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Not yet recruitingNCT07477132SUGAPEDIAUpdated Mar 17, 2026

A Dose-response Study to Determine the Right Dosage of Sugammadex as a Reversal Agent of Rocuronium in Infants Between 1 and 24 Months Old

A Phase 4 interventional study of Sugammadex in Curarization, Postoperative Residual, sponsored by University Hospital, Caen. Not yet recruiting at 1 site in France. Open to participants aged 1 Month to 24 Months. Per ClinicalTrials.gov, last updated 2026-03-17.

Sponsored by University Hospital, Caen · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
99
Allocation
Not applicable
Ages
1 Month to 24 Months
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
7th of 14
99 · median 92
Started
2026
the only one that year
Phase 4
6 of 14
1 open now
Registered
14th of 14
by date

Among the 14 studies testing sugammadex in Delayed Emergence from Anesthesia, this one is the 7th largest by planned enrollment, is the only one that started in 2026, is one of 6 in phase 4, and was the 14th registered.

By phase

14 studies; the count open now beside each. This study's row is marked.

No phase6 · 1 open
Phase 4this study6 · 1 open
Phase 22 · 0 open

By the year they started

First in 2013; this study’s year is marked. 1 started in 2026.

Tested beside sugammadex

Size and results

Median enrollment 92 across the 14 interventional studies. Of the 9 that completed or were terminated, 1 (11%) have results posted.

Watch this landscapeDownload CSVWith 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

Sugammadex is a drug used more and more frequently in infants as a rocuronium' s reversal agent. It has multiples benefits over other reversal agents such as a rapid onset of action and a complete reversal no matter how deep is the neuromuscular blockade.

The dosage of sugammadex used in current clinical practice is the same as in adults based on empirical evidence. Futhermore some multricentric studies showed that that dosage might not be appropriate for infants younger than 2 years old.

The goal of this study is to determine the correct dosage of sugammadex to use in infants younger than 2 years old.

03

Conditions studied

  • Curarization, Postoperative Residual

Keywords

  • Neuromuscular blocking agent
  • children
  • curarization
04

Who can participate

Ages eligible
1 Month to 24 Months
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

  • Child, male or female, aged \< 24 months.
  • (ASA) Physical Status Class I or II.
  • Non-cardiac and non-emergency surgical procedure, or relative emergency (>12 h) requiring neuromuscular blockade with rocuronium and reversal with sugammadex.
  • Surgical procedure allowing neuromuscular monitoring at the adductor pollicis muscle.
  • Child covered by a social security regiment.
  • Written signed by the holder(s) of parental authority.
  • French-speaking holder(s) of parental authority.

Exclusion criteria

Exclusion Criteria:

  • Child who received or will receive toremifene or fusidic acid within 24 hours before or after administration of the study treatments (rocuronium, sugammadex).
  • Use of two different neuromuscular blocking agents during the procedure.
  • Failure to calibrate the Train-of-Four (TOF) qualitative count (TOFc) and quantitative ratio (TOFr).
  • Non-compliance with the titrated administration protocol of sugammadex and TOF monitoring during the study.
  • Use, during the procedure, of medications that may interfere with the study treatments: aminoglycosides, lincosamides, polymyxins, quinidine, quinine, magnesium salts, phenytoin, carbamazepine, or continuous IV lidocaine.

Non inclusions criteria :

  • Emergency requiring care in the operating room within \< 12 hours.
  • Child weighing more than 20 kg.
  • Premature child: \< 37 weeks gestational age at birth.
  • Suspected or diagnosed neuromuscular disorder at the time of surgical care.
  • Child suspected of having,or with a family history of, malignant hyperthermia.
  • Child suspected of having, or with a known allergy to, the medications used in the study (rocuronium, sugammadex) or any of their respective .
  • Child expected to require mechanical ventilation at the end of the surgical procedure.
  • Child receiving, at the time of inclusion, regular treatment with medications that may interfere with the treatments used in this study: aminoglycosides, lincosamides, polymyxins, quinidine, quinine, magnesium salts, phenytoin, carbamazepine.
  • Minor holders of parental authority, or children under guardianship or curatorship.
Terms in these criteria, in plain language(3)

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.

Excipients

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

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
99 participants (estimated)

Study arms

  • Experimental
    Infants < 24 months old

    Drug: Sugammadex

Interventions

  • Sugammadex titration as an antagonist agent of rocuronium in infants \< 24 months old undergoing surgery. In post anesthesia care room 0.2mg/kg of sugammadex will be administered every 3 +/-1 min while monitoring the residual neuromuscular blockade with an EMG based device.

06

What researchers measure

Primary outcomes

  1. Total dosage of sugammadex necessary to obtain a complete reversal of neuromuscular blockade.

    The total dosage is obtained by adding each titration dosage of 0.2mg/kg every 3 +/-1 min to obtain a TOF ration of \> 90%. The analysis will be conducted in three age categories (\<6 months, 6-12 months, 12-24 months) and according to the depth of neuromuscular blockade before reversal (TOF count \< 2/4 and TOF count ≥ 2/4).

    Time frame: From the arrival in the operating room to the tranfert back in the surgical ward (usually up to 12 hours)

Secondary outcomes

  1. Compare among the three age groups (<6 months, 6-12 months, 12-24 months): the doses of sugammadex required to achieve complete reversal of neuromuscular blockade, the percentage of subjects for whom the required dose was lower than the recommended dose

    The analysis will be performed separately in the three age categories (\<6 months, 6-12 months, 12-24 months).

    Time frame: From the arrival in the operating room to the tranfert back in the surgical ward (usually up to 12 hours)

  2. Detect the possible occurrence of electrical or clinical recurarization phenomena during the reversal procedure in children under 24 months of age, and evaluate their association with different parameters

    Detect the possible occurrence of electrical or clinical recurarization phenomena during the reversal procedure in children under 24 months of age, and evaluate their association with: the initial depth of neuromuscular blockade, the total dose of rocuronium administered, and the time interval between the last dose of rocuronium and the first dose of sugammadex. The analysis will be performed separately in the three age categories (\<6 months, 6-12 months, 12-24 months).

    Time frame: From the arrival in the operating room to the tranfert back in the surgical ward (usually up to 12 hours)

  3. Describe, in all three patient group, the temporal evolution of the depth of neuromuscular blockade during the reversal procedure.

    The analysis will be performed separately in the three age categories (\<6 months, 6-12 months, 12-24 months).

    Time frame: From the arrival in the operating room to the tranfert back in the surgical ward (usually up to 12 hours)

  4. Determine the incidence of recurarization (defined as the reappearance of neuromuscular blockade after a fully documented complete reversal) within 60 minutes following sugammadex-induced reversal in children under 24 months of age.

    The analysis will be performed separately in the three age categories (\<6 months, 6-12 months, 12-24 months).

    Time frame: From the arrival in the operating room to the tranfert back in the surgical ward (usually up to 12 hours)

  5. Identify adverse events related to the administration of sugammadex, such as recurarization or drug hypersensitivity.

    The analysis will be performed separately in the three age categories (\<6 months, 6-12 months, 12-24 months).

    Time frame: From the arrival in the operating room to the tranfert back in the surgical ward (usually up to 12 hours)

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07477132
Responsible party
Sponsor
First posted
Mar 17, 2026
Start date
Mar 30, 2026 (estimated)
Primary completion
Aug 1, 2027 (estimated)
Completion
Oct 1, 2027 (estimated)
Last update
Mar 17, 2026

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 not yet recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Sugammadex

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