Trial Outcomes & Findings for Influence of Mild Hypothermia on Reversal of Rocuronium With Sugammadex (NCT NCT01965067)

NCT ID: NCT01965067

Last Updated: 2014-08-15

Results Overview

The time from the administration of sugammadex to recovery of the TOF ratio to 0.9 in deep neuromuscular block (1-2 twitches post-tetanic count) induced by rocuronium during mild hypothermia with core temperatures between 34.5°C and 35°C, and compared with the normal thermal condition.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

60 participants

Primary outcome timeframe

The recovery time to the TOF ratio of 0.9 after the administration of the sugammadex, an expected average of 5 minutes

Results posted on

2014-08-15

Participant Flow

Participant milestones

Participant milestones
Measure
C Group
normal thermal condition with core temperatures between 36.5°C and 37°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
H Group
mild hypothermia with core temperatures between 34.5°C and 35°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
Overall Study
STARTED
30
30
Overall Study
COMPLETED
30
30
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Influence of Mild Hypothermia on Reversal of Rocuronium With Sugammadex

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
H Group
n=30 Participants
mild hypothermia with core temperatures between 34.5°C and 35°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
C Group
n=30 Participants
normal thermal condition with core temperatures between 36.5°C and 37°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
47.6 years
STANDARD_DEVIATION 9.8 • n=5 Participants
47.4 years
STANDARD_DEVIATION 9.4 • n=7 Participants
47.5 years
STANDARD_DEVIATION 9.5 • n=5 Participants
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
30 Participants
n=5 Participants
30 Participants
n=7 Participants
60 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
17 Participants
n=5 Participants
17 Participants
n=7 Participants
34 Participants
n=5 Participants
Sex: Female, Male
Male
13 Participants
n=5 Participants
13 Participants
n=7 Participants
26 Participants
n=5 Participants
Region of Enrollment
Korea, Republic of
30 participants
n=5 Participants
30 participants
n=7 Participants
60 participants
n=5 Participants

PRIMARY outcome

Timeframe: The recovery time to the TOF ratio of 0.9 after the administration of the sugammadex, an expected average of 5 minutes

The time from the administration of sugammadex to recovery of the TOF ratio to 0.9 in deep neuromuscular block (1-2 twitches post-tetanic count) induced by rocuronium during mild hypothermia with core temperatures between 34.5°C and 35°C, and compared with the normal thermal condition.

Outcome measures

Outcome measures
Measure
C Group
n=30 Participants
normal thermal condition with core temperatures between 36.5°C and 37°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
H Group
n=30 Participants
mild hypothermia with core temperatures between 34.5°C and 35°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
Reversal Time of Rocuronium
124.9 seconds
Standard Deviation 59.2
171.1 seconds
Standard Deviation 62.1

SECONDARY outcome

Timeframe: 1 min before reversal, 1 min after reversal, 1 day after surgery

From the start of administration of sugammadex to recovery of the TOF ratio to 0.7 or 0.8 in both groups, mean arterial blood pressure at 1 min before reversal(pre-reversal), 1 min after reversal(post-reversal), recovery and 1 day after surgery (post-anesthetic visit).

Outcome measures

Outcome measures
Measure
C Group
n=30 Participants
normal thermal condition with core temperatures between 36.5°C and 37°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
H Group
n=30 Participants
mild hypothermia with core temperatures between 34.5°C and 35°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
Mean Arterial Blood Pressure
Mean arterial pressure at 1 min before reversal
89.9 mmHg
Standard Deviation 10.6
91.6 mmHg
Standard Deviation 9.1
Mean Arterial Blood Pressure
Mean arterial pressure at 1 min after reversal
88.4 mmHg
Standard Deviation 10.5
89.6 mmHg
Standard Deviation 10.1
Mean Arterial Blood Pressure
Mean arterial pressure at 3 min after reversal
87.5 mmHg
Standard Deviation 11.5
90.2 mmHg
Standard Deviation 13.7
Mean Arterial Blood Pressure
Mean arterial pressure at 1 day after surgery
95.0 mmHg
Standard Deviation 12.4
94.6 mmHg
Standard Deviation 8.5

SECONDARY outcome

Timeframe: 1 min before reversal, 1 min after reversal, 1 day after surgery

From the start of administration of sugammadex to recovery of the TOF ratio to 0.7 or 0.8 in both groups, Heart rate at 1 min before reversal(pre-reversal), 1 min after reversal(post-reversal), recovery and 1 day after surgery (post-anesthetic visit).

Outcome measures

Outcome measures
Measure
C Group
n=30 Participants
normal thermal condition with core temperatures between 36.5°C and 37°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
H Group
n=30 Participants
mild hypothermia with core temperatures between 34.5°C and 35°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
Heart Rate
Heart rate at 1 min before reversal
77.5 beats/min
Standard Deviation 10.4
77.8 beats/min
Standard Deviation 8.7
Heart Rate
Heart rate at 1 min after reversal
71.8 beats/min
Standard Deviation 10
72.9 beats/min
Standard Deviation 9.1
Heart Rate
Heart rate at 3 min after reversal
70.7 beats/min
Standard Deviation 10
73.1 beats/min
Standard Deviation 9.1
Heart Rate
Heart rate at 1 day after reversal
81.6 beats/min
Standard Deviation 13.9
84.2 beats/min
Standard Deviation 14.8

OTHER_PRE_SPECIFIED outcome

Timeframe: During 1day after operation

Outcome measures

Outcome measures
Measure
C Group
n=30 Participants
normal thermal condition with core temperatures between 36.5°C and 37°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
H Group
n=30 Participants
mild hypothermia with core temperatures between 34.5°C and 35°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
Incidence of Residual Neuromuscular Blockade
0 participants
0 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: During 7days after operation

Outcome measures

Outcome measures
Measure
C Group
n=30 Participants
normal thermal condition with core temperatures between 36.5°C and 37°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
H Group
n=30 Participants
mild hypothermia with core temperatures between 34.5°C and 35°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
Post-operative Nausea and Vomiting
0 participants
0 participants

OTHER_PRE_SPECIFIED outcome

Timeframe: During 7days after operation

adverse effect of sugammadex(hypersensitivity, dry mouth, hypertension etc.)

Outcome measures

Outcome measures
Measure
C Group
n=30 Participants
normal thermal condition with core temperatures between 36.5°C and 37°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
H Group
n=30 Participants
mild hypothermia with core temperatures between 34.5°C and 35°C sugammadex: sugammadex 4.0 mg/kg is administered in deep block state(1 - 2 PTCs) in different temperature state Reversal effect of sugammadex in temperature state
Adverse Events
0 participants
0 participants

Adverse Events

C Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

H Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Kyo Sang Kim, MD, PhD

Department of Anesthesiology and Pain Medicine, Hanyang University Hospital

Phone: +82-2-2290-8680

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place