Perioperative hemodynamic control in patients undergoing resection of a pheochromocytoma MedDRA version: 12.1 Level: LLT Classification code 10034876 Term: Pheochromocytoma
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: o age > 18 years o diagnosis of benign PCC (adrenal or extra-adrenal, sporadic or hereditary) o planned for surgical removal of the PCC Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: o age < 18 years o malignant PCC o severe hemodynamic instability before surgery necessitating admission to intensive care unit o pregnancy o incapability to adhere to the study protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end point(s): The number of patients demonstrating more than three intraoperative episodes of 5 minutes with blood pressure outside the predefined target range after pretreatment with either phenoxybenzamine or doxazosin.;Secondary Objective: - need for additional antihypertensive agents - adverse effects of study medication - distribution frequency of germline mutations associated with PCC - length of postoperative stay at intensive care unit - length of hospital stay - postoperative hypoglycaemia: frequency and severity (in mmol/L) - perioperative mortality (i.e. death from any cause occurring during period from first administration of study medication until 30 days after surgery) - perioperative cardiovascular morbidity, i.e. cardiovascular events occurring during period from first administration of study medication until 30 days after surgery. Cardiovascular events are: myocardial infarction, cardiac arrhythmia requiring medical intervention, heart failure, cerebrovascular ischemia, cerebrovascular haemorrhage - composite endpoint of perioperative mortality and perioperative cardiovascular morbidity ;Main Objective: The primary objective of this randomised controlled trial is to determine which of the two commonly used alfa-adrenoceptor antagonists – phenoxybenzamine and doxazosin – provides the best intraoperative blood pressure control in patients with a pheochromocytoma (PCC). | — |
Countries
Netherlands