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NCT00591786

A Bridging Trial Comparing Sugammadex (Org 25969) at 1-2 Post-Tetanic Count (PTC) in Japanese Participants. Part A (P05957)

Completed Phase 2 Results posted Last updated 15 March 2019
What this trial tests

Phase 2 trial testing Sugammadex in Anesthesia, General in 100 participants. Completed in 19 October 2006.

Timeline
5 December 2005
Primary endpoint
31 August 2006
19 October 2006

Quick facts

Lead sponsorMerck Sharp & Dohme LLC
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment100
Start date5 December 2005
Primary completion31 August 2006
Estimated completion19 October 2006

Drugs / interventions tested

Conditions studied

Sponsor

Merck Sharp & Dohme LLC — full company profile →

Who can join

Adults 20 to 65, any sex, with Anesthesia, General. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Time From Start of Sugammadex Administration to Recovery of the Neuromuscular Response to a Ratio of 0.9 for Train-Of-Four (TOF) Stimulation Primary · Up to 269:45 (min:sec)

Neuromuscular functioning was monitored by applying repetitive Train-Of-Four (TOF) electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to the amplitudes (heights) of the first and fourth twitches, respectively, after TOF nerve stimulation. The T4/T1 Ratio (expressed as a decimal of up to 1.0) indicates the extent of recovery from neuromuscular blockade (NMB). In this study, twitch responses were recorded until the T4/T1 Ratio reached \>= 0.9, the minimum acceptable ratio that indicated recovery from NMB. A f

GroupValue95% CI
Sugammadex 0.5 mg/kg (Rocuronium)66.90± 34.63
Sugammadex 1.0 mg/kg (Rocuronium)4.73± 1.73
Sugammadex 2.0 mg/kg (Rocuronium)3.43± 2.52
Sugammadex 4.0 mg/kg (Rocuronium)1.58± 0.88
Sugammadex 8.0 mg/kg (Rocuronium)1.32± 0.57
Sugammadex 0.5 mg/kg (Vecuronium)79.48± 46.23
Sugammadex 1.0 mg/kg (Vecuronium)39.82± 45.77
Sugammadex 2.0 mg/kg (Vecuronium)16.02± 42.20
Sugammadex 4.0 mg/kg (Vecuronium)3.05± 2.38
Sugammadex 8.0 mg/kg (Vecuronium)2.93± 3.77
Time From Start of Sugammadex Administration to Recovery of the Neuromuscular Response to a Ratio of 0.7 for TOF Stimulation Secondary · Up to 152:30 (min:sec)

Neuromuscular functioning was monitored by applying repetitive TOF electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to the amplitudes (heights) of the first and fourth twitches, respectively, after TOF nerve stimulation. The T4/T1 Ratio (expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB. A faster time to recovery of the T4/T1 Ratio to 0.7 indicates a faster recovery from NMB.

GroupValue95% CI
Sugammadex 0.5 mg/kg (Rocuronium)34.45± 32.12
Sugammadex 1.0 mg/kg (Rocuronium)4.38± 2.32
Sugammadex 2.0 mg/kg (Rocuronium)2.48± 2.00
Sugammadex 4.0 mg/kg (Rocuronium)1.07± 0.20
Sugammadex 8.0 mg/kg (Rocuronium)1.03± 0.32
Sugammadex 0.5 mg/kg (Vecuronium)56.82± 35.47
Sugammadex 1.0 mg/kg (Vecuronium)8.30± 10.90
Sugammadex 2.0 mg/kg (Vecuronium)3.18± 3.72
Sugammadex 4.0 mg/kg (Vecuronium)1.95± 1.35
Sugammadex 8.0 mg/kg (Vecuronium)1.33± 0.58
Time From Start of Sugammadex Administration to Recovery of the Neuromuscular Response to a Ratio of 0.8 for TOF Stimulation Secondary · Up to 194:45 (min:sec)

Neuromuscular functioning was monitored by applying repetitive TOF electrical stimulations to the ulnar nerve every 15 seconds and assessing twitch response at the adductor pollicis muscle. T1 and T4 refer to the amplitudes (heights) of the first and fourth twitches, respectively, after TOF nerve stimulation. The T4/T1 Ratio (expressed as a decimal of up to 1.0) indicates the extent of recovery from NMB. A faster time to recovery of the T4/T1 Ratio to 0.8 indicates a faster recovery from NMB.

GroupValue95% CI
Sugammadex 0.5 mg/kg (Rocuronium)46.78± 30.85
Sugammadex 1.0 mg/kg (Rocuronium)4.33± 1.85
Sugammadex 2.0 mg/kg (Rocuronium)2.98± 2.17
Sugammadex 4.0 mg/kg (Rocuronium)1.33± 0.58
Sugammadex 8.0 mg/kg (Rocuronium)1.13± 0.40
Sugammadex 0.5 mg/kg (Vecuronium)73.25± 45.65
Sugammadex 1.0 mg/kg (Vecuronium)22.60± 27.90
Sugammadex 2.0 mg/kg (Vecuronium)6.02± 11.83
Sugammadex 4.0 mg/kg (Vecuronium)2.22± 1.48
Sugammadex 8.0 mg/kg (Vecuronium)1.42± 0.53

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 7 post-operative days. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Sugammadex 0.5 mg/kg (Rocuronium)
Serious: 0/9 (0%)
Deaths: 0/9
Sugammadex 1.0 mg/kg (Rocuronium)
Serious: 1/9 (11%)
Deaths: 0/9
Sugammadex 2.0 mg/kg (Rocuronium)
Serious: 0/10 (0%)
Deaths: 0/10
Sugammadex 4.0 mg/kg (Rocuronium)
Serious: 0/11 (0%)
Deaths: 0/11
Sugammadex 8.0 mg/kg (Rocuronium)
Serious: 0/10 (0%)
Deaths: 0/10
Sugammadex 0.5 mg/kg (Vecuronium)
Serious: 0/10 (0%)
Deaths: 0/10
Sugammadex 1.0 mg/kg (Vecuronium)
Serious: 0/10 (0%)
Deaths: 0/10
Sugammadex 2.0 mg/kg (Vecuronium)
Serious: 1/10 (10%)
Deaths: 0/10
Sugammadex 4.0 mg/kg (Vecuronium)
Serious: 1/10 (10%)
Deaths: 0/10
Sugammadex 8.0 mg/kg (Vecuronium)
Serious: 0/10 (0%)
Deaths: 0/10

Serious adverse events (3 terms)

ReactionSystemSugammadex 0.5 mg/kg (Rocu…Sugammadex 1.0 mg/kg (Rocu…Sugammadex 2.0 mg/kg (Rocu…Sugammadex 4.0 mg/kg (Rocu…Sugammadex 8.0 mg/kg (Rocu…Sugammadex 0.5 mg/kg (Vecu…Sugammadex 1.0 mg/kg (Vecu…Sugammadex 2.0 mg/kg (Vecu…Sugammadex 4.0 mg/kg (Vecu…Sugammadex 8.0 mg/kg (Vecu…
Disseminated intravascular coagulationBlood and lymphatic system disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Retinal detachmentEye disorders
Other adverse events (105 terms — click to expand)

ReactionSystemSugammadex 0.5 mg/kg (Rocu…Sugammadex 1.0 mg/kg (Rocu…Sugammadex 2.0 mg/kg (Rocu…Sugammadex 4.0 mg/kg (Rocu…Sugammadex 8.0 mg/kg (Rocu…Sugammadex 0.5 mg/kg (Vecu…Sugammadex 1.0 mg/kg (Vecu…Sugammadex 2.0 mg/kg (Vecu…Sugammadex 4.0 mg/kg (Vecu…Sugammadex 8.0 mg/kg (Vecu…
Procedural painInjury, poisoning and procedural complications
NauseaGastrointestinal disorders
PyrexiaGeneral disorders
VomitingGastrointestinal disorders
ConstipationGastrointestinal disorders
Postoperative wound complicationInjury, poisoning and procedural complications
Back painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
HypoaesthesiaNervous system disorders
Pharyngolaryngeal painRespiratory, thoracic and mediastinal disorders
DiarrhoeaGastrointestinal disorders
Hypoaesthesia oralGastrointestinal disorders
Oedema peripheralGeneral disorders
Incision site haemorrhageInjury, poisoning and procedural complications
Post procedural haemorrhageInjury, poisoning and procedural complications
InsomniaPsychiatric disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
PruritusSkin and subcutaneous tissue disorders
ThirstGeneral disorders
Mouth haemorrhageGastrointestinal disorders
Palatal oedemaGastrointestinal disorders
Stomach discomfortGastrointestinal disorders
ChillsGeneral disorders
Injection site pruritusGeneral disorders
MalaiseGeneral disorders
NasopharyngitisInfections and infestations
Post procedural complicationInjury, poisoning and procedural complications
Procedural hypertensionInjury, poisoning and procedural complications
Albumin urine presentInvestigations
Beta 2 microglobulin urine increasedInvestigations
Blood creatine phosphokinase increasedInvestigations
Neck painMusculoskeletal and connective tissue disorders
DizzinessNervous system disorders
DysphoniaRespiratory, thoracic and mediastinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
Dermatitis contactSkin and subcutaneous tissue disorders
ErythemaSkin and subcutaneous tissue disorders
Swelling faceSkin and subcutaneous tissue disorders
Corneal oedemaEye disorders

Most-reported serious reactions: Disseminated intravascular coagulation, Epistaxis, Retinal detachment.

Data from ClinicalTrials.gov NCT00591786 adverse events section.

Sponsor's own description

The objective of the trial was to establish the dose-response relation of sugammadex (Org 25969) given as a reversal agent of rocuronium or vecuronium at 1-2 PTC during sevoflurane anesthesia for Japanese participants.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of Sugammadex

Trials testing the same drug.

Other recruiting trials for Anesthesia, General

Currently open trials in the same condition.

Other Merck Sharp & Dohme LLC trials

Trials by the same sponsor.

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