The Neuromuscular Effect of Rocuronium in Patient

Sponsor
Go Eun Bae (Other)
Overall Status
Unknown status
CT.gov ID
NCT02657187
Collaborator
(none)
80
1
4
6
13.4

Study Details

Study Description

Brief Summary

Rocuronium block neuromuscular transmission at the neuromuscular junction, causing paralysis of the affected skeletal muscles. There have been several studies reported positive relationship between muscle mass and amount of neuromuscular junction. The purpose of this study is to find 50% effective dose and 95% effective dose of rocuronium according to muscle mass.

Condition or Disease Intervention/Treatment Phase
N/A

Detailed Description

Rocuronium block neuromuscular transmission at the neuromuscular junction, causing paralysis of the affected skeletal muscles. There have been several studies reported positive relationship between muscle mass and amount of neuromuscular junction. Until now, dose of rocuronium has been judged by patient's weight and height. When the rocuronium was developed, 50% effective dose and 95% effective dose of rocuronium was calculated by patient corrected body weight which used weight and height. However, height and weight do not represent exact muscle mass. The purpose of this study is to find 50% effective dose and 95% effective dose of rocuronium according to muscle mass. Measurement of muscle mass will be obtained using bioelectrical impedence analysis.

Study Design

Study Type:
Interventional
Anticipated Enrollment :
80 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Single (Investigator)
Primary Purpose:
Supportive Care
Official Title:
The Neuromuscular Effect of Rocuronium in Patient Measuring Muscle Mass by Bioelectrical Impedance Analysis
Study Start Date :
Feb 1, 2016
Anticipated Primary Completion Date :
Jul 1, 2016
Anticipated Study Completion Date :
Aug 1, 2016

Arms and Interventions

Arm Intervention/Treatment
Experimental: rocuronium 1

Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) and the dose of rocuronium is 0.24mg per muscle mass(kg).

Device: Inbody
Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) after fast for eight hours.

Drug: Rocuronium
The individual dose method was used for the determination of the dose response of rocuronium. After induction of anesthesia, four groups of 40 patients each received randomly one of the four doses of rocuronium ( 0.24, 0.32, 0.40, 0.48mg/muscle mass(kg))
Other Names:
  • Esmeron(MSD Korea Ltd.)
  • Experimental: rocuronium 2

    Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) and the dose of rocuronium is 0.32mg per muscle mass(kg).

    Device: Inbody
    Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) after fast for eight hours.

    Drug: Rocuronium
    The individual dose method was used for the determination of the dose response of rocuronium. After induction of anesthesia, four groups of 40 patients each received randomly one of the four doses of rocuronium ( 0.24, 0.32, 0.40, 0.48mg/muscle mass(kg))
    Other Names:
  • Esmeron(MSD Korea Ltd.)
  • Experimental: rocuronium 3

    Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) and the dose of rocuronium is 0.40mg per muscle mass(kg).

    Device: Inbody
    Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) after fast for eight hours.

    Drug: Rocuronium
    The individual dose method was used for the determination of the dose response of rocuronium. After induction of anesthesia, four groups of 40 patients each received randomly one of the four doses of rocuronium ( 0.24, 0.32, 0.40, 0.48mg/muscle mass(kg))
    Other Names:
  • Esmeron(MSD Korea Ltd.)
  • Experimental: rocuronium 4

    Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) and the dose of rocuronium is 0.48mg per muscle mass(kg).

    Device: Inbody
    Participant measure muscle mass by bioelectrical impedance analysis (Inbody 720, Inbody, Seoul, Korea) after fast for eight hours.

    Drug: Rocuronium
    The individual dose method was used for the determination of the dose response of rocuronium. After induction of anesthesia, four groups of 40 patients each received randomly one of the four doses of rocuronium ( 0.24, 0.32, 0.40, 0.48mg/muscle mass(kg))
    Other Names:
  • Esmeron(MSD Korea Ltd.)
  • Outcome Measures

    Primary Outcome Measures

    1. percentage of neuromuscular block [ten minutes]

      percentage of neuromuscular block is calculated by ratio of T1 to T4. T1 is result of first stimulation and T4 is result of fourth stimulation which are obtained by commonly used neuromuscular monitoring device.

    Secondary Outcome Measures

    1. onset time [ten minutes]

      time from the end of injection of rocuronium until the maximal depression of T1 which is result of first twitch

    Other Outcome Measures

    1. lag time [ten minutes]

      time from the end of injection of rocuronium until the first depression of the twitch response

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    19 Years to 64 Years
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • All patient who undergo general anesthesia
    Exclusion Criteria:
    • Liver and kidney disease

    • Any types of muscle disorder.

    • Metal materials or pacemaker in body

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Korea university anam hospital Seoul Korea, Republic of 02841

    Sponsors and Collaborators

    • Go Eun Bae

    Investigators

    • Study Director: Go eun Bae, M.D., Korea University Anam Hospital

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Go Eun Bae, Clinical instructor, Korea University Anam Hospital
    ClinicalTrials.gov Identifier:
    NCT02657187
    Other Study ID Numbers:
    • Inbody2
    First Posted:
    Jan 15, 2016
    Last Update Posted:
    Feb 17, 2016
    Last Verified:
    Feb 1, 2016
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Feb 17, 2016