Effects of Ciprofol Anesthesia on Learning and Memory Function and Antidepressant Effects of ECT in Depressive Patients
- Conditions
- Depressive Disorder
- Interventions
- Registration Number
- NCT05266560
- Lead Sponsor
- First Affiliated Hospital of Chongqing Medical University
- Brief Summary
In this clinical study, propofol was used as the positive control, and a randomized controlled trial design was used to observe the effects of ciprofol anesthesia on learning and memory function and antidepressant efficacy in patients with ECT. A total of 390 depressed patients who were to undergo electroconvulsive therapy were selected and randomly divided into two groups, namely the propofol group (n=195 cases) and the ciprofol group (n=195 cases). The patients in the propofol group were given propofol 1.5mg/kg + succinylcholine 1mg/kg, and the patients in the ciprofol group were given ciprofol 0.4mg/kg and succinylcholine 1mg/kg, and the patients were given electroshock after anesthesia treat.
- Detailed Description
Ciprofol injection, whose active component (HSK3486) is propofol analogue, is a novel treatment for anesthesia induction and maintenance. It has been authorized for commercialization in China on December 14, 2020.
The purpose of this experiment is to know the effect of ciprofol on the antidepressant effect and cognitive function of depressive patients after electroconvulsive therapy. Ciprofol is very similar in structure to propofol, so propofol was used as the control group in this experiment.
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 390
- Depressed patients who plan to receive MECT.
- Meet the diagnostic criteria of DSM-IV depression
- 16≤age≤45 years old, gender is not limited
- ASA score is I or II
- The depressive episode lasted for at least 2 weeks
- Clearly understand and voluntarily participate in the study and sign the informed consent form.
- Combined with serious physical diseases, such as uncontrolled hypertension, coronary heart disease, intracranial vascular malformations, asthma attacks, severe liver and kidney dysfunction, etc.
- Foreign bodies in the body: such as pacemakers, intracranial electrodes, etc.
- Those who have a history of epilepsy
- Those who are taking reserpine
- Those with acute and systemic infectious diseases, with moderate or higher fever
- Those with a history of manic episodes
- Those with anesthetics, Allergic to muscle relaxants
- Pregnant women
- Glaucoma
- Bipolar disorder, or combined with other mental illnesses, mental retardation
- Those who are judged not suitable for MECT treatment by the competent physician
- History of drug abuse
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Propofol injection group (1.5mg/kg) Propofol The patients in the propofol group were given intravenous injection of propofol 1.5 mg/kg and succinylcholine 1 mg/kg in turn, and the interval between each drug administration was 1 minute, and electroconvulsive therapy was performed after the patients were anesthetized. Ciprofol injection group(0.4mg/kg) ciprofol The patients in the ciprofol group were given intravenous injection of ciprofol 0.4 mg/kg and succinylcholine 1 mg/kg in turn. The interval between each drug administration was 1 minute, and the patients received electroconvulsive therapy after anesthesia.
- Primary Outcome Measures
Name Time Method Cognitive impairment rate within 24 hours after the whole ECT course After the patient received MECT treatment within 24 hours after the whole ECT course Percentage of patients with cognitive impairment within 24 hours after the whole ECT course
- Secondary Outcome Measures
Name Time Method