Trial Outcomes & Findings for The Effect of Pretreatment With Roc on Succinylcholine Myalgias (NCT NCT04581395)

NCT ID: NCT04581395

Last Updated: 2024-08-21

Results Overview

The data are reported as pain (scores 1-4) vs. no pain (score 0).

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

300 participants

Primary outcome timeframe

3 hours post succinylcholine administration

Results posted on

2024-08-21

Participant Flow

Participant milestones

Participant milestones
Measure
Not Pretreated With Rocuronium
Succinylcholine administration with no Rocuronium pre-treatment non-pretreated Succinylcholine: no pretreatment
Pre-treated With Rocuronium 1 Minute Before Succinylcholine Administration
Succinylcholine administration 1 minute following Rocuronium pre-treatment succinylcholine 1 minute after rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 1 min +/- 10 sec after pretreatment
Pre-treated With Rocuronium 2 Minutes Before Succinylcholine Administratjion
Succinylcholine administratjion 2 minutes following Rocuronium pre-treatment succinylcholine 2 minutes following rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 2 min +/- 10 sec after pretreatment.
Overall Study
STARTED
100
100
100
Overall Study
COMPLETED
96
96
98
Overall Study
NOT COMPLETED
4
4
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Not Pretreated With Rocuronium
Succinylcholine administration with no Rocuronium pre-treatment non-pretreated Succinylcholine: no pretreatment
Pre-treated With Rocuronium 1 Minute Before Succinylcholine Administration
Succinylcholine administration 1 minute following Rocuronium pre-treatment succinylcholine 1 minute after rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 1 min +/- 10 sec after pretreatment
Pre-treated With Rocuronium 2 Minutes Before Succinylcholine Administratjion
Succinylcholine administratjion 2 minutes following Rocuronium pre-treatment succinylcholine 2 minutes following rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 2 min +/- 10 sec after pretreatment.
Overall Study
Protocol Violation
4
3
2
Overall Study
Physician Decision
0
1
0

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Not Pretreated
n=96 Participants
Succinylcholine administration with no Rocuronium pre-treatment non-pretreated Succinylcholine: no pretreatment
Pre-treated 1 Minute Before Succinylcholine Administration
n=96 Participants
Succinylcholine administration 1 minute following Rocuronium pre-treatment succinylcholine 1 minute after rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 1 min +/- 10 sec after pretreatment
Pre-treated 2 Minutes Before Succinylcholine Administratjion
n=98 Participants
Succinylcholine administratjion 2 minutes following Rocuronium pre-treatment succinylcholine 2 minutes following rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 2 min +/- 10 sec after pretreatment.
Total
n=290 Participants
Total of all reporting groups
Age, Continuous
60 years
STANDARD_DEVIATION 15 • n=96 Participants
62 years
STANDARD_DEVIATION 14 • n=96 Participants
59 years
STANDARD_DEVIATION 16 • n=98 Participants
60 years
STANDARD_DEVIATION 15 • n=290 Participants
Sex: Female, Male
Female
50 Participants
n=96 Participants
55 Participants
n=96 Participants
48 Participants
n=98 Participants
153 Participants
n=290 Participants
Sex: Female, Male
Male
46 Participants
n=96 Participants
41 Participants
n=96 Participants
50 Participants
n=98 Participants
137 Participants
n=290 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: 3 hours post succinylcholine administration

The data are reported as pain (scores 1-4) vs. no pain (score 0).

Outcome measures

Outcome measures
Measure
Not Pretreated With Rocuronium
n=96 Participants
Succinylcholine administration with no Rocuronium pre-treatment non-pretreated Succinylcholine: no pretreatment
Pre-treated With Rocuronium 1 Minute Before Succinylcholine Administration
n=96 Participants
Succinylcholine administration 1 minute following Rocuronium pre-treatment succinylcholine 1 minute after rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 1 min +/- 10 sec after pretreatment
Pre-treated With Rocuronium 2 Minutes Before Succinylcholine Administratjion
n=98 Participants
Succinylcholine administratjion 2 minutes following Rocuronium pre-treatment succinylcholine 2 minutes following rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 2 min +/- 10 sec after pretreatment.
Myalgias Perceived at 3 Hours
Patients with no pain 3 hours post succinylcholine
81 Participants
83 Participants
83 Participants
Myalgias Perceived at 3 Hours
Patients who described having pain 3 hours post succinylcholine
15 Participants
13 Participants
15 Participants

PRIMARY outcome

Timeframe: 24 hours post succinylcholine administration

The presence of myalgias referencing a severity scale from 0 (no muscle pain), 1 (mild muscle pain), 2(moderate muscle pain), 3 (Moderate muscle pain) and 4 (Severe muscle pain). The data are reported as pain (scores 1-4) vs. no pain (score 0)

Outcome measures

Outcome measures
Measure
Not Pretreated With Rocuronium
n=96 Participants
Succinylcholine administration with no Rocuronium pre-treatment non-pretreated Succinylcholine: no pretreatment
Pre-treated With Rocuronium 1 Minute Before Succinylcholine Administration
n=96 Participants
Succinylcholine administration 1 minute following Rocuronium pre-treatment succinylcholine 1 minute after rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 1 min +/- 10 sec after pretreatment
Pre-treated With Rocuronium 2 Minutes Before Succinylcholine Administratjion
n=98 Participants
Succinylcholine administratjion 2 minutes following Rocuronium pre-treatment succinylcholine 2 minutes following rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 2 min +/- 10 sec after pretreatment.
Myalgias at 24 Hours Post Succinylcholine Administration.
patients experiencing no pain 24 hours post succinylcholine administrations
64 Participants
78 Participants
80 Participants
Myalgias at 24 Hours Post Succinylcholine Administration.
Patients experiencing pain at 24 hours post succinylcholine administrations
32 Participants
18 Participants
18 Participants

PRIMARY outcome

Timeframe: 3 hours post succinylcholine administration

0=no muscle pain/stiffness, 1=mild muscle pain/stiffness not limiting daily activity, 2=moderate muscle pain/stiffness not limiting daily activity, 3=moderate muscle pain stiffness that limits daily activity, 4=severe muscle pain/stiffness limiting movement and preventing daily activity. Values averaged.

Outcome measures

Outcome measures
Measure
Not Pretreated With Rocuronium
n=96 Participants
Succinylcholine administration with no Rocuronium pre-treatment non-pretreated Succinylcholine: no pretreatment
Pre-treated With Rocuronium 1 Minute Before Succinylcholine Administration
n=96 Participants
Succinylcholine administration 1 minute following Rocuronium pre-treatment succinylcholine 1 minute after rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 1 min +/- 10 sec after pretreatment
Pre-treated With Rocuronium 2 Minutes Before Succinylcholine Administratjion
n=98 Participants
Succinylcholine administratjion 2 minutes following Rocuronium pre-treatment succinylcholine 2 minutes following rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 2 min +/- 10 sec after pretreatment.
Pain Scores
Pain score =0
81 Participants
83 Participants
83 Participants
Pain Scores
Pain score = 1
10 Participants
12 Participants
12 Participants
Pain Scores
Pain score = 2
4 Participants
1 Participants
2 Participants
Pain Scores
Pain score = 3
1 Participants
0 Participants
0 Participants
Pain Scores
Pain score = 4
0 Participants
0 Participants
1 Participants

PRIMARY outcome

Timeframe: 24 hours post succinylcholine administration.

0=no muscle pain/stiffness, 1=mild muscle pain/stiffness not limiting daily activity, 2=moderate muscle pain/stiffness not limiting daily activity, 3=moderate muscle pain stiffness that limits daily activity, 4=severe muscle pain/stiffness limiting movement and preventing daily activity. Values averaged.

Outcome measures

Outcome measures
Measure
Not Pretreated With Rocuronium
n=96 Participants
Succinylcholine administration with no Rocuronium pre-treatment non-pretreated Succinylcholine: no pretreatment
Pre-treated With Rocuronium 1 Minute Before Succinylcholine Administration
n=96 Participants
Succinylcholine administration 1 minute following Rocuronium pre-treatment succinylcholine 1 minute after rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 1 min +/- 10 sec after pretreatment
Pre-treated With Rocuronium 2 Minutes Before Succinylcholine Administratjion
n=98 Participants
Succinylcholine administratjion 2 minutes following Rocuronium pre-treatment succinylcholine 2 minutes following rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 2 min +/- 10 sec after pretreatment.
Pain Scores
24 hour pain scores = 0
64 Participants
78 Participants
80 Participants
Pain Scores
24 hour pain scores=1
20 Participants
9 Participants
16 Participants
Pain Scores
24 hour pain score=2
7 Participants
8 Participants
0 Participants
Pain Scores
24 pain score =3
4 Participants
1 Participants
1 Participants
Pain Scores
24 pain score=4
1 Participants
0 Participants
1 Participants

SECONDARY outcome

Timeframe: immediately following succinylcholine administration up to 2 minutes

Observed presence or absence of muscle fasciculation following succinylcholine administration in subjects pretreated with rocuronium 1 minute prior to succinylcholine administration or 2 minutes prior to succinylcholine administration compared to the control group not pretreated with rocuronium.

Outcome measures

Outcome measures
Measure
Not Pretreated With Rocuronium
n=96 Participants
Succinylcholine administration with no Rocuronium pre-treatment non-pretreated Succinylcholine: no pretreatment
Pre-treated With Rocuronium 1 Minute Before Succinylcholine Administration
n=96 Participants
Succinylcholine administration 1 minute following Rocuronium pre-treatment succinylcholine 1 minute after rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 1 min +/- 10 sec after pretreatment
Pre-treated With Rocuronium 2 Minutes Before Succinylcholine Administratjion
n=98 Participants
Succinylcholine administratjion 2 minutes following Rocuronium pre-treatment succinylcholine 2 minutes following rocuronium pretreatment: 0.05 mg/kg up to 5 mg of rocuronium pretreatment followed by 1.0 mg/kg succinlycholine t = 2 min +/- 10 sec after pretreatment.
Number of Participants With Observed Presence of Muscle Fasciculation Following Succinylcholine Administration
75 Participants
20 Participants
13 Participants

Adverse Events

Not Pretreated With Rocuronium

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

Pre-treated With Rocuronium 1 Minute Before Succinylcholine Administration

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

Pre-treated With Rocuronium 2 Minutes Before Succinylcholine Administratjion

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

Dr. Leighan Bye, Assistant Professor of Clinical Anesthesia

IU school of Medicine, Department of Anesthesiology

Phone: 317-274-0275

Results disclosure agreements

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