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NCT Number: NCT06858852

A Clinical Trial to Evaluate the Efficacy and Safety of Methoxyethyl Etomidate Hydrochloride for Sedation/Anesthesia During Gastroscopy/Colonoscopy

A total of 270 subjects undergoing gastroscopy/colonoscopy were randomly assigned to the methoxetomidate hydrochloride group and the etomidate group according to the ratio of 2:1 with etomidate as the control group.Neither the investigators nor the subjects were aware of the group assignments. Screening assessments for all subjects will be completed within D-14 to D-2 before the first dose. For all subjects who received the investigational drug, they were required to return to the research center on D2-5 to complete the corresponding examination before being discharged from the group. Compared with etomidate, the efficacy and safety of Methoxyethyl Etomidate Hydrochloride for sedation/anesthesia in gastroscopy/colonoscopy were further evaluated.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

Peking University First Hospital, Beijing, Beijing Municipality, China

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • patients undergoing routine gastroscopy/colonoscopy;
  • age ≥ 18 and ≤ 75 years old, regardless of gender;
  • American Society of Anesthesiologists (ASA) grade I-III;
  • Body mass index (BMI) 18-30 kg/m2 (including the cut-off value) and body weight ≤100 kg;
  • Serum cortisol concentrations were either normal or abnormal but not clinically significant as judged by the investigator
  • Vital signs during screening:

respiratory rate ≥10 and ≤24 times/min; Pulse oxygen saturation (SpO2) ≥95% while breathing air; Systolic blood pressure (SBP) ≥90mmHg and ≤160mmHg; Diastolic blood pressure (DBP) ≥60mmHg and ≤100mmHg; Heart rate (ECG) ≥55 and ≤100 beats/min;

  • Able to understand the procedures and methods of this study, willing to sign the informed consent and strictly abide by the trial protocol to complete the study.

Exclusion criteria

  • patients with possible gastroduodenal outflow obstruction with retention of contents or upper gastrointestinal bleeding;
  • patients who were known or suspected to have allergies or contraindications to the components of the investigational drug or the prescribed regimen, or who were suspected to have epilepsy or severe liver and kidney dysfunction;
  • Predicted difficulty in intubation or ventilation (modified Markov score level III, level IV);
  • having any of the following respiratory management risks before/at the time of screening: 1) history of asthma, wheezing; 2) sleep apnea syndrome;
  • QTcF≥450 ms (male) or ≥470 ms (female) at screening and confirmed by review; Or clinically significant electrocardiographic abnormalities that were deemed by the investigator to be ineligible for the study;
  • use of any of the following drugs or treatments before screening:1) enrolled in a clinical trial of any drug within 1 month before screening; 2) use of medications or treatments that affect cortical function within 3 days before screening; 3) Use of medications that may affect QT interval within 2 weeks before screening;
  • During the screening period, the laboratory examination indicators exceeded the abnormal level and had clinical significance, and were not suitable for enrollment after evaluation by the investigators;
  • pregnant and lactating women; The reluctance of women or men of childbearing potential to use contraception for the entire dosing period; Subjects (including male subjects) who plan to become pregnant within 3 months after the trial;
  • Subjects with any other factors considered by the investigator to be ineligible for participation in the trial.

Treatment and study plan

ET-26HCl 0.8mg/kg group

Drug

The initial dose was 0.8 mg/kg administered as a single IV infusion over a period of 1 minute ±5 seconds. If needed, up to 50% of the starting dose was increased (30-seconds ± 5-seconds bolus)

Etomidate Injectable Product 0.3mg/kg group

Drug

The initial dose was 0.3 mg/kg administered as a single IV infusion over a period of 1 minute ±5 seconds. If needed, up to 50% of the starting dose was increased (30-seconds ± 5-seconds bolus)

Primary outcomes

  1. Success rate of gastroscopy/colonoscopy

    Time frame: Within approximately 1 hour after injection

    From the time of bolus administration to the completion of gastroscopy/colonoscopy, the following two conditions were met simultaneously: (1) the number of additional doses within any 15 minutes was ≤5; (2) no use of rescue drugs.

Secondary outcomes

  1. Sedation/anesthesia success rate

    Time frame: Within approximately 1 minute of the end of the injection

    Percentage of subjects with a MOAA/S score ≤1 after initial dosing of the investigational drug

  2. Duration of successful sedation/anesthesia

    Time frame: within approximately 1minute after injection

    The time from the first administration of the experimental drug to the MOAA/S score ≤1

  3. Duration from successful insertion to full consciousness

    Time frame: after approximately 30 minutes of the completion of the last injection

    the time from successful insertion to full awakening (the first time of three consecutive MOAA/S scores reaching 5 points

  4. Duration from completion of experimental drug administration to full recovery

    Time frame: Within approximately 50 minutes of the completion of the last injection

    The time between the completion of the last trial drug administration and the subject's full recovery (the first of three consecutive MOAA/S scores of 5

  5. The time from the end of treatment to full consciousness

    Time frame: Within approximately 60 minutes of the completion of the first injection

    The time from gastroscopy/colonoscopy withdrawal until the subject is fully awake (the first of three consecutive MOAA/S scores of 5

  6. The time from the end of the endoscopic session to discharge from the room

    Time frame: A maximum of 10 minutes after awakening

    The first occurrence time from gastroscopy/colonoscopy withdrawal to 3 consecutive departures with Aldrete score ≥9

  7. Rate of use of remedial drugs

    Time frame: 60minutes after injection

    Percentage of subjects who had used the sedative/anesthetic remedy propofol injection once or more

  8. Test drug additions

    Time frame: 30minutes after injection

    the additional situation and dosage of drugs were summarized

  9. Assessment of orientation

    Time frame: 20 minutes after the end of endoscopic treatment

    Orientation was evaluated when MOAA/S reached 5 points for the first time after the complete withdrawal of gastroscopy/colonoscopy

  10. Anesthesiologists' satisfaction with the recovery state of the subjects was evaluated

    Time frame: 60 minutes after the end of endoscopic treatment

    The total score is 10, that is, a score of 0 indicates very dissatisfied and a score of 10 indicates very satisfied

Study contacts

Contact information is provided by the study sponsor or research team.

Xiaoran Yang

CONTACT

[email protected]

13146214840

Sponsors and collaborators

Lead sponsor

Ahon Pharmaceutical Co., Ltd.

Other

Registry information

Official study title

A Multicenter, Randomized, Double-blind, Etomidate Parallel Controlled Phase III Clinical Trial Was Conducted to Evaluate the Efficacy and Safety of Methoxyethyl Etomidate Hydrochloride for Sedation/Anesthesia During Gastroscopy/Colonoscopy

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Mar 5, 2025
Registry last updated
Mar 5, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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