged 1-17 years undergoing general anesthesia, including 55 with ASD and 55 without ASD.
COHORT 2 - Elderly Adults (n=110)
Patients over 70 years undergoing scheduled surgery under general anesthesia at Bichat-Claude Bernard Hospital.
COHORT 3 - Procedural Sedation (n=110)
Adults ≥18 years undergoing procedural sedation for digestive endoscopy at Louis Mourier Hospital.
Eligibility Criteria
For adults: Patients over 70 years of age who need to benefit from general anesthesia for surgery (Bichat-Claude Bernard or Louis Mourier). Adult patients (\> 18 years old) who should benefit from procedural sedation for digestive endoscopies (Louis Mourier). For children: Children over 1 year of age (and weighing \> 10 kg) who need to benefit from general anesthesia for dental or ENT surgery at the Louis Mourier Hospital (including children with autism spectrum disorder)
You may qualify if:
- For adult patients:
- Age ≥18 years (Cohort 2: \>70 years; Cohort 3: ≥18 years)
- Scheduled for general anesthesia (Cohort 2) or procedural sedation (Cohort 3)
- Pre-anesthetic consultation completed
- Informed of the study and non-opposition obtained
- For pediatric patients (Cohort 1):
- Age 1-17 years
- Scheduled for general anesthesia for surgical procedure
- For ASD subgroup: Confirmed DSM-5 diagnosis of autism spectrum disorder
- Parental authority holder informed and non-opposition obtained
- Child informed (if age-appropriate) and non-opposition obtained
You may not qualify if:
- For adult patients:
- Documented cognitive impairment in medical record
- Patient refusal to participate
- Patient deprived of liberty or under legal protection
- Pregnant or breastfeeding women
- For pediatric patients:
- Parental refusal of child's participation
- Child refusal (if age-appropriate to understand)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Hôpital Louis Mouriercollaborator
- Assistance Publique - Hôpitaux de Parislead
- Ecole Normale Supérieure de Pariscollaborator
- Bichat Hospitalcollaborator
Study Sites (2)
Hôpital Bichat-Claude Bernard
Paris, Ap-hp DRCI, 75010, France
Hôpital Louis Mourier
Colombes, 92700, France
Study Officials
- PRINCIPAL INVESTIGATOR
Dan Longrois, MD, PHD
Assistance Publique Hopitaux de Paris
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 4, 2026
First Posted
March 10, 2026
Study Start
March 15, 2026
Primary Completion (Estimated)
April 15, 2027
Study Completion (Estimated)
May 15, 2027
Last Updated
March 10, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share