E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Chirurgie programmée sous anesthésie générale avec intubation orotrachéale, avec induction inhalatoire prévue |
Scheduled surgery under general anesthesia with orotracheal intubation, with planned inhalational induction |
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E.1.1.1 | Medical condition in easily understood language |
Surgery under general anesthesia with placement of a tube into the trachea for which the child is asleep by an inhaled product mask before applying the infusion. |
Chirurgie programmée sous anesthésie générale avec pose d'un tube dans la trachée, pour laquelle l'enfant est endormi par un produit inhalé sous masque avant la pose de la perfusion. |
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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 | 21.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10002326 |
E.1.2 | Term | Anesthetic induction |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
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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 |
Demonstrate that adding rocuronium (0,3 mg.kg-1) to the sevoflurane-6 % and sufentanil 0,1 mcg.kg-1 anaesthetic protocole reduces the incidence of hypoxemia while intubating infants aged 1-24 months |
Démontrer que l’ajout de rocuronium (0,3 mg.kg-1) au protocole d’anesthésie inhalatoire, associant sévoflurane 6% et sufentanil 0,1 mcg.kg-1 permet de réduire la survenue d’hypoxémie lors de l’intubation chez l’enfant de moins de 2 ans. |
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E.2.2 | Secondary objectives of the trial |
Search the impact of curare administration on the incidence of respiratory events (bronchospasm, laryngospasm, prolonged apnea duration)
Search link between intubating conditions (assessed by the score of Copenhagen) and incidence, intensity and duration of hypoxemia, as well as the occurrence of respiratory events |
Rechercher l’impact de l’administration de curare sur l’incidence d’évènements respiratoires (bronchospasme, laryngospasme, durée d’apnée prolongée)
Rechercher un lien entre les conditions d’intubation (évaluées par le score de Copenhague) et l’incidence, l’intensité et la durée d’une hypoxémie, ainsi que sur la survenue d’évènements respiratoires
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
- Age <2 years
- Indication of general anesthesia with orotracheal intubation
- Inhalational induction scheduled
- Free, written and informed consent of both parents to participate in the study |
- âge < 2 ans
- indication d’anesthésie générale avec intubation orotrachéale
- induction inhalatoire prévue
- consentement libre, écrit et éclairé des deux parents pour participer à l’étude
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E.4 | Principal exclusion criteria |
- Contraindication to:
. inhalation induction (stomach full)
. the use of rocuronium (intubating scheduled difficult, documented allergy ...)
- ASA III or IV
- Intracranial surgery
- parental refusal
- no affiliation to French public wellfare system |
- Contre-indication à :
. l’induction inhalatoire (estomac plein),
. l’utilisation de rocuronium (intubation prévue difficile, allergie documentée...)
- ASA III ou IV
- chirurgie intra-crânienne
- refus parental
- absence d’affiliation à la sécurité sociale
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E.5 End points |
E.5.1 | Primary end point(s) |
Incidence rate of hypoxemia, defined as a blood oxygen saturation <90%, obtained by continuous measurement of pulse oximetry (SpO2) at any time between the injection of rocuronium or placebo and 5 minutes after completion intubation |
Taux d’incidence de l’hypoxémie, définie par une saturation artérielle en oxygène < 90%, obtenue par mesure continue de l’oxymétrie pulsée (SpO2) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
At any time between the injection of rocuronium or placebo and 5 minutes after completion intubation ( paritcipation time = 1 hour) |
A tout moment entre l’injection de rocuronium ou placebo et 5 minutes après la complétion de l’intubation (durée de participation = 1 heure) |
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E.5.2 | Secondary end point(s) |
1 / respiratory events:
. cumulative duration of hypoxemia (time with SpO2 <90%),
. cumulative time with decreased SpO2 5% relative to the SpO2 before intubation
. lowest value recorded SpO2
. bronchospasm
. laryngospasm
. Apnea time (time with no ETCO2 curve)
2 / intubating conditions
. Copenhagen score
. term intubation
. number of intubation attempts
3 / hemodynamic events
. change> 30% of the heart rate and mean arterial pressure
4 / incidence of residual paralysis (monitoring by train 4 to the adductor inch)
5 / incidence of pharmacological reversal necessitated by residual paralysis |
1/ Evènements respiratoires :
. durée cumulée d’hypoxémie (temps avec SpO2< 90%),
. durée cumulée avec une SpO2 diminuée de 5% par rapport à la SpO2 avant intubation
. valeur la plus basse enregistrée de SpO2
. bronchospasme
. laryngospasme
. durée d’apnée (durée avec absence de courbe de ETCO2)
2/ conditions d’intubation
. score de Copenhague
. durée d’intubation
. nombre de tentatives d’intubation,
3/ évènements hémodynamiques
. variation > 30% de la fréquence cardiaque et de la pression artérielle moyenne
4/ incidence de la curarisation résiduelle (monitorage par train de 4 à l’adducteur du pouce)
5/ incidence de la décurarisation pharmacologique nécessitée par la curarisation résiduelle |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
At any time between the injection of rocuronium or placebo and 5 minutes after completion intubation ( paritcipation time = 1 hour) |
A tout moment entre l’injection de rocuronium ou placebo et 5 minutes après la complétion de l’intubation (durée de participation = 1 heure) |
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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 | No |
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) | No |
E.8.2.2 | Placebo | Yes |
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
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 4 |
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
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LVLS |
Dernière visite du dernier patient inclus |
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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 | |
E.8.9.1 | In the Member State concerned days | |