Anesthesia, General
Conditions
Brief summary
The purpose of this study was to demonstrate in adult patients a faster recovery from a neuromuscular block with 2.0 mg/kg Org 25969 (sugammadex) after rocuronium as compared to 50 ug/kg neostigmine after cisatracurium when administered at reappearance of T2
Interventions
Subjects received a bolus dose of 0.6 mg/kg rocuronium. After the last dose of rocuronium, at reappearance of T2, a dose of 2.0 mg/kg Org 25969 was to be administered
Subjects received a bolus dose of 0.15 mg/kg cisatracurium. After the last dose of cisatracurium, at reappearance of T2, a dose of 50 ug/kg neostigmine was to be administered. In accordance to the labeling of neostigmine, a maximum of 5 mg neostigmine was to be administered
Sponsors
Study design
Eligibility
Inclusion criteria
* Subjects of ASA 1 - 4; * Subjects above or equal to the age of 18; * Scheduled for surgical procedures with a general anesthesia requiring neuromuscular relaxation with the use of rocuronium or cisatracurium; * Scheduled for surgical procedures in supine position; * Given written informed consent.
Exclusion criteria
* Subjects in whom a difficult intubation because of anatomical malformations was expected; * Subjects known or suspected to have neuromuscular disorders impairing neuromuscular block (NMB) and/or significant renal dysfunction; * Subjects known or suspected to have a (family) history of malignant hyperthermia; * Subjects known or suspected to have an allergy to narcotics, muscle relaxants or other medication used during general anesthesia; * Subjects receiving medication in a dose and/or at a time point known to interfere with neuromuscular blocking agents such as antibiotics, anticonvulsants and Mg2+; * Subjects in whom the use of neostigmine and/or glycopyrrolate may be contraindicated; * Subjects who had already participated in an Org25969 trial; * Subjects who had participated in another clinical trial (not pre-approved by NV Organon) within 30 days of entering into CT 19.4.310. * Female subjects who are pregnant: * Female subjects of childbearing potential not using any method of birth control: condom or using only hormonal contraception as birth control; * Female subjects who were breast -feeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time from start administration of Org 25969/neostigmine to recovery T4/T1 ratio to 0.9 | After surgery |
Secondary
| Measure | Time frame |
|---|---|
| Time from start administration of Org 25969/neostigmine to recovery T4/T1 ratio to 0.7 and 0.8 | After surgery |
| Assessment of clinical signs of recovery (level of consciousness, 5 sec head lift, and general muscle weakness) | after surgery |