Trial Outcomes & Findings for ULTIVA Post Marketing Surveillance (NCT NCT01299584)

NCT ID: NCT01299584

Last Updated: 2017-07-06

Results Overview

A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening requires hospitalization or results in prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. An unexpected event is an event that is not listed in the approval product information and is not described as a precaution or warning.

Recruitment status

COMPLETED

Target enrollment

775 participants

Primary outcome timeframe

24 hours

Results posted on

2017-07-06

Participant Flow

The objective of this post-marketing surveillance (PMS) study was to monitor the safety and efficacy of Ultiva in the real clinical setting after launch.

Participant milestones

Participant milestones
Measure
Ultiva 1, 2, or 3 mg
One vial of Ultiva 1, 2, or 3 milligrams (mg) contains remifentanil hydrochloride (in-house specification) 1.10 mg, 2.21 mg, or 5.53 mg, respectively (as remifentanil 1 mg, 2 mg, or 5 mg, respectively). Participants were administered doses according to physician decision.
Overall Study
STARTED
775
Overall Study
COMPLETED
766
Overall Study
NOT COMPLETED
9

Reasons for withdrawal

Reasons for withdrawal
Measure
Ultiva 1, 2, or 3 mg
One vial of Ultiva 1, 2, or 3 milligrams (mg) contains remifentanil hydrochloride (in-house specification) 1.10 mg, 2.21 mg, or 5.53 mg, respectively (as remifentanil 1 mg, 2 mg, or 5 mg, respectively). Participants were administered doses according to physician decision.
Overall Study
Protocol Violation
9

Baseline Characteristics

ULTIVA Post Marketing Surveillance

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Ultiva 1, 2, or 3 mg
n=766 Participants
One vial of Ultiva 1, 2, or 3 milligrams (mg) contains remifentanil hydrochloride (in-house specification) 1.10 mg, 2.21 mg, or 5.53 mg, respectively (as remifentanil 1 mg, 2 mg, or 5 mg, respectively). Participants were administered doses according to physician decision.
Age, Continuous
45.3 Years
STANDARD_DEVIATION 16.5 • n=99 Participants
Sex/Gender, Customized
Female
422 Participants
n=99 Participants
Sex/Gender, Customized
Male
343 Participants
n=99 Participants
Race/Ethnicity, Customized
Korean
766 participants
n=99 Participants
Race/Ethnicity, Customized
Not Korean
0 participants
n=99 Participants

PRIMARY outcome

Timeframe: 24 hours

Population: Intent-to-Treat (ITT) Population: all participants who had been administered the investigational drug at least once and had undergone all safety assessments

A serious adverse event (SAE) is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening requires hospitalization or results in prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. An unexpected event is an event that is not listed in the approval product information and is not described as a precaution or warning.

Outcome measures

Outcome measures
Measure
Ultiva 1, 2, or 3 mg
n=766 Participants
One vial of Ultiva 1, 2, or 3 milligrams (mg) contains remifentanil hydrochloride (in-house specification) 1.10 mg, 2.21 mg, or 5.53 mg, respectively (as remifentanil 1 mg, 2 mg, or 5 mg, respectively). Participants were administered doses according to physician decision.
Number of Participants With an Unexpected Serious Adverse Event
Participants with unexpected SAEs
0 participants
Number of Participants With an Unexpected Serious Adverse Event
Participants with no unexpected SAEs
766 participants

SECONDARY outcome

Timeframe: 24 hours

Population: ITT Population

An adverse event (AE) is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. For a list of all AEs occurring during the course of the study, see the table entitled "Other (Non-Serious) Adverse Events" in the Adverse Event section of the results record.

Outcome measures

Outcome measures
Measure
Ultiva 1, 2, or 3 mg
n=766 Participants
One vial of Ultiva 1, 2, or 3 milligrams (mg) contains remifentanil hydrochloride (in-house specification) 1.10 mg, 2.21 mg, or 5.53 mg, respectively (as remifentanil 1 mg, 2 mg, or 5 mg, respectively). Participants were administered doses according to physician decision.
Number of Participants With an Adverse Event
187 participants

SECONDARY outcome

Timeframe: 24 hours

Population: ITT Population

A serious adverse event is defined as any untoward medical occurrence that, at any dose, results in death, is life threatening, requires hospitalization or results in prolongation of existing hospitalization, results in disability/incapacity, or is a congenital anomaly/birth defect. For a list of all SAEs occurring during the course of the study, see the table entitled "Serious Adverse Events" in the Adverse Event section of the results record.

Outcome measures

Outcome measures
Measure
Ultiva 1, 2, or 3 mg
n=766 Participants
One vial of Ultiva 1, 2, or 3 milligrams (mg) contains remifentanil hydrochloride (in-house specification) 1.10 mg, 2.21 mg, or 5.53 mg, respectively (as remifentanil 1 mg, 2 mg, or 5 mg, respectively). Participants were administered doses according to physician decision.
Number of Participants With a Serious Adverse Event
0 participants

SECONDARY outcome

Timeframe: 24 hours

Population: ITT Population

An adverse event (AE) is any untoward medical occurrence in a participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. Unexpected adverse events include those not listed in the approval product information and not described as precautions or warnings.

Outcome measures

Outcome measures
Measure
Ultiva 1, 2, or 3 mg
n=766 Participants
One vial of Ultiva 1, 2, or 3 milligrams (mg) contains remifentanil hydrochloride (in-house specification) 1.10 mg, 2.21 mg, or 5.53 mg, respectively (as remifentanil 1 mg, 2 mg, or 5 mg, respectively). Participants were administered doses according to physician decision.
Number of Participants With the Indicated Unexpected Adverse Event
Premature ventricular contraction
1 participants
Number of Participants With the Indicated Unexpected Adverse Event
Dizziness
1 participants
Number of Participants With the Indicated Unexpected Adverse Event
Chest discomfort
1 participants
Number of Participants With the Indicated Unexpected Adverse Event
Dyspepsia
1 participants
Number of Participants With the Indicated Unexpected Adverse Event
Headache
1 participants
Number of Participants With the Indicated Unexpected Adverse Event
Dysuria
1 participants
Number of Participants With the Indicated Unexpected Adverse Event
Coughing
1 participants

Adverse Events

Ultiva 1, 2, or 3 mg

Serious events: 0 serious events
Other events: 187 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Ultiva 1, 2, or 3 mg
n=766 participants at risk
One vial of Ultiva 1, 2, or 3 milligrams (mg) contains remifentanil hydrochloride (in-house specification) 1.10 mg, 2.21 mg, or 5.53 mg, respectively (as remifentanil 1 mg, 2 mg, or 5 mg, respectively). Participants were administered doses according to physician decision.
Cardiac disorders
Hypotension
16.1%
123/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Cardiac disorders
Bradyarrhythmia
13.7%
105/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Cardiac disorders
Premature ventricular contraction
0.13%
1/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Gastrointestinal disorders
Gagging
2.5%
19/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Gastrointestinal disorders
Vomiting
0.65%
5/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Gastrointestinal disorders
Constipation
0.39%
3/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Gastrointestinal disorders
Dyspepsia
0.13%
1/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
General disorders
Tremor after operation
1.0%
8/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
General disorders
Chest discomfort
0.13%
1/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Respiratory, thoracic and mediastinal disorders
Respiratory depression
0.65%
5/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Respiratory, thoracic and mediastinal disorders
Coughing
0.13%
1/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Musculoskeletal and connective tissue disorders
Skeletal muscle stiffness
0.39%
3/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Nervous system disorders
Dizziness
0.26%
2/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Nervous system disorders
Headache
0.13%
1/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Renal and urinary disorders
Dysuria
0.13%
1/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.
Nervous system disorders
Sedation
0.13%
1/766
Adverse events were coded by using World Health Organization Adverse Reactions Terminology (WHOART, preferred term level) according to the local regulation.

Additional Information

GSK Response Center

GlaxoSmithKline

Phone: 866-435-7343

Results disclosure agreements

  • Principal investigator is a sponsor employee GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER