NCT02902133撤回2 期
Pilot Study of Acetazolamide to Prevent Post Operative Cerebrospinal Fluid (CSF) Leak in Patients Undergoing Endoscopic Skull Base Surgery
适应症
干预措施
相关药物
试验速览
- 阶段
- 2 期
- 状态
- 撤回
- 主要终点
- Incidence of CSF Leakage
研究概览
简要总结
The purpose of this research is to test the use of Acetazolamide in preventing post-operative cerebrospinal fluid leak in patients having endoscopic skull base surgery (it is a surgery performed through the nose and sinus).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Elective transsphenoidal resection of a tumor expected to result in an intraoperative high flow CSF leak; such tumors include craniopharyngioma, meningioma, and Rathke cleft cyst.
- •Elective transsphenoidal resection of a pituitary adenoma, with BMI >25, or with observed low or high flow CSF leak during surgery, conferring an elevated risk of postoperative CSF leak.
- •Patients who voluntarily sign Informed Consent
- •Male subjects and female subjects of childbearing potential and at risk for pregnancy must agree to use a highly effective method of contraception during study treatment and for at least 1 month after stopping study treatment. Male subjects should refrain from donating semen during treatment and 1 month after stopping treatment.
排除标准
- •Adults unable to consent
- •Individuals who are not yet adults (infants, children, teenagers)
- •Pregnant women
- •Prisoners
- •Patients with prior adverse reactions to acetazolamide or who are taking aspirin concomitantly (which may increase the risk of adverse reactions to acetazolamide)
- •Patients with moderate to severe chronic obstructive pulmonary disease (which may increase the risk of adverse effects of acetazolamide)
- •Acetazolamide therapy is contraindicated in situations in which sodium and/or potassium blood serum levels are depressed, in cases of marked kidney and liver disease or dysfunction, in suprarenal gland failure, and in hyperchloremic acidosis.
- •It is contraindicated in patients with cirrhosis because of the risk of development of hepatic encephalopathy
- •Sulfonamide allergy
- •Pregnant females, breastfeeding females, and males and females of childbearing potential who are unwilling or unable to use a highly effective method of contraception
研究组 & 干预措施
Acetazolamide Arm
Other
Acetazolamide 500 mg twice per day for 5 consecutive days post standard-of-care endoscopic skull base surgery
干预措施: Acetazolamide (Drug)
结局指标
主要结局
Incidence of CSF Leakage
时间窗: 30 days
Occurrence of postoperative CSF leak within 30 days of surgery confirmed on clinical exam as well as on CT scan, endoscopic visualization, or confirmation via beta transferrin testing.
次要结局
- Incidence of suspected drug adverse events(14 days)
研究者
Ronald Benveniste
Associate Professor
University of Miami
相似试验
撤回
2 期
Acetazolamide for the Prevention of Post Operative CSF LeakCerebrospinal Fluid LeakNCT04351061University of Miami
Unknown
2 期
Effect of Acetazolamide & Position in CSF Leakage and Collection and Wound DehiscenceFibrolipoma of Filum TerminaleLipomyelomeningoceleSplit Cord MalformationDermal SinusTumorTethered Cord SyndromeNCT01867268Tehran University of Medical Sciences144
已完成
4 期
Remimazolam and Postoperative Nausea and Vomiting in High-risk PatientsPostoperative Nausea and VomitingBenzodiazepineHigh-risk PatientsNCT04861337Peking University First Hospital552
尚未招募
2 期
Intravenous Acetaminophen for Postoperative Delirium in Older Patients Recovering From Major Noncardiac SurgeryDelirium in Old AgeNCT06653465RenJi Hospital1,930
招募中
4 期
Effects of Esketamine on Postoperative Behavioral Changes in Children Undergoing Tonsillectomy and/or AdenoidectomyBehavior ProblemNCT06579937Fujian Provincial Hospital172