Safety and Efficacy of Fospropofol vs Propofol During Invasive Mechanical Ventilation.
Safety and Efficacy of Fospropofol vs Propofol During Invasive Mechanical Ventilation in Anesthesiology Intensive Care Unit: A Preliminary Study
The goal of this clinical trial is to compare the safety and efficacy of fospropofol and propofol during sedation in invasively mechanically ventilated patients in the Anesthesia Intensive Care Unit (AICU). Specific objectives include the following:
- Evaluate the sedative effects of fospropofol and propofol in invasively mechanically ventilated patients. Compare the sedative effects of the two medications using relevant clinical indicators and scoring tools, such as the Richmond Agitation-Sedation Scale (RASS).
- Compare the safety of fospropofol and propofol during sedation. Monitor medication-related adverse reactions, such as respiratory depression, hypotension, arrhythmias, headache, injection site pain, and assess the differences in adverse reaction incidence between the two medications.
- Compare the characteristics of recovery from sedation between PPD and propofol. Focus on the time from sedation to emergence from sedation and compare the differences in recovery time between the two medications.
Participants will be sedated with fospropofol or propofol during invasive mechanical ventilation.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Jiaqiang Q Zhang, M.D
- Phone Number: +86 0371 65580728
- Email: hnmzxh@163.com
Study Locations
-
-
-
Zhengzhou, China
- Henan Provincial People's Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Aged 18-75 years old
- Intubation and mechanical ventilation <12h before enrollment
- Expected to require continuous invasive ventilation and sedation less than 6h after admission to anesthesia intensive care unit (AICU).
- Signed informed consent
Exclusion Criteria:
- parturient, childbirth or lactating mothers
- acute severe neurological disease or coma
- chronic renal failure
- previous mechanical ventilation >12h
- severe liver dysfunction (Child-Pugh score C)
- BMI >30kg/m2 (>90kg)
- dying
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Fospropofol group
Fospropofol is administered to patients after admission to the roomat a pumping rate of 1 mg/kg/h.
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Fospropofol is administered after admission to the room at a pumping rate of 1 mg/kg/h.
Other Names:
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Placebo Comparator: Propofol group
Propofol is administered after admission to the room at a pumping rate of 0.5 mg/kg/h.
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Fospropofol is administered after admission to the room at a pumping rate of 1 mg/kg/h.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The patient's Richmond Agitation-Sedation Scale (RASS) score and the incidence of adverse reactions
Time Frame: Admission to the intensive care unit to 2 hours after weaning off the ventilator.
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The participant's RASS score was assessed by the caregiver and the occurrence of adverse reactions was recorded.
Adverse effects include hypotension, bradycardia, tachycardia, agitation, pain at the injection site, nausea and vomiting, edema, fever, anemia, paresthesias, headache, and hypoxemia.
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Admission to the intensive care unit to 2 hours after weaning off the ventilator.
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of adverse reactions during the follow-up period
Time Frame: 2 hours after weaning off the ventilator to 24 hours after leaving the intensive care unit.
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Adverse effects include hypotension, bradycardia, tachycardia, agitation, pain at the injection site, nausea and vomiting, edema, fever, anemia, paresthesias, headache, and hypoxemia.
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2 hours after weaning off the ventilator to 24 hours after leaving the intensive care unit.
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Extubation time
Time Frame: From admission to the intensive care unit to removal of the endotracheal tube
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The time from admission to the intensive care unit to removal of the endotracheal tube
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From admission to the intensive care unit to removal of the endotracheal tube
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Jiaqiang Q Zhang, M.D, Henan Provincial People's Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- henanFSH
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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