UMIN-ICDS Clinical Trial

Unique ID issued by UMIN UMIN000062607
Receipt number R000071666
Scientific Title Exploratory Analysis Factors Influencing Optimal Bispectral Index Values During Gastrointestinal Endoscopic Sedation
Date of disclosure of the study information 2026/08/18
Last modified on 2026/08/18 20:57:47

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Basic information

Public title

Exploratory Analysis of Factors Influencing Optimal Bispectral Index Values During Gastrointestinal Endoscopic Sedation (BEST study)

Acronym

Bispectral index during gastrointestinal Endoscopic SedaTion

Scientific Title

Exploratory Analysis Factors Influencing Optimal Bispectral Index Values During Gastrointestinal Endoscopic Sedation

Scientific Title:Acronym

Bispectral Index Evaluation during Gastrointestinal Endoscopic SedaTion

Region

Japan


Condition

Condition

Patients with suspected gastrointestinal disease who undergo esophagogastroduodenoscopy or colonoscopy

Classification by specialty

Gastroenterology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Using Bispectral Index (BIS) monitoring, this study aims to identify factors associated with optimal BIS values during gastrointestinal endoscopic sedation and to determine age-specific optimal BIS values.

Basic objectives2

Pharmacokinetics

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Exploratory Analysis of Factors Influencing BIS Values

Key secondary outcomes

Correlations between age, BIS values, and sedation assessment scales (MOAA/S and Ramsay score); median and optimal BIS values according to age group; safety outcomes (respiratory depression, body movement, hypotension, bradycardia, perforation, bleeding, and pneumonia); sedative and analgesic doses (remimazolam, midazolam, and pethidine); procedure time; patient and endoscopist satisfaction (Likert scale); recovery assessed by the Aldrete score; interval and frequency of additional drug administration; time from initial administration to procedure initiation; procedure completion rate; and procedure interruption rate due to patient movement.


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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Age.>18 years.
Scheduled for sedated upper gastrointestinal endoscopy.
Scheduled for sedated lower gastrointestinal endoscopy.

Key exclusion criteria


Performance Status>3.
Patients with severe cardiac dysfunction(New York Heart Association Classlll or higher),pulmonary dysfunction requiring continuous of intermittent oxygen therapy,hepatic dysfunction(Child-Pugh Class C),renal dysfunction(eGFR<30mL/min/1.73m2),or uncontrolled diabetes mellitus(HbA1c>9.0%).
Patients with glaucoma,myasthenia gravis,or alcohol intoxication/alcohol dependence.
Patients with psychiatric disorders or dementia who are considered unable to participate in the study.
Patients judged by the investigateor to be inappropriate for patricipation in the study for any reason.

Target sample size

140


Research contact person

Name of lead principal investigator

1st name Masahide
Middle name
Last name Ebi

Organization

Aichi medical university

Division name

Gastroenterology

Zip code

480-1195

Address

1-1 Yazakokarimata, Nagakute, Aichi

TEL

0561623311

Email

mebi@aichi-med-u.ac.jp


Public contact

Name of contact person

1st name Masahide
Middle name
Last name Ebi

Organization

Aichi medical university

Division name

Gastroenterology

Zip code

480-1195

Address

1-1 Yazakokarimata, Nagakute, Aichi

TEL

0561623311

Homepage URL


Email

mebi@aichi-med-u.ac.jp


Sponsor or person

Institute

Aichi medical University

Institute

Department

Personal name

Satoshi Ono


Funding Source

Organization

Non

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Aichi medical university

Address

1-1 Yazakokarimata, Nagakute, Aichi

Tel

0561623311

Email

mebi@aichi-med-u.ac.jjp


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

2026 Year 08 Month 18 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

Open public recruiting

Date of protocol fixation

2026 Year 07 Month 28 Day

Date of IRB

2026 Year 07 Month 30 Day

Anticipated trial start date

2026 Year 08 Month 18 Day

Last follow-up date

2027 Year 12 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

observational study


Management information

Registered date

2026 Year 08 Month 18 Day

Last modified on

2026 Year 08 Month 18 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071666