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Pharmacokinetic Study of Continuous Infusion of Remazolam in Mechanically Ventilated Patients in ICU

Primary Purpose

Intensive Care Unit, Mechanical Ventilation, Anesthesia

Status
Active
Phase
Phase 4
Locations
China
Study Type
Interventional
Intervention
Remimazolam 0.1mg/kg/h
Remimazolam 0.3mg/kg/h
Remimazolam 0.5mg/kg/h
Sponsored by
The First Affiliated Hospital with Nanjing Medical University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Intensive Care Unit focused on measuring Remimazolam, Intensive Care Unit, Mechanical Ventilation, Anesthesia, Sedation, Liver Failure, Pharmacokinetics

Eligibility Criteria

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

Inclusion Criteria:

Patients admitted to ICU for tracheal intubation and mechanical; Patients aged >18 years; Patients with expected mechanical ventialation time >24 hours.

Exclusion Criteria:

Patients on long-term anti-anxiety medication or sleeping pills; Patients with known or suspected hypersensitivity to remimazolam; Patients with severe central nervous system diseases; Patients who do not wish to sign the informed consent form.

Sites / Locations

  • The First Affiliated Hospital with Nanjing Medical University

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Remimazolam 0.1mg/kg/h

Remimazolam 0.3mg/kg/h

Remimazolam 0.5mg/kg/h

Arm Description

Participants were first induced with 5mg in 1-min intravenous injection and then maintained at 0.1 mg/kg/h.

Participants were first induced with 5mg in 1-min intravenous injection and then maintained at 0.3 mg/kg/h.

Participants were first induced with 5mg in 1-min intravenous injection and then maintained at 0.5 mg/kg/h.

Outcomes

Primary Outcome Measures

Plasma concentration of Remimazolam
Plasma concentration of Remimazolam

Secondary Outcome Measures

Adverse reactions
Adverse reaction that patients experience with the medication,such as hypertension,hypotension,rapid heart rate,slow heart rate

Full Information

First Posted
July 27, 2022
Last Updated
July 27, 2022
Sponsor
The First Affiliated Hospital with Nanjing Medical University
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1. Study Identification

Unique Protocol Identification Number
NCT05480787
Brief Title
Pharmacokinetic Study of Continuous Infusion of Remazolam in Mechanically Ventilated Patients in ICU
Official Title
Pharmacokinetic Study of Continuous Infusion of Remazolam in Mechanically Ventilated Patients in ICU : Establishment of Population Pharmacokinetic Model and Exploration of Clinical Influencing Factors
Study Type
Interventional

2. Study Status

Record Verification Date
July 2022
Overall Recruitment Status
Active, not recruiting
Study Start Date
February 1, 2022 (Actual)
Primary Completion Date
August 15, 2022 (Anticipated)
Study Completion Date
September 1, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
The First Affiliated Hospital with Nanjing Medical University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
To study the pharmacokinetics of continuous infusion of remazolam in ICU mechanically ventilated critically ill patients, and the characteristics of PK in patients with liver failure; to explore whether liver failure affects the metabolism of remazolam by established population pharmacokinetics.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Intensive Care Unit, Mechanical Ventilation, Anesthesia, Liver Failure, Pharmacokinetics
Keywords
Remimazolam, Intensive Care Unit, Mechanical Ventilation, Anesthesia, Sedation, Liver Failure, Pharmacokinetics

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 4
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderOutcomes Assessor
Allocation
Randomized
Enrollment
30 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Remimazolam 0.1mg/kg/h
Arm Type
Experimental
Arm Description
Participants were first induced with 5mg in 1-min intravenous injection and then maintained at 0.1 mg/kg/h.
Arm Title
Remimazolam 0.3mg/kg/h
Arm Type
Experimental
Arm Description
Participants were first induced with 5mg in 1-min intravenous injection and then maintained at 0.3 mg/kg/h.
Arm Title
Remimazolam 0.5mg/kg/h
Arm Type
Experimental
Arm Description
Participants were first induced with 5mg in 1-min intravenous injection and then maintained at 0.5 mg/kg/h.
Intervention Type
Drug
Intervention Name(s)
Remimazolam 0.1mg/kg/h
Intervention Description
Remimazolam Tosilate for Injection(36mg)
Intervention Type
Drug
Intervention Name(s)
Remimazolam 0.3mg/kg/h
Intervention Description
Remimazolam Tosilate for Injection(36mg)
Intervention Type
Drug
Intervention Name(s)
Remimazolam 0.5mg/kg/h
Intervention Description
Remimazolam Tosilate for Injection(36mg)
Primary Outcome Measure Information:
Title
Plasma concentration of Remimazolam
Description
Plasma concentration of Remimazolam
Time Frame
24 hours
Secondary Outcome Measure Information:
Title
Adverse reactions
Description
Adverse reaction that patients experience with the medication,such as hypertension,hypotension,rapid heart rate,slow heart rate
Time Frame
28 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients admitted to ICU for tracheal intubation and mechanical; Patients aged >18 years; Patients with expected mechanical ventialation time >24 hours. Exclusion Criteria: Patients on long-term anti-anxiety medication or sleeping pills; Patients with known or suspected hypersensitivity to remimazolam; Patients with severe central nervous system diseases; Patients who do not wish to sign the informed consent form.
Facility Information:
Facility Name
The First Affiliated Hospital with Nanjing Medical University
City
Nanjing
State/Province
Jiangsu
ZIP/Postal Code
225500
Country
China

12. IPD Sharing Statement

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Pharmacokinetic Study of Continuous Infusion of Remazolam in Mechanically Ventilated Patients in ICU

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