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The efficacy and safety of remimazolam tosylate for induction and maintenance of general anesthesia in pediatric patients undergoing elective surgery: a multicentre, randomized, single-blind, positive-controlled clinical trial

The efficacy and safety of remimazolam tosylate for induction and maintenance of general anesthesia in pediatric patients undergoing elective surgery: a multicentre, randomized, single-blind, positive-controlled clinical trial

Status
Recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2100053468
Enrollment
Unknown
Registered
2021-11-22
Start date
2022-06-05
Completion date
Unknown
Last updated
2022-10-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Children disease

Interventions

control group:propofol

Sponsors

the Second Affiliated Hospital of WenZhou Medical University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
3 Years to 6 Years

Inclusion criteria

Inclusion criteria: 1. 3-6 years old, and the gender is not limited; 2. ASA is graded I-II; 3. 14kg/m^2<BMI<25kg/m^2; 4. Non-cardiothoracic, non-brain, non-liver elective surgery children who need to undergo tracheal intubation under general anesthesia; 5. The parents or legal guardians of the children voluntarily participate in this trial and sign the informed consent; 6. Meet the weight standard: (1) Three-year-old boy/girl: 13.1kg~16.4kg/12.7kg~15.8kg; (2) Four-year-old boy/girl: 14.9kg~21.0kg/14.4kg~20.5kg; (3) Five-year-old boy/girl: 16.9kg~24.4kg/16.2kg~23.5kg; (4) Six-year-old boy/girl 18.7kg~28.0kg/17.9kg~26.7kg.

Exclusion criteria

Exclusion criteria: 1. Pediatric populations requiring special care or court/social welfare agency supervision; 2. Subjects who have received general anesthesia within 14 days before randomization; 3. Those who plan to undergo total intravenous anesthesia before entering the operating room and need to combine other anesthesia methods, such as inhalation anesthesia, epidural anesthesia, subarachnoid anesthesia or regional block, etc. 4. Combined with serious cardiovascular system diseases; 5. Test children with abnormal liver function, ALT and/or AST > 1.5 times the upper limit of normal value; children with total bilirubin exceeding the upper limit of normal value; abnormal renal function, creatinine and/or urea nitrogen higher than the upper limit of normal value of the patients tested; 6. Children with anemia judged by the investigator to need treatment; 7. Children with mental system diseases and cognitive impairment; children with a history of epilepsy; 8. Subjects who have experienced abnormal behavior after medication in the past; 9. Children with acute angle-closure glaucoma; 10. Children who are judged to have difficulty in airway management: the modified Markov score is grade III or grade IV; 11. Children who have participated in clinical trials of other drugs (received trial drugs) within 3 months before the screening period; 12. Known or suspected use of the various components of the study drug or the procedures prescribed in the protocol (sufentanil citrate injection, cisatracurium injection, remifentanil hydrochloride for injection, ketone Allergy or contraindications to tromethamine injection, neostigmine methyl sulfate injection, and atropine sulfate injection); 13. Other situations judged by the investigator to be inappropriate to participate in this clinical trial.

Design outcomes

Primary

MeasureTime frame
proportion of the successful induction of anesthesia;proportion of the successful maintenance of anesthesia;

Secondary

MeasureTime frame
time to awakening;Emergence Agitation Score (PAED);FLACC Pain Assessment Scale;extubation time;Time from start of study drug administration to loss of consciousness;proportion of using additional sedative drugs During Induction of anesthesia;proportion of using remedial sedative drugs in PACU;Anesthesia satisfaction score;Postoperative Behavioral Questionnaire Score;Time between discontinuation of study drug and Aldrete score of >=9;

Countries

China

Contacts

Public ContactLiu Huacheng

The Second Affiliated Hospital of Wenzhou Medical Universtiy

huachengliu@163.com+86 13957770577

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026