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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 7 November 2016
Main ID:  NCT02353182
Date of registration: 26/01/2015
Prospective Registration: Yes
Primary sponsor: Murdoch Childrens Research Institute
Public title: The T REX Pilot Study: a Study to Investigate the Use of an Alternative Anaesthetic in Infants.
Scientific title: An Open Label Pilot Study of Feasibility of a Dexmedetomidine-Remifentanil-Caudal Anaesthetic for Infant Lower Abdominal/Lower Extremity Surgery: The TREX Pilot Study
Date of first enrolment: May 2015
Target sample size: 60
Recruitment status: Completed
URL:  https://clinicaltrials.gov/show/NCT02353182
Study type:  Interventional
Study design:  Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment  
Phase:  Phase 4
Countries of recruitment
Australia Singapore United States
Contacts
Name:     Andrew J Davidson, MD
Address: 
Telephone:
Email:
Affiliation:  Murdoch Childrens Research Institute
Key inclusion & exclusion criteria

Inclusion Criteria:

- Infants aged 1 to 12 months (corrected age)

- ASA I or II

- Infants undergoing lower abdominal/lower extremity surgery anticipated to be > 120
minutes in duration

- Surgery requires caudal regional nerve block

Exclusion Criteria:

- ASA III or higher

- Any contraindication to caudal analgesia

- Any contraindication to an inhalational induction with sevoflurane

- Allergies to any medication in study protocol

- Planned admission to an ICU postoperatively (except level II or III neonatal ICU)

- Planned tracheal intubation postoperatively

- Mechanical ventilation postoperatively



Age minimum: 1 Month
Age maximum: 12 Months
Gender: Both
Health Condition(s) or Problem(s) studied
Surgical Procedures, Operative
Intervention(s)
Drug: Ropivacaine
Drug: Bupivacaine
Drug: Remifentanil
Drug: Dexmedetomidine
Primary Outcome(s)
Number of participants who need for intervention for light anaesthesia [Time Frame: 120 minutes (duration of surgery)]
Secondary Outcome(s)
Number of participants who require rescue analgesia in PACU [Time Frame: End of surgery until discharge from PACU (average 1-4 hours)]
Number of participants who need for intervention for haemodynamic changes [Time Frame: 120 minutes (duration of surgery)]
Time to recovery after anaesthesia [Time Frame: Time from last dressing to: eye opening, removal of airway device, first feed, and a modified Aldrete Score of 9-10 (average 30 minutes-4 hours)]
Number of participants who have pain after anaesthesia [Time Frame: End of surgery until discharge from PACU ( average 1-4 hours)]
Number of participants who have respiratory complications [Time Frame: Start of anaesthesia until discharge from PACU (average 1-4 hours)]
Secondary ID(s)
35014
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
Starship Children's Health
Gaslini Children's Hospital
The Cleveland Clinic
Children's Hospital Medical Center, Cincinnati
Children's Hospital of Philadelphia
Oregon Health and Science University
UMC Utrecht
University Hospital, Geneva
University of Texas Southwestern Medical Center
Boston Children’s Hospital
KK Women's and Children's Hospital
Sydney Children's Network
The Royal Children's Hospital Melbourne
Princess Margaret Hospital for Children
Texas Children's Hospital
Ethics review
Results
Results available:
Date Posted:
Date Completed:
URL:
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