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The study is a single-centre, placebo-controlled, crossover study on healthy volunteers aiming to explore non-inferiority of methoxyflurane and fentanyl compared to placebo on the tolerance to hypovolemia.
The study will explore the effects of fentanyl and methoxyflurane versus placebo (NaCl; saline) on the hemodynamic response to hypovolemia in healty volunteers. Hypovolemia will be induced in the "lower body negative pressure" model. XX healthy volunteers will be exposed to inhaled methoxyflurane, 3 ml or intravenous fentanyl, XX mg or placebo in a randomized order (cross-over) at least 3 days apart.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Methoxyflurane | Active Comparator | Inhalation methoxyflurane 99,9%, 3 ml, single dose. Intravenous NaCl 9 mg/ml, XX ml, single dose. |
|
| Fentanyl | Active Comparator | Intravenous fentanyl 50 microgr/ml, XX ml, single dose Inhalation NaCl 9 mg/ml, 3 ml, single dose. |
|
| Placebo | Placebo Comparator | Intravenous NaCl 9 mg/ml, XX ml, single dose. Inhalation NaCl 9 mg/ml, 3 ml, single dose. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lower body negative pressure (LBNP) | Procedure | LBNP is a model of experimental hypovolemia, whereby the lower body is exposed to negative pressure leading to sequestering of blood in the lower body and central hypovolemia. LBNP will be induced stepwise with increments of 10 mmHg, each level lasting 1 min. LBNP will be terminated at symptoms or signs of impending hemodynamic collapse. |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiac output | Cardiac output as measured by suprasternal Doppler and/ or non-invasive (volume clamp) pulse contour analysis. | Measured continuously during LBNP-exposure. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to hemodynamic decompensation | Time from start LBNP to symtomps or signs of hemodynamic decompensation (and termination of LBNP); defined by:
| 15 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oslo University Hospital | Oslo | 0586 | Norway |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37638077 | Derived | Hoiseth LO, Fjose LO, Hisdal J, Comelon M, Rosseland LA, Lenz H. Haemodynamic effects of methoxyflurane versus fentanyl and placebo in hypovolaemia: a randomised, double-blind crossover study in healthy volunteers. BJA Open. 2023 Jun 28;7:100204. doi: 10.1016/j.bjao.2023.100204. eCollection 2023 Sep. |
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| ID | Term |
|---|---|
| D020896 | Hypovolemia |
| D002303 | Cardiac Output, Low |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D008150 | Lower Body Negative Pressure |
| ID | Term |
|---|---|
| D003664 | Decompression |
| D013812 | Therapeutics |
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Randomized, placebo controlled, crossover study.
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Both drug interventions (intravenous fentanyl and inhaled methoxyflurane) will have NaCl placebo comparators. As the methoxyflurane has a characteristic smell, some drops of methoxyflurane will be placed on the exterior of the placebo methoxyflurane inhalation devices. Further, the subjects will rinse the mouth with a mouthwash shortly before inhalation to cover the taste of methoxyflurane.
|
| Mean arterial pressure | Change in mean arterial blood pressure with increasing LBNP, as measured by the volume-clamp method. | Measured continuously during LBNP-exposure. |
| Stroke volume | Change in cardiac stroke volume with increasing LBNP, as measured by suprasternal Doppler and/ or the volume-clamp method. | Measured continuously during LBNP-exposure. |
| D012816 | Signs and Symptoms |
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |