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Remifentanil in children

The pharmacokinetics and –genomics of remifentanil, and its effects on the depth-of-anaesthesia monitors and the protein synthesis in children.

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2015-000051-24-FI
Enrollment
60
Registered
2015-01-23
Start date
2015-03-26
Completion date
Unknown
Last updated
2025-03-24

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

Conditions

otherwise healthy patients undergoing an operation necessitating general anaesthesia

Interventions

Trade Name: Remifentanil Orion 1 mg Pharmaceutical Form: Infusion INN or Proposed INN: REMIFENTANIL CAS Number: 132875-61-7 Concentration unit: µg/ml microgram(s)/millilitre Concentration type: equal

Sponsors

Klaus Olkkola/University of Helsinki
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Patient is 3-15 years old (body weight (15-61 kg). Patients ASA class is 1-2. Patient comes to an elective surgery which necessitates general anesthesia. Operation time is appr. 1.5-6 hours Are the trial subjects under 18? yes Number of subjects for this age range: 60 F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range

Exclusion criteria

Exclusion criteria: Patient has a disease or trauma affecting the state of consciousnes or encephaloelectrogram measurement. Patient comes to a head or neck surgery. Anaesthesia cannot be induced via intravenous route. The researchers cannot place the second iv-cannula. Muscle relaxant is needed. Patient or his/her guardians refuse to take part in the study

Design outcomes

Primary

MeasureTime frame
Main Objective: Our aim is to study the effects of remifentanil on the entropy measurement in paediatric patients during general anaesthesia.;Secondary Objective: 2. To evaluate the effects of surgery pain and remifentanil analgesia to surgigal pleth index (SPI) and entropy measurement and their microdeviation. 3. To evaluate the usefulnes of entropy-measurement in assessing awakening from general anaesthesia. 4. To evaluate the usefulness of target-controlled infusion -dosing during awakening period of anaesthesia. 5. To create pharmacokinetic-pharmacodynamic model for remifentanil to be used in target controlled analgesia in pediatric patients. 6. To characterise propofol-remifentanil drug interactions 7. To characterise genomic factors affecting remifentanil analgesia. 8. To characterise remifentanil induced changes in protein expression.;Primary end point(s): All the planned SPI and entropy measurements have been done.;Timepoint(s) of evaluation of this end point: 24 hours after the start of remifentanil dosing.

Secondary

MeasureTime frame
Secondary end point(s): All the planned blood samples have been drawn.;Timepoint(s) of evaluation of this end point: 24 hours after the start of remifentanil dosing

Countries

Finland

Contacts

Public ContactKlaus Olkkola

Klaus Olkkola/University of Helsinki

Outcome results

None listed

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