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    Clinical Trial Results:
    Influence of vasopressors on brain oxygenation and microcirculation in anesthetized patients with cerebral tumors

    Summary
    EudraCT number
    2015-001359-60
    Trial protocol
    DK  
    Global end of trial date
    29 Nov 2017

    Results information
    Results version number
    v1(current)
    This version publication date
    17 Dec 2021
    First version publication date
    17 Dec 2021
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    Vasobrain01
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02713087
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Aarhus University Hospital
    Sponsor organisation address
    Nørrebrogade 44, Aarhus C, Denmark, 8000
    Public contact
    Neuroanesthesia trial info/KK, Aarhus University Hospital, 45 78463333, klaukoch@rm.dk
    Scientific contact
    Neuroanesthesia trial info/KK, Aarhus University Hospital, 45 78463333, klaukoch@rm.dk
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    29 Nov 2017
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    29 Nov 2017
    Global end of trial reached?
    Yes
    Global end of trial date
    29 Nov 2017
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To investigate whether phenylephrine and ephedrine causes different alterations in microcirculation and oxygenation, as measured with magnetic resonance imaging (MRI) and positron emission tomography (PET), in anesthetized patients with brain tumors. Two RCT rapported and attached under "more information". Only one RCT will be rapported in this system, but all details could be found in the articles attached. Twenty-four patients were included in each study, but only one study (24 patients) will bed rapported in this system.
    Protection of trial subjects
    All patients were anesthetized during examination and we sought to minimize the extra time in general anesthesia. Patients were monitored according to hospital standards during anesthesia. No other measures were taken.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    03 Aug 2015
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Denmark: 24
    Worldwide total number of subjects
    24
    EEA total number of subjects
    24
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    18
    From 65 to 84 years
    6
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Still only one study will be rapported in this system. The study enrolled patients in a period from september 2015 until november 2016 and included 24 patients - all recruited in the day care clinic, where they were examined before surgery.

    Pre-assignment
    Screening details
    Patients were screened according to in- and exclusion criteria rapported in the articles attached under "more information".

    Period 1
    Period 1 title
    Overall period
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator, Carer

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Phenylephrine
    Arm description
    One vasopressor drug were given to half of the patients in the study.
    Arm type
    Experimental

    Investigational medicinal product name
    Phenylephrine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for dispersion for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Phenylephrine 0,1 mg/ml given until MAP > 60 or a 20% increase from baseline and until final MRI examination.

    Arm title
    Ephedrine
    Arm description
    One vasopressor drug were given to half of the patients in the study.
    Arm type
    Experimental

    Investigational medicinal product name
    Ephedrine
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Concentrate for dispersion for infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Ephedrine 0,1 mg/ml given until MAP > 60 or a 20% increase from baseline and until final MRI examination.

    Number of subjects in period 1
    Phenylephrine Ephedrine
    Started
    12
    12
    Completed
    10
    10
    Not completed
    2
    2
         Physician decision
    2
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Phenylephrine
    Reporting group description
    One vasopressor drug were given to half of the patients in the study.

    Reporting group title
    Ephedrine
    Reporting group description
    One vasopressor drug were given to half of the patients in the study.

    Reporting group values
    Phenylephrine Ephedrine Total
    Number of subjects
    12 12 24
    Age categorical
    Units: Subjects
        In utero
    0
        Preterm newborn infants (gestational age < 37 wks)
    0
        Newborns (0-27 days)
    0
        Infants and toddlers (28 days-23 months)
    0
        Children (2-11 years)
    0
        Adolescents (12-17 years)
    0
        Adults (18-64 years)
    0
        From 65-84 years
    0
        85 years and over
    0
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    64 ± 8 56 ± 14 -
    Gender categorical
    Units: Subjects
        Female
    6 6 12
        Male
    6 6 12

    End points

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    End points reporting groups
    Reporting group title
    Phenylephrine
    Reporting group description
    One vasopressor drug were given to half of the patients in the study.

    Reporting group title
    Ephedrine
    Reporting group description
    One vasopressor drug were given to half of the patients in the study.

    Primary: Difference in capillary transit time heterogeneity in the contralateral hemisphere

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    End point title
    Difference in capillary transit time heterogeneity in the contralateral hemisphere [1]
    End point description
    End point type
    Primary
    End point timeframe
    The endpoint is accesed during the MRI before surgery.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: All the statistical analysis can be seen in the articles attached.
    End point values
    Phenylephrine Ephedrine
    Number of subjects analysed
    10
    10
    Units: second
        arithmetic mean (standard deviation)
    0.2 ± 0.4
    -0.4 ± 0.3
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    From the time of anesthesia until end of surgery.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    None
    Dictionary version
    1.0
    Reporting groups
    Reporting group title
    Phenylephrine
    Reporting group description
    One vasopressor drug were given to half of the patients in the study.

    Reporting group title
    Ephedrine
    Reporting group description
    One vasopressor drug were given to half of the patients in the study.

    Serious adverse events
    Phenylephrine Ephedrine
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 12 (0.00%)
    0 / 12 (0.00%)
         number of deaths (all causes)
    0
    0
         number of deaths resulting from adverse events
    0
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Phenylephrine Ephedrine
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    0 / 12 (0.00%)
    0 / 12 (0.00%)
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: Yes - there were no adverse events rapported during the study.

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Only one RCT has been rapported in this system as the system can not managed two RCT under the same EudraCT number.

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/34344019
    http://www.ncbi.nlm.nih.gov/pubmed/32482999
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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