UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000045593
Receipt number R000052026
Scientific Title The effect of remimazolam on postoperative memory retention and delayed regeneration in breast surgery patients: Rationale and design of an exploratory, randomized, open, propofol-controlled, single-center clinical trial.
Date of disclosure of the study information 2021/09/28
Last modified on 2023/07/20 00:05:02

* This page includes information on clinical trials registered in UMIN clinical trial registed system.
* We don't aim to advertise certain products or treatments


Basic information

Public title

The effect of remimazolam on postoperative memory retention and delayed regeneration in breast surgery patients: Rationale and design of an exploratory, randomized, open, propofol-controlled, single-center clinical trial.

Acronym

effect remimazolam memory retention delayed regeneration (FERMENTER)

Scientific Title

The effect of remimazolam on postoperative memory retention and delayed regeneration in breast surgery patients: Rationale and design of an exploratory, randomized, open, propofol-controlled, single-center clinical trial.

Scientific Title:Acronym

FERMENTER

Region

Japan


Condition

Condition

Breast cancer

Classification by specialty

Anesthesiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

the aim of this study was to compare the effects of different sedative drugs during general anesthesia on memory retention in postoperative patients, and to establish a method to evaluate effects on anterograde amnesia in validation clinical trials.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The primary endpoint examined in this RCT is the assessment of anterograde amnesia.
(1) The number of posters remembered 24 hours after surgery among four posters shown after awakening from anesthesia. Specifically, after awakening from anesthesia and being able to say their names, patients are to be shown four posters.

Key secondary outcomes

(1) The number of events remembered from prior to the start of anesthesia: ambulatory entry, bed transfer, vein insertion, BIS monitor attachment to the forehead, and mask fitting, and based on whether the patient remembers the poster (see Appendix) shown before the induction of anesthesia.
(2) The amount of analgesic medication from the time the patient returns to the ward until 24 h after surgery.
(3) Immediate postoperative pain numerical rating scale (NRS) values (see Appendix).
(4) Pain NRS scores 24 h after leaving the operating room.

Safety endpoints
1) Nausea assessed based on the amount of antiemetic medication used immediately after surgery and from the time of returning to the ward until 24 hours after surgery.
2) Time to full awakening.
3) The incidences of hypotension, bradycardia, rhabdomyolysis, and anaphylaxis.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Remimazolam

Interventions/Control_2

Propofol

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

65 years-old >=

Gender

Male and Female

Key inclusion criteria

The following criteria are necessary in order to meet eligibility requirements for the current study.
(1) Patients must provide written informed consent by their own free will.
(2) Patients must be aged 20 years or older and must be under 65 years of age.
(3) Patients must be undergoing breast surgery under general anesthesia.

Key exclusion criteria

Patients should be excluded if any one of the following criteria apply.
(1) Patients with a history of hypersensitivity to remimazolam or propofol.
(2) Patients with egg or soybean oil allergies, acute angle-closure glaucoma, myasthenia gravis, serious disease complications, or a history of allergies.
(3) Patients with an ASA (American society of anesthesiologists) physical status of IV or higher, shock, or coma.
(4) Patients who are judged as inappropriate for inclusion in the study.
(5) Patients with impaired cognitive function.

Target sample size

70


Research contact person

Name of lead principal investigator

1st name Kazuhiro
Middle name
Last name Shirozu

Organization

Kyushu University Hospital

Division name

Anesthesiology

Zip code

812-8582

Address

3-1-1 maidashi, higashi-ku, Fukuoka

TEL

092-642-5714

Email

shirozu.kazuhiro.334@m.kyushu-u.ac.jp


Public contact

Name of contact person

1st name Kazuhiro
Middle name
Last name Shirozu

Organization

Kyushu University Hospital

Division name

Anesthesiology

Zip code

812-8582

Address

3-1-1 maidashi, higashi-ku, Fukuoka

TEL

092-642-5714

Homepage URL


Email

shirozu.kazuhiro.334@m.kyushu-u.ac.jp


Sponsor or person

Institute

Kyushu University Hospital

Institute

Department

Personal name



Funding Source

Organization

No external funders are not pertained to this manuscript. Funding is provided by self-funding. There are no external funders associated with this manuscript.

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

JAPAN


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Kyushu University certified institutional review board for clinical trial

Address

3-1-1 maidashi, higashi-ku, Fukuoka

Tel

092-642-5774

Email

kyudai-rinri@jimu.kyushu-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2021 Year 09 Month 28 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

74

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2021 Year 08 Month 26 Day

Date of IRB

2021 Year 08 Month 26 Day

Anticipated trial start date

2021 Year 10 Month 13 Day

Last follow-up date

2023 Year 03 Month 28 Day

Date of closure to data entry

2023 Year 04 Month 14 Day

Date trial data considered complete

2023 Year 04 Month 14 Day

Date analysis concluded

2023 Year 04 Month 30 Day


Other

Other related information



Management information

Registered date

2021 Year 09 Month 28 Day

Last modified on

2023 Year 07 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000052026