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NCT Number: NCT03674008

A Phase III Study Evaluating The Efficacy and Safety of HSK3486 for Sedation or Anesthesia

This is a Phase III, randomized, double-blind, propofol-controlled, parallel-design, multi-center study to evaluate the efficacy and safety of HSK3486 for sedation or anesthesia in patients undergoing colonoscopy and gastroscopy.

The study will enroll approximately 280 adults. The maximum study duration is anticipated to be up to nine months.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

West China Hospital, Sichuan University

Changde, China

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Scheduled to undergo a diagnostic or therapeutic colonoscopy or gastroscopy;
  • Male or female patients, ASA grade I~II, aged ≥ 18 and < 65;
  • Body mass index (BMI) ≥ 18 and ≤ 30 kg/m2;
  • During screening and baseline, the respiratory rate ≥10 and ≤24, SpO2 when inhaling ≥95%, SBP≥90mmHg, DBP≥60mmHg, HR≥60 and ≤100;
  • Patient can understand the procedure of this study and is willing to comply with study requirements. The patient can sign the ICF voluntarily.

Exclusion criteria

  • Patients were contraindicated in general anesthesia.
  • Patients with a known sensitivity to propofol, opioids, naloxone, eggs, soy products or a medical condition such that these agents were contraindicated.
  • The patient has some history or evidence of increased risk of sedation or anesthesia, such as cardiovascular disease, respiratory disease, cerebrovascular disease, gastrodintestinal disease and other system disease prior to the screening and/or baseline period.
  • Patients with a history of drug or ethanol abuse with the past 3 months.
  • Patients with respiratory management difficulties (Modified Mallampati grade IV).
  • Patients in receipt of any investigational drug within 30 days before screening.
  • Patients in receipt of propofol, opioid , other sedative or anesthetic or analgesics within 72 hours prior to baseline.
  • Abnormal laboratory results consisting of any of the following:
  • neutrophil count≤ 1.5×109/L; 2)platelet≤ 80×109/L; 3)hemoglobin≤ 90 g/L; 4)aspartate aminotransferase≥ 1.5×ULN; 5)total bilirubin≥ 1.5×ULN; 6) serum creatinine≥ 1.2×ULN. 9. Pregnant women or female patients with a positive serum or urine human chorionic gonadotropin pregnancy test at screening or baseline or lactating female patients.
  • Patients with an inability to communicate well with the investigator, or deemed unsuitable according to the investigator (in each case providing a reason).

Treatment and study plan

HSK3486

Drug

HSK3486 intravenous (iv) 0.4 mg/kg for induction, and 0.2 mg/kg top-ups for maintenance.

Propofol

Drug

Propofol iv 1.5 mg/kg for induction, and 0.75 mg/kg top-ups for maintenance.

Primary outcomes

  1. Success of colonoscopy procedure

    Time frame: from the first dose of the study drug to removal of colonoscope on day 1

    Measured by completion of colonoscopy, no requirement for an alternative sedative or anesthesia drug and no requirement for more than 5 doses of study drug within any 15 minute period.

Secondary outcomes

  1. The success rate of the gastroscopy procedure

    Time frame: from the first dose of the study drug to removal of gastroscope on day 1

  2. The success rate of the colonoscopy and gastroscopy procedure

    Time frame: from the first dose of the study drug to rem oval of colonoscope and gastroscope on day 1

  3. Time to induction of sedation or anaesthesia

    Time frame: from the first dose of the study drug to the first MOAA/S scores≤1 on day 1

  4. Time to start of procedure

    Time frame: From first dose of study drug until insertion of colonoscope or gastroscope on day 1

  5. Time to fully alert

    Time frame: from the removal of colonoscopy or gastroscopy procedure, until the first of three consecutive MOAA/S scores of 5 on day 1

  6. Time to discharge

    Time frame: from the removal of colonoscopy or gastroscopy procedure, until the first of three consecutive Aldrete scores of more than or equal to 9 on day 1

  7. Sedation/anesthesia satisfaction, satisfaction assessment of subjects, anesthesiologists, and endoscopic physicians

    Time frame: from time to fully alert, until time to discharge on day 1

Sponsors and collaborators

Lead sponsor

Sichuan Haisco Pharmaceutical Group Co., Ltd

Industry

Registry information

Official study title

A Phase III,Randomized, Double-blind, Propofol-controlled, Parallel-design, Multi-center Study Evaluating The Efficacy and Safety of HSK3486 for Sedation or Anesthesia in Patients Undergoing Colonoscopy and Gastroscopy

Important dates

Study start
2018
Primary completion
2019
Study completion
2019
First posted
Sep 17, 2018
Registry last updated
Jul 5, 2019

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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