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Trial registered on ANZCTR
Registration number
ACTRN12611000978965
Ethics application status
Approved
Date submitted
2/09/2011
Date registered
14/09/2011
Date last updated
12/11/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Validation of the Brain Anaesthesia Response (BAR) Monitoring System during Anaesthesia for Cardiac Surgery: a Double-Blinded, Randomised, Controlled Trial using Two Different Doses of Fentanyl.
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Scientific title
Validation of the Brain Anaesthesia Response (BAR) Monitoring System during Anaesthesia for Cardiac Surgery: a Double-Blinded, Randomised, Controlled Trial using Two Different Doses of Fentanyl.
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Secondary ID [1]
262978
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Nil
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Universal Trial Number (UTN)
U1111-1124-2523
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Depth of anaesthesia
270700
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Condition category
Condition code
Anaesthesiology
270874
270874
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Fentanyl moderate dose 24mcg/kg IV on induction
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Intervention code [1]
269320
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Treatment: Drugs
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Comparator / control treatment
Fentanyl low dose 12mcg/kg IV on induction
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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The Brain Anaesthesia Response (BAR) monitor system is designed to non-invasively monitor brain function in response to anaesthetic and sedative agents. The system consists of a terminal, a data acquisition module (DAM) and a disposable electrical sensor array. Electroencephalography (EEG) signals are collected using the sensor which is applied to the patients? forehead. The signals are processed to calculate two BAR indices, Cortical State (CS) and Cortical Input (CI). The displayed indices are designed to assist the anaesthetist to estimate the levels of consciousness and analgesia of a patient during general anaesthesia. This study is designed to detect varying levels of anaesthetic agents in an operating room environment where the presence of multiple sources of artifacts are known to complicate the EEG assessment of anaesthetic action.
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Assessment method [1]
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Timepoint [1]
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Induction to pre cardiopulmonary bypass for on pump coronary artery bypass surgery.
Induction to pericaridal dissection for off pump coronary artery bypass surgery
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Males and females aged 18 to 80 years undergoing elective first-time coronary artery bypass graft surgery with American Society of Anaesthesiologist Classification III or IV
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Inadequate English comprehension due to a language barrier, cognitive deficit or intellectual disability Epilepsy or other conditions which may affect the EEG History of prescription or illicit drug use known to affect the EEG Body Weight > 120 kg Allergy to trial medications Uncontrolled hyper- or hypotension, congestive cardiac failure or an ejection fraction of < 25% Permanent or temporary pacemaker in situ
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All patients who meet the eligibility criteria will be approached and written informed consent will be obtained. This will occur in the pre-admission clinic or on the ward the day before surgery. Randomisation results will be concealed in envelopes that will be allocated squentially to consented patients. The envelope will be opended and study drug drawn up by doctor who in not involved in the study or the intra-operative care of the patient
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Randomisation will be determined using a computer-generated list using the program PC-Plan. The randomisation allocation will be sealed in an envelope by a person who is not a member of the research team or who will be invovled in care of any intra-operative cardiac patient.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
12/12/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
24
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Cortical Dynamics
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Address [1]
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PO Box 317 North Perth 6906 WA
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Country [1]
269783
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Australia
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Primary sponsor type
Commercial sector/Industry
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Name
Cortical Dynamics
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Address
PO Box 317 North Perth 6906 WA
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Country
Australia
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Secondary sponsor category [1]
268823
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None
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Name [1]
268823
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Address [1]
268823
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Country [1]
268823
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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St Vincent's Health
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Ethics committee address [1]
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PO Box 2900 Fitzroy 3065 VIC
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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26/09/2011
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Approval date [1]
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08/11/2011
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Ethics approval number [1]
271742
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HREC-D 125/11
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Summary
Brief summary
The Brain Anaesthesia Response (BAR) monitor system is designed to non-invasively monitor brain function in response to anaesthetic and sedative agents. Electroencephalography (EEG) signals are collected using the sensor which is applied to the patients’ forehead. The signals are processed to calculate two BAR indices, Cortical State (CS) and Cortical Input (CI). The displayed indices are designed to assist the anaesthetist to estimate the levels of consciousness and analgesia of a patient during general anaesthesia. The study is designed to investigate whether the BAR indices recorded in the operating room environment can distinguish between two groups of patients anaesthetised with either a low or a moderate dose of fentanyl and show clinically meaningful correlations with levels of hypnosis.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
33106
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Ms Simone Said
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Address
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Deptartment of Anaesthesia
St Vincent's Hospital
PO Box 2900
Fitzroy VIC 3065
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Country
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Australia
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Phone
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61 3 9288 4245
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Fax
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61 3 9288 4255
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Email
16353
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[email protected]
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Contact person for scientific queries
Name
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Dr Des McGlade
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Address
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Deptartment of Anaesthesia
St Vincent's Hospital
PO Box 2900
Fitzroy VIC 3065
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Country
7281
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Australia
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Phone
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61 3 9288 4253
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Fax
7281
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61 3 9288 4255
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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