Combination of Remimazolam and Propofol During Drug-induced Sleep Endoscopy
A Randomized Clinical Trial to Evaluate the Sedative Effect of the Combination of Remimazolam and Propofol in Drug-induced Sleep Endoscopy
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Tianjin Municipality
-
Tianjin, Tianjin Municipality, China, 300052
- Respiratory Endoscopy Center of Tianjin Medical University General Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients diagnosed with sleep apnea hypopnea syndrome were included
Exclusion Criteria:
- Patients were excluded if they had nasal obstruction, significantly deviated nasal septum, nasal turbinate hypertrophy, or nasal polyps. Patients with uncontrolled heart failure, renal insufficiency, diabetes, or hyperthyroidism were also excluded. Patients were also excluded if taking medications that could affect upper airway muscle function, such as ben- zodiazepines and muscle relaxants.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Application of remimazolam and propofol to achieve satisfactory sedative effect
|
Application of Remimazolam and Propofol to induce sleep
|
|
Active Comparator: Application of propofol to achieve satisfactory sedative effect
|
Application of Propofol to induce sleep
|
|
Active Comparator: Application of midazolam and propofol to achieve satisfactory sedative effect
|
Application of Midazolam and Propofol to induce sleep
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
sedation success rate
Time Frame: During procedure (From the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
a composite measure including completion of the DISE, no requirement for rescue sedative medication, and no requirement for more than 5 top-up doses of the trial medication after the initial dose.
|
During procedure (From the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Sedative effect-sedation to recovery time
Time Frame: The time period of the end of operation to complete wakefulness,through operation completion, an average of 30min
|
The process of a patient recovering from anesthesia to complete wakefulness
|
The time period of the end of operation to complete wakefulness,through operation completion, an average of 30min
|
|
Procedure-related adverse effect-The need for antidote administration
Time Frame: During procedure (From the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
Percentage of patients need for antidote administration
|
During procedure (From the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
|
Procedure-related adverse effect-The occurrence of tachycardia
Time Frame: During procedure (From the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
Percentage of patients affected tachycardia(ECG monitor)
|
During procedure (From the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
|
Procedure-related adverse effect-The occurrence of hypotension
Time Frame: During procedure (From the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
Percentage of patients affected hypotension(ECG monitor)
|
During procedure (From the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
|
Procedure-related adverse effect-The occurrence of hypoxemia
Time Frame: During procedure (From the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
Percentage of patients affected hypoxemia(ECG monitor)
|
During procedure (From the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
|
The degree of patient and physician satisfaction
Time Frame: During procedure (the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
The percentage of patient and physician satisfacted with the procedure
|
During procedure (the start of drug induced sleep endoscopy to the complete awakening of the patient)
|
|
Sedative effect-Adequate sedation time
Time Frame: During procedure (From the start of medication to target BIS range), an average of 2min
|
The doctor evaluate the time it takes for the patient to reach a state of sufficient
|
During procedure (From the start of medication to target BIS range), an average of 2min
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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
Keywords
Additional Relevant MeSH Terms
- Nervous System Diseases
- Respiratory Tract Diseases
- Respiration Disorders
- Sleep Wake Disorders
- Apnea
- Sleep Disorders, Intrinsic
- Dyssomnias
- Sleep Apnea Syndromes
- Sleep Apnea, Obstructive
- Organic Chemicals
- Heterocyclic Compounds
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Hydrocarbons
- Hydrocarbons, Cyclic
- Hydrocarbons, Aromatic
- Phenols
- Benzene Derivatives
- Benzazepines
- Benzodiazepines
- Midazolam
- Propofol
- remimazolam
Other Study ID Numbers
Other Study ID Numbers
- IRB2024-YX-607-01
- 82300120 (Other Grant/Funding Number: National Natural Science Foundation of China)
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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