E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients undergoing colorectal surgery |
Patienten mit elektiven kolorektalen Eingriffen |
|
E.1.1.1 | Medical condition in easily understood language |
Patients scheduled for colorectal surgery |
Patienten mit geplanten darmchirurgischen Eingriffen |
|
E.1.1.2 | Therapeutic area | Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10040668 |
E.1.2 | Term | Sigmoid hemicolectomy |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10009879 |
E.1.2 | Term | Colectomy total |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10059848 |
E.1.2 | Term | Proctocolectomy |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10009877 |
E.1.2 | Term | Colectomy NOS |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10019460 |
E.1.2 | Term | Hemicolectomy |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10039153 |
E.1.2 | Term | Right hemicolectomy |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10024107 |
E.1.2 | Term | Left hemicolectomy |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10063950 |
E.1.2 | Term | Ileocolectomy |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10061778 |
E.1.2 | Term | Colectomy |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10044083 |
E.1.2 | Term | Total colectomy |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10009878 |
E.1.2 | Term | Colectomy partial |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10063065 |
E.1.2 | Term | Anterior rectum resection |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10009880 |
E.1.2 | Term | Colectomy transverse |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10033684 |
E.1.2 | Term | Panproctocolectomy |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10044447 |
E.1.2 | Term | Transverse colectomy |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To compare two goal directed infusion therapies for patients undergoing open colorectal surgery with Volulyte (colloid treatment group) or Jonosteril (crystalloid control group). Comparison between the two groups will be based on the amount of fluids (mL) required to achieve hemodynamic stabilization. |
Das primäre Ziel ist zu untersuchen, ob die Art des Volumenersatzes einen Einfluss auf die intraoperativ notwendige Flüssigkeitsmenge zur Erreichen einer hämodynamischen Stabilität besitzt. |
|
E.2.2 | Secondary objectives of the trial |
- incidence of surgery related complications until 28 and 90 day after surgery
- incidence of PONV
- Time of first defacation and signs of first bowl movements
- postoperative pain
- stroke volume, stroke volume variability, cardiac output
- postoperative weight gain
- extracellular water and intracellular water
- total volume of study medication
- total volume of PRB
- need for vasopressors
- NT-proBNP and Arginin-Vasopressin plasma level
- Lactate level
- time patients ready for discharge (according to discharge criteria)
- incidence of readmission within 28 and 90 days
- safety |
- Auftreten OP-bedingter Komplikationen im 28- und 90 Tage Follow-up
- Auftreten von PONV
- Gastrointestinale Funktion
- Evaluation der Schmerzen
- Schlagvolumen, Schlagvolumenvariabilität, Cardiac Output
- Postoperative Gewichtszunahme
- ECW, ICW
- Gesamtmenge der infundierten Studienmedikation
- Gesamtmenge der transfundierten Blutprodukte
- Gabe von Vasopressoren
- Veränderungen der NT-proBNP- und Arginin-Vasopressin-Plasmaspiegel
- Laktatspiegel
- Zeitpunkt der möglichen Entlassung gemäß definierter Entlassungskriterien
- Inzidenz postoperativer Krankenhaus-Wiederaufnahmen infolge von OP-Komplikationen
- Sicherheit |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients undergoing elective colorectal surgery with signed written informed consent
- Age >= 18 years
- Sinus rhythm |
- Patienten mit elektiver kolorektaler Operation
- Alter > = 18 Jahre
- Sinusrhythmus
- Schriftliche Einverständniserklärung des Patienten |
|
E.4 | Principal exclusion criteria |
- patients younger than 18 years
- women, who are pregnant or nursing
- severe cardiamyopathy or severe heart failure
- history of coagulation disorders
- intracranial hemorrhage
- patients with severe cardiovascular or respiratory disorders
- renal insufficiency (creatinine > 2 mg/dL or creatinine clearance <=30mL/min)
- severe liver diseases
- atrial fibrillation or ventricular tachycardia
- lung edema
- hypertonic dehydration
- known hypersensitivity to study medication
- preoperative anemia with hemoglobin levels <= 10 mg/dL |
- Alter < 18 Jahre
- Frauen während der Schwangerschaft und Stillzeit
- Patienten mit schwerer Kardiomyopathie oder schwerem Herzversagen
- Schwere Gerinnungsstörungen
- Intrakranielle Blutungen
- Patienten mit schwersten Erkrankungen des kardiovaskulären oder respiratorischen Systems
- Niereninsuffizienz (Kreatinin-Cl <= 30ml/min oder Kreatinin > 2 mg/dl)
- Schwere Lebererkrankungen
- Vorbestehendes Vorhofflimmern sowie rezidivierende ventrikuläre Tachykardien
- Lungenödem
- Hypertone Dehydratation
- Bekannte Überempfindlichkeit gegen die Studienmedikation
- Präoperative Anämien mit einem Hb <= 10 mg/dl |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Total volume of administered fluids intraoperatively that is necessary to keep patients optimal hemodynamic stabilized |
Intraoperative Flüssigkeitszufuhr, die zur hämodynamischen Stabilisierung notwendig ist |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
intraoperatively |
intraoperativ |
|
E.5.2 | Secondary end point(s) |
- Incidence of surgery related complications
- Incidence of nausea and vomiting
- Gastrointestinal function
- Postoperative pain
- SVV, SV, CI
- Postoperative weight gain
- Total volume of study medication
- ECW, ICW, TBW
- Total volume of blood products
- Administration of vasopressors
- Postoperative changes in NT-proBNP and arginine vasopressin plasma levels
- Hospitalization time
- Incidence of readmissions
- Safety |
- Auftreten OP-bedingter Komplikationen
- Auftreten von PONV
- Gastrointestinale Funktion
- Evaluation der Schmerzen
- SVV, SV, CI
- Postoperative Gewichtszunahme
- Gesamtmenge der infundierten Studienmedikation
- ECW, ICW, TBW
- Gesamtmenge der transfundierten Blutprodukte am OP-Tag
- Gabe von Vasopressoren am OP-Tag
- Veränderungen der NT-proBNP- und Arginin-Vasopressin-Plasmaspiegel
- Zeitpunkt der möglichen Entlassung gem. definierter Entlassungskriterien
- Inzidenz postoperativer krankenhaus-Wiederaufnahmen infolge von OP-Komplikationen
- Sicherheit |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
- 2, 6, 24, 48 and 72 h postoperatively (Pain and PONV)
- daily until day 4 postoperatively (weight gain, ECW, ICW, TBW, gastrointestinal function, complications)
- 28 and 90 days postoperatively (complication, readmission)
- 30 min before anesthesia, 30 min after skin incision and immediately at the end of surgery (SV, SVV, CI)
- 1 day postoperatively (plasma level) |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
End of trial is the last visit of the last subject undergoing the trial |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |