End Stage Renal Disease Clinical Trial
Official title:
Acute Pharmacokinetic-pharmacodynamic Change of Rocuronium After Reperfusion of Renal Graft During Kidney Transplantation
Reperfusion of renal graft in kidney transplantation can change the pharmacokinetic-pharmacodynamic (PKPD) parameters of rocuronium. The immediate increase of urine output during surgery may change the PKPD parameters of the drugs, including elimination rate. The goal of this study is to characterize the PKPD model of rocuronium during kidney transplantation and establish a basis for adequate dosage of rocuronium in kidney transplantation. Through PKPD modeling, the changes during reperfusion of the renal graft will be evaluated. Furthermore, the factors related to the changes will be assessed. Adjusting the infusion rate according to the step of kidney transplantation will lead to stable muscle relaxation and fast recovery.
Status | Recruiting |
Enrollment | 12 |
Est. completion date | December 31, 2024 |
Est. primary completion date | July 31, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 60 Years |
Eligibility | Inclusion Criteria: - patients scheduled for elective living donor kidney transplantation - end stage renal disease with oliguria or anuria - normal BMI (BMI 18.5 ~ 25) - obtained informed consent Exclusion Criteria: - patient with underlying neuromuscular disease |
Country | Name | City | State |
---|---|---|---|
Korea, Republic of | Seoul National University Hospital | Seoul |
Lead Sponsor | Collaborator |
---|---|
Seoul National University Hospital |
Korea, Republic of,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | rocuronium plasma concentration (mcg/ml) | PKPD modeling from measuring plasma rocuronium concentration and excreted urine rocuronium amount | 0, 1, 3, 5, 10, 30, 60, 90, 120 minutes after rocuronium second bolus injection | |
Primary | acceleromyography data (TOF ratio %) | Muscle relaxation level (TOF, T1) will be evaluated via acceleromyography. The pharmacodynamic modeling with NONMEM throughout the kidney transplantation. | intraoperative |
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