Actively Recruiting

Age: 19Years - 70Years
All Genders
NCT05841667

Impact of CES1 Genotype on Remimazolam

Led by Korea University Guro Hospital · Updated on 2024-10-15

120

Participants Needed

1

Research Sites

121 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Remimazolam is primarily metabolized via CES1, and other drugs that are commonly metabolized by CES1 are known to have their pharmacokinetics and clinical effects affected by genetic polymorphisms in CES1. The goal of this observational study is to investigate the impact of the CES1 genotype on the pharmacokinetics, safety, and efficacy of remimazolam in patients undergoing elective surgery.

CONDITIONS

Official Title

Impact of CES1 Genotype on Remimazolam

Who Can Participate

Age: 19Years - 70Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • American Society of Anesthesiologists (ASA) physical status 1 or 2
  • Age 19-70 years
  • Scheduled for elective surgery
Not Eligible

You will not qualify if you...

  • Concomitant regional anesthesia
  • Uncontrolled hypertension (systolic blood pressure >180 mmHg)
  • Uncontrolled diabetes mellitus (HbA1c >9.0%)
  • Aspartate transaminase (AST), Alanine transferase (ALT), or Total bilirubin levels more than twice the normal upper limit
  • Estimated glomerular filtration rate below 60 ml/min/1.73m2
  • Moderate to severe chronic pulmonary obstructive disease or respiratory failure
  • Emergency surgery
  • Hepatectomy or liver transplantation
  • Use of cardiopulmonary bypass
  • Craniotomy due to head trauma, unstable intracranial pressure, or brain disease
  • Use of benzodiazepine medications if tolerance is present
  • History of anxiety, alcohol or drug dependence, or addiction to tricyclic antidepressants
  • Known hypersensitivity or adverse reactions to benzodiazepines, flumazenil, or other anesthesia agents
  • Lactose-related genetic disorders
  • Myasthenia gravis or related syndromes
  • Recent myocardial infarction, significant coronary artery disease, stroke, or untreated coronary artery disease within 6 months
  • Implanted rate-responsive cardiac pacemaker with bioelectrical impedance sensor
  • Brain disorders that hinder EEG anesthesia depth monitoring (e.g., epilepsy)
  • History of severe allergies
  • Cognitive impairment preventing understanding of study instructions and consent
  • Expected blood loss of 1000 ml or more during surgery
  • Any other reasons deemed unsuitable by the investigator

AI-Screening

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Trial Site Locations

Total: 1 location

1

Korea University Guro Hospital

Seoul, South Korea, 08308

Actively Recruiting

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Research Team

B

Byung Gun Lim, MD, PhD

CONTACT

H

Hye Bin Kim, MD, PhD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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