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CompletedPhase 3

Sodium Lactate and Brain Relaxation (LSD)

NCT04488874 · LSD · Centre Hospitalier Universitaire de Besancon

Closed to entry
Status
Not accepting participants
Phase 3
Phase
50
Target enrolment
1
Study sites
Outside the US

What it is testing

Summary

Resection surgery of brain tumors by craniotomy requires efficient brain relaxation intraoperatively in order to avoid injuries caused by the brain retractors (such as ischemic-reperfusion and cerebral oedema). The gold standard for the brain relaxation during a surgery is Mannitol 20%. Molar sodium lactate is now used to induce brain relaxation in patients with traumatic brain injury and intracranial hypertension due to its osmotic effect. Furthermore, the injection of sodium lactate may lead to better neuronal metabolism during cerebral aggression, and may participate to the reduction of cerebral oedema and secondary injuries. LSD is a pilot randomised trial which tries to assess the interest of intravenous administration of molar Sodium Lactate on the quality of brain relaxation in surgical resection of supratentorial brain tumors by craniotomy. The primary outcome measure is the quality of brain relaxation, evaluated by neurosurgeon at the opening of the dura, by a validated brain relaxation scale.

Summary as written by the trial’s own sponsor and published on ClinicalTrials.gov API v2. It is the sponsor’s description, reproduced unedited, not an assessment by this site.

What counts as success

Primary outcome measures

  • Quality of brain relaxation

    Measured over intraoperative

A trial succeeds or fails on its primary outcome, declared in advance. Everything else it reports is secondary by definition.

Who can take part

Eligibility, as published

18 Years to 75 Years
Ages
All
Sex
Not accepted
Healthy volunteers
Inclusion Criteria: * Patients with ASA 1, ASA 2 ou ASA 3, meaning they don't have any unstable comorbidities which could be a threat to life. * Scheduled surgery for resection of supratentorial brain tumors by craniotomy under general anesthesia * Unilateral brain tumor * Deviation of the falx cerebri \> 3mm on the preoperative imaging * Pharmacological brain relaxation required by the neurosurgeon in charge of the patient. * Patient who has been informed and who signed the free informed consent to participate to the study. Meaning the patient understood the purpose and the procedures required by the study and agreed to participate and obey the requirements and restrictions of this study. * Affiliation to a social security system or recipient of a such system. Exclusion Criteria: * Emergency surgery * Age \< 18 years old or \> 75 years old * ASA score IV-V * Legal incapability or limited legal capacity * Patient who will unlikely cooperate to the study and/or poor cooperation foreseen by the investigator * Preoperative Glasgow score \< 13 * Pregnant woman and/or breastfeeding * Body index masse\< 18 kg.m-2 ou \> 30 kg.m-2 * Preoperative hyponatremia \< 130mmol/l or hypernatremia \> 145 mmol/l * Osmotherapy in the 24 hours prior to the surgery (Mannitol, Hypertonic saline, Sodium lactate) * Congestive heart failure * Moderate ou severe chronic kidney disease, defined by a creatinine clearance (MDRD) \< 60 ml/min * End-stage liver disease (Child Pugh ≥ B7) * Myasthenia gravis * External ventricular drain or ventriculoperitoneal shunt of cerebrospinal fluid * Allergy to Mannitol 20% or one of his excipients * Allergy to Sodium Lactate or one of his excipients * Contraindication for propofol * Allergy to anesthetic agents (propofol, remifentanil, cisatracurium) * Refusal of consent * Patient within the exclusion period of another study or planned by the "national file of volunteers" * Medical history of cognitive disorders or demencia

Where

1 study site

FacilityCityRegionCountry
CHU de BesançonBesançonFrance

On the registry

Contact the trial directly

This site does not enrol anyone and is not involved in this trial. To ask about taking part, use the sponsor’s own contact details on the official registry record, which is also where the most current version of everything above lives.

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NCT04488874 on ClinicalTrials.gov →

Last updated in the registry 2023-09-13. Registry records change; this page reflects the data build of 2026-08-25.

Related

Where this trial sits

Substance