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

NCT ID: NCT00306722

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

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-04-30

Study Completion Date

2007-05-31

Brief Summary

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Very often patients receive medication before a diagnostic, therapeutic, or surgical procedure to help them relax, keep them calm, and to relieve them from pain. This is called procedural sedation. During procedural (mild-to-moderate) sedation, a patient is first given a pain-relief medication (analgesic) and then a medication to help him/her relax and keep him/her calm (sedative). Propofol is the drug commonly used for sedation because it releases immediately into the blood stream and causes fast sedation. AQUAVAN (fospropofol disodium) is made as a slow release version of propofol with a longer duration of effect.

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 AQUAVAN 6.5 mg/kg compared to a minimally effective dose of AQUAVAN 2.0 mg/kg, both following pretreatment with an analgesic, fentanyl in patients who are undergoing flexible bronchoscopy.

Following completion of preprocedure assessments, patients will be randomly assigned to 1 of 2 treatment groups at a 2:3 (AQUAVAN initial dose 1 \[2.0 mg/kg\]:AQUAVAN initial dose 2 \[6.5 mg/kg\] allocation ratio on the day of the scheduled procedure. Randomization will be stratified by site.

A person skilled in airway management (such as a respiratory therapist, a study nurse, or a clinician) and authorized by the facility in which the colonoscopy is performed 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 analgesic pretreatment (fentanyl citrate injection for pain; lidocaine for topical anesthetic followed by the administration of study medication. 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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Bronchoscopy Anesthesia

Keywords

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Bronchoscopy Sedation AQUAVAN fospropofol disodium Flexible bronchoscopy

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

Eligibility Criteria

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Inclusion Criteria

1. Patient must be able to understand, either orally or in writing, and be able to consent and complete the 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 predose.
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 or opioid.
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.
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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Pulmonary Associates of Mobile, PC

Mobile, Alabama, United States

Site Status

Precision Trials

Phoenix, Arizona, United States

Site Status

Saddleback Memorial Medical Center

Laguna Hills, California, United States

Site Status

USC Health Science Campus (USC University Hospital)

Los Angeles, California, United States

Site Status

Pensacola Research Consultants, Inc.

Pensacola, Florida, United States

Site Status

Acute Care Consultants Inc.

Augusta, Georgia, United States

Site Status

Graves-Gilbert Clinic

Bowling Green, Kentucky, United States

Site Status

Central Maine Pulmonary Associates

Auburn, Maine, United States

Site Status

Berkshire Medical Center

Pittsfield, Maryland, United States

Site Status

Hurley Medical Center

Flint, Michigan, United States

Site Status

Keith Popovich, MD, PLLC

Butte, Montana, United States

Site Status

International Heart Institue of MT Foundation

Missoula, Montana, United States

Site Status

University of Nebraska Medical Center

Omaha, Nebraska, United States

Site Status

United Health Scrvices Hosptial, INC

Johnson City, New York, United States

Site Status

Brody School of Medicine

Greenville, North Carolina, United States

Site Status

ALL-TRIALS Clinical Research, LLC

Winston-Salem, North Carolina, United States

Site Status

University of Cincinnati, The University Hospital

Cincinnati, Ohio, United States

Site Status

Lowcountry Lung & Critical Care, PA

Charleston, South Carolina, United States

Site Status

Medical University of South Carolina

Charleston, South Carolina, United States

Site Status

Greenville Hospital System

Greenville, South Carolina, United States

Site Status

South Carolina Pharmaceutical Research

Spartanburg, South Carolina, United States

Site Status

Spartanburg Medical Research

Spartanburg, South Carolina, United States

Site Status

The University of Texas Medical Branch Division of APICS

Galveston, Texas, United States

Site Status

Johnston Memorial Hospital Pulmonary Research

Abingdon, Virginia, United States

Site Status

Pulmonary Associates of Fredericksburg, Inc.

Fredericksburg, Virginia, United States

Site Status

Countries

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United States

References

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Silvestri GA, Vincent BD, Wahidi MM, Robinette E, Hansbrough JR, Downie GH. A phase 3, randomized, double-blind study to assess the efficacy and safety of fospropofol disodium injection for moderate sedation in patients undergoing flexible bronchoscopy. Chest. 2009 Jan;135(1):41-47. doi: 10.1378/chest.08-0623. Epub 2008 Jul 18.

Reference Type DERIVED
PMID: 18641105 (View on PubMed)

Other Identifiers

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MGI 3000-0524

Identifier Type: -

Identifier Source: secondary_id

3000-0524

Identifier Type: -

Identifier Source: org_study_id