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Not yet recruitingNCT07840937Updated Sep 25, 2026

Feasibility Study of E-Fusion Vasopressor Titration-Assist During Multi-Level Spine Surgery

An interventional study of E-Fusion Vasopressor Titration-Assist in Intraoperative Hypotension, sponsored by Autonomous Healthcare, Inc.. Not yet recruiting at 1 site in United States. Open to participants aged 22 Years and older. Per ClinicalTrials.gov, last updated 2026-09-25.

Sponsored by Autonomous Healthcare, Inc. · Not applicable, Interventional, and Device feasibility

Phase
Not applicable
Study type
Interventional
Enrollment
10
Allocation
Not applicable
Ages
22 Years and older
Sex
All
01

Study summary

This is a single-arm feasibility study of E-Fusion Vasopressor Titration-Assist, a clinical decision support software, in 10 adults undergoing multi-level spine surgery. E-Fusion monitors blood pressure from the patient monitor and displays recommended changes to the norepinephrine infusion rate. The anesthesia provider independently reviews each recommendation and may accept or ignore it. The software does not connect to or control the infusion pump. The primary objective is to assess safety by evaluating adverse events attributable to E-Fusion during surgery. Secondary objectives evaluate clinician agreement with the recommendations and blood pressure management.

02

Conditions studied

  • Intraoperative Hypotension
03

Who can participate

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

Inclusion criteria

  • Age 22 years or older
  • Patient or a legally authorized representative (LAR) has provided written informed consent
  • Patient is expected to receive norepinephrine through a central line, PICC line, or peripheral line for blood pressure management
  • Patient's blood pressure is monitored with an arterial line
  • Patient is undergoing multi-level spine surgery with an expected duration of at least 2 hours and not exceeding 8 hours

Exclusion criteria

Exclusion Criteria:

  • Confirmed pregnancy and/or nursing mothers
  • Currently participating in another interventional study
  • Patients who are likely to bleed excessively and/or need rapid transfusion
  • Patients expected to be disconnected and transported for imaging during the study procedure
  • History of cardiac arrhythmias
  • Patients receiving another actively titrated vasopressor during study (excluding vasopressin)
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Study design

Phase
Not applicable
Primary purpose
Device feasibility
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
10 participants (estimated)

Study arms

  • Experimental
    E-Fusion clinical decision support

    All subjects receive standard anesthetic care. E-Fusion displays advisory norepinephrine infusion rate recommendations that the anesthesia provider may accept or ignore.

    Device: E-Fusion Vasopressor Titration-Assist

Interventions

  • DeviceE-Fusion Vasopressor Titration-Assist

    Clinical decision support software that monitors mean arterial pressure from the patient monitor and displays recommended norepinephrine infusion rate changes. The clinician independently evaluates each recommendation and makes all infusion rate changes manually. The software does not connect to or control the infusion pump.

05

What researchers measure

Primary outcomes

  1. Number of adverse events and serious adverse events of relevance attributed to E-Fusion

    Number of adverse events (AEs) and serious adverse events (SAEs) of relevance occurring during surgery, attributed to E-Fusion based on clinician assessment, including major adverse cardiac events, intraoperative arrhythmia, and infusion-related injury.

    Time frame: Intraoperative period, from E-Fusion activation to deactivation or end of surgery, up to 8 hours

Secondary outcomes

  1. Percentage of E-Fusion suggested dose changes in agreement with the anesthesia provider

    Percentage of E-Fusion suggested dose changes in agreement with the anesthesia provider after their independent review.

    Time frame: Intraoperative period, up to 8 hours

  2. Time-weighted average mean arterial pressure (TWA-MAP) above and below target

    Time-weighted average MAP above and below the clinician-set target, stratified by compliance group: high (greater than 80%), medium (50-80%), and low (less than 50%) compliance with E-Fusion recommendations.

    Time frame: Intraoperative period, up to 8 hours

06

Study locations

1 site
  • Wake Forest University Health Sciences
    Winston-Salem, North Carolina 27157, United States
07

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

08

Registry details

Key details

Study ID
NCT07840937
Lead sponsor
Autonomous Healthcare, Inc.
Collaborators
National Heart, Lung, and Blood Institute (NHLBI)
Responsible party
Sponsor
First posted
Sep 25, 2026
Start date
Mar 2027 (estimated)
Primary completion
Aug 2027 (estimated)
Completion
Aug 2027 (estimated)
Last update
Sep 25, 2026

Study contacts

Behnood Gholami, PhD
Contact
info@autonomoushealthcare.com
347-774-1617
Ashish Khanna, MD
principal investigator · Wake Forest University Health Sciences
Behnood Gholami, PhD
study director · Autonomous Healthcare, Inc.

Oversight

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

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This study is not yet recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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