Status:

COMPLETED

Efficacy and Safety of Remimazolam Besylate Versus Propofol for Sedation in Mechanically Ventilated ICU Patients

Lead Sponsor:

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Conditions:

Critical Illness

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to evaluate the efficacy and safety of remimazolam compared to propofol for sedation in mechanically ventilated ICU patients.

Detailed Description

This is a single-center, prospective, randomized, controlled pilot study using remimazolam and propofol for sedation in mechanically ventilated ICU patients. Subjects are randomized to remimazolam gro...

Eligibility Criteria

Inclusion

  • Age ≥ 18 and ≤ 75 years;
  • Intubated and mechanically ventilated ≤96 hours before enrollment;
  • Expected to require continuous invasive ventilation and sedation ≥24 hours;
  • Requirement for light to moderate sedation (a RASS score of -3 to 0).

Exclusion

  • Body mass index (BMI) \<18 or \>30 kg/m2;
  • Acute severe neurological disorder and any other condition interfering with RASS assessment;
  • Systolic blood pressure less than 90 mm Hg after appropriate intravenous volume replacement and continuous infusions of 2 vasopressors;
  • Heart rate less than 50 beats/min;
  • Second- or third-degree heart block in the absence of a pacemaker;
  • Unstable angina;
  • Acute myocardial infarction;
  • Left ventricular ejection fraction less than 30%;
  • Contraindicate or allergic to study drugs;
  • Moribund state;
  • Acute hepatitis or serious hepatic dysfunction (Child-Pugh class C);
  • Chronic kidney disease with glomerular filtration rate (GFR) \< 60 ml/min/1.73m2;
  • Alcohol abuse;
  • Myasthenia gravis;
  • Pregnancy or lactation.

Key Trial Info

Start Date :

May 10 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 12 2022

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT04790734

Start Date

May 10 2021

End Date

May 12 2022

Last Update

September 15 2022

Active Locations (1)

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1

Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, China