An Effectiveness and Safety Study of AQUAVAN® Injection (Fospropofol Disodium) for Sedation During Colonoscopy

NCT ID: NCT00261599

Last Updated: 2008-11-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-03-31

Study Completion Date

2006-10-31

Brief Summary

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Very often patients receive medication before a diagnostic procedure, like a colonoscopy, to help them relax and stay calm during the procedure. This is called procedural or minimal-to-moderate sedation. One product used for sedation is called propofol. AQUAVAN (fospropofol disodium) is made as a water soluble form of propofol allowing for rapid sedation during the entire procedure. This study is designed to test AQUAVAN for sedation during colonoscopy procedures.

Detailed Description

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This is a phase 3, randomized, double-blind, dose-controlled study designed to evaluate the efficacy and safety of a moderate dose of AQUAVAN compared to a subtherapeutic dose of AQUAVAN,both following pretreatment with an analgesic fentanyl, in patients who are undergoing elective colonoscopy. A group of patients will receive midazolam as a reference therapy.

Following completion of pre-procedure assessments, patients will be randomly assigned to 1 of 3 treatment groups at a 2:3:1 (AQUAVAN initial dose 1 \[subtherapeutic dose\]:AQUAVAN initial dose 2 \[moderate dose\]: initial Midazolam Reference Dose) allocation ratio on the day of the scheduled procedure.

A person skilled in airway management and authorized by the facility in which the colonoscopy is performed (such as a respiratory therapist, a study nurse, or a clinician) must be immediately available during the conduct of the study. All patients will be placed on supplemental oxygen via nasal cannula (4 L/min), and an ECG monitor, pulse oximeter, and blood pressure monitor will be attached prior to administration of study medication. All patients will receive an injection of analgesic pretreatment followed by the administration of study medication. This protocol recognized 2 distinct phases of sedation: Sedation Initiation and Sedation Maintenance. Assessments will be made to evaluate the patients for levels of sedation, clinical benefit of sedation, and adverse events. Blood samples will be collected for PK analysis.

Conditions

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Conscious Sedation

Keywords

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Colonoscopy Sedation AQUAVAN Fospropofol disodium Colon polyps Endoscopic outcomes Endoscopic sedation Endoscopy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Interventions

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AQUAVAN® (fospropofol disodium) Injection

Intervention Type DRUG

Midazolam HCI

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Patient must be able to understand required assessments and procedures.
2. Patient provides signed/dated Informed Consent and Health Insurance Portability and Accountability Act of 1996 (HIPAA) authorization after receiving a full explanation of the extent and nature of the study.
3. Patient must be at least 18 years of age at the time of screening.
4. If female, patient must be surgically sterile, postmenopausal, or not pregnant or lactating and must have been using an acceptable method of birth control for at least 1 month prior to dosing, with a negative urine pregnancy test result at screening and pre-dose.
5. Patient meets American Society of Anesthesiologists (ASA) Physical Classification System status of P1 to P4.

Exclusion Criteria

1. Patient has a history of allergic reaction or hypersensitivity to any anesthetic agent, opioid, or benzodiazepine.
2. Patient does not meet nils per os (NPO) status per ASA guidelines or institution's guideline.
3. Patient has a Mallampati Classification Score of 4; OR a Mallampati Classification Score of 3 AND a thyromental distance ≤4 cm, or for any other reason has a difficult airway, in the opinion of the Investigator.
4. Patient has an abnormal, clinically significant 3-lead ECG finding at predosing period Day 0.
5. Patient has participated in an investigational drug study within 1 month prior to study start.
6. Patient is unwilling to adhere to pre- and postprocedural instructions.
7. Patient for whom the use of fentanyl citrate injection (fentanyl) is contraindicated.
8. Patient for whom the use of midazolam HCl injection (midazolam) is contraindicated.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eisai Inc.

INDUSTRY

Sponsor Role lead

Principal Investigators

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James Jones, MD, PharmD

Role: STUDY_DIRECTOR

Eisai Inc.

Locations

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Clinical Research Associates

Huntsville, Alabama, United States

Site Status

UCSF-Fresno/University Medical Center

Fresno, California, United States

Site Status

Borland-Groover Clinic

Jacksonville, Florida, United States

Site Status

Rockford Gastroenterology Associates

Rockford, Illinois, United States

Site Status

Welborn Clinic

Evansville, Indiana, United States

Site Status

Indiana University Medical Center/Clarian Health Partner

Indianapolis, Indiana, United States

Site Status

Chevy Chase Clinical Research

Chevy Chase, Maryland, United States

Site Status

Maryland Digestive Diseases Center

Laurel, Maryland, United States

Site Status

Shah Associates

Prince Frederick, Maryland, United States

Site Status

Oakland Colon & Rectal Associates

Royal Oak, Michigan, United States

Site Status

Center for Digestive Health

Troy, Michigan, United States

Site Status

Gastrointestinal Associates, PA

Jackson, Mississippi, United States

Site Status

Research Associates of New York (New York Gastroenterology Associates)

New York, New York, United States

Site Status

Asheville Gastroenterology Associates

Asheville, North Carolina, United States

Site Status

WestHills Gastroenterology Associates

Portland, Oregon, United States

Site Status

Memphis Gastroenterology Group, PC

Germantown, Tennessee, United States

Site Status

Gastrointestinal Institute

Nashville, Tennessee, United States

Site Status

Alamo Research Center

San Antonio, Texas, United States

Site Status

Spokane Digestive Disease Center

Spokane, Washington, United States

Site Status

Wisconsin Center for Advance Research

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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MGI 3000-0522

Identifier Type: -

Identifier Source: secondary_id

3000-0522

Identifier Type: -

Identifier Source: org_study_id