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A Study of AQUAVAN® Injection in the Presence of Pre-Medication in Patients Undergoing Elective Colonoscopy

Primary Purpose

Colonoscopy, Colon Polyps

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
fospropofol disodium
Sponsored by
Eisai Inc.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Colonoscopy

Eligibility Criteria

18 Years - 85 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Patients provided written informed consent after receiving a full explanation of the extent and nature of the study. Patients were >=18 years of age to ≤60 years (a subset of up to 50 patients >60 years and <85 years of age was allowed). Patients, if female, were surgically sterile, postmenopausal or non-pregnant using an acceptable method of birth control for at least 1 month prior to dosing, with a negative urine pregnancy test result at screening and predose. Body mass index (BMI) between 20 and 28. Body weight between 50 kg and 100 kg. Patients had an ASA Physical Classification System status of I or II; Patients required an elective colonoscopy procedure that was anticipated to be performed in <60 minutes (i.e., procedure was predicted to be uncomplicated); desired sedation for the colonoscopy procedure; and were determined by the Investigator to be physically capable of maintaining an adequate airway during mild-to-moderate sedation. Exclusion Criteria: Patients ingested benzodiazepines or barbiturates within 14 days of study start, with the exception of phenobarbital, which required a 21-day washout. Patients ingested opioids within 72 hours of study start. Patients had current symptoms of upper respiratory infection. Patients had a history of allergic reaction or hypersensitivity to any anesthetic agent, narcotic, or benzodiazepine. Patients had current signs of significant hiatal hernia, esophageal reflux, or heartburn which, in the opinion of the Investigator, could interfere with maintenance of an adequate airway. Patients had a history of alcohol or drug abuse within the past 12 months; Patients ingested alcohol or caffeine within 12 hours prior to admission into the study. Patients participated in an investigational drug study within 1 month prior to study start. Patients were unwilling to adhere to preprocedural and postprocedural instructions. Patients donated >300 mL of blood within 1 month prior to study start; or Patients were exposed to AQUAVAN in a previous clinical trial.

Sites / Locations

    Outcomes

    Primary Outcome Measures

    The primary efficacy objective was to determine the desired sedative dose/dose range and dosing paradigm of AQUAVAN, defined as one that consistently provided mild-to-moderate sedation (Modified OAA/S >=2 and <=4) in a majority of patients.

    Secondary Outcome Measures

    Efficacy variables included: time to sedation, time to Fully Alert, time to Fully Recovered, time to Ready for Discharge, Modified OAA/S scores over time, number of doses and amount of AQUAVAN, and Patient and Physician Satisfaction Surveys.

    Full Information

    First Posted
    September 13, 2005
    Last Updated
    December 3, 2009
    Sponsor
    Eisai Inc.
    Collaborators
    Omnicare Clinical Research, Bio Analytical Research Corporation, MDS Pharma Services, The Coghlan Group (Plasma Sample Supplies), HHI Clinical Research (Biostatistics)
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00209534
    Brief Title
    A Study of AQUAVAN® Injection in the Presence of Pre-Medication in Patients Undergoing Elective Colonoscopy
    Official Title
    A Phase 2, Two Part Study of AQUAVAN® Injection in the Presence of Pre-Medication in Patients Undergoing Elective Colonoscopy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    December 2009
    Overall Recruitment Status
    Completed
    Study Start Date
    January 2003 (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    February 2004 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Eisai Inc.
    Collaborators
    Omnicare Clinical Research, Bio Analytical Research Corporation, MDS Pharma Services, The Coghlan Group (Plasma Sample Supplies), HHI Clinical Research (Biostatistics)

    4. Oversight

    5. Study Description

    Brief Summary
    This study was designed to assess the safety and efficacy of AQUAVAN® Injection in providing adequate sedation in patients undergoing colonoscopy. Prior to the procedure, patients received fentanyl citrate for pain management followed five minutes later by AQUAVAN® Injection for sedation. Throughout the procedure, study personnel assessed the patient's vital signs and depth of sedation. After the procedure, the patient, physician, and an evaluator were asked to complete satisfaction surveys.
    Detailed Description
    Randomized, open label, multi-center, adaptive dose ranging study, in which several dose levels of AQUAVAN® Injection and fentanyl citrate injection will be investigated to produce a desired sedation level in patients undergoing elective colonoscopy. A desired sedative dose/dose range and dosing paradigm will be identified based on pre-set criteria using the Modified Observer's Assessment of Alertness/Sedation (OAA/S). The desired sedative dose/dose range and dosing paradigm of AQUAVAN® Injection is defined as one that consistently provides mild to moderate sedation (Modified OAA/S between 2 and 4 inclusive) in a majority of patients who are pre-medicated with fentanyl citrate injection.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Colonoscopy, Colon Polyps

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Factorial Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    200 (false)

    8. Arms, Groups, and Interventions

    Intervention Type
    Drug
    Intervention Name(s)
    fospropofol disodium
    Primary Outcome Measure Information:
    Title
    The primary efficacy objective was to determine the desired sedative dose/dose range and dosing paradigm of AQUAVAN, defined as one that consistently provided mild-to-moderate sedation (Modified OAA/S >=2 and <=4) in a majority of patients.
    Secondary Outcome Measure Information:
    Title
    Efficacy variables included: time to sedation, time to Fully Alert, time to Fully Recovered, time to Ready for Discharge, Modified OAA/S scores over time, number of doses and amount of AQUAVAN, and Patient and Physician Satisfaction Surveys.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    85 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patients provided written informed consent after receiving a full explanation of the extent and nature of the study. Patients were >=18 years of age to ≤60 years (a subset of up to 50 patients >60 years and <85 years of age was allowed). Patients, if female, were surgically sterile, postmenopausal or non-pregnant using an acceptable method of birth control for at least 1 month prior to dosing, with a negative urine pregnancy test result at screening and predose. Body mass index (BMI) between 20 and 28. Body weight between 50 kg and 100 kg. Patients had an ASA Physical Classification System status of I or II; Patients required an elective colonoscopy procedure that was anticipated to be performed in <60 minutes (i.e., procedure was predicted to be uncomplicated); desired sedation for the colonoscopy procedure; and were determined by the Investigator to be physically capable of maintaining an adequate airway during mild-to-moderate sedation. Exclusion Criteria: Patients ingested benzodiazepines or barbiturates within 14 days of study start, with the exception of phenobarbital, which required a 21-day washout. Patients ingested opioids within 72 hours of study start. Patients had current symptoms of upper respiratory infection. Patients had a history of allergic reaction or hypersensitivity to any anesthetic agent, narcotic, or benzodiazepine. Patients had current signs of significant hiatal hernia, esophageal reflux, or heartburn which, in the opinion of the Investigator, could interfere with maintenance of an adequate airway. Patients had a history of alcohol or drug abuse within the past 12 months; Patients ingested alcohol or caffeine within 12 hours prior to admission into the study. Patients participated in an investigational drug study within 1 month prior to study start. Patients were unwilling to adhere to preprocedural and postprocedural instructions. Patients donated >300 mL of blood within 1 month prior to study start; or Patients were exposed to AQUAVAN in a previous clinical trial.
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    James Jones, MD,PharmD
    Organizational Affiliation
    Eisai Inc.
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Learn more about this trial

    A Study of AQUAVAN® Injection in the Presence of Pre-Medication in Patients Undergoing Elective Colonoscopy

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