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CompletedNCT03105115Updated Aug 29, 2018

Effect of Intrathecal Fentanyl on Spinal Anesthesia During Dexmedetomidine Infusion

An interventional study of fentanyl and bupivacaine only in Anesthesia, Spinal, sponsored by Seoul National University Hospital. Completed at 1 site in Korea, Republic of. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2018-08-29.

Sponsored by Seoul National University Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
56
Allocation
Randomized
Ages
18 Years to 75 Years
Sex
All
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Study summary

Intravenous infusion of dexmedetomidine during procedure was known to be associated prolonged duration of spinal anesthesia. In patients receiving dexmedetomidine infusion during procedure, it has been not evaluated whether use of adjuvant intrathecal fentanyl had additional prolonging effect on duration of spinal anesthesia or not. Therefore, the investigators planned this trial to compare clinical outcomes in patients receiving spinal anesthesia with heavy bupivacaine only and heavy bupivacaine plus fentanyl adjuvant.

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Conditions studied

  • Anesthesia, Spinal

Keywords

  • fentanyl
  • dexmedetomidine
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In context

Lead sponsor

Seoul National University Hospital is the lead sponsor of 1,860 studies on the registry; 275 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 2 (17%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult patients undergoing total knee replacement arthroplasty under spinal anesthesia

Exclusion criteria

Exclusion Criteria:

  • Contraindication of spinal anesthesia
  • inability to communicate
  • morbid obesity (BMI > 30kg/m2)
  • spine abnormality
  • severe cardiac dysfunction
  • Height \<155cm, or > 180cm
  • contraindication to fentanyl
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
56 participants (actual)

Study arms

  • Active comparator
    intrathecal fentanyl

    heavy bupivacaine 14mg and fentanyl 20mcg will be injected intrathecally during spinal anesthesia

    Drug: fentanyl

  • Experimental
    bupivacaine only

    heavy bupivacaine 14mg will be injected intrathecally during spinal anesthesia

    Drug: bupivacaine only

Interventions

  • Drugfentanyl

    intrathecal fentanyl will be added as adjuvant for spinal anesthesia using heavy bupivacaine, while dexmedetomidine will be infused intravenously during operation

    Also known as: Hana Pharmacy

  • Drugbupivacaine only

    heavy bupivacaine will be injected intrathecally during spinal anesthesia, without fentanyl, while dexmedetomidine will be infused intravenously during operation

    Also known as: AstraZeneca

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What researchers measure

Primary outcomes

  1. Two segment sensory block regression time

    Time from highest sensory block level to two segment regression

    Time frame: From completion of spinal anesthesia, to end of surgery, an expected average of 2 hours

Secondary outcomes

  1. motor block

    modified Bromage scale

    Time frame: From completion of spinal anesthesia, to end of surgery, an expected average of 2 hours

  2. postoperative pain score

    VAS scale

    Time frame: at op day, at postoperative 1st day, at postoperative 2nd day

  3. postoperative nausea and vomiting

    VAS scale

    Time frame: at op day, at postoperative 1st day, at postoperative 2nd day

  4. intraoperative incidence of hypotension

    hypotension : SBP decreased by more than 30% of baseline SBP

    Time frame: From completion of spinal anesthesia, to end of surgery, an expected average of 2 hours

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Study locations

1 site
  • Seoul National University Hospital
    Seoul, Korea, Republic of
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References and documents

Publications

  • Seetharam KR, Bhat G. Effects of isobaric ropivacaine with or without fentanyl in subarachnoid blockade: A prospective double-blind, randomized study. Anesth Essays Res. 2015 May-Aug;9(2):173-7. doi: 10.4103/0259-1162.152149. PubMed 26417123 ↗
  • Singh R, Kundra S, Gupta S, Grewal A, Tewari A. Effect of clonidine and/or fentanyl in combination with intrathecal bupivacaine for lower limb surgery. J Anaesthesiol Clin Pharmacol. 2015 Oct-Dec;31(4):485-90. doi: 10.4103/0970-9185.169069. PubMed 26702205 ↗
  • Park SK, Lee JH, Yoo S, Kim WH, Lim YJ, Bahk JH, Kim JT. Comparison of bupivacaine plus intrathecal fentanyl and bupivacaine alone for spinal anesthesia with intravenous dexmedetomidine sedation: a randomized, double-blind, noninferiority trial. Reg Anesth Pain Med. 2019 Apr;44(4):459-465. doi: 10.1136/rapm-2018-100084. Epub 2019 Jan 23. PubMed 30679336 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 29, 2018, 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
NCT03105115
Lead sponsor
Seoul National University Hospital
Responsible party
Jin-Tae Kim (Associate professor, Seoul National University Hospital) — Principal investigator
First posted
Apr 7, 2017
Start date
May 25, 2017
Primary completion
Oct 24, 2017
Completion
Oct 26, 2017
Last update
Aug 29, 2018

Study contacts

Jin-tae Kim
principal investigator · Seoul National University Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2018. You cannot join it, but the record below documents what was studied.

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