Study of the Efficacy and Safety of Remimazolam in General Anesthesia in Adults Undergoing Cardiac Surgery
NCT02523859 · Status: TERMINATED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 25
Last updated 2023-08-30
Summary
This study investigates the use of remimazolam as a sedative/hypnotic in general anesthesia. Remimazolam or propofol will be administered together with fentanyl/sufentanil/remifentanil as opioid analgesics and a neuromuscular blocker.
In total, 530 patients will be randomized. This group of 530 patients will be split randomly into 2 groups as follows:
• 106 patients will be randomized to induction with propofol plus fentanyl or sufentanil or remifentanil and a neuromuscular blocker. Throughout maintenance, the patients will receive propofol and remifentanil until weaning from the mechanical ventilation on the ICU or PACU within 24 hours after induction.
Afterwards, sedation with propofol as study medication has to be ended. If necessary, the sedation is to be continued with the hospital's own supplies (propofol or other sedative).
• 424 patients will be randomized to induction with remimazolam 6.0 mg/kg/hr together with fentanyl or sufentanil or remifentanil and a neuromuscular blocker. Throughout maintenance, the patients will receive remimazolam and remifentanil until weaning from the mechanical ventilation on the ICU or PACU within 24 hours after induction.
The primary endpoint is successful sedation is defined as a Narcotrend index of 60 or less during at least 85% of the maintenance time and no rescue sedative medication administered. The maintenance starts at arrival at the operation theater and ends with the completion of the last skin suture.
Conditions
- Anesthesia
Interventions
- DRUG
-
Propofol
Hypnotic drug used for anesthesia
- DRUG
-
Remimazolam
Benzodiazepine being developed for sedation and anesthesia.
Sponsors & Collaborators
-
PRA Health Sciences
collaborator INDUSTRY -
Paion UK Ltd.
lead INDUSTRY
Principal Investigators
-
Stefan Probst, MD · Herzzentrum Leipzig GmbH
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-07-31
- Primary Completion
- 2016-03-31
- Completion
- 2016-03-31
Countries
- Germany
Study Locations
More Related Trials
-
Effect of Remimazolam and Propofol on Hemodynamic Stability During Anesthesia Induction in OPCAB Patients
NCT05423951 ·Status: COMPLETED ·Phase: NA
-
Remifentanil and Midazolam on Propofol for Loss of Consciousness
NCT02536690 ·Status: COMPLETED ·Phase: NA
-
Comparison of Recovery From General Anesthesia in Remimazolam With Flumazenil vs. Propofol
NCT05435911 ·Status: COMPLETED ·Phase: NA
-
Remimazolam and Propofol on the Left Ventricular Strain During Anesthesia Induction for Non-cardiac Surgery
NCT05412914 ·Status: RECRUITING ·Phase: PHASE4
-
Safety and Efficacy of Remimazolam in OPCAB Surgery
NCT05396690 ·Status: UNKNOWN ·Phase: NA
-
Remimazolam vs. Midazolam for Sedation and Cognitive Outcomes in Orthopedic Surgery
NCT07113483 ·Status: RECRUITING ·Phase: PHASE3
-
The Effect of General Anesthesia with Remimazolam and Propofol on Rhythmic State and Cognitive Function
NCT06775366 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effect of Remazolam on Hemodynamics During Hepatectomy
NCT06565715 ·Status: COMPLETED ·Phase: PHASE4
-
Changes in Autonomic Nervous Activity and Blood Pressure After Anesthesia Induction: Remimazolam Versus Propofol
NCT05635201 ·Status: COMPLETED ·Phase: PHASE3
-
Remimazolam and Endovascular Procedures of Cerebrovascular Diseases
NCT04950621 ·Status: COMPLETED ·Phase: NA
-
Effects of Remimazolam on the Intraoperative Hemodynamics in Bypass Surgery
NCT05557253 ·Status: UNKNOWN ·Phase: NA
-
Postoperative Quality of Recovery After General Anesthesia With Remimazolam
NCT06332157 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Network Pharmacology Was Applied to Explore the Mechanism of Remimazolam Applied in General Anesthesia for Gynecological Surgeries
NCT06990763 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison of Different Propofol Formulations With or Without Remifentanil
NCT01592162 ·Status: COMPLETED ·Phase: PHASE4
-
ED90 of Remimazolam Loading Dose for Sedation in Patients Under Monitored Anesthetic Care
NCT05340335 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Remimazolam on the Recovery Quality After Day Surgery
NCT05748665 ·Status: COMPLETED ·Phase: NA
-
Effect of Remimazolam on Postoperative Delirium
NCT06180876 ·Status: COMPLETED ·Phase: NA
-
Remimazolam Versus Propopol Based Total Intravenous Anesthesia for Breast Surgery
NCT05375747 ·Status: WITHDRAWN ·Phase: NA
-
Electroencephalographic Profiles During General Anesthesia: a Comparative Study of Remimazolam and Propofol
NCT05533567 ·Status: UNKNOWN ·Phase: NA
-
Effect of Remimazolam and Propofol on Hemodynamic Stability in Prone Position
NCT05644483 ·Status: COMPLETED ·Phase: PHASE4
-
Effects of Remimazolam and Propofol on Anesthesia Induction
NCT06009055 ·Status: RECRUITING ·Phase: NA
-
Comparison of Procedural Sedation in TEE
NCT06129188 ·Status: COMPLETED ·Phase: PHASE1
-
Remimazolam Versus Propofol for General Anesthesia Induction in Patients on Renin-angiotensin System Blockers Undergoing Robot-assisted Laparoscopic Prostatectomy
NCT06093971 ·Status: COMPLETED ·Phase: NA
-
Safety and Efficacy of Remimazolam in ASA III and IV Patients Undergoing Colonoscopy
NCT02532647 ·Status: COMPLETED ·Phase: PHASE3
-
REmimazolam vs Propofol Total Intravenous Anesthesia on Outcomes After Major Noncardiac SurgEry
NCT05728775 ·Status: RECRUITING ·Phase: PHASE4