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CompletedNCT01076790Updated Oct 9, 2013

Dexmedetomidine-propofol-remifentanil Anaesthesia and Reactivity to Noxious Stimuli

A Phase 4 interventional study of Dexmedetomidine and Saline in Anaesthesia, sponsored by Arvi Yli-Hankala. Completed at 1 site in Finland. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2013-10-09.

Sponsored by Arvi Yli-Hankala · Phase 4, Interventional, and Basic science

Phase
Phase 4
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Dexmedetomidine acts at central nervous system (specifically: at locus caeruleus), providing sedative and analgesic effects. It is widely used in intensive care. Surgery-related interventions elicit arousal ('nociceptive') reactions. The effects of dexmedetomidine on the neurophysiological signs of arousal are studied in surgical patients. Brain waves, electrocardiogram, Entropy Index, Bispectral Index, and fingertip pulse waves are recorded and analyzed later on. The course of anaesthesia and surgery are recorded.

Read the detailed description

The patients are randomized to receive either dexmedetomidine or saline infusion before and during anaesthesia (dexmedetomidine 0.1 mcg/kg within 10 minutes, thereafter 0.7 mcg/kg/h until 30 min after skin incision).

Multi-channel EEG, Entropy, BIS, multi-channel EMG, ECG, and plethysmogram are recorded on computer. Anaesthesia and surgery associated events are annotated on computer.

Time points of endotracheal intubation, skin incision, and course of surgery well be analyzed in detail. Additionally, tetanic stimulus of ulnar nerve will be applied for each patient, and reactions to the stimulus will be analyzed.

02

Conditions studied

  • Anaesthesia

Keywords

  • Nociception
  • Dexmedetomidine
  • Electroencephalogram
  • Electromyogram
  • Entropy Index
  • Bispectral Index
  • Electrocardiogram
  • Plethysmogram
  • Heart
  • Heart rate
  • Heart rate variability
  • Surgery
03

In context

Lead sponsor

Arvi Yli-Hankala is the lead sponsor of 2 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • males or females giving informed consent
  • age range 18-70 years
  • elective surgery: laparoscopy, laparotomy, breast surgery
  • general anaesthesia
  • ASA classification 1 or 2

Exclusion criteria

Exclusion Criteria:

  • pregnancy
  • body mass index 30.1 or more
  • diseases affecting CNS, autonomic nervous system, heart, heart rate, or circulation
  • chronic use of drugs affecting CNS, autonomic nervous system, heart, heart rate, or circulation; except antihypertensives, which are acceptable in this study
  • chronic use of clonidine
  • serious psychiatric disease or condition
  • overuse of alcohol
  • use of illicit drugs
  • unability of understand, read or use Finnish language
05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
44 participants (actual)

Study arms

  • Active comparator
    Dexmedetomidine

    Analgo-sedative, adjuvant of propofol anesthesia

    Drug: Dexmedetomidine · Drug: Saline

Interventions

  • DrugDexmedetomidine

    Dexmedetomidine infusion 1 mcg/kg in 10 minutes; thereafter 0.7 mcg/kg/h until 30 minutes has elapsed from skin incision.

    Also known as: Precedex. CAS 113775476.

  • DrugSaline

    Saline infusion 1 mcg/kg in 10 minutes; thereafter 0.7 mcg/kg/h until 30 minutes has elapsed from skin incision.

06

What researchers measure

Primary outcomes

  1. Physiological reaction to noxious stimulus

    Nociception-associated changes in EEG, EMG, Entropy Index values, BIS Index values, morphology of plethysmogram or ECG, heart rate, or hear rate variability.

    Time frame: 30 minutes

07

Study locations

1 site
  • Tampere University Hospital
    Tampere, 33521, Finland
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 9, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01076790
Lead sponsor
Arvi Yli-Hankala
Responsible party
Arvi Yli-Hankala (Professor, Tampere University Hospital) — Sponsor-investigator
First posted
Feb 26, 2010
Start date
Nov 2009
Primary completion
Mar 2011
Completion
Mar 2011
Last update
Oct 9, 2013

Study contacts

Arvi Yli-Hankala, MD
study chair · Tampere University Hospital
Arvi Yli-Hankala, MD
principal investigator · Tampere University Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2013. You cannot join it, but the record below documents what was studied.

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