UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029488
Receipt number R000033694
Scientific Title Usefulness of acoustic monitoring of respiratory rate in patients undergoing gastric ESD
Date of disclosure of the study information 2017/10/16
Last modified on 2025/04/23 10:44:55

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Basic information

Public title

Usefulness of acoustic monitoring of respiratory rate in patients undergoing gastric ESD

Acronym

Usefulness of acoustic monitoring of RR in patients undergoing gastric ESD

Scientific Title

Usefulness of acoustic monitoring of respiratory rate in patients undergoing gastric ESD

Scientific Title:Acronym

Usefulness of acoustic monitoring of RR in patients undergoing gastric ESD

Region

Japan


Condition

Condition

gastric tumor(early gastric cancer or gastric adenoma)

Classification by specialty

Gastroenterology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to investigate the usefulness of acoustic monitoring of respiratory rate(Mshimo Radical-7) in patients undergoing gastric ESD.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Explanatory

Developmental phase

Not applicable


Assessment

Primary outcomes

respiratory rate

Key secondary outcomes

oxygen saturation,blood pressure,oxigen dose,target blood concentration and propofol doze,sedation time,body mass index,ASA classification,underlying diseases


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Cluster

Blinding

Open -no one is blinded

Control

No treatment

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Device,equipment

Interventions/Control_1

Patients will be monitored for their respiration with pulse oximetry during ESD.

Interventions/Control_2

Patients will be monitored for their respiration with pulse oximetry and acoustic monitoring of respiratory rate (Mashimo Radical-7).

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients with early gastric cancer or gastric adenoma who are scheduled for ESD using propofol sedation.

Key exclusion criteria

Patients were excluded if they were <20 years of age,had a history of egg or soybean allergy,were unable to provide informed consent or were judged inappropriate for ESD by the doctor.

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Shigenao
Middle name
Last name Ishikawa

Organization

Kagawa Prefectural Central Hospital

Division name

Gastroenterology

Zip code

7608557

Address

1-2-1 Asahi-machi,Takamatsu-city,Kagawa,Japan

TEL

087-811-3333

Email

ishikawa5308@yohoo.co.jp


Public contact

Name of contact person

1st name Kumiko
Middle name
Last name Yamamoto

Organization

Kagawa Prefectural Central Hospital

Division name

Gastroenterology

Zip code

7608557

Address

1-2-1 Asahi-machi,Takamatsu-city,Kagawa,Japan

TEL

087-811-3333

Homepage URL


Email

kmyamamoto1@gmail.com


Sponsor or person

Institute

Kagawa Prefectural Central Hospital

Institute

Department

Personal name



Funding Source

Organization

Kagawa Prefectural Central Hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kagawa Prefectural Central Hospital

Address

Asahi-machi,Takamatsu-city,Kagawa,Japan

Tel

087-811-3333

Email

ku-yamamoto@chp-kagawa.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 10 Month 16 Day


Related information

URL releasing protocol

https://www.jstage.jst.go.jp/article/gee/61/Supplement1/61_855/_pdf/-char/ja

Publication of results

Unpublished


Result

URL related to results and publications

https://www.jstage.jst.go.jp/article/gee/61/Supplement1/61_855/_pdf/-char/ja

Number of participants that the trial has enrolled

100

Results

The frequency of respiratory depression was 37.3% in the single group and 38.8% in the combination group,with no significant difference observed (P=0.88).The BIS values and target blood concentrations during respiratory depression were an average of 72.5/77.5 and 1.60/1.65 microgram/ml,respectively. The average respiratory rate during respiratory depression in the combination group was 13.9 breaths. Within the scope of this study, no additional effectiveness of respiratory monitoring was recognized.


Results date posted

2025 Year 04 Month 23 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

The subjects were patients aged 20 years or older who had consented to this trial and were scheduled to undergo ESD for early gastric cancer. A total of 103 cases were registered from December 2017 to July 2018, with one case discontinued from treatment and two cases excluded as ineligible.

Participant flow

From December 2017 to July 2018, 103 cases were registered, with 1 case dropping out due to treatment discontinuation and 2 cases excluded as ineligible. Adjustment factors of age, gender, and BMI were used for allocation, and the study examined 51 cases in the pulse oximeter only group and 49 cases in the respiratory rate monitor combined group.

Adverse events

No significant adverse events.

Outcome measures

During the procedure, adjustments were made based on changes in BIS values  and/or increases during body movement and/or reductions in cases of blood pressure drop and a respiratory rate of 10 breaths/minute or less. An SPO2 value of 90% or lower was defined as respiratory suppression and was established as the criteria for starting oxygen administration. The preventive effects and costs of respiratory suppression were discussed.

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 09 Month 25 Day

Date of IRB

2017 Year 09 Month 25 Day

Anticipated trial start date

2017 Year 10 Month 16 Day

Last follow-up date

2018 Year 07 Month 30 Day

Date of closure to data entry

2018 Year 07 Month 30 Day

Date trial data considered complete

2018 Year 08 Month 31 Day

Date analysis concluded

2019 Year 10 Month 31 Day


Other

Other related information



Management information

Registered date

2017 Year 10 Month 10 Day

Last modified on

2025 Year 04 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033694