Attenuation of haemodynamic response to tracheal intubation with oral gabapentin and midazolam in breast cancer patients

ISRCTN ISRCTN15943548
DOI https://doi.org/10.1186/ISRCTN15943548
Secondary identifying numbers 201617009.2p
Submission date
09/03/2017
Registration date
20/03/2017
Last edited
20/03/2017
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
A modified radical mastectomy is a procedure in which the entire breast is removed in order to remove breast cancer. A flexible plastic tube is placed into the trachea (windpipe) to keep the airway open (tracheal intubation). The aim of this study is to find out whether the drugs midazolam and gabapentin can reduce the stress response (increased heart rate and blood pressure) to tracheal intubation.

Who can participate?
Patients aged between 18 and 65 undergoing modified radical mastectomy

What does the study involve?
Participants are randomly allocated into two groups. One group is given oral gabapentin and midazolam 90 minutes before intubation. The other group is given gabapentin 90 minutes before intubation. Heart rate, blood pressure, sedation and side effects are measured to see whether gabapentin and midazolam can reduce the stress response to tracheal intubation.

What are the possible benefits and risks of participating?
The results of this study will increase scientific knowledge and may benefit future patients.

Where is the study run from?
National Cancer Institute, Cairo University (Egypt)

When is the study starting and how long is it expected to run for?
February to June 2017

Who is funding the study?
National Cancer Institute, Cairo University (Egypt)

Who is the main contact?
Dr Ahmed Bakir
ahmed_bakir77@yahoo.com

Contact information

Dr Ahmed Bakir
Scientific

National Cancer Institute
Cairo University
cairo
-
Egypt

Phone +20 (0)111 566 1922
Email ahmed_bakir77@yahoo.com

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typePrevention
Participant information sheet No participant information sheet available
Scientific titleAttenuation of haemodynamic response to tracheal intubation with oral gabapentin and midazolam in breast cancer patients: a randomised controlled trial
Study objectivesDoes preoperative oral gabapentin and midazolam attenuate the stress response of tracheal intubation in breast cancer patients?
Ethics approval(s)Ethics committee of National Cancer Institute, Cairo University, 01/03/2017, ref: 201617009.2p
Health condition(s) or problem(s) studiedModified radical mastectomy under general anaesthesia
InterventionPatients are randomised into two groups:
1. Oral gabapentin 800 mg plus 7.5 mg midazolam
2. Oral gabapentin 800 mg
Both drugs are given 90 min prior to surgery and patients are followed up to 24 hours postoperatively
Intervention type
Primary outcome measure1. Heart rate measured by electrocardiogram and pulse oximetry
2. Blood pressure measured by non invasive blood pressure monitor
Measured at baseline and at 0, 1, 3, 5, 10, 15 and 30 minutes of intubation
Secondary outcome measures1. Sedation measured using Ramsay Sedation Scale
2. Side effects (e.g. nausea or vomiting) recorded by physician staff
Recorded over 24 h postoperatively
Overall study start date15/02/2017
Completion date08/06/2017

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participants60 patients in the two groups
Key inclusion criteria1. ASA1 or 2 patients
2. Between 18 to 65 years of age
3. Undergoing modified radical mastectomy under general anaesthesia
Key exclusion criteria1. Allergy to gabapentin or midazolam
2. Severe renal or liver insufficiency
3. Patient refusal
Date of first enrolment15/02/2017
Date of final enrolment15/05/2017

Locations

Countries of recruitment

  • Egypt

Study participating centre

National Cancer Institute, Cairo University
-

Sponsor information

National Cancer Institute, Cairo University
University/education

Fom Elkhalig Street
cairo
0000
Egypt

Phone +20 (0)111 566 1922
Email ahmed_bakir77@yahoo.com
ROR logo "ROR" https://ror.org/03q21mh05

Funders

Funder type

University/education

National Cancer Institute, Cairo University
Government organisation / National government
Alternative name(s)
NCI
Location
Egypt

Results and Publications

Intention to publish date08/06/2018
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high impact peer reviewed journal
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Dr Ahmed Bakir (ahmed_bakir77@yahoo.com)