E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Laparoscopic cholecystectomy. |
Colecistectomía laparoscópica |
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E.1.1.1 | Medical condition in easily understood language |
Laparoscopic cholecystectomy. |
Colecistectomía laparoscópica |
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E.1.1.2 | Therapeutic area | Diseases [C] - Digestive System Diseases [C06] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10008611 |
E.1.2 | Term | Cholecystectomy |
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 |
334 / 5.000 Resultados de traducción The main objective of the study is to analyze whether there are differences between different types of doses and administration intervals of indocyanine green to obtain quality fluorescent cholangiography during laparoscopic cholecystectomy. In addition, the factors that influence the results of the technique will be sought. |
El objetivo principal del estudio es analizar si existen diferencias entre diferentes tipos de dosis e intervalos de administración del verde de indocianina para obtener una colangiografía fluorescente de calidad durante la colecistectomía laparoscópica. Además, se buscarán los factores que influyen en los resultados de la técnica. |
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E.2.2 | Secondary objectives of the trial |
1.020 / 5.000 Resultados de traducción 1. To analyze the influence of the body mass index on the results of the CF during the LC. 2. To analyze the influence of the type of biliary pathology secondary to surgery on the results of FC during LC. 3. To analyze the influence of the type of surgery (elective/early) on the results of FC during LC. 4. To analyze the influence of previous inflammatory changes on the results of FC during LC. 5. To analyze the influence of prior gallbladder or bile duct instrumentation on the results of FC during LC. 6. To analyze the influence of the different laparoscopic imaging systems on the results of FC during LC. 7. To analyze the rate of intraoperative complications related to FC during LC. 8. To analyze the rate of postoperative complications related to FC during LC. |
1. Analizar la influencia del índice de masa corporal en los resultados de la CF durante la CL. 2. Analizar la influencia del tipo de patología biliar subsidiaria de cirugía en los resultados de la CF durante la CL. 3. Analizar la influencia del tipo de cirugía (electiva/precoz) en los resultados de la CF durante la CL. 4. Analizar la influencia de los cambios inflamatorios previos en los resultados de la CF durante la CL. 5. Analizar la influencia de las instrumentaciones previas de la vesícula biliar o de la vía biliar en los resultados de la CF durante la CL. 6. Analizar la influencia que presentan los diferentes sistemas de imagen laparoscópicos en los resultados de la CF durante la CL. 7. Analizar la tasa de complicaciones intraoperatorias relacionadas con la CF durante la CL. 8. Analizar la tasa de complicaciones postoperatorias relacionadas con la CF durante la CL. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
• Age over 18 years. • Autonomy, self-sufficiency and independence. • Scheduled CL indication: - Symptomatic cholelithiasis: history of biliary colic, acute lithiasic cholecystitis, choledocholithiasis, acute ascending cholangitis of lithiasic origin or acute lithiasic pancreatitis. - Gallbladder polyps with indication for laparoscopic surgery. - Vesicular adenomyomatosis with indication for laparoscopic surgery. • Indication of early LC (<72 hours of admission for acute stone cholecystitis/acute acalculous cholecystitis/complicated biliary colic). • Deferred urgency LC indication. • Understanding of information. • Signature of the informed consent. |
• Edad mayor a 18 años. • Autonomía, autosuficiencia e independencia. • Indicación de CL programada: - Colelitiasis sintomática: antecedentes de cólicos biliares, colecistitis aguda litiásica, coledocolitiasis, colangitis aguda ascendente de origen litiásico o pancreatitis aguda litiásica. - Pólipos vesiculares con indicación de cirugía laparoscópica. - Adenomiomatosis vesicular con indicación de cirugía laparoscópica. • Indicación de CL precoz (<72 horas de ingreso por colecistitis aguda litiásica/colecistitis aguda alitiásica/cólico biliar complicado). • Indicación de CL de urgencia diferida. • Comprensión de la información. • Firma del consentimiento informado. |
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E.4 | Principal exclusion criteria |
• Age less than 18 years. • Disability. • Pregnancy or lactation. • Chronic kidney disease (Stage > IIIb). • Previous adverse reactions or allergies to VI. • Previous adverse reactions or allergies to VI excipients. • Adverse reactions or confirmed allergies to iodinated contrast agents. • Functional thyroid pathology (hyperthyroidism, thyroiditis, toxic multinodular goiter, functioning thyroid adenoma). • Urgent non-deferrable/emergent gallbladder surgery. • Initial surgery by laparotomy. • Previous suspicion of gallbladder carcinoma. • Inability to understand the information needed to participate in the study. • Rejection of inclusion within the study protocol. |
• Edad menor a 18 años. • Incapacidad. • Embarazo o lactancia. • Enfermedad renal crónica (Estadio > IIIb). • Reacciones adversas o alergias previas al VI. • Reacciones adversas o alergias previas a excipientes del VI. • Reacciones adversas o alergias confirmadas a contrastes iodados. • Patología tiroidea funcional (hipertiroidismo, tiroiditis, bocio multinodular tóxico, adenoma tiroideo funcionante). • Cirugía urgente no diferible/emergente de la vesícula biliar. • Cirugía inicial por vía laparotómica. • Sospecha previa de carcinoma de vesícula biliar. • Incapacidad de comprender la información necesaria para participar en el estudio. • Rechazo de inclusión dentro del protocolo del estudio. |
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E.5 End points |
E.5.1 | Primary end point(s) |
• Identification of biliary structures prior to dissection of the hepatocystic triangle. • Identification of biliary structures after dissection of the hepatocystic triangle. |
• Identificación de estructuras biliares previas a la disección del triángulo hepatocístico. • Identificación de estructuras biliares posteriores a la disección del triángulo hepatocístico. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
At the time of the surgical procedure |
En el momento del procedimiento quirúrgico |
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E.5.2 | Secondary end point(s) |
• Degree of identification of biliary structures prior to dissection of the hepatocystic triangle. • Degree of identification of biliary structures after dissection of the hepatocystic triangle. • Extent to which fluorescence cholangiography was perceived as useful for surgery • Extent to which liver fundus fluorescence (contrast between liver and ducts) was perceived as disturbingPlease enter information in English and add any other language that is applicable |
• Grado de identificación de estructuras biliares previas a la disección del triángulo hepatocístico • Grado de identificación de estructuras biliares posteriores a la disección del triángulo hepatocístico • Grado en el que la colangiografía por fluorescencia se percibía como útil para la cirugía • Grado en el que la fluorescencia del fondo del hígado (contraste entre hígado y conductos) se percibía como perturbador |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
At the time of the surgical procedure |
En el momento del procedimiento quirúrgico |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | Yes |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | No |
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 | No |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
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 | No |
E.8.2.3 | Other | No |
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 | 2 |
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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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 1 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |