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Dialysis of Sugammadex in Participants With Severe Renal Impairment (Study 19.4.333) (P05773)

Information source: Merck Sharp & Dohme Corp.
ClinicalTrials.gov processed this data on August 23, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Neuromuscular Blockade

Intervention: sugammadex (Drug); Rocuronium (Drug)

Phase: Phase 3

Status: Completed

Sponsored by: Merck Sharp & Dohme Corp.

Summary

The clinical trial objectives were to evaluate the dialysability of the sugammadex-rocuronium complex; it's safety and efficacy in participants with severe renal impairment.

Clinical Details

Official title: A Single Center, Open-Label Trial in Subjects With Severe Renal Impairment Evaluating the Dialysability of the Sugammadex-Rocuronium Complex

Study design: Endpoint Classification: Pharmacokinetics Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment

Primary outcome:

Clearance of Sugammadex by Dialysis as Measured by the Reduction Ratio (RR)

Clearance of Rocuronium by Dialysis as Measured by the Reduction Ratio (RR)

Rate of Clearance of Sugammadex From Blood

Rate of Clearance of Rocuronium From Blood

Rate of Clearance of Sugammadex From Dialysate

Rate of Clearance of Rocuronium From Dialysate

Secondary outcome:

Number of Participants With Pre-treatment Adverse Events (AEs)

Number of Participants With Serious Adverse Events (SAEs)

Number of Participants With Medical Device (Near) Incidents

Vital Sign: Mean Systolic Blood Pressure

Vital Sign: Mean Diastolic Blood Pressure

Vital Sign: Mean Heart Rate

Number of Participants With Physical Examinations

Number of Participants With Reoccurrence of Neuromuscular Blockade at Day 1

Number of Participants With Events Due to Possible Interaction of Sugammadex With Endo-/Exogenous Compounds Other Than Rocuronium

Number of Participants With Pregnancies at 30 Days Post-dose

Time From Start of Administration of Sugammadex to Recovery of T4/T1 Ratio to 0.9

Time From Start of Administration of Sugammadex to Recovery of T4/T1 Ratio to 0.8

Time From Start of Administration of Sugammadex to Recovery of T4/T1 Ratio to 0.7

Detailed description: The current trial was designed to evaluate the dialysability of the sugammadex-rocuronium complex in participants with severe renal impairment. A dose of 4. 0 mg/kg sugammadex was administered 15 minutes after administration of 0. 6 mg/kg rocuronium. Blood and dialysate samples were collected before, during and after hemodialysis/filtration, for calculation of clearance of sugammadex-rocuronium complex and assessment of rebound.

Eligibility

Minimum age: 18 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

- At least 18 years of age

- American Society of Anesthesiologists (ASA) Class >=4

- Creatinine clearance (CLCR) < 30 mL/min and clinical indication for dialysis

- Hospitalization at Intensive Care Unit (ICU) and scheduled for a (surgical) procedure

under general anesthesia requiring neuromuscular relaxation with the use of rocuronium

- Scheduled for a (surgical) procedure in supine position

- Written informed consent (of the legal representative)

Exclusion Criteria:

- Known or suspected to have neuromuscular disorders impairing neuromuscular blockade

and/or significant hepatic dysfunction

- Known or suspected to have a (family) history of malignant hyperthermia

- Known or suspected to have an allergy to narcotics, muscle relaxants or other

medication used during general anesthesia

- Have already participated in a sugammadex trial

- Have participated in another clinical trial, not preapproved by NV Organon, within 30

days of study entry

- Females who are pregnant*

- Females who are breast-feeding * In females pregnancy will be excluded both from

medical history and by a human chorionic gonadotropin (hCG) test within 24 hours before surgery except in females who are not of childbearing potential, i. e. at least 2 years menopausal or have undergone tubal ligation or an hysterectomy.

Locations and Contacts

Additional Information

Starting date: April 2008
Last updated: February 20, 2015

Page last updated: August 23, 2015

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