CClinicalTrials.gg
Status unknownNCT01745081Updated Dec 7, 2012

Comparison of 20% Mannitol and 3% Hypertonic Saline for Cerebral Relaxation During Elective Supratentorial Craniotomies

A Phase 4 interventional study of 20% mannitol bolus administration and Hypertonic saline 3% bolus administration in Osmotherapy and Intracranial Pressure, sponsored by Université de Sherbrooke. Status unknown at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2012-12-07.

Sponsored by Université de Sherbrooke · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Dec 2012), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Mannitol 20% has long been used to treat elevated intracranial hypertension in trauma and intensive care settings. More recent data indicate that hypertonic saline may be as effective or more effective than mannitol for this purpose, with possible fewer side effects.

This study compares both agents in favoring cerebral relaxation during elective supratentorial procedures for tumor resection.

Study hypothesis: 3% hypertonic saline will provide better cerebral relaxation with fewer side effects than 20% mannitol.

02

Conditions studied

  • Osmotherapy
  • Intracranial Pressure
03

In context

Lead sponsor

Université de Sherbrooke is the lead sponsor of 289 studies on the registry; 68 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients scheduled for elective supratentorial craniotomy for tumor resection
  • Presumed preoperative diagnosis of : astrocytoma (any grade), meningioma (any sub-type) or cerebral metastasis (any primary neoplasm)

Exclusion criteria

Exclusion Criteria:

  • Age \< 18 years
  • Reintervention
  • Glasgow coma scale \< 13
  • Emergency surgery or American Association of Anesthesiologists physical status class 4 or 5
  • Prone or lateral positioning
  • Hypo or hypernatremia (serum sodium below 135 or above 150 meq/L)
  • Osmotherapy (either mannitol or hypertonic saline) given in the last 24 hours
  • Congestive heart failure (LVEF \< 40% or restrictive diastolic dysfunction on echocardiography)
  • Chronic renal failure (creatinine clearance \< 30 ml/min)
  • Pregnancy
  • Obesity (BMI > 40)
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
80 participants (estimated)

Study arms

  • Experimental
    Mannitol

    Bolus mannitol 20% at skin incision

    Drug: 20% mannitol bolus administration

  • Experimental
    Hypertonic saline

    Hypertonic saline 3% at skin incision

    Drug: Hypertonic saline 3% bolus administration

Interventions

  • Drug20% mannitol bolus administration
  • DrugHypertonic saline 3% bolus administration
06

What researchers measure

Primary outcomes

  1. Sub-dural intracranial pressure

    Sub-dural measure of intracranial pressure to evaluate cerebral relaxation

    Time frame: In average 30-60 minutes after intervention, just before dura mater opening

Secondary outcomes

  1. Subjective evaluation of cerebral relaxation

    Subjective evaluation by the surgeon of cerebral relaxation on a 4 point scale

    Time frame: In average 30-60 minutes after intervention, just after dura mater opening

  2. Serum lactate

    Serum lactate measurement to assess tissue perfusion during the procedure

    Time frame: In average 5-8 hours after intervention, upon arrival in the intensive care unit

07

Study locations

1 of 1 sites recruiting
  • Centre hospitalier universitaire de Sherbrooke
    Sherbrooke, Quebec J1H5N4, Canada
    • · Contact · 18193461110
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 7, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01745081
Lead sponsor
Université de Sherbrooke
Responsible party
Stéphane Coutu (Principal study investigator, Centre de recherche du Centre hospitalier universitaire de Sherbrooke) — Principal investigator
First posted
Dec 7, 2012
Start date
Sep 2012
Primary completion
Sep 2014 (estimated)
Completion
Sep 2014 (estimated)
Last update
Dec 7, 2012

Study contacts

Stéphane Coutu, MD, FRCPC
Contact
stephane.coutu@usherbrooke.ca
8193461110 ext. 14950

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Dec 2012. You cannot join it, but the record below documents what was studied.

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