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NCT02972892

Multi-site Anesthesia Randomized Controlled STudy of End Tidal Control Compared to Conventional Anesthesia Results

Completed NA Results posted Last updated 2 November 2022
What this trial tests

NA trial testing Et Control Feature in Et Control Performance in Adult Population Surgery in 248 participants. Completed in 5 September 2018.

Timeline
9 June 2017
Primary endpoint
5 September 2018
5 September 2018

Quick facts

Lead sponsorGE Healthcare
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposeother
Enrollment248
Start date9 June 2017
Primary completion5 September 2018
Estimated completion5 September 2018
Sites4 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

GE Healthcare — full company profile →

Who can join

18 and older, any sex, with Et Control Performance in Adult Population Surgery. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Percent Duration Without Large Deviation of End-Tidal Anesthetic Agent (EtAA) Based on Extraction Algorithm (ALG) Primary · Duration of each steady state, an average of approximately 60 minutes

Percent duration of EtAA concentration during steady state maintained within the acceptable limit, which is defined as the greater of 5% of the steady state inhaled anesthetic agent concentration and 0.6% v/v for Desflurane (Des), 0.2% v/v for Sevoflurane (Sev), or 0.1% v/v for Isoflurane (Iso). The percent duration is the weighted average of all steady states for a subject, using the duration of steady state as the weight. Steady state concentration is based on an extraction algorithm described in Appendix 2 of the protocol.

GroupValue95% CI
Et Control91.7± 10.82
Control Arm80.8± 17.93
Percent Duration Without Large Deviation of EtAA Based on Clinician's or Investigators' Recorded Target Values of Anesthetic Agent and Oxygen (TGT) Primary · Duration of each steady state, an average of approximately 60 minutes

Percent duration of EtAA concentration during steady state maintained within the acceptable limit, which is defined as the greater of 5% of the steady state inhaled anesthetic agent concentration and 0.6% v/v for Desflurane (Des), 0.2% v/v for Sevoflurane (Sev), or 0.1% v/v for Isoflurane (Iso). The percent duration is the weighted average of all steady states for a subject, using the duration of steady state as the weight. Data obtained using the clinicians' or Investigators' recorded target (TGT) values of anesthetic agent and oxygen for the Control Arm and using the set target values for th

GroupValue95% CI
Et Control98.0± 2.05
Control Arm45.9± 31.45
Percent Duration Without Large Deviation of End-Tidal Oxygen (EtO2) Based on Extraction Algorithm (ALG) Primary · Duration of each steady state, an average of approximately 60 minutes

Percent duration of EtAA concentration during steady state maintained within the acceptable limit, which is defined as the greater of 5% of the steady state inhaled anesthetic agent concentration and 0.6% v/v for Desflurane (Des), 0.2% v/v for Sevoflurane (Sev), or 0.1% v/v for Isoflurane (Iso). The percent duration is the weighted average of all steady states for a subject, using the duration of steady state as the weight. Values based on the extraction algorithm described in Appendix 2 of the protocol (ALG).

GroupValue95% CI
Et Control98.1± 2.76
Control Arm92.8± 14.38
Percent Duration Without Large Deviation of EtO2 Based on Clinician's or Investigators' Recorded Target Values of Anesthetic Agent and Oxygen (TGT) Primary · Duration of each steady state, an average of approximately 60 minutes

Percent duration of EtAA concentration during steady state maintained within the acceptable limit, which is defined as the greater of 5% of the steady state inhaled anesthetic agent concentration and 0.6% v/v for Desflurane (Des), 0.2% v/v for Sevoflurane (Sev), or 0.1% v/v for Isoflurane (Iso). The percent duration is the weighted average of all steady states for a subject, using the duration of steady state as the weight. Values based on clinicians' or Investigators' recorded target values (TGT)

GroupValue95% CI
Et Control98.8± 1.49
Control Arm41.0± 40.65
Efficacy Response Time EtAA Based on Extraction Algorithm (ALG) Secondary · Duration of each steady state, an average of approximately 60 minutes

Response time: time to reach 90% of the desired change in EtAA steady state mean concentration. Values based on the extraction algorithm described in Appendix 2 of the protocol (ALG).

GroupValue95% CI
Et Control73± 174.1
Control Arm196± 378.3
Efficacy: Response Time for EtAA Based on Clinician's or Investigators' Recorded Target Values of Anesthetic Agent and Oxygen (TGT) Secondary · Duration of each steady state, an average of approximately 60 minutes

time to reach 90% of the desired change in EtAA and EtO2 steady state mean concentration. Values based on clinicians' or Investigators' recorded values (TGT).

GroupValue95% CI
Et Control23± 40.9
Control Arm196± 455.0
Efficacy Response Time for EtO2 Based on Extraction Algorithm (ALG) Secondary · Duration of each steady state, an average of approximately 60 minutes.

Response time: time to reach 90% of the desired change in EtO2 steady state mean concentration. Values based on the extraction algorithm described in Appendix 2 of the protocol (ALG).

GroupValue95% CI
Et Control93± 77.3
Control Arm246± 346.8
Efficacy: Response Time for EtO2 Based on Clinician's or Investigators' Recorded Target Values of Anesthetic Agent and Oxygen (TGT) Secondary · Duration of each steady state, an average of approximately 60 minutes

Response time: time to reach 90% of the desired change in EtAA and EtO2 steady state mean concentration. Values based on clinicians' or Investigators' recorded values (TGT).

GroupValue95% CI
Et Control129± 451.7
Control Arm406± 727.8
Efficacy: Settling Time for EtAA Based on the Extraction Algorithm (ALG) Secondary · Duration of each steady state, an average of approximately 60 minutes

Settling time: time to achieve the desired EtAA steady state mean concentration. Values based on the extraction algorithm described in Appendix 2 of the protocol (ALG).

GroupValue95% CI
Et Control105± 181.9
Control Arm165± 186.4
Efficacy: Settling Time for EtAA Based on Clinician's or Investigators' Recorded Target Values of Anesthetic Agent and Oxygen (TGT) Secondary · Duration of each steady state, an average of approximately 60 minutes

Settling time: time to achieve the desired EtAA steady state mean concentration. Values based on clinicians' or Investigators' recorded values (TGT).

GroupValue95% CI
Et Control23± 40.9
Control Arm196± 455.0
Efficacy: Settling Time for EtO2 Based on the Extraction Algorithm (ALG) Secondary · Duration of each steady state, an average of approximately 60 minutes

Settling time: time to achieve the desired EtO2 steady state mean concentration. Values based on the extraction algorithm described in Appendix 2 of the protocol (ALG).

GroupValue95% CI
Et Control123± 117.5
Control Arm235± 213.2
Efficacy: Settling Time for EtO2 Based on Based on Clinician's or Investigators' Recorded Target Values of Anesthetic Agent and Oxygen (TGT) Secondary · Duration of each steady state, an average of approximately 60 minutes

time to achieve the desired EtO2 steady state mean concentration. Values based on clinicians' or Investigators' recorded values (TGT).

GroupValue95% CI
Et Control167± 121.1
Control Arm815± 1327.2

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse even assessment was conducted from the time the subject provided consent to the end of the subject's participation in the study. Approximately 30 hours. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Et Control
Serious: 1/104 (1%)
Deaths: 0/104
Control Arm
Serious: 1/116 (1%)
Deaths: 0/116

Serious adverse events (2 terms)

ReactionSystemEt ControlControl Arm
Bile LeakHepatobiliary disorders
Vision LossEye disorders
Other adverse events (40 terms — click to expand)

ReactionSystemEt ControlControl Arm
NIBP SBP>160 mmHg for >5 minVascular disorders
HR >110bpm more than 5 minCardiac disorders
NIBP MAP >120 mmHg for > 5 minVascular disorders
NauseaGastrointestinal disorders
Pain 8 of 10Surgical and medical procedures
Hypotension (general)Vascular disorders
NIPB MAP <55 mmHg for >5 minVascular disorders
Pain 7 out of 10Surgical and medical procedures
HR <45bpm more than 5 minCardiac disorders
SpO2 < 90% for more than 5 minRespiratory, thoracic and mediastinal disorders
NIBP SBP <70 mmHg for >5 minVascular disorders
ConfusionNervous system disorders
Abdominal CrampsGastrointestinal disorders
Bladder SpasmsRenal and urinary disorders
Post-Operative PainSurgical and medical procedures
Inadvertent Cystotomy and RepairSurgical and medical procedures
Post Operative Pain of 10Surgical and medical procedures
Intraoperative BleedingSurgical and medical procedures
Intractable PainSurgical and medical procedures
Elevated Heart Rate and BreathingSurgical and medical procedures
Bladder Wall DamageRenal and urinary disorders
Left Thigh WeaknessMusculoskeletal and connective tissue disorders
AgitationPsychiatric disorders
Emergence DelaySurgical and medical procedures
Throat PainGeneral disorders
Oral PainSurgical and medical procedures
Pain 9 of 10Surgical and medical procedures
Intermittent PainSurgical and medical procedures
VomitingGastrointestinal disorders
DizzinessGeneral disorders
Dizziness, photophobia, and delay in discharge from PACUSurgical and medical procedures
Low Urine OutputRenal and urinary disorders
HematomaBlood and lymphatic system disorders
Large PneumothoraxRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Severe Post Operative PainSurgical and medical procedures
HypercapniaRespiratory, thoracic and mediastinal disorders
Urinary Tract InfectionRenal and urinary disorders
FeverGeneral disorders
Corneal AbrasionEye disorders

Most-reported serious reactions: Bile Leak, Vision Loss.

Data from ClinicalTrials.gov NCT02972892 adverse events section.

Sponsor's own description

This is a clinical, single blind, randomized, prospective research study. The purpose of this pivotal study is to collect and analyze data on the investigational End tidal Control (Et Control) option feature. To demonstrate that End tidal Control (Et Control) performance is non-inferior to conventional anesthesia practice in an adult surgery population by comparing the performance of the Et Control Arm (investigational arm) to the Control Arm (fresh gas mode).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. End-Tidal Control Versus Manual Control of Inhalational Anesthesia Delivery: A Randomized Controlled Noninferiority Trial.
    McCabe MD, Dear GL, Klopman MA, Garg K, et al · · 2024 · cited 7× · PMID 39028663 · DOI 10.1213/ane.0000000000007132

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