Ephedrine 0.15 mg/kg for reducing onset time of rocuronium 0.6 mg/kg in elderly patients.

2024-517933-42-00 Therapeutic use (Phase IV) Ended

Start 13 Jan 2025 · End 5 Oct 2025 · Status Ended · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ended
Participants planned 100
Countries 1
Sites 2

Elective surgery

The aim of this study is to determine the onset time of rocuronium after administration of ephedrine 0.15 mg/kg in patients with age ≥ 80 years.

Key facts

Sponsor
Rigshospitalet
Participant type
Patients
Age range
65+ years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03]
Trial duration
13 Jan 2025 → 5 Oct 2025
Decision date (initial)
2024-11-13
Transition trial
No
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

The aim of this study is to determine the onset time of rocuronium after administration of ephedrine 0.15 mg/kg in patients with age ≥ 80 years.

Secondary objectives 5

  1. Intubating conditions assessed by IDS
  2. Intubating conditions assessed by Fuchs-Buder scale
  3. Occurrence of new cardiac arrythmia during induction of anaesthesia (<15 minutes after administration of ephedrine or saline)
  4. Change in mean arterial blood pressure from before induction to immediately after intubation
  5. Time to TOF 0.9

Conditions and MedDRA coding

Elective surgery

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 A blinded randomized study of ephedrine for reducing onset time of rocuronium
A blinded randomized study of ephedrine 0.15 mg/kg for reducing onset time of rocuronium 0.6 mg/kg in elderly patients (≥ 80 years)
Randomised Controlled Single [{"id":91087,"code":2,"name":"Investigator"}] Ephedrine: Ephedrine 0.15 mg/kg
Placebo: saline

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 5

  1. Patients ≥ 80 years old
  2. Informed consent
  3. Scheduled for elective surgery (expected duration of anesthesia >1 hour) under general anesthesia with intubation and use of rocuronium
  4. American Society of Anesthesiologists (ASA) physical status classification I to III
  5. Can read and understand Danish

Exclusion criteria 5

  1. Known allergy to rocuronium or ephedrine
  2. Neuromuscular disease that may interfere with neuromuscular data
  3. Indication for rapid sequence induction
  4. Daily use of beta-blocking agents
  5. Known cardiac arrythmia (atrial fibrillation, supraventricular or ventricular)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Time to TOF 0 (from end of administration of rocuronium until TOF 0)

Secondary endpoints 5

  1. Intubating conditions assessed by IDS
  2. Intubating conditions assessed by Fuchs-Buder scale
  3. Occurrence of new cardiac arrythmia during induction of anaesthesia (<15 minutes after administration of ephedrine or saline)
  4. Change in mean arterial blood pressure from before induction to immediately after intubation
  5. Time to TOF 0.9

Investigational products

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

Test 1

Ephedrine "Sintetica", injektionsvæske, opløsning 50 mg/ml

PRD9049285 · Product

Active substance
Ephedrine Hydrochloride
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
150 mg milligram(s)
Max total dose
150 mg milligram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
C01CA26 — -
Marketing authorisation
62469
MA holder
SINTETICA GMBH
MA country
Denmark
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Placebo 1

Saline

SUB20722 · Substance

Active substance
Saline
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
INTRAVENOUS
Max daily dose
1 ml millilitre(s)
Max total dose
1 ml millilitre(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Rigshospitalet

Sponsor organisation
Rigshospitalet
Address
Inge Lehmanns Vej 7
City
Copenhagen Oe
Postcode
2100
Country
Denmark

Scientific contact point

Organisation
Rigshospitalet
Contact name
Matias Vested

Public contact point

Organisation
Rigshospitalet
Contact name
Matias Vested

Third parties 1

OrganisationCity, countryDuties
GCP-enheden ved Københavns Universitetshospital
ORL-000010857
Frederiksberg, Denmark On site monitoring

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Denmark Ended 100 2
Rest of world 0

Investigational sites

Denmark

2 sites · Ended
Rigshospitalet
Anaesthesia GLO, Valdemar Hansens Vej 1-23, 2600, Glostrup
Rigshospitalet
Anaesthesia HOC, Blegdamsvej 9, 2100, Copenhagen Oe

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 2025-01-13 2025-10-05 2025-01-13 2025-10-05

Results and documents

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

Documents 9 files

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

TypeTitleVersion
Protocol (for publication) Protocol Ephedrine for Rocuronium Onset CTIS 7.0
Recruitment arrangements (for publication) Recruitment strategies 1.1
Subject information and informed consent form (for publication) Deltagerinformation Efedrin 1.1
Subject information and informed consent form (for publication) Dine rettigheder som forsgsperson i forsg med medicin maj 2023 1
Subject information and informed consent form (for publication) Samtykke ephedrin 1
Summary of Product Characteristics (SmPC) (for publication) Efedrin SAD injektionsvske oplsning 50 mg-ml 1
Synopsis of the protocol (for publication) PROTOKOLRESUME 1
Synopsis of the protocol (for publication) PROTOKOLRESUME rev 2
Synopsis of the protocol (for publication) PROTOKOLRESUME rev chang 2

Application history

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

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-09-09 Denmark Acceptable
2024-11-08
2024-11-13