Two-step Propofol Dose for Induction to See If It Reduces Injection Pain
Official title: A Novel Two-Step Dosing Induction Strategy (The Propofol Challenge Test) to Minimize Propofol Injection Pain: A Time-block-Allocated Comparative Effectiveness Study
Run by Erasme University Hospital · NCT07763548 · Data updated 2026-11-12
This study tests whether starting with a small propofol dose and then giving the rest can lessen the pain patients feel from propofol injections.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 2000 (estimated) |
| Sponsor | Erasme University Hospital Academic / other |
| Locations | 1 site (Brussels) |
| Status | Recruiting |
| Started | October 20, 2026 |
| Main results expected | May 31, 2028 |
| Study ends | June 30, 2028 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT07763548 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 years and older undergoing non-cardiac surgery and requiring propofol for induction, with no midazolam premedication and a 20-g IV catheter in place.
✕Probably not a fit
Patients who do not experience propofol-related pain or do not respond to dose-splitting may see no benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional phase 4 study investigates a two-step propofol induction strategy in adults undergoing non-cardiac surgery under general anesthesia. The approach uses a small initial bolus (about 20 mg) followed by the remaining dose to see if it reduces injection pain compared with a single bolus. The study will compare pain outcomes and perioperative factors between the two dosing methods. Eligible participants are adults 18 and older without premedication with midazolam and with a 20-g IV catheter for induction. Data collection will occur at the point of induction and during anesthesia recovery to assess pain perception and tolerability.
Why it matters
Potential benefit: If successful, patients may experience less pain during propofol injection, improving comfort and potentially reducing anxiety around anesthesia.
How similar studies have gone: Previous methods to reduce propofol injection pain exist, but this specific two-step dosing approach is novel or has limited prior evaluation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults ≥18 years old. * Undergoing non cardiac surgery under general anesthesia. * Receiving propofol for induction. * No midazolam premedication * 20g IV Catheter below the antecubital fossa used for induction of anesthesia Exclusion Criteria: * Emergency surgery. * Inability to communicate (language or cognitive impairment). * Pre-induction IV analgesia administration or patients under preoperatively * Patient with dementia, Alzheimer or other uncontrolled psychiatric diseases that would impact their ability to willingly participate
Where it's running
-
Hôpital Universitaire de Bruxelles - Hôpital erasme
Brussels, Belgium Recruiting
Study contacts
- Study coordinator: Denis Schmartz, MD
- Email: denis.schmartz@hubruxelles.be
- Phone: +3225553324
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.