Ileus Clinical Trial
Official title:
Inhaled Carbon Monoxide in Patients With Post-Operative Ileus Following Colon Resection.
Verified date | November 2015 |
Source | Queen's University |
Contact | n/a |
Is FDA regulated | No |
Health authority | Canada: Health Canada |
Study type | Interventional |
Post operative ileus (POI), a temporary paralysis of the intestines, is a serious health
care problem. It normally occurs in all patients after surgery to the abdomen but in some
cases can result in serious complications. The objective of this study is to determine if
inhaling very low doses of carbon monoxide (CO) before and after colon surgery will shorten
the duration of normal POI and/or prevent the development of POI complications in patients
undergoing colon surgery.
A preliminary study will be conducted in six healthy volunteers to monitor for blood levels
and adverse effects that occur at 3 different doses of inhaled CO to establish a safe dose
for patients in the main trial. For the main trial, patients requiring surgery to their
colon will be assigned randomly to receive one hour treatments of either CO or oxygen by
face mask before and after their operation. Length of normal POI and occurrence of POI
complications will be compared between the two groups. Side effects that occur from inhaling
CO or oxygen will also be recorded.
We hypothesize that inhaling CO before and after colon surgery will shorten the length of
normal POI and decrease the occurrence of POI complications with minimal side effects.
Status | Terminated |
Enrollment | 3 |
Est. completion date | September 2013 |
Est. primary completion date | September 2013 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years to 70 Years |
Eligibility |
Inclusion Criteria: - Men and women, age > 18 years. - Women must be using acceptable contraceptives, post-menopausal or surgically sterile. - No prior smoking history. - BMI between 16 and 30 inclusive. - No significant abnormalities on history, physical examination or laboratory parameters. Exclusion Criteria: - Exposure to any carbon monoxide source during the 48 hours prior to the study day or occupational exposure to CO. - Significant disease or disorder (as explained in Study B). - Complete bowel obstruction. - Intra-abdominal inflammation (diverticulitis, inflammatory bowel disease, colitis). - Retroperitoneal hematomas. - Known GI motility disorder. - Underlying lung disease such as pneumonia, asthma or COPD. - Sepsis. - Planned pregnancy, already pregnant or breastfeeding. - Electrolyte disturbance (hypokalemia, hypomagnesemia, hyponatremia). - Significant opioid and laxative use 4 weeks prior to surgery. - Anti-inflammatory use 2 days prior to surgery. - Drugs such as antacids, Coumadin, amitriptyline, chlorpromazine. - Baseline oxygen saturation <92% on room air. - Baseline blood level of COHb >2%. - Baseline hemoglobin <90 g/dL. - Participation in another clinical trial within 2 months prior to study. |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Canada | Kingston General Hospital | Kingston | Ontario |
Lead Sponsor | Collaborator |
---|---|
Queen's University | The Physicians' Services Incorporated Foundation |
Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Duration of post operative ileus (radiologic) | 1 week | No | |
Primary | Incidence of pathological post operative ileus | 1 week | No | |
Primary | Duration of post operative ileus (clinical) | 1 week | No |
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