Remimazolam Versus Propofol for Painless Abortion

NCT ID: NCT05635955

Last Updated: 2022-12-02

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

PHASE2

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-01

Study Completion Date

2022-09-30

Brief Summary

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The goal of this clinical trial is to compare the efficacy and safety of propofol vs. remimazolam in combine use of esketamine in women with early pregnancy undergoing painless abortion. The main questions it aims to answer are:

* whether remimazolam plus esketamine (R+E) has a better sedative and analgesic effectiveness than propofol plus esketamine (P+E).
* whether R+E has less adverse events than P+E.

Participants will be randomly allocated to two groups: R+E and P+E group.

* For those in group R+E: they will be administered with 0.3mg/kg remimazolam and 0.3mg/kg esketamine before the abortion surgery.
* For those in group P+E: they will be administered with 2mg/kg propofol and 0.3mg/kg esketamine before the abortion surgery.

We will compare R+E with P+E to see if the time to loss of conscious and time to recover from the sedation will be shorter and if there will be less severe adverse events in R+E.

Detailed Description

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Conditions

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Anesthesia Abortion Early

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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Remimazolam

Intravenous Remimazolam will be co-administrated with esketamine.

Group Type EXPERIMENTAL

Remimazolam

Intervention Type DRUG

Total intravenous anaesthesia will be induced with 0.3mg/kg remimazolam and 0.3mg/kg esketamine, slow injection.

During the painless abortion surgery, if the MOAA/S scores \> 1 or body movements occur, supplemental 0.2 mg/kg remimazolam (IV) will be administrated.

Esketamine

Intervention Type DRUG

0.3mg/kg esketamine will be co-administrated in both arms

Propofol

Intravenous Propofol will be co-administrated with esketamine.

Group Type ACTIVE_COMPARATOR

Propofol

Intervention Type DRUG

Total intravenous anaesthesia will be induced with 2mg/kg propofol and 0.3mg/kg esketamine, slow injection.

During the painless abortion surgery, if the MOAA/S scores \> 1 or body movements occur, supplemental 0.25 mg/kg propofol (IV) will be administrated.

Esketamine

Intervention Type DRUG

0.3mg/kg esketamine will be co-administrated in both arms

Interventions

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Remimazolam

Total intravenous anaesthesia will be induced with 0.3mg/kg remimazolam and 0.3mg/kg esketamine, slow injection.

During the painless abortion surgery, if the MOAA/S scores \> 1 or body movements occur, supplemental 0.2 mg/kg remimazolam (IV) will be administrated.

Intervention Type DRUG

Propofol

Total intravenous anaesthesia will be induced with 2mg/kg propofol and 0.3mg/kg esketamine, slow injection.

During the painless abortion surgery, if the MOAA/S scores \> 1 or body movements occur, supplemental 0.25 mg/kg propofol (IV) will be administrated.

Intervention Type DRUG

Esketamine

0.3mg/kg esketamine will be co-administrated in both arms

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* early intrauterine pregnancy less than 12 weeks confirmed by transabdominal ultrasound and blood HCG
* the American Society of Anesthesiologists (ASA) physical status ranked I-II
* competent to provide informed consent

Exclusion Criteria

* chronic pain
* psychiatric disorders
* liver or kidney failure
* severe metabolic disorders
* poor respiratory functions
* cardiovascular diseases
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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The Hong Kong Polytechnic University

OTHER

Sponsor Role collaborator

Maternal and Child Health Hospital of Hubei Province

OTHER

Sponsor Role lead

Responsible Party

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Li Na

Deputy Chief Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Na Li, MD

Role: PRINCIPAL_INVESTIGATOR

Maternal and Child Health Hospital of Hubei Province

Locations

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Maternal and Child Health Hospital of Hubei Province

Wuhan, Hubei, China

Site Status

Countries

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China

Other Identifiers

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MCHH_001

Identifier Type: -

Identifier Source: org_study_id

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