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CompletedNCT02748265FLOLANUpdated May 17, 2019

Nebulized Epoprostenol (FLOLAN) and Phenylephrine on One Lung Ventilation (OLV)

A Phase 4 interventional study of Inhaled Epoprostenol and phenylephrine and Sevoflurane in Oxygenation During One Lung Ventilation, sponsored by University Health Network, Toronto. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-05-17.

Sponsored by University Health Network, Toronto · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
8
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

This is a pilot study of a new use of Epoprostenol via inhalation (Epoprostenol is approved for intravenous use). The purpose of this study is to administered inhaled Epoprostenol and intravenous Phenylephrine to improve arterial oxygen tension during one-lung anesthesia either with volatile anesthesia (Sevoflurane) or with intravenous anesthesia (Propofol).

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Conditions studied

  • Oxygenation During One Lung Ventilation
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In context

Lead sponsor

University Health Network, Toronto is the lead sponsor of 1,411 studies on the registry; 292 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 3 (18%) have results posted.

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

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Who can participate

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

Inclusion criteria

  • Patients undergoing esophagectomy via video assisted thoracoscopy surgery or open thoracotomy.
  • Patients greater than eighteen years old that have the capacity to provide consent.
  • Patients who weigh 89kg or less.
  • Patients with a preoperative platelet count > 100,000mm3

Exclusion criteria

Exclusion Criteria:

  • Contraindication or allergy to any of the study drugs e.g. epoprostenol, phenylephrine, sevoflurane or propofol.
  • Spirometry: Force expiratory Volume (FEV1) less than 80% predicted for age. Patients with spirometry indicative of obstructive lung disease are less likely to develop hypoxemia during OLV compared to patients with normal spirometry . These patients are likely to have a smaller treatment effect if any.
  • A history of a bleeding diathesis.
  • Use of a platelet inhibitor within the last seven days e.g. Aspirin, clopidogrel
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Other
    Inhaled Epoprostenol, phenylephrine, sevoflurane

    Inhaled Epoprostenol (Flolan), phenylephrine, volatile anesthesia maintenance (Sevoflurane)

    Drug: Inhaled Epoprostenol and phenylephrine · Drug: Sevoflurane

  • Other
    Inhaled Epoprostenol phenylephrine & Propofol

    Inhaled Epoprostenol (Flolan), phenylephrine and intravenous anesthesia maintenance (Propofol)

    Drug: Inhaled Epoprostenol and phenylephrine · Drug: Propofol

Interventions

  • DrugInhaled Epoprostenol and phenylephrine

    After 30 minutes of one-lung ventilation, Epoprostenol 50 ng/kg/min is administered via nebuliser in the anesthesia circuit with phenylephrine administered intravenously

    Also known as: Prostacyclin

  • DrugSevoflurane

    Volatile maintenance anesthesia

  • DrugPropofol

    Intravenous maintenance anesthesia

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What researchers measure

Primary outcomes

  1. Increase of arterial oxygen tension in mmHg, during one-lung ventilation surgery, in response to combined nebulized epoprostenol/phenylephrine treatment

    Time frame: Changes measured during surgery, from start of treatment at 30 minutes after one-lung ventilation (T30) to end of the 30 minutes treatment (T60).

Secondary outcomes

  1. Changes in base status in pH

    Time frame: Changes measured during surgery, from start of treatment at 30 minutes after one-lung ventilation (T30) to end of the 30 minutes treatment (T60).

  2. Differences between anesthetic technique -volatile vs. intravenous- in increase of arterial oxygen tension in mmHg, during one-lung ventilation surgery, in response to combined nebulized epoprostenol/phenylephrine treatment

    Time frame: Changes measured during surgery, from start of treatment at 30 minutes after one-lung ventilation (T30) to end of the 30 minutes treatment (T60).

  3. Changes in mean arterial blood pressure in mmHg

    Time frame: Changes measured during surgery, from start of treatment at 30 minutes after one-lung ventilation (T30) to end of the 30 minutes treatment (T60).

  4. Changes in platelet function count

    Time frame: Changes measured during surgery, from start of treatment at 30 minutes after one-lung ventilation (T30) to end of the 30 minutes treatment (T60).

  5. Changes in acid status in pH

    Time frame: Changes measured during surgery, from start of treatment at 30 minutes after one-lung ventilation (T30) to end of the 30 minutes treatment (T60).

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Study locations

1 site
  • Toronto General Hospital, 200 Elizabeth St.
    Toronto, Ontario B3H 1V7, Canada
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 17, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02748265
Lead sponsor
University Health Network, Toronto
Responsible party
Sponsor
First posted
Apr 22, 2016
Start date
Mar 2016
Primary completion
Jul 30, 2017
Completion
Dec 31, 2018
Last update
May 17, 2019

Oversight

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

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This study is completed, as verified in May 2019. You cannot join it, but the record below documents what was studied.

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