Efficacy of Remimazolam with Fentanyl versus Midazolam with Fentanyl

2023-503470-21-00 Protocol REMI2023 Therapeutic use (Phase IV) Ended

Start 25 Aug 2023 · End 23 Dec 2023 · Status Ended · 1 EU/EEA countries · 1 sites · Protocol REMI2023

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 200
Countries 1
Sites 1

Screening patients

The overall object of this project is to investigate Remimazolam with Fentanyl compared to Midazolam with Fentanyl for sedation in screening colonoscopy with the primary outcome being total time from start of medication to fulfillment of the discharge criteria. In this way we will examine whether Remimazolam with Fenta…

Key facts

Sponsor
Herlev Hospital
Participant type
Patients, Healthy volunteers
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03]
Trial duration
25 Aug 2023 → 23 Dec 2023
Decision date (initial)
2023-04-05
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy

The overall object of this project is to investigate Remimazolam with Fentanyl compared to Midazolam with Fentanyl for sedation in screening colonoscopy with the primary outcome being total time from start of medication to fulfillment of the discharge criteria. In this way we will examine whether Remimazolam with Fentanyl could create an improvement in procedural sedation by leading to both a shorter procedure as well as shorter recovery time.

Conditions and MedDRA coding

Screening patients

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Age over 18
  2. Scheduled for elective colonoscopy screening for colon cancer
  3. Must be able to provide informed written consent.

Exclusion criteria 2

  1. Requiring general anesthesia.
  2. Allergy to Midazolam, Remimazolam, opioids or ingredients.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Total time from start of medication to fulfillment of the discharge criteria

Secondary endpoints 8

  1. Need for postprocedural recovery room, due to lack of fulfillment of discharge criteria.
  2. Patient discomfort/pain rated using NRS-11.
  3. Time to reach coecum.
  4. Need for additional Fentanyl.
  5. Need for additional sedativa.
  6. Patient satisfaction.
  7. Endoscopist satisfaction
  8. Cognitive function at discharge.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Midazolam hameln 5 mg/ml raztopina za injiciranje/infundiranje

PRD10070489 · Product

Active substance
Midazolam Hydrochloride
Substance synonyms
TAK-815, SHP-615, MIDAZOLAM HCL
Pharmaceutical form
SOLUTION FOR INJECTION/INFUSION
Route of administration
INTRAVENOUS
Max daily dose
7.5 mg milligram(s)
Max total dose
7.5 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N05CD08 — MIDAZOLAM
Marketing authorisation
H/22/02911/041
MA holder
HAMELN PHARMA GMBH
MA country
Slovenia
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Byfavo 20 mg powder for solution for injection

PRD10016502 · Product

Active substance
Remimazolam
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
25 mg milligram(s)
Max total dose
25 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N05CD14 — -
Marketing authorisation
EU/1/20/1505/001
MA holder
PAION DEUTSCHLAND GMBH
MA country
Liechtenstein
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Auxiliary 1

Fentanyl ”Hameln”

PRD3238592 · Product

Active substance
Fentanyl Citrate
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
4 µg/Kg microgram(s)/kilogram
Max total dose
4 µg/Kg microgram(s)/kilogram
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N01AH01 — FENTANYL
Marketing authorisation
31515
MA holder
HAMELN PHARMA GMBH
MA country
Denmark
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Herlev Hospital

Sponsor organisation
Herlev Hospital
Address
Borgmester Ib Juuls Vej 1
City
Herlev
Postcode
2730
Country
Denmark

Scientific contact point

Organisation
Herlev Hospital
Contact name
Andrea Ambrecht

Public contact point

Organisation
Herlev Hospital
Contact name
Andrea Ambrecht

Third parties 1

OrganisationCity, countryDuties
Frederiksberg Hospital
ORG-100028217
Frederiksberg, Denmark On site monitoring

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ended 200 1
Rest of world 0

Investigational sites

Denmark

1 site · Ended
Herlev Hospital
Anaesthesia, Critical and Emergency Care, Borgmester Ib Juuls Vej 1, 2730, Herlev

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Denmark 2023-08-25 2023-12-23 2023-08-28 2023-12-22

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Summary of results Art. 37(4) CTR

TitleSubmission dateStatusType
Results from trial
SUM-131894
2026-05-01T13:11:02 Submitted Summary of Results

Layperson summary Annex V

TitleSubmission dateStatusType
Lay 2026-05-01T13:15:16 Submitted Laypersons Summary of Results

Documents 2 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Laypersons summary of results (for publication) Lay summary 1
Summary of results (for publication) Remimazolam Accepted Manuscript PDF 1

Application history

2 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2023-01-21 Denmark Acceptable
2023-04-05
2023-04-05
2 SUBSTANTIAL MODIFICATION SM-2 2023-07-11 Denmark Acceptable
2023-08-24
2023-08-28