Clinical trial Recruiting at 1 site Phase 4 Interventional Ages 18 and up

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

PhasePhase 4
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment2000 (estimated)
SponsorErasme University Hospital
Academic / other
Locations1 site (Brussels)
StatusRecruiting
StartedOctober 20, 2026
Main results expectedMay 31, 2028
Study endsJune 30, 2028
Registry record updatedOctober 23, 2026
Trial IDNCT07763548 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.