CClinicalTrials.gg
Status unknownNCT05539521Updated Sep 26, 2022

Efficacy and Safety of Remimazolam Besylate Versus Propofol for Sedation in Critically Ill Patients With Deep Sedation

A Phase 2 interventional study of Remimazolam Besylate and Propofol in Critically Ill and Deep Sedation, sponsored by Wuhan Union Hospital, China. Status unknown at 1 site in China. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2022-09-26.

Sponsored by Wuhan Union Hospital, China · Phase 2, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Sep 2022), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the efficacy and safety of remimazolam besylate compared to propofol for sedation in critically ill patients with deep sedation.

Read the detailed description

This is a single-center, prospective, randomized, controlled study using remimazolam besylate and propofol for sedation in critically ill patients with deep sedation. Subjects are randomized to remimazolam group and propofol group in a 1:1 ratio. Remifentanil is administered as the analgesic. Efficacy and safety profiles of remimazolam besylate are to be evaluated.

02

Conditions studied

  • Critically Ill
  • Deep Sedation

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Keywords

  • Remimazolam besylate
  • Propofol
  • Intensive care unit
  • Deep sedation
03

In context

Critical Illness

1,881 studies on the registry are indexed under Critical Illness; 462 are open to participants now.

This study's planned enrollment of 60 is below the median of 90 across 979 interventional studies indexed under Critical Illness.

Browse Critical Illness studies →

Lead sponsor

Wuhan Union Hospital, China is the lead sponsor of 230 studies on the registry; 104 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age ≥ 18 and ≤ 80 years;
  • Expected to require deep sedation ≥8 hours;
  • Requirement for deep sedation (a Narcotrend index between 13 and 64).

Exclusion criteria

Exclusion Criteria:

  • 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;
  • Expected to have a general anesthesia within 8 hours;
  • Pregnancy or lactation.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Remimazolam Besylate

    Patients in the remimazolam group received remimazolam besylate at an initial infusion rate of 0.3 mg/kg/h and adjusted to maintain a Narcotrend index between 13 and 64.

    Drug: Remimazolam Besylate

  • Active comparator
    Propofol

    Patients in the propofol group received propofol at an initial infusion rate of 3.0 mg/kg/h and adjusted to maintain a Narcotrend index between 13 and 64.

    Drug: Propofol

Interventions

  • DrugRemimazolam Besylate

    sedation drugs

  • DrugPropofol

    Propofol

06

What researchers measure

Primary outcomes

  1. The percentage of time in the target sedation range without rescue sedation

    The percentage of time in the target sedation range without rescue sedation

    Time frame: From the beginning of using study sedatives until being discharged from our ICU, the sedation target was changed, 48 hours after enrollment, or dead, whichever came first

Secondary outcomes

  1. Adverse events

    Adverse events

    Time frame: From the beginning of using study sedatives until being discharged from our ICU, the sedation target was changed, 48 hours after enrollment, or dead, whichever came first

  2. 7-day ventitlator free time

    7-day ventitlator free time

    Time frame: From start of study to 7 days

  3. Extubation at day 7

    Extubation at day 7

    Time frame: From start of study to 7 days

  4. Length of ICU stay

    Length of ICU stay

    Time frame: From start of study to 28 days

  5. 28-day mortality

    28-day mortality

    Time frame: From start of study to 28 days

07

Study locations

1 of 1 sites recruiting
  • Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, China
    • Xiaobo Yang · Contact
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 26, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05539521
Lead sponsor
Wuhan Union Hospital, China
Responsible party
Xiaobo Yang, MD (MD, Wuhan Union Hospital, China) — Principal investigator
First posted
Sep 14, 2022
Start date
Sep 5, 2022
Primary completion
Feb 2023 (estimated)
Completion
Mar 2023 (estimated)
Last update
Sep 26, 2022

Study contacts

Xiaobo Yang, MD
Contact
want.tofly@aliyun.com
+8602785351606
You Shang, Professor
principal investigator · Wuhan Union Hospital, China

Oversight

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 Sep 2022. You cannot join it, but the record below documents what was studied.

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