甲苯磺酸瑞马唑仑对ICU术后机械通气患者镇静的最佳剂量和安全性研究

注册号:

Registration number:

ChiCTR2100043752 

最近更新日期:

Date of Last Refreshed on:

2021-06-26 22:43:42 

注册时间:

Date of Registration:

2021-02-27 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

甲苯磺酸瑞马唑仑对ICU术后机械通气患者镇静的最佳剂量和安全性研究

Public title:

Optimal Dosage and Safety of Remimazolam Tosilate for Sedation in Patients on Mechanical Ventilation Admitted to ICU after Surgery

注册题目简写:

English Acronym:

研究课题的正式科学名称:

甲苯磺酸瑞马唑仑对ICU术后机械通气患者镇静的最佳剂量和安全性研究

Scientific title:

Optimal Dosage and Safety of Remimazolam Tosilate for Sedation in Patients on Mechanical Ventilation Admitted to ICU after Surgery

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

张建成 

研究负责人:

袁世荧 

Applicant:

Jiancheng Zhang 

Study leader:

Shiying Yuan 

申请注册联系人电话:

Applicant telephone:

+86 13554105815

研究负责人电话:

Study leader's
telephone:

+86 13995646372

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

zhjcheng1@126.com

研究负责人电子邮件:

Study leader's E-mail:

yuan_shiying@163.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

武汉市解放大道1277号

研究负责人通讯地址:

武汉市解放大道1277号

Applicant address:

1277 Jiefang Avenue, Wuhan, Hubei, China

Study leader's address:

1277 Jiefang Avenue, Wuhan, Hubei, China

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

华中科技大学

Applicant's institution:

Huazhong University of Science and Technology

研究负责人所在单位:

华中科技大学

Affiliation of the Leader:

Huazhong University of Science and Technology

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

0445-01

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

华中科技大学同济医学院附属协和医院医学伦理委员会

Name of the ethic committee:

Ethics Committee of Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

伦理委员会批准日期:

Date of approved by ethic committee:

2020-12-08 00:00:00

伦理委员会联系人:

褚圆圆

Contact Name of the ethic committee:

Yuanyuan Chu

伦理委员会联系地址:

湖北省武汉市解放大道1277号

Contact Address of the ethic committee:

1277 Jiefang Avenue, Wuhan, Hubei, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

华中科技大学同济医学院附属协和医院

Primary sponsor:

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

研究实施负责(组长)单位地址:

解放大道1277号

Primary sponsor's address:

1277 Jiefang Avenue, Jianghan District, Wuhan, Hubei

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

湖北

市(区县):

武汉

Country:

China

Province:

Hubei

City:

Wuhan

单位(医院):

华中科技大学同济医学院附属协和医院

具体地址:

解放大道1277号

Institution
hospital:

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Address:

1277 Jiefang Avenue, Jianghan District

经费或物资来源:

中国健康促进基金会

Source(s) of funding:

China Health Promotion Foundation

研究疾病:

术后入住ICU的机械通气患者  

Target disease:

Patients on mechanical ventilation admitted to ICU after surgery

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

上市后药物 

Study phase:

4

研究设计:

单臂 

Study design:

Single arm 

研究目的:

(1)主要目的:甲苯磺酸瑞马唑仑持续静脉泵注最佳剂量,以及在应激情况下在持续静脉泵注基础上给予单次静脉推注以对抗应激的最佳剂量。 (2)次要目的: 安全性评估:①肝肾功能;②凝血功能;③动脉血气、生命体征和心电图:BP、HR、RR、SpO2;④血常规、血清C-反应蛋白、心肌酶;⑤不良反应:低血压、过敏反应、乏力、嗜睡、头晕、头痛、运动障碍、震颤、呼吸抑制/暂停、右束支阻滞、窦缓、窦速、恶心、呕吐等。  

Objectives of Study:

1. Major objectives: The optimal dose of Remimazolam Tosilate by continuous intravenous pumping, and the optimal dose of single intravenous injection on the basis of dose of continuous intravenous pumping to combat stress. 2. Secondary objectives: Safety assessment: (1) Liver and kidney function; (2) coagulation function; (3) arterial blood gas analysis, vital signs and electrocardiogram: BP, HR, RR, SpO2; (4) Blood routine examination, serum C-reactive protein, myocardial enzyme; (5) Adverse reactions: hypotension, allergic reaction, fatigue, drowsiness, dizziness, headache, dyspraxia, tremor, respiratory depression/suspension, right bundle branch block, sinus bradycardia, sinus tachycardia, nausea, vomiting, etc.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1、对甲苯磺酸瑞马唑仑过敏者;
2、急性角性青光眼、重症肌无力和昏迷(GCS评分<8分,麻醉术后患者应恢复到GCS评分>8分)的患者;
3、出血性或心源性休克未纠正的患者;
4、BMI<18 kg/m2,或>35 kg/m2;
5、酒精依赖、精神疾病或严重的认知功能障碍;
6、怀孕或哺乳期;
7、依从性差。

Exclusion criteria:

1. Allergic to Remimazolam Tosilate;
2. Patients with acute Angle glaucoma, myasthenia gravis and coma (GCS < 8 points, patients should recover to GCS > 8 points after anesthesia);
3. Patients with uncorrected hemorrhagic or cardiogenic shock;
4. BMI < 18 kg/m2 or > 35 kg/m2;
5. Alcohol dependence, mental illness or severe cognitive impairment;
6. Pregnancy or lactation;
7. Poor compliance.

研究实施时间:

Study execute time:

From 2021-01-01 00:00:00 To 2021-12-31 00:00:00  

征募观察对象时间:

Recruiting time:

From 2021-06-01 00:00:00 To 2021-12-31 00:00:00

干预措施:

Interventions:

组别:

1

样本量:

50

Group:

1

Sample size:

干预措施:

静脉给予甲苯磺酸瑞马唑仑

干预措施代码:

Intervention:

Intravenous administration of Remimazolam Tosilate

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

湖北 

市(区县):

 

Country:

China

Province:

Hubei

City:

单位(医院):

华中科技大学同济医学院附属协和医院 

单位级别:

三级甲等 

Institution
hospital:

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

甲苯磺酸瑞马唑仑单次静脉推注剂量

指标类型:

主要指标

Outcome:

Single intravenous injection dose of Remimazolam Tosilate

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

甲苯磺酸瑞马唑仑持续静脉泵注剂量

指标类型:

主要指标

Outcome:

Dose of Remimazolam Tosilate by continuous intravenous pump

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

生命体征

指标类型:

次要指标

Outcome:

Vital signs

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

APACHEⅡ评分

指标类型:

次要指标

Outcome:

APACHE II score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

SOFA评分

指标类型:

次要指标

Outcome:

SOFA score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

格拉斯哥评分

指标类型:

次要指标

Outcome:

GCS score

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

血常规

指标类型:

次要指标

Outcome:

Blood routine examination

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

肝肾电

指标类型:

次要指标

Outcome:

Liver and kidney's function and electrolyte metabolize

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

C反应蛋白

指标类型:

次要指标

Outcome:

C-reactive protein

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

凝血功能

指标类型:

次要指标

Outcome:

Blood coagulation function

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心肌酶

指标类型:

次要指标

Outcome:

Myocardial enzyme

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

动脉血气分析

指标类型:

次要指标

Outcome:

Arterial blood gas analysis

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

心电图

指标类型:

次要指标

Outcome:

Electrocardiogram

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

血液

组织:

Sample Name:

Blood

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 18 years
最大 Max age 60 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

非随机

Randomization Procedure (please state who generates the random number sequence and by what method):

Non-randomization

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

N/A

Blinding:

N/A

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

否No

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

研究结束后原始数据发送至邮箱:zhjcheng1@163.com,密码于论文发表后提供。

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

After the completion of the study, the original data will be sent to the email address: zhjcheng1@163.com, and the password will be provided after the paper is published.

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

数据采集记录于病例记录表,统一放于华中科技大学同济医学院附属协和医院ICU管理。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

The data were collected and recorded in the Case Record Form, and were kept uniformly in the Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

有/Yes

注册人:

Name of Registration:

 2021-02-27 22:57:46