UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000052606
Receipt number R000060008
Scientific Title The effect of local anesthetic administered during surgery on the atrial and ventricular pacing thresholds of permanent pacemakers
Date of disclosure of the study information 2023/10/25
Last modified on 2025/04/27 13:16:30

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Basic information

Public title

The effect on pacemaker functional status of local anesthetic used during surgery

Acronym

The effect on pacemaker functional status of local anesthetic used during surgery

Scientific Title

The effect of local anesthetic administered during surgery on the atrial and ventricular pacing thresholds of permanent pacemakers

Scientific Title:Acronym

The effect of local anesthetic administered during surgery on the atrial and ventricular pacing thresholds of permanent pacemakers

Region

Japan


Condition

Condition

Patients with permanent pacemakers

Classification by specialty

Cardiology Anesthesiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Patients with permanent pacemakers, like the general population, may receive local anesthetic during surgery. As part of their systemic effects, local anesthetic may affect cardiomyocytes and alter pacemaker thresholds. We investigate this possibility.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Changes in atrial and/or ventricular pacing thresholds 30 min after local anesthetic administration

Key secondary outcomes

Identification of factors contributing to changes in atrial and/or ventricular pacing thresholds 30 min after local anesthetic administration (levobupivacaine plasma concentration, pH, Na, K, Cl, HCO3-)


Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


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 permanent pacemakers receiving local anesthetic under general anesthesia during surgery

Key exclusion criteria

Non-consenting patients

Target sample size

5


Research contact person

Name of lead principal investigator

1st name Asuka
Middle name
Last name Kitajima

Organization

Jichi Medical University Saitama Medical Center

Division name

Department of Anesthesiology and Critical Care Medicine

Zip code

3308503

Address

1-847 Amanumacho, Omiyaku, Saitama, Japan

TEL

+8148-647-2111

Email

a.kitajima@jichi.ac.jp


Public contact

Name of contact person

1st name Asuka
Middle name
Last name Kitajima

Organization

Jichi Medical University Saitama Medical Center

Division name

Department of Anesthesiology and Critical Care Medicine

Zip code

3308503

Address

1-847 Amanumacho, Omiyaku, Saitama, Japan

TEL

+8148-647-2111

Homepage URL


Email

a.kitajima@jichi.ac.jp


Sponsor or person

Institute

Jichi Medical University Saitama Medical Center

Institute

Department

Personal name



Funding Source

Organization

Maruishi Pharmaceutical Co.,Ltd.

Organization

Division

Category of Funding Organization

Profit organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Jichi Medical University Bioethics Committee for Clinical Research, Saitama Medical Center

Address

1-847 Amanumacho, Omiyaku, Saitama, Japan

Tel

+8148-647-2111

Email

a.kitajima@jichi.ac.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

2023 Year 10 Month 25 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2021 Year 08 Month 20 Day

Date of IRB

2021 Year 08 Month 20 Day

Anticipated trial start date

2022 Year 03 Month 24 Day

Last follow-up date

2025 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

Study design: Prospective observational study

Recruiting method: Patients who attended our center and met the inclusion criteria between 20 August 2022 and March 2025

Measurements: Pacing thresholds, plasma local anesthetic concentration and blood gas analysis (including pH, Na, K, Cl and HCO3-) will be measured at the following three time points:
(i) after induction of general anesthesia and before the surgery, (ii) at the end of the surgery and (iii) 30 minutes after local anesthetic administration.

The local anesthetic to be used is 0.25% levobupivacaine (0.25% popscaine) 3 mg/kg and the way of administration is ultrasound-guided peripheral nerve block. Blood samples should be taken from an arterial line placed after induction of general anesthesia.


Management information

Registered date

2023 Year 10 Month 25 Day

Last modified on

2025 Year 04 Month 27 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000060008