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Evaluation of the efficacy and safety of sugammadex (Bridion) in children with renal failure. - sugammadex in children with renal failure

Phase 1
Conditions
Sugammadex is a selective relaxant binding agent, which is administered in case of a rocuronium-induced neuromuscular block, during general anaesthesia. The aim of the trial is to investigate the use, efficacy and safety of sugammadex in children (2-17 years) with moderate to severe renal failure (creatinine clearance < 30 ml/min), compared to children with normal renal function.
MedDRA version: 9.1Level: HLTClassification code 10038443Term: Renal failure and impairment
MedDRA version: 9.1Level: LLTClassification code 10009119Term: Chronic renal failure
MedDRA version: 9.1Level: LLTClassification code 10014647Term: End stage renal failure
Registration Number
EUCTR2008-008246-20-NL
Lead Sponsor
Radboud University Nijmegen Medical Center, Department of Anaesthesiology, Pain and Palliative Medic
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
20
Inclusion Criteria

1.Children with ASA classification status II-III (renal failure)
2.Children with ASA classification status I-II (healthy controls)
3.Age: 2-17 years
4.Scheduled for elective surgical procedures under general anaesthesia, for which a single dose of rocuronium 0.6 mg/kg is needed for endotracheal intubation.
5.Scheduled for surgical procedures in the supine position.
6.Written Informed Consent.
7.Moderate to severe renal failure: creatinine clearance < 30 ml/min.
8.Healthy controls: creatinine clearance > 90 ml/min

Are the trial subjects under 18? yes
Number of subjects for this age range:
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range

Exclusion Criteria

1.Known or suspected neuromuscular disease.
2.Known or suspected malignant hyperthermia.
3.Known or suspected allergy to anaesthetics, muscle relaxants or other medication used during general anaesthesia.
4.Use of medication suspected to interfere with the action of sugammadex (flucloxacillin, fucidinic acid).
5.Use of medication known to interfere with the action of rocuronium (anti-epileptics, aminoglycoside antibriotics, magnesium).
6.Scheduled for outpatient procedures.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Main Objective: To demonstrate the efficacy of sugammadex in reversing rocuronium-induced neuromuscular blockade in children with moderate to severe renal failure.;Secondary Objective: To demonstrate that sugammadex is safe to use in children with moderate to severe renal failure.;Primary end point(s): Time from start of administration of sugammadex to recovery of the TOF ratio to 0.9
Secondary Outcome Measures
NameTimeMethod
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