Effect of Intravenous Magnesium on Postoperative Systemic Inflammatory Response in Patients Undergoing Colorectal Cancer Surgery
1 other identifier
interventional
52
1 country
1
Brief Summary
The aim of this study is to detect the effect of intraoperative intravenous magnesium sulfate on postoperative systemic inflammatory response by serum inflammatory parameters as CRP, WBCS and neutrophil count.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Mar 2026
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
March 1, 2026
CompletedFirst Submitted
Initial submission to the registry
August 27, 2026
CompletedFirst Posted
Study publicly available on registry
September 3, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
April 1, 2027
September 3, 2026
August 1, 2026
1 year
August 27, 2026
September 2, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
postoperative white blood cell count (WBC)
Assess effect of intravenous magnesium sulfate on postoperative inflammation by serum inflammatory marker as WBCS.
inflammatory markers will be measured at 2 time points: 12 and 36 hours after surgery.
Secondary Outcomes (7)
postoperative C-reactive protein (CPR)
during 36 hrs postoperative.CRP will be measured at 2 time points: 12 and 36 hours after surgery.
postoperative neutrophil count
12 and 36 hours after surgery.
Time to recovery from anesthesia
immediately after surgery
Postoperative pain intensity
During the first 36 hours postoperatively.
Time to first postoperative analgesic requirement
During the first 36 hours postoperatively.
- +2 more secondary outcomes
Study Arms (2)
study group (magnesium sulfate group)
ACTIVE COMPARATORAfter the induction of anesthesia, the patients will receive loading intravenous magnesium sulfate (50mg/kg over 20 minutes) and maintenance (15mg/kg/hr) till the end of surgery.
control group
PLACEBO COMPARATORThe patients will receive the same normal saline volume for loading and maintenance.
Interventions
The patients will receive the same normal saline volume for loading and maintenance.
After the induction of anesthesia, the patients will receive loading intravenous magnesium sulfate (50mg/kg over 20 minutes) and maintenance (15mg/kg/hr) till the end of surgery.
Eligibility Criteria
You may qualify if:
- ASA I and ASA II.
- Age (35yrs - 75yrs).
- Patients undergoing open colorectal cancer surgery.
- Sex: Both sexes.
You may not qualify if:
- Renal impairment (Glomerular Filtration Rate \< 60 ml\\min).
- Severe cardiac dysfunction (Ejection fraction ≤ 30% or clinical signs and symptoms of reduced left ventricular ejection fraction), preoperative bradycardia (HR \< 50 bpm) and atrioventricular block (first, second and third degree).
- Allergy to study drug (MgSO4).
- Patient refusal to precipitate in this study.
- Autoimmune disorders (eg: rheumatoid arthritis, multiple sclerosis and lupus), congenital and acquired immunodeficiency.
- Previous / current immunomodulatory therapy.
- Emergency condition (eg: obstruction or perforation in colorectal cancer).
- Postoperative complications altering inflammatory response (eg: infection, anastomotic leak).
- Duration of operation \> 5 hours.
- Cognitive impairment (eg: Dementia) and other psychiatric disorders by history.
- Body mass index less than 18 or greater than 30 kg/m².
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Ain shams university
Cairo, Abbassia, 00202, Egypt
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 27, 2026
First Posted
September 3, 2026
Study Start
March 1, 2026
Primary Completion (Estimated)
March 1, 2027
Study Completion (Estimated)
April 1, 2027
Last Updated
September 3, 2026
Record last verified: 2026-08