ClinicalTrials.gg
CompletedNCT03351608Updated Feb 5, 2021Results posted

Efficacy, Safety, and Pharmacokinetics of Sugammadex for Reversal of Neuromuscular Blockade (NMB) in Pediatric Participants (MK-8616-089)

A Phase 4 interventional study of Sugammadex 2 mg/kg and Sugammadex 4 mg/kg in Neuromuscular Blockade, sponsored by Merck Sharp & Dohme LLC. Completed at 30 sites in 8 countries. Open to participants aged 2 Years to 16 Years. Per ClinicalTrials.gov, last updated 2021-02-05.

Sponsored by Merck Sharp & Dohme LLC (part of Merck & Co., Inc) · Phase 4, Interventional, and Treatment

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Phase
Phase 4
Study type
Interventional
Enrollment
288
Allocation
Randomized
Ages
2 Years to 16 Years
Sex
All
01

Study summary

This trial will evaluate the efficacy, safety, and pharmacokinetics of sugammadex for the reversal of both moderate and deep neuromuscular blockade (NMB) induced by either rocuronium or vecuronium in pediatric participants. The primary efficacy hypothesis of this investigation is that sugammadex is superior to neostigmine in reversing moderate NMB in pediatric participants as measured by time to recovery to a train-of-four (TOF) ratio of ≥0.9.

Read the detailed description

This trial will be conducted in two parts: Part A and Part B. In Part A, pharmacokinetic (PK) sampling will be conducted to identify the pediatric dose providing sugammadex exposure similar to adults. For Part B participants, the efficacy of sugammadex (i.e. time to recovery of the TOF ratio) will be assessed. Further, safety analyses will be conducted in both Parts A and B. Following completion of Part A, an interim analysis (IA) of the PK and safety data will be performed. Once the appropriate doses are confirmed and safety data is assessed for the 2 doses of sugammadex, then Part B will commence.

02

Conditions studied

  • Neuromuscular Blockade
03

In context

Lead sponsor

Merck Sharp & Dohme LLC is the lead sponsor of 2,166 studies on the registry; 131 are open to participants now.

Of its 503 completed or terminated interventional studies of FDA-regulated products, 371 (74%) have results posted.

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

04

Who can participate

Ages eligible
2 Years to 16 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Be categorized as (ASA) Physical Status Class 1, 2, or 3.
  • Have a planned non-emergent surgical procedure or clinical situation (e.g., intubation) that requires moderate or deep NMB with either rocuronium or vecuronium.
  • Have a planned surgical procedure or clinical situation that would allow objective neuromuscular monitoring techniques to be applied with access to the arm for neuromuscular transmission monitoring.
  • Age between 2 to \<17 years at Visit 2.
  • If female, may participate if she is not pregnant, not breastfeeding, and at least one of the following: 1) Not a woman of (WOCBP); or 2) A WOCBP who agrees to follow the study guidance during the treatment period and for at least 7 days after the last dose of study treatment.

Exclusion criteria

Exclusion Criteria:

  • Has any condition or situation (eg, anatomical malformation that complicates intubation) other than the condition being studied that, in the opinion of the investigator, would interfere with the trial evaluations or optimal participation in the trial.
  • Has a neuromuscular disorder that may affect NMB and/or trial assessments.
  • Is dialysis-dependent or has (or is suspected of having) severe renal insufficiency (defined as estimated (eGFR) \<30 ml/min).
  • Has or is suspected of having a family or personal history of malignant hyperthermia.
  • Has or is suspected of having an allergy to study treatments or its/their , to opioids/opiates, muscle relaxants or their excipients, or other medication(s) used during general anesthesia.
  • Has received or is planned to receive toremifene and/or fusidic acid via IV administration within 24 hours before or within 24 hours after administration of study treatment.
  • Has been previously treated with sugammadex or has participated in a sugammadex clinical trial.
  • Is currently participating in or has participated in an interventional clinical trial with an compound or device within 30 days of signing the /assent for this current trial.
Terms in these criteria, in plain language(8)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
288 participants (actual)

Study arms

  • Experimental
    Sugammadex 2 mg/kg (Part A)

    Single intravenous (i.v.) bolus of sugammadex at 2 mg/kg.

    Drug: Sugammadex 2 mg/kg

  • Experimental
    Sugammadex 4 mg/kg (Part A)

    Single i.v. bolus of sugammadex at 4 mg/kg.

    Drug: Sugammadex 4 mg/kg

  • Experimental
    Sugammadex 2 mg/kg (Part B)

    Single i.v. bolus of sugammadex at 2 mg/kg.

    Drug: Sugammadex 2 mg/kg

  • Experimental
    Sugammadex 4 mg/kg (Part B)

    Single i.v. bolus of sugammadex at 4 mg/kg.

    Drug: Sugammadex 4 mg/kg

  • Active comparator
    Neostigmine (Part B)

    Single i.v. bolus containing neostigmine (50 μg/kg; up to 5 mg maximum dose) in combination with either glycopyrrolate (10 μg/kg) or atropine sulfate (20 μg/kg).

    Drug: Neostigmine + Glycopyrrolate · Drug: Neostigmine + Atropine

Interventions

  • DrugSugammadex 2 mg/kg

    Drug page: Sugammadex

    For moderate NMB reversal, a single i.v. bolus of sugammadex (2 mg/kg) will be given after final dose of neuromuscular blocking agent (NMBA; rocuronium or vecuronium) and within 2 minutes of the reappearance of a second twitch (T2) in response to TOF stimulations.

    Also known as: MK-8616, BRIDION®

  • DrugSugammadex 4 mg/kg

    Drug page: Sugammadex

    For deep NMB reversal, a single i.v. bolus of sugammadex (4 mg/kg) will be given after final dose of NMBA (rocuronium or vecuronium) and within 2 minutes of detection of a target of 1 to 2 post-tetanic counts and no response to TOF stimulations (TOF=0).

    Also known as: MK-8616, BRIDION®

  • DrugNeostigmine + Glycopyrrolate

    Drug pages: Neostigmine · Glycopyrrolate

    For moderate NMB reversal, a single i.v. bolus containing both neostigmine (50 μg/kg; up to 5 mg maximum dose) as well as glycopyrrolate (10 μg/kg) will be given after final dose of NMBA (rocuronium or vecuronium) and within 2 minutes of the reappearance of a second twitch (T2) in response to TOF stimulations.

  • DrugNeostigmine + Atropine

    Drug pages: Neostigmine · Atropine

    For moderate NMB reversal, a single i.v. bolus containing both neostigmine (50 μg/kg; up to 5 mg maximum dose) as well as atropine (20 μg/kg) will be given after final dose of NMBA (rocuronium or vecuronium) and within 2 minutes of the reappearance of a second twitch (T2) in response to TOF stimulations.

06

What researchers measure

Primary outcomes

  1. Area Under the Plasma Concentration-Time Curve (AUC) From Dosing to Infinity (AUC0-∞) of Sugammadex [Part A]

    The AUCo-∞ for sugammadex, defined as the area under the plasma concentration versus time plot, was determined in each Part A arm.

    Time frame: 2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose

  2. Plasma Clearance (CL) of Sugammadex [Part A]

    The CL of sugammadex, defined as the rate of elimination relative to plasma concentration, was determined in each Part A arm.

    Time frame: 2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose

  3. Apparent Volume of Distribution (Vz) of Sugammadex [Part A]

    The Vz of sugammadex, defined as the amount of drug administered relative to plasma concentrations, was determined in each Part A arm.

    Time frame: 2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose

  4. Maximum Plasma Concentration (Cmax) of Sugammadex [Part A]

    The Cmax of sugammadex, defined as the maximum plasma concentration, was determined in each Part A arm.

    Time frame: 2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose

  5. Plasma Half-Life (t½) of Sugammadex [Part A]

    The t½ of sugammadex, defined as the time required for the plasma concentration to decrease to 50% of maximum, was determined in each Part A arm.

    Time frame: 2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose

  6. Percentage of Participants With ≥1 Adverse Event (AE) [Parts A and B]

    The percentage of participants with ≥1 AE(s) for up to 7 days after treatment was determined for each treatment group, pooled according to treatment received. An AE is defined as any unfavorable and unintended medical occurrence, symptom, or disease witnessed in a participant, regardless of whether or not a causal relationship with the study treatment can be demonstrated.

    Time frame: Up to 7 days

  7. Time to Recovery of Participant Train-of-Four (TOF) Ratio to ≥0.9 [Part B]

    The time to recovery of TOF ratio to ≥0.9 after administration of study intervention was determined for each Part B arm. The TOF ratio is the ratio of the magnitude of the fourth (T4) and first (T1) thumb twitches elicited by 4 electrical stimulations of the ulnar nerve, indicating the current degree of NMB as a decimal from 0 (loss of T4 twitch) to 1 (no NMB). Values closer to 1 indicate less NMB. Per protocol, the efficacy analysis is based on comparison of the Part B: Sugammadex 2 mg arm versus the Part B: Neostigmine + (Glycopyrrolate or Atropine) arm.

    Time frame: Up to 30 minutes post-dose

Secondary outcomes

  1. Time to Recovery of Participant TOF Ratio to ≥0.7 [Part B]

    The time to recovery of TOF ratio to ≥0.7 after administration of study intervention was determined for each Part B arm. The TOF ratio is the ratio of the magnitude of the fourth (T4) and first (T1) thumb twitches elicited by 4 electrical stimulations of the ulnar nerve, indicating the current degree of NMB as a decimal from 0 (loss of T4 twitch) to 1 (no NMB). Values closer to 1 indicate less NMB.

    Time frame: Up to 30 minutes post-dose

  2. Time to Recovery of Participant TOF Ratio to ≥0.8 [Part B]

    The time to recovery of TOF ratio to ≥0.8 after administration of study intervention was determined for each Part B arm. The TOF ratio is the ratio of the magnitude of the fourth (T4) and first (T1) thumb twitches elicited by 4 electrical stimulations of the ulnar nerve, indicating the current degree of NMB as a decimal from 0 (loss of T4 twitch) to 1 (no NMB). Values closer to 1 indicate less NMB.

    Time frame: Up to 30 minutes post-dose

07

Results

Posted Feb 5, 2021

Participant flow

Male and female participants 2 to \<17 years of age who are categorized as American Society of Anesthesiologists (ASA) Physical Class 1, 2, or 3 and had a planned medical and/or surgical procedure requiring moderate or deep neuromuscular blockade (NMB) with rocuronium (ROC) or vecuronium (VEC) that would allow for neuromuscular monitoring were recruited.

Participant flow — Overall Study
MilestonePart A: Sugammadex 2 mg/kgPart A: Sugammadex 4 mgPart B: Sugammadex 2 mg/kgPart B: Sugammadex 4 mg/kgPart B: Neostigmine + (Glycopyrrolate or Atropine)
Started19233517635
Treated18223316934
Completed18213216833
Not completed12382
Withdrew: Lost to follow-up01111
Withdrew: Physician decision10021
Withdrew: Randomized by mistake, no treatment given00010
Withdrew: Withdrawal by parent/guardian00110
Withdrew: Other01130

Outcome measures

PrimaryArea Under the Plasma Concentration-Time Curve (AUC) From Dosing to Infinity (AUC0-∞) of Sugammadex [Part A]

The AUCo-∞ for sugammadex, defined as the area under the plasma concentration versus time plot, was determined in each Part A arm.

Time frame:
2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose
Reported as:
Geometric mean · hr*μg/mL
Area Under the Plasma Concentration-Time Curve (AUC) From Dosing to Infinity (AUC0-∞) of Sugammadex [Part A]
hr*μg/mLPart A: Sugammadex 2 mg (2 to <6 Years)Part A: Sugammadex 2 mg (6 to <12 Years)Part A: Sugammadex 2 mg (12 to <17 Years)Part A: Sugammadex 4 mg (2 to <6 Years)Part A: Sugammadex 4 mg (6 to <12 Years)Part A: Sugammadex 4 mg (12 to <17 Years)
Area Under the Plasma Concentration-Time Curve (AUC) From Dosing to Infinity (AUC0-∞) of Sugammadex [Part A]14.1 ± 19.418.8 ± 27.427.6 ± 58.026.9 ± 18.538.2 ± 73.049.2 ± 20.1
PrimaryPlasma Clearance (CL) of Sugammadex [Part A]

The CL of sugammadex, defined as the rate of elimination relative to plasma concentration, was determined in each Part A arm.

Time frame:
2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose
Reported as:
Geometric mean · L/hr
Plasma Clearance (CL) of Sugammadex [Part A]
L/hrPart A: Sugammadex 2 mg (2 to <6 Years)Part A: Sugammadex 2 mg (6 to <12 Years)Part A: Sugammadex 2 mg (12 to <17 Years)Part A: Sugammadex 4 mg (2 to <6 Years)Part A: Sugammadex 4 mg (6 to <12 Years)Part A: Sugammadex 4 mg (12 to <17 Years)
Plasma Clearance (CL) of Sugammadex [Part A]2.30 ± 21.43.58 ± 26.24.68 ± 52.52.26 ± 29.43.43 ± 1055.69 ± 24.1
PrimaryApparent Volume of Distribution (Vz) of Sugammadex [Part A]

The Vz of sugammadex, defined as the amount of drug administered relative to plasma concentrations, was determined in each Part A arm.

Time frame:
2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose
Reported as:
Geometric mean · Liters
Apparent Volume of Distribution (Vz) of Sugammadex [Part A]
LitersPart A: Sugammadex 2 mg (2 to <6 Years)Part A: Sugammadex 2 mg (6 to <12 Years)Part A: Sugammadex 2 mg (12 to <17 Years)Part A: Sugammadex 4 mg (2 to <6 Years)Part A: Sugammadex 4 mg (6 to <12 Years)Part A: Sugammadex 4 mg (12 to <17 Years)
Apparent Volume of Distribution (Vz) of Sugammadex [Part A]3.58 ± 21.36.65 ± 33.510.8 ± 34.84.00 ± 37.78.22 ± 82.912.3 ± 35.9
PrimaryMaximum Plasma Concentration (Cmax) of Sugammadex [Part A]

The Cmax of sugammadex, defined as the maximum plasma concentration, was determined in each Part A arm.

Time frame:
2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose
Reported as:
Geometric mean · µg/mL
Maximum Plasma Concentration (Cmax) of Sugammadex [Part A]
µg/mLPart A: Sugammadex 2 mg (2 to <6 Years)Part A: Sugammadex 2 mg (6 to <12 Years)Part A: Sugammadex 2 mg (12 to <17 Years)Part A: Sugammadex 4 mg (2 to <6 Years)Part A: Sugammadex 4 mg (6 to <12 Years)Part A: Sugammadex 4 mg (12 to <17 Years)
Maximum Plasma Concentration (Cmax) of Sugammadex [Part A]17.5 ± 33.132.2 ± 15.641.3 ± 85.847.1 ± 22.151.6 ± 69.261.9 ± 13.5
PrimaryPlasma Half-Life (t½) of Sugammadex [Part A]

The t½ of sugammadex, defined as the time required for the plasma concentration to decrease to 50% of maximum, was determined in each Part A arm.

Time frame:
2 minutes (min), 15 min, 30 min, 60 min, 4-6 hours (hrs), and 10 hrs post-dose
Reported as:
Median · Hours
Plasma Half-Life (t½) of Sugammadex [Part A]
HoursPart A: Sugammadex 2 mg (2 to <6 Years)Part A: Sugammadex 2 mg (6 to <12 Years)Part A: Sugammadex 2 mg (12 to <17 Years)Part A: Sugammadex 4 mg (2 to <6 Years)Part A: Sugammadex 4 mg (6 to <12 Years)Part A: Sugammadex 4 mg (12 to <17 Years)
Plasma Half-Life (t½) of Sugammadex [Part A]1.15 (0.964 to 1.64)1.19 (1.01 to 1.71)1.49 (1.17 to 1.91)1.12 (0.922 to 1.78)1.56 (1.21 to 3.06)1.51 (1.20 to 1.91)
PrimaryPercentage of Participants With ≥1 Adverse Event (AE) [Parts A and B]

The percentage of participants with ≥1 AE(s) for up to 7 days after treatment was determined for each treatment group, pooled according to treatment received. An AE is defined as any unfavorable and unintended medical occurrence, symptom, or disease witnessed in a participant, regardless of whether or not a causal relationship with the study treatment can be demonstrated.

Time frame:
Up to 7 days
Reported as:
Number · Percentage of Participants
Percentage of Participants With ≥1 Adverse Event (AE) [Parts A and B]
Percentage of ParticipantsPart B: Neostigmine + (Glycopyrrolate or Atropine)Parts A and B: Sugammadex 2 mgParts A and B: Sugammadex 4 mg
Percentage of Participants With ≥1 Adverse Event (AE) [Parts A and B]97.178.474.9
PrimaryTime to Recovery of Participant Train-of-Four (TOF) Ratio to ≥0.9 [Part B]

The time to recovery of TOF ratio to ≥0.9 after administration of study intervention was determined for each Part B arm. The TOF ratio is the ratio of the magnitude of the fourth (T4) and first (T1) thumb twitches elicited by 4 electrical stimulations of the ulnar nerve, indicating the current degree of NMB as a decimal from 0 (loss of T4 twitch) to 1 (no NMB). Values closer to 1 indicate less NMB. Per protocol, the efficacy analysis is based on comparison of the Part B: Sugammadex 2 mg arm versus the Part B: Neostigmine + (Glycopyrrolate or Atropine) arm.

Time frame:
Up to 30 minutes post-dose
Reported as:
Geometric mean · Minutes
Time to Recovery of Participant Train-of-Four (TOF) Ratio to ≥0.9 [Part B]
MinutesPart B: Sugammadex 2 mg/kgPart B: Sugammadex 4 mg/kgPart B: Neostigmine + (Glycopyrrolate or Atropine)
Time to Recovery of Participant Train-of-Four (TOF) Ratio to ≥0.9 [Part B]1.6 ± 1.31.9 ± 1.77.5 ± 5.6
Statistical analysis
  • Part B: Sugammadex 2 mg/kg vs Part B: Neostigmine + (Glycopyrrolate or Atropine) · ANOVA · p = < 0.0001 · Gm ratio (sug 2 mg / neo + [gly or atr]): 0.22 · 95% CI 0.16 to 0.32
SecondaryTime to Recovery of Participant TOF Ratio to ≥0.7 [Part B]

The time to recovery of TOF ratio to ≥0.7 after administration of study intervention was determined for each Part B arm. The TOF ratio is the ratio of the magnitude of the fourth (T4) and first (T1) thumb twitches elicited by 4 electrical stimulations of the ulnar nerve, indicating the current degree of NMB as a decimal from 0 (loss of T4 twitch) to 1 (no NMB). Values closer to 1 indicate less NMB.

Time frame:
Up to 30 minutes post-dose
Reported as:
Geometric mean · Minutes
Time to Recovery of Participant TOF Ratio to ≥0.7 [Part B]
MinutesPart B: Sugammadex 2 mg/kgPart B: Sugammadex 4 mg/kgPart B: Neostigmine + (Glycopyrrolate or Atropine)
Time to Recovery of Participant TOF Ratio to ≥0.7 [Part B]1.1 ± 0.91.3 ± 1.13.7 ± 2.9
SecondaryTime to Recovery of Participant TOF Ratio to ≥0.8 [Part B]

The time to recovery of TOF ratio to ≥0.8 after administration of study intervention was determined for each Part B arm. The TOF ratio is the ratio of the magnitude of the fourth (T4) and first (T1) thumb twitches elicited by 4 electrical stimulations of the ulnar nerve, indicating the current degree of NMB as a decimal from 0 (loss of T4 twitch) to 1 (no NMB). Values closer to 1 indicate less NMB.

Time frame:
Up to 30 minutes post-dose
Reported as:
Geometric mean · Minutes
Time to Recovery of Participant TOF Ratio to ≥0.8 [Part B]
MinutesPart B: Sugammadex 2 mg/kgPart B: Sugammadex 4 mg/kgPart B: Neostigmine + (Glycopyrrolate or Atropine)
Time to Recovery of Participant TOF Ratio to ≥0.8 [Part B]1.3 ± 1.11.5 ± 1.35.0 ± 3.8

Adverse events

Collected over Up to 14 days. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Part A: Sugammadex 2 mg (2 to <6 Years)0/9 (0%)0/9 (0%)8/9 (88.9%)
Part A: Sugammadex 2 mg (6 to <12 Years)0/5 (0%)0/5 (0%)3/5 (60%)
Part A: Sugammadex 2 mg (12 to <17 Years)0/4 (0%)0/4 (0%)2/4 (50%)
Part A: Sugammadex 4 mg (2 to <6 Years)0/10 (0%)0/10 (0%)8/10 (80%)
Part A: Sugammadex 4 mg (6 to <12 Years)0/6 (0%)0/6 (0%)5/6 (83.3%)
Part A: Sugammadex 4 mg (12 to <17 Years)0/6 (0%)0/6 (0%)6/6 (100%)
Part B: Sugammadex 2 mg0/33 (0%)3/33 (9.1%)26/33 (78.8%)
Part B: Sugammadex 4 mg0/169 (0%)3/169 (1.8%)117/169 (69.2%)
Part B: Neostigmine + (Glycopyrrolate or Atropine)0/34 (0%)2/34 (5.9%)29/34 (85.3%)
Most frequent serious events
Most frequent serious events
EventPart A: Sugammadex 2 mg (2 to <6 Years)Part A: Sugammadex 2 mg (6 to <12 Years)Part A: Sugammadex 2 mg (12 to <17 Years)Part A: Sugammadex 4 mg (2 to <6 Years)Part A: Sugammadex 4 mg (6 to <12 Years)Part A: Sugammadex 4 mg (12 to <17 Years)Part B: Sugammadex 2 mgPart B: Sugammadex 4 mgPart B: Neostigmine + (Glycopyrrolate or Atropine)
Urinary tract infectionInfections and infestations0/90/50/40/100/60/61/330/1690/34
Post procedural bile leakInjury, poisoning and procedural complications0/90/50/40/100/60/61/330/1690/34
Post procedural haemorrhageInjury, poisoning and procedural complications0/90/50/40/100/60/61/330/1690/34
DehydrationMetabolism and nutrition disorders0/90/50/40/100/60/60/330/1691/34
LaryngospasmRespiratory, thoracic and mediastinal disorders0/90/50/40/100/60/60/330/1691/34
Abdominal painGastrointestinal disorders0/90/50/40/100/60/60/331/1690/34
PyrexiaGeneral disorders0/90/50/40/100/60/60/331/1690/34
Femoral neck fractureInjury, poisoning and procedural complications0/90/50/40/100/60/60/331/1690/34
Most frequent other events
Showing 10 of 29
Most frequent other events
EventPart A: Sugammadex 2 mg (2 to <6 Years)Part A: Sugammadex 2 mg (6 to <12 Years)Part A: Sugammadex 2 mg (12 to <17 Years)Part A: Sugammadex 4 mg (2 to <6 Years)Part A: Sugammadex 4 mg (6 to <12 Years)Part A: Sugammadex 4 mg (12 to <17 Years)Part B: Sugammadex 2 mgPart B: Sugammadex 4 mgPart B: Neostigmine + (Glycopyrrolate or Atropine)
Procedural painInjury, poisoning and procedural complications4/93/51/47/103/63/622/3398/16924/34
Mouth swellingGastrointestinal disorders0/92/50/40/100/60/60/330/1690/34
Incision site painInjury, poisoning and procedural complications0/90/51/40/101/60/62/335/1691/34
Procedural nauseaInjury, poisoning and procedural complications0/90/51/40/100/60/63/339/1690/34
Procedural vomitingInjury, poisoning and procedural complications0/90/51/41/100/60/62/334/1691/34
HeadacheNervous system disorders2/90/50/40/100/60/61/332/1691/34
HaematuriaRenal and urinary disorders2/90/50/40/100/60/60/332/1690/34
BradycardiaCardiac disorders1/91/50/41/101/61/61/339/1693/34
DiarrhoeaGastrointestinal disorders0/91/50/40/100/60/60/331/1690/34
VomitingGastrointestinal disorders0/91/50/40/100/60/63/3320/1692/34

Baseline characteristics

Age, Continuous
Age, Continuous(years)Part A: Sugammadex 2 mg/kgPart A: Sugammadex 4 mgPart B: Sugammadex 2 mg/kgPart B: Sugammadex 4 mg/kgPart B: Neostigmine + (Glycopyrrolate or Atropine)Total
Mean7.1 ± 4.77.2 ± 5.07.9 ± 4.47.9 ± 4.48.7 ± 4.47.9 ± 4.4
Age, Customized
Age, Customized(Participants)Part A: Sugammadex 2 mg/kgPart A: Sugammadex 4 mgPart B: Sugammadex 2 mg/kgPart B: Sugammadex 4 mg/kgPart B: Neostigmine + (Glycopyrrolate or Atropine)Total
Children (2-11 years)15172513225214
Adolescents (12-17 years)4610441074
Sex: Female, Male
Sex: Female, Male(Participants)Part A: Sugammadex 2 mg/kgPart A: Sugammadex 4 mgPart B: Sugammadex 2 mg/kgPart B: Sugammadex 4 mg/kgPart B: Neostigmine + (Glycopyrrolate or Atropine)Total
Female1112209518156
Male811158117132
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Part A: Sugammadex 2 mg/kgPart A: Sugammadex 4 mgPart B: Sugammadex 2 mg/kgPart B: Sugammadex 4 mg/kgPart B: Neostigmine + (Glycopyrrolate or Atropine)Total
American Indian or Alaska Native010001
Asian0235212
Native Hawaiian or Other Pacific Islander000000
Black or African American121206
White16173016133257
More than one race210407
Unknown or Not Reported001405
08

Study locations

30 sites
  • Childrens Hospital Los Angeles ( Site 0030)
    Los Angeles, California 90027, United States
  • Lucille Packard Children's Hospital ( Site 0006)
    Palo Alto, California 94304, United States
  • Rady Children's Hospital-San Diego ( Site 0035)
    San Diego, California 92123, United States
  • Children's National Medical Center ( Site 0008)
    Washington, District of Columbia 20010, United States
  • C.S. Mott Children's Hospital/ University of Michigan Medical center ( Site 0014)
    Ann Arbor, Michigan 48109-4245, United States
  • Saint Peter's University Hospital [New Brunswick, NJ] ( Site 0009)
    New Brunswick, New Jersey 08901, United States
  • Duke University Medical Center ( Site 0019)
    Durham, North Carolina 27710, United States
  • The Children's Hospital of Philadelphia ( Site 0015)
    Philadelphia, Pennsylvania 19104, United States
  • Children's Hospital of Pittsburgh of UPMC ( Site 0005)
    Pittsburgh, Pennsylvania 15224, United States
  • Memorial Hermann Medical Center University of Texas Medical School ( Site 0038)
    Houston, Texas 77030, United States
  • West Virginia University ( Site 0043)
    Morgantown, West Virginia 26506, United States
  • Sozialmedizinisches Zentrum Ost - Donauspital ( Site 0150)
    Wien, 1220, Austria
  • Universitaire Ziekenhuis Antwerpen - UZA ( Site 0200)
    Edegem, 2650, Belgium
  • UZ Leuven Campus Gasthuisberg ( Site 0201)
    Leuven, 3000, Belgium
  • Rigshospitalet ( Site 0250)
    Copenhagen, 2100, Denmark
  • New Childrens Hospital ( Site 0750)
    Helsinki, 00029, Finland
  • Diakovere Annastift gGmbH ( Site 0354)
    Hannover, 30625, Germany
  • Universitaetsklinikum Giessen und Marburg GmbH ( Site 0355)
    Marburg, 35043, Germany
  • Klinikum Rechts der Isar Technische Universitaet Muenchen ( Site 0350)
    Muenchen, 81675, Germany
  • St. Franziskus-Hospital ( Site 0352)
    Muenster, 48145, Germany
  • Klinikum am Steinenberg Reutlingen ( Site 0351)
    Reutlingen, 72764, Germany
  • Josephs-Hospitals Warendorf ( Site 0353)
    Warendorf, 48231, Germany
  • Hospital Santa Lucia ( Site 0501)
    Cartagena, 30202, Spain
  • Hospital Universitario Nino Jesus ( Site 0503)
    Madrid, 28009, Spain
  • Hospital Universitario La Paz ( Site 0502)
    Madrid, 28046, Spain
  • Clinica Universitaria de Navarra ( Site 0500)
    Pamplona, 31008, Spain
  • Ankara Universitesi Tip Fakultesi ( Site 0551)
    Ankara, 06620, Turkey
  • Uludag Universitesi Tip Fakultesi ( Site 0553)
    Bursa, 16059, Turkey
  • Koc Universitesi Hastanesi ( Site 0555)
    Istanbul, 34010, Turkey
  • Istanbul Universitesi Cerrahpasa Tip Fakultesi ( Site 0552)
    Istanbul, 34040, Turkey
09

References and documents

Publications

  • Voss T, Wang A, DeAngelis M, Speek M, Saldien V, Hammer GB, Wrishko R, Herring WJ. Sugammadex for reversal of neuromuscular blockade in pediatric patients: Results from a phase IV randomized study. Paediatr Anaesth. 2022 Mar;32(3):436-445. doi: 10.1111/pan.14370. Epub 2021 Dec 17. PubMed 34878707 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — http://engagezone.msd.com/doc/ProcedureAccessClinicalTrialData.pdf

Data sharing details ↗ · engagezone.msd.com

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Feb 2018 to primary completion in Jan 2020, 23 months.

Results were first posted in Feb 2021, 1 year after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 20, 2017
First posted
Nov 24, 2017
StartActual
Feb 12, 2018
Primary completionActual
Jan 28, 2020
CompletionActual
Jan 28, 2020
Results first posted
Feb 5, 2021
Last update
Feb 5, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 5, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03351608
Responsible party
Sponsor
First posted
Nov 24, 2017
Start date
Feb 12, 2018
Primary completion
Jan 28, 2020
Completion
Jan 28, 2020
Results posted
Feb 5, 2021
Last update
Feb 5, 2021

Study contacts

Medical Director
study director · Merck Sharp & Dohme LLC

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Sugammadex

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