Clinical Study of Fospropofol Disodium for Injection in the Painless Endoscopic Diagnosis and Treatment
NCT ID: NCT06732427
Last Updated: 2025-09-30
Study Results
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Basic Information
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RECRUITING
NA
426 participants
INTERVENTIONAL
2025-08-12
2026-12-31
Brief Summary
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This is a multicenter, randomized, double-blind, controlled clinical study. Using a computer-generated randomized number table, the patients were divided into two groups: the group L (fospropofol disodium group) and the group B (propofol group). After determining the group of enrolled patients, the drug was administered by two fixed anesthesiologists By participating in this study, it is possible to make your anesthesia induction stable, stable intraoperative circulation, awake and safe and comfortable, to reduce the incidence of intraoperative hypoxemia, intraoperative awareness, cardiovascular and cerebrovascular malignant events (malignant arrhythmia, cardiac arrest), which is conducive to your rapid postoperative recovery and reduce hospitalization costs.
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Detailed Description
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It has been reported that the incidence of propofol in the diagnosis and treatment of painless gastroscopy reached 8.4%. For adult patients sedated by propofol, the dosage of propofol gradually decreased with the age of patients, and the incidence of hypoxemia increased, accompanied by the overall trend of increasing adverse cardiovascular events. To achieve rapid and predictable recovery requires stable intraoperative respiratory circulation, stable recovery, and reduced adverse reactions such as postoperative nausea, vomiting and injection pain, while propofol is easy to cause injection pain at the injection site of patients.
Fospropofol disodium for injection is an effective intravenous sedative hypnotic agent that was approved by the United States Food and Drug Administration (FDA) in December 2008 for adult anesthesia monitoring undergoing diagnosis or treatment process. It gradually releases the active metabolite propofol, with slow onset and more stable breathing and circulation. In 2021, the fospropofol disodium for injection copied by Yichang Renfu Pharmaceutical Co. Ltd. was approved by the human bioequivalence study (BE). The fospropofol disodium for injection developed by Chinese scholars is different from American scholars, with better drug structure and better drug specifications. Fospropofol disodium for injection is a chemical class 1 new drug, which is one of the most advanced systemic intravenous anesthetics studied at home and abroad.
In the Guidance on clinical Application of fospropofol disodium for injection published by the Chinese Journal of Anesthesiology, the indication has been approved as the induction of general anesthesia in adults. Phase Ⅲ clinical trials suggest that the efficacy of Fospropofol disodium for injection is more stable in the process of anesthesia induction to maintenance, and its efficacy duration is long, which can save the amount of subsequent sedative and analgesic drugs, meet the actual clinical needs and meet the requirements of pharmacoeconomics. In the pre-experiment, our research group found that 7.5 -8.5mg / kg fospropofol disodium for injection was used for anesthesia with painless gastrointestinal endoscopy, with definite effect, slight respiratory depression and stable hemodynamics.
2. The purpose of this study: Observe the safety and effectiveness of fospropofol disodium for injection in painless gastrointestinal endoscopic diagnosis and treatment, optimize the clinical anesthesia scheme, and provide reference for clinical medication for comfortable diagnosis and treatment.
3. Research method: This is a multicenter, randomized, double-blind, controlled clinical study. Using a computer-generated randomized number table, the patients were divided into two groups: the group L (fospropofol disodium group) and the group B (propofol group). After determining the group of enrolled patients, the drug was administered by two fixed anesthesiologists. Mainly observe the success rate of sedation, total amount of fospropofol disodium for injection and propofol, additional doses, the occurrence of intraoperative hypoxemia, intraoperative circulatory system such as hypotension, hypertension, bradycardia, tachycardia, intraoperative adverse reactions such as reflex cough, intraoperative body movement, injection pain, postoperative recovery quality and other adverse reactions.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Fospropofol Disodium
Painless gastrointestinal endoscopy in group L was mainly performed using fospropofol Disodium for injection
fospropofol Disodium for injection
Group L received slow intravenous sufentanyl 0. 1 ug / kg +fospropofol Disodium for injection 8mg / kg (completed within 60 seconds)
propofol
Painless gastrointestinal endoscopy in group B was mainly performed using propofol
Propofol
Group B received slow intravenous sufentanyl 0. 1 ug / kg +propofol 2mg / kg (completed within 60 seconds)
Interventions
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fospropofol Disodium for injection
Group L received slow intravenous sufentanyl 0. 1 ug / kg +fospropofol Disodium for injection 8mg / kg (completed within 60 seconds)
Propofol
Group B received slow intravenous sufentanyl 0. 1 ug / kg +propofol 2mg / kg (completed within 60 seconds)
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. Patients undergoing painless gastrointestinal endoscopy or painless colonoscopy;
3. American Society of Anesthesia (ASA) grades I-II;
4. Patients and their families can understand and fill in various rating scales, and voluntarily sign the informed consent form; -
Exclusion Criteria
2. Allergy to this study drug and any ingredients;
3. Patients with pathological obesity / obstructive sleep apnea, patients with difficult respiratory tract management;
4. Acute upper respiratory tract infection and asthma attacks;
5. Liver and kidney insufficiency, abnormal heart function;
6. History of mental disorders, long-term use of analgesics; history of drug addiction and drug use;
7. Do not voluntarily cooperate with the patient or be unsuitable by the investigator to participate in the trial.-
50 Years
65 Years
ALL
No
Sponsors
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Rugao People's Hospital
OTHER
Qidong People's Hospital
UNKNOWN
Hai 'an People's Hospital
UNKNOWN
Rudong County Hospital of Traditional Chinese Medicine
UNKNOWN
Affiliated Hospital of Nantong University
OTHER
Responsible Party
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Principal Investigators
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Xiao MB Director of scientific research Department, Doctor
Role: PRINCIPAL_INVESTIGATOR
The Affiliated Hospital of Nantong University
Locations
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Affiliated Hospital of Nantong University
Nantong, Jiangsu, China
Qidong People's Hospital
Qidong, Jiangsu, China
Rudong County Hospital of Traditional Chinese Medicine
Rudong, Jiangsu, China
Rugao People's Hospital
Rugao, Jiangsu, China
Hai 'an People's Hospital
Hai’an, Jiangsu, China
Countries
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Central Contacts
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Gao YT Director of Department of Anesthesiology, Master
Role: CONTACT
Facility Contacts
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Wang X Director of the Department of Anesthesiology, undergraduate course
Role: primary
Gao YT Director of the Department of Anesthesiology, Master
Role: primary
Yin YS Director of Anesthesiology, Qidong People's Hospital, undergraduate course
Role: primary
Kuai J The branch center implements PI, undergraduate course
Role: backup
Chen J Director of the Department of Anesthesiology, undergraduate course
Role: primary
Miao MR The branch center implements PI, undergraduate course
Role: backup
Yang XL Director of Anesthesiology, Rugao People's Hospital, undergraduate course
Role: primary
Cong F The branch center implements PI, undergraduate course
Role: backup
Other Identifiers
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2024-YCRF-M1021
Identifier Type: -
Identifier Source: org_study_id
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