Trial Outcomes & Findings for Pharmacokinetic-pharmacodynamic Analysis of Sugammadex in Children (NCT NCT03943888)

NCT ID: NCT03943888

Last Updated: 2022-11-14

Results Overview

Time to recovery of train-of-four T4/T1 ratio to 90% after sugammadex sodium or neuromuscular reversal agent administration up to 30 minutes to 1 hour.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

40 participants

Primary outcome timeframe

up to 30 minutes to 1 hour

Results posted on

2022-11-14

Participant Flow

Participant milestones

Participant milestones
Measure
Sugammadex 2mg
Administer 2mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 2mg/kg: Intravenous injection of 2mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Sugammadex 4mg
Administer 4mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 4mg/kg: Intravenous injection of 4mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Sugammadex 8mg
Administer 8mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 8mg/kg: Intravenous injection of 8mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Conventional Reversal
Administer conventional neuromuscular reversal agent (0.02mg/kg of atropine and 0.03mg/kg of neostigmine) 15 minutes after rocuronium administration Neuromuscular reversal agent injection: Intravenous injection of 0.02mg/kg of atropine and 0.03mg/kg of neostigmine
Overall Study
STARTED
10
10
10
10
Overall Study
COMPLETED
10
10
10
10
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pharmacokinetic-pharmacodynamic Analysis of Sugammadex in Children

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sugammadex 2mg
n=10 Participants
Administer 2mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 2mg/kg: Intravenous injection of 2mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Sugammadex 4mg
n=10 Participants
Administer 4mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 4mg/kg: Intravenous injection of 4mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Sugammadex 8mg
n=10 Participants
Administer 8mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 8mg/kg: Intravenous injection of 8mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Conventional Reversal
n=10 Participants
Administer conventional neuromuscular reversal agent (0.02mg/kg of atropine and 0.03mg/kg of neostigmine) 15 minutes after rocuronium administration Neuromuscular reversal agent injection: Intravenous injection of 0.02mg/kg of atropine and 0.03mg/kg of neostigmine
Total
n=40 Participants
Total of all reporting groups
Age, Categorical
<=18 years
10 Participants
n=39 Participants
10 Participants
n=41 Participants
10 Participants
n=35 Participants
10 Participants
n=31 Participants
40 Participants
n=146 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Age, Categorical
>=65 years
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Age, Continuous
6.5 years
n=39 Participants
10 years
n=41 Participants
6 years
n=35 Participants
8.5 years
n=31 Participants
7 years
n=146 Participants
Sex: Female, Male
Female
4 Participants
n=39 Participants
6 Participants
n=41 Participants
4 Participants
n=35 Participants
5 Participants
n=31 Participants
19 Participants
n=146 Participants
Sex: Female, Male
Male
6 Participants
n=39 Participants
4 Participants
n=41 Participants
6 Participants
n=35 Participants
5 Participants
n=31 Participants
21 Participants
n=146 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
Asian
10 Participants
n=39 Participants
10 Participants
n=41 Participants
10 Participants
n=35 Participants
10 Participants
n=31 Participants
40 Participants
n=146 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
White
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
0 Participants
n=41 Participants
0 Participants
n=35 Participants
0 Participants
n=31 Participants
0 Participants
n=146 Participants
Region of Enrollment
South Korea
10 participants
n=39 Participants
10 participants
n=41 Participants
10 participants
n=35 Participants
10 participants
n=31 Participants
40 participants
n=146 Participants
Type of surgery
Brain
6 Participants
n=39 Participants
4 Participants
n=41 Participants
7 Participants
n=35 Participants
10 Participants
n=31 Participants
27 Participants
n=146 Participants
Type of surgery
Spine
4 Participants
n=39 Participants
6 Participants
n=41 Participants
3 Participants
n=35 Participants
0 Participants
n=31 Participants
13 Participants
n=146 Participants

PRIMARY outcome

Timeframe: up to 30 minutes to 1 hour

Time to recovery of train-of-four T4/T1 ratio to 90% after sugammadex sodium or neuromuscular reversal agent administration up to 30 minutes to 1 hour.

Outcome measures

Outcome measures
Measure
Sugammadex 2mg
n=10 Participants
Administer 2mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 2mg/kg: Intravenous injection of 2mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Sugammadex 4mg
n=10 Participants
Administer 4mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 4mg/kg: Intravenous injection of 4mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Sugammadex 8mg
n=10 Participants
Administer 8mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 8mg/kg: Intravenous injection of 8mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Conventional Reversal
n=10 Participants
Administer conventional neuromuscular reversal agent (0.02mg/kg of atropine and 0.03mg/kg of neostigmine) 15 minutes after rocuronium administration Neuromuscular reversal agent injection: Intravenous injection of 0.02mg/kg of atropine and 0.03mg/kg of neostigmine
Neuromuscular Recovery
5.7 Minutes
Standard Deviation 4.7
3.1 Minutes
Standard Deviation 1.0
1.1 Minutes
Standard Deviation 1.0
43.7 Minutes
Standard Deviation 28.2

SECONDARY outcome

Timeframe: From anesthetic induction to 480 minutes after sugammadex administration

Population: Cmax of sugammadex and rocuronium

Plasma concentrations of rocuronium and sugammadex sodium

Outcome measures

Outcome measures
Measure
Sugammadex 2mg
n=10 Participants
Administer 2mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 2mg/kg: Intravenous injection of 2mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Sugammadex 4mg
n=10 Participants
Administer 4mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 4mg/kg: Intravenous injection of 4mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Sugammadex 8mg
n=10 Participants
Administer 8mg/kg of sugammadex 15 minutes after rocuronium administration Sugammadex Injection 8mg/kg: Intravenous injection of 8mg/kg of sugammadex sodium 15 minutes after rocuronium administration
Conventional Reversal
n=10 Participants
Administer conventional neuromuscular reversal agent (0.02mg/kg of atropine and 0.03mg/kg of neostigmine) 15 minutes after rocuronium administration Neuromuscular reversal agent injection: Intravenous injection of 0.02mg/kg of atropine and 0.03mg/kg of neostigmine
Plasma Concentrations
Sugammadex
28.5 mcg/mL
Standard Deviation 9.6
58.2 mcg/mL
Standard Deviation 12.5
118.9 mcg/mL
Standard Deviation 13
Plasma Concentrations
Rocuronium
5.3 mcg/mL
Standard Deviation 1.9
8.0 mcg/mL
Standard Deviation 2.1
5.4 mcg/mL
Standard Deviation 3
6.8 mcg/mL
Standard Deviation 3.1

Adverse Events

Sugammadex 2mg

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

Sugammadex 4mg

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

Sugammadex 8mg

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

Conventional Reversal

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Sang-Hwan Ji

Seoul National University Hospital

Phone: +82-2-2072-3661

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place