ClinicalTrials.gg
Status unknownNCT03460509Updated May 30, 2018

Reversal With Low Doses of Sugammadex in Patients Undergoing Non-cardiac Surgery

A Phase 4 interventional study of Sugammadex in Postoperative Residual Curarization and Neuromuscular Block, sponsored by The Hospital of Vestfold. Status unknown. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2018-05-30.

Sponsored by The Hospital of Vestfold · Phase 4, Interventional, and Treatment

The sponsor has not verified this record recently (last verified May 2018), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
144
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 14 studies testing sugammadex in Delayed Emergence from Anesthesia — 2 open to participants now, 2 under way, none of them phase 3. Sugammadex · Delayed Emergence from Anesthesia.

Planned enrollment
3rd of 14
144 · median 92
Started
2018
with 3 others
Phase 4
6 of 14
1 open now
Registered
4th of 14
by date

Among the 14 studies testing sugammadex in Delayed Emergence from Anesthesia, this one is the 3rd largest by planned enrollment, is one of 4 that started in 2018, is one of 6 in phase 4, and was the 4th registered.

Delayed Emergence from Anesthesia

98 studies on the registry are indexed under Delayed Emergence from Anesthesia; 17 are open to participants now.

Browse Delayed Emergence from Anesthesia studies →

Open to participants now

2 of the 14 studies testing sugammadex in Delayed Emergence from Anesthesia are open now, in 2 countries. Recruiting first, the newest first:

By country, each count listing its studies:

All 2 open studies →

About sugammadex

Sugammadex: first FDA approval 2015 (BRIDION), first EMA approval 2008. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 8 Delayed Emergence from Anesthesia studies recruiting now, 2 (25%) set no upper age limit and 4 (50%) stop at 75 or younger; 0 take children under 18; 1 take healthy volunteers.

This study: 18 Years to 100 Years · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 14 studies testing sugammadex in Delayed Emergence from Anesthesia, or all of them as a file.
02

Study summary

Neuromuscular blocking agents (NMBA) are among the most commonly used drugs during general anesthesia and may induce complete muscle paralysis.They are used clinically to facilitate endotracheal intubation and to optimize surgical working conditions. Incomplete recovery from non-depolarising NMBAs continues to be a common problem in modern postoperative care unit and is associated with significant risk of microaspiration and hypoventilation which leads to pulmonary complications.Recently effective reversal of neuromuscular blockade has been described by use of lower dose of sugammadex the recommended without providing adequate answer to whether the lower dose is safe enough to avoid recurrent block.

Hypotheses:

  1. Administration of sugammadex 0.25 mg/kg at TOF ratio 0.3 will successfully reverse (TOF=0.9) rocuronium induced neuromuscular block within 10 min.
  2. Recurrent block (TOF ratio \< 0.9) does not occur after reversal with low dose sugammadex 0.25 mg/kg.

The primary objective of this trial is to assess the dose-response characteristics of sugammadex in reversing rocuronium induced neuromuscular block and to identify the minimal effective dose

Secondary objective is to assess the safety of different doses of sugammadex (recurrent block (TOF ratio \< 0.9) after reversal and the occurrence of adverse reactions)

Sugammadex is a very expensive drug which limits its use i anaesthesia department. By optimising drug dosage it may have economic impact and contribute to a wider use of sugammadex to reverse neuromuscular block before extubation and thus avoid incomplete recovery. This may lead to less risk for postoperative pulmonary complications and thereby reduce morbidity and mortality after surgery.

Read the detailed description

Doses of study drug will be 0 mg/kg Ideal Body Weight (IBW), 0.25 mg/kg IBW, 0.50 mg/kg IBW, 1.0 mg/kg IBW and 2.0 mg/kg IBW. TOF will be measured every 10th second until full reversal.

03

Conditions studied

  • Postoperative Residual Curarization
  • Neuromuscular Block
04

Who can participate

Ages eligible
18 Years to 100 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

  • Patient, both genders, undergoing any elective in-hospital surgical procedure under general anesthesia requiring rocuronium neuromuscular block.
  • Signed

Exclusion criteria

Exclusion Criteria:

  • Patient less than 18 years of age
  • Patient participating in another clinical study which could interfere with TOF trial.
  • Patient with neuromuscular disease
  • Patient from ICU
  • > 30.0 kg/m2
  • Patient scheduled for local or regional anesthesia only
  • Patient undergoing general anesthesia without rocuronium
  • Patient with to NMBAs or sugammadex. Also hypersensitivity to any active substance or to any of the following : Hydrochloric acid 3.7% (to adjust pH) and/or sodium hydroxide (to adjust pH) Water for injections .
  • Renal dysfunction (\<30 mL/min/1,73m2)
  • Hepatic dysfunction
  • Patient who have received sugammadex in the last 24 h.
  • Pregnant or breastfeeding woman. Women in childbearing age must have a negative pregnant test before inclusion.
  • Bradycardia (puls \<40)
  • Hypotension (Systolic BP \<90 mmHg)
Terms in these criteria, in plain language(6)

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.

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

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

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.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
144 participants (estimated)

Study arms

  • Placebo comparator
    Sugammadex 0 mg/kg

    Placebo NaCl 0,9%

    Drug: Sugammadex

  • Active comparator
    Sugammadex 0,25 mg/kg

    Sugammadex 0.25 mg/kg IBW

    Drug: Sugammadex

  • Active comparator
    Sugammadex 0,5 mg/kg

    Sugammadex 0.50 mg/kg IBW

    Drug: Sugammadex

  • Active comparator
    Sugammadex 1mg/kg

    Sugammadex 1.0 mg/kg IBW

    Drug: Sugammadex

  • Active comparator
    Sugammadex 2mg/kg

    Sugammadex 2 mg/kg IBW

    Drug: Sugammadex

Interventions

06

What researchers measure

Primary outcomes

  1. The time from study drug administration to reaching a TOF ratio of 0.9.

    Time frame: 10 minutes

Secondary outcomes

  1. Number of patient with reoccurrence of neuromuscular block after initial reversal to TOF ratio 0.9.

    Time frame: 20 minutes

  2. Number of patients with adverse reactions in each group

    Adverse reactions (anaphylactic reaction, flushing, urticaria, erythematous rash, (severe) hypotension (BPsyst\> 75 mmHg), tachycardia (heart rate\> 120 beats/min), bradycardia (heart rate \<40 beats/min), swelling of tongue, swelling of pharynx, bronchospasm)

    Time frame: until discharge - 3 days

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Aug 2018; primary completion for Dec 2019, 16 months later.

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

Registered
Oct 17, 2017
First posted
Mar 9, 2018
StartEst.
Aug 2018
Primary completionEst.
Dec 2019
CompletionEst.
Dec 2019
Last update
May 30, 2018
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 May 30, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03460509
Lead sponsor
The Hospital of Vestfold
Responsible party
Tayyba Aslam (Principal investigator, The Hospital of Vestfold) — Principal investigator
First posted
Mar 9, 2018
Start date
Aug 2018 (estimated)
Primary completion
Dec 2019 (estimated)
Completion
Dec 2019 (estimated)
Last update
May 30, 2018

Study contacts

Tayyba Aslam, MD
Contact
tayybaaslam@gmail.com
004798097489
Espen Lindholm, MD, PHD
Contact
espen.lindholm@siv.no
004792213346

Oversight

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

Not currently enrolling

This study is status unknown, as verified in May 2018. 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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