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A Phase IIa Study Investigating the Tolerance, Efficacy and Safety of HSK3486

Phase 2
Completed
Conditions
Induction of General Anaesthesia
Interventions
Drug: HSK3486
Drug: Propofol
Registration Number
NCT03698617
Lead Sponsor
Sichuan Haisco Pharmaceutical Group Co., Ltd
Brief Summary

This is a Phase IIa, open-label, propofol-controlled ,dose-escalation, multi-center Study to evaluate the tolerance, efficacy and safety of HSK3486 for induction of general anesthesia in elective surgery patients.This study is consisted of two cohorts, dose-escalation and dose-expansion cohorts. The doses in dose- expansion cohort were selected from dose-escalation results.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
114
Inclusion Criteria
  1. Inpatients required tracheal intubation under general anesthesia and a non-emergency non-cardiothoracic and non-extracranial elective surgery for an estimated duration of ≤ 3 h ;.
  2. Males or females, aged ≥ 18 and ≤ 65 years old;
  3. Body mass index (BMI) ≥ 19 and ≤ 30 kg/m2;
  4. ASA grade I~II;
  5. Capable of understanding the procedure and method of this study, willing to sign an informed consent form and to complete this study in strict accordance with the study protocol.
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Exclusion Criteria
  1. Patients were contraindicated in general anesthesia.;
  2. Patients with a known sensitivity to propofol, opioids, naloxone, eggs, soy products or a medical condition such that these agents were contraindicated
  3. Patients in receipt of any investigational drug within 30 days before screening.
  4. Patients in receipt of propofol, opioid , other sedative or anesthetic or analgesics within one month prior to the screening period.
  5. Patients in receipt of general anesthesia surgery within two weeks prior to the screening period.
  6. The patient has some history or evidence of increased risk of sedation or anesthesia, such as cardiovascular disease, respiratory disease, cerebrovascular disease, liver, kidney, blood system, or metabolic system disease prior to the screening period.
  7. Abnormal laboratory results consisting of any of the following: :
  1. AST and ALT≥ 2×ULN; 2)TBIL≥ 1.5×ULN; 3)Hb≤ 90g/L; 4)ANC≤1.5×109/L; 5) PLT≤80×109/L; 6) serum creatinine≥ 1.5×ULN.
  1. Patients with a history of drug or ethanol abuse with the past 3 months. 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. . 10. 10. Patients with a positive Allen 's test who collected arterial blood for PK study.

  2. Patients with respiratory management difficulties. 12. Patients with an inability to communicate well with the investigator, or deemed unsuitable according to the investigator (in each case providing a reason).

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Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
HSK3486HSK3486Dose Escalation Cohort: 0.1 mg/kg, 0.2 mg/kg, 0.3mg/kg 0.4 mg/kg 0.5 mg/kg, 0.6 mg/kg, 0.7mg/kg, 0.8 mg/kg Dose Expansion Cohort: 0.3 mg/kg and 0.5 mg/kg.
PropofolPropofolDose Escalation Cohorts:2.0mg/kg and 2.5mg/kg; Dose Expansion Cohorts: 2.0mg/kg
Primary Outcome Measures
NameTimeMethod
The success rate of induction of general anesthesiaduring induction of general anesthesia on day 1

To find the MTD or the RP2D of HSK3486 in the induction of general anesthesia, the success rate of induction of general anesthesia is the primary outcome measurement.

Secondary Outcome Measures
NameTimeMethod
Time from start of IMP administration to loss of eyelash reflexduring induction of general anesthesia on day 1
change from baseline in blood pressure (systolic, diastolic and mean arterial pressure)pre-dose to 20 minutes post-dose

safety endpoits

change from baseline in arterial oxygen saturationpre-dose to 20 minutes post-dose

safety endpoits

Time from start of IMP administration to intubation and the intubation reactionduring induction of general anesthesia on day 1
Number of patients with adverse eventsPre-dose to 48 hours post-dose

safety endpoits

Time from start of IMP administration to loss of consciousnessduring induction of general anesthesia on day 1
Mini-Mental State Examination (MMSE) total scores(0-30) by time pointPre-dose to 48 hours post-dose

Change from baseline in Mini-Mental State Examination (MMSE) total score

change from baseline in heart ratepre-dose to 20 minutes post-dose

safety endpoits

Trial Locations

Locations (1)

The 2nd Affiliated Hospital of WMU

🇨🇳

Wenzhou, Zhejiang, China

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