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CompletedNCT01785758Updated Feb 7, 2013

Efficacy and Safety of Sugammadex in Renal Diseased Patients

A Phase 4 interventional study of Sugammadex (4 mg/Kg) in Kidney Failure, Chronic and Neuromuscular Blockade, sponsored by Federal University of São Paulo. Completed at 1 site in Brazil. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2013-02-07.

Sponsored by Federal University of São Paulo · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
40
Allocation
Non-randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

The purpose of this study is to determine whether sugammadex reverses a profound neuromuscular blockade induced by rocuronium in patients with end-stage renal disease just as effectively and safely as it does in patients with normal renal function.

Read the detailed description

Sugammadex antagonizes rocuronium induced neuromuscular blockade by encapsulating the molecules of this agent in the plasma and originating a complex which is highly stable, and mainly eliminated by the kidneys. In patients with end stage renal disease, this complex remains in the circulation for days. Previous studies have shown that sugammadex adequately reverses the blockade induced by rocuronium in such patients, and no evidence of recurrence was observed after a dosis of 2 mg/Kg administered to reverse a moderate level of blockade. To our knowledge, nothing has been published so far on the reversal of profound blockade by sugammadex in patients with renal failure.

The aim of our study was to evaluate the efficacy and safety of sugammadex in the reversal of profound neuromuscular block (NMB) induced by rocuronium in patients with end-stage renal failure and compare it to patients with normal renal function.

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Conditions studied

  • Kidney Failure, Chronic
  • Neuromuscular Blockade

Keywords

  • complications, renal;
  • kidney, failure;
  • neuromuscular block, antagonism;
  • neuromuscular block, rocuronium;
  • safety, drug
  • sugammadex
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In context

Renal Insufficiency

1,995 studies on the registry are indexed under Renal Insufficiency; 173 are open to participants now.

This study's enrollment of 40 is close to the median of 43 across 1,504 interventional studies indexed under Renal Insufficiency.

Browse Renal Insufficiency studies →

Lead sponsor

Federal University of São Paulo is the lead sponsor of 427 studies on the registry; 22 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • age between 18 and 65 years old
  • end-stage renal disease defined by clearance of creatinine \< 30 ml/min
  • normal renal function defined by clearance if creatinine > 90 ml/min
  • candidates to elective surgical procedures (control group) or kidney transplantation (renal group) under general anaesthesia

Exclusion criteria

Exclusion Criteria:

  • pregnant and breastfeeding women
  • patients with known or suspected neuromuscular disorders
  • patients with hepatic disfunction
  • a history of malignant hyperthermia
  • allergy to narcotics, rocuronium or other medication used during general anaesthesia
  • patients receiving medication known to interfere with the action of rocuronium (amino glycoside antibiotics, anticonvulsants, or magnesium)
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    Renal Group

    Sugammadex (4mg/Kg) single dose to reverse profound neuromuscular blockade

    Drug: Sugammadex (4 mg/Kg)

  • Active comparator
    Control group

    Sugammadex (4mg/Kg) single dose to reverse profound neuromuscular blockade

    Drug: Sugammadex (4 mg/Kg)

Interventions

  • DrugSugammadex (4 mg/Kg)

    Sugammadex administered at the end of surgical procedure, once skin suture had been finished, to reverse profound neuromuscular blockade induced and maintained with rocuronium

    Also known as: Bridion

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What researchers measure

Primary outcomes

  1. Time from administration of sugammadex to recovery of the train-of-four ratio (TOF) to 0.9

    Time frame: 2 hours

Secondary outcomes

  1. Time from administration of sugammadex to recovery of the train-of-four ratio (TOF) to 0.7 and 0.8

    Time frame: 2 hours

Other outcomes

  1. Reoccurrence of neuromuscular blockade

    Patients will be monitored for evidence of reoccurrence of neuromuscular blockade for the first two hours after administration of sugammadex and clinically reevaluated after 24 hours

    Time frame: 24 hours

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Study locations

1 site
  • Hospital do Rim e Hipertensão - Fundação Oswaldo Ramos
    São Paulo, SP 04038002, Brazil
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References and documents

Publications

  • Staals LM, Snoeck MM, Driessen JJ, Flockton EA, Heeringa M, Hunter JM. Multicentre, parallel-group, comparative trial evaluating the efficacy and safety of sugammadex in patients with end-stage renal failure or normal renal function. Br J Anaesth. 2008 Oct;101(4):492-7. doi: 10.1093/bja/aen216. Epub 2008 Jul 23. PubMed 18653492 ↗
  • Staals LM, Snoeck MM, Driessen JJ, van Hamersvelt HW, Flockton EA, van den Heuvel MW, Hunter JM. Reduced clearance of rocuronium and sugammadex in patients with severe to end-stage renal failure: a pharmacokinetic study. Br J Anaesth. 2010 Jan;104(1):31-9. doi: 10.1093/bja/aep340. PubMed 20007792 ↗
  • de Souza CM, Tardelli MA, Tedesco H, Garcia NN, Caparros MP, Alvarez-Gomez JA, de Oliveira Junior IS. Efficacy and safety of sugammadex in the reversal of deep neuromuscular blockade induced by rocuronium in patients with end-stage renal disease: A comparative prospective clinical trial. Eur J Anaesthesiol. 2015 Oct;32(10):681-6. doi: 10.1097/EJA.0000000000000312. PubMed 26225497 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 7, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01785758
Lead sponsor
Federal University of São Paulo
Collaborators
Hospital General Universitario Santa Lucía
Responsible party
Camila Machado de Souza (MD, Federal University of São Paulo) — Principal investigator
First posted
Feb 7, 2013
Start date
Oct 2011
Primary completion
Jan 2012
Completion
Jan 2012
Last update
Feb 7, 2013

Study contacts

Camila M Souza, MD
principal investigator · Federal University of São Paulo

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Feb 2013. You cannot join it, but the record below documents what was studied.

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