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A Dose-ranging Study to Evaluate the Safety and Efficacy of LUSEDRA (Fospropofol Disodium) as an Intravenous Sedative for Diagnostic or Therapeutic Colonoscopy in Adult Special Populations

Registration Number
NCT01127438
Lead Sponsor
Eisai Inc.
Brief Summary

The purpose of this study is to evaluate the safety and efficacy of LUSEDRA (fospropofol disodium) and to determine whether a dose lower than currently approved can provide effective moderate sedation required to complete diagnostic or therapeutic procedures.

Detailed Description

This will be a double-blind, randomized, parallel-group, multicenter, dose-ranging study, in age \>/= 65 years, and/or weight \< 60 kg, and/or American Society of Anesthesiologists (ASA) Physical Classification Status 3 or 4 subjects using either the approved dose modification or 1 lower dose, to achieve a moderate level of sedation required to complete the scheduled diagnostic or therapeutic procedure. Three subgroups of subjects will be included. For Subgroup 1 and Subgroup 2, approximately equal numbers of subjects will be enrolled into 2 strata: weight \>/= 55 kg and weight \< 55 kg. For Subgroup 1 and Subgroup 2, subjects will be randomly assigned to 1 of 2 dose groups in a 1:1 ratio within each stratum. For Subgroup 3, subjects will be randomly assigned to 1 of 2 dose groups in a 1:1 ratio.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
153
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
fospropofol disodium Subgroup 2 Lower Dosefospropofol disodium Subgroup 2 Lower Dose-
fospropofol disodium Subgroup 2 Approved Dosefospropofol disodium Subgroup 2 Approved Dose-
fospropofol disodium Subgroup 1 Lower Dosefospropofol disodium Subgroup 1 Lower Dose-
: fospropofol disodium Subgroup 1 Approved Dosefospropofol disodium Subgroup 1 Approved Dose-
fospropofol disodium Subgroup 3 Lower Dosefospropofol disodium Subgroup 3 Lower Dose-
fospropofol disodium Subgroup 3 Approved Dosefospropofol disodium Subgroup 3 Approved Dose-
Primary Outcome Measures
NameTimeMethod
Number of Participants With Sedation SuccessDay 1

Sedation success was defined as subjects who met the following 4 criteria: had 3 consecutive Modified Observer's Assessment of Alertness/Sedation (MOAA/S) scores at or less than 4 after administration of sedative medication, completed the procedure, did not require the use of alternative sedative medication, and did not require manual/mechanical ventilation. The MOAA/S score was used to clinically rate the level of sedation using a score of 0 to 5 based on the subject's level of responsiveness. A high score on the MOAA/S scale indicated a lower level of sedation.

Secondary Outcome Measures
NameTimeMethod
Number of Participants With Treatment SuccessDay 1

Treatment success was defined as subjects who met the following 3 criteria: completed the procedure, did not require the use of alternative sedative medication, and did not require manual/mechanical ventilation.

Number of Participants With Modified Sedation SuccessDay 1

Modified sedation success was defined as a subject who was a sedation success and did not have a MOAA/S score \<2 any time after administration of sedative medication. Sedation success was defined as subjects who had 3 consecutive MOAA/S scores at or less than 4 after administration of sedative medication, completed the procedure, did not require the use of alternative sedative medication, and did not require manual/mechanical ventilation. The MOAA/S score was used to clinically rate the level of sedation using a score of 0 to 5 based on the level of responsiveness.

Trial Locations

Locations (23)

Washington Hospital Center

🇺🇸

Washington, District of Columbia, United States

Miami Research Associates

🇺🇸

South Miami, Florida, United States

Research Associates of New York, LLP

🇺🇸

New York, New York, United States

Ilumina Clinical Associates

🇺🇸

Uniontown, Pennsylvania, United States

Ilumina Clinical Associates, Keystone Headache and Pain Mgt Center, Tyrone Hospital

🇺🇸

Tyrone, Pennsylvania, United States

Clinical Trial Network

🇺🇸

Spring, Texas, United States

Northern Utah Gastroenterology

🇺🇸

Logan, Utah, United States

Advance Clinical Research

🇺🇸

Odgen, Utah, United States

Hope Research Institute

🇺🇸

Phoenix, Arizona, United States

Southern California Permanente Medical Group

🇺🇸

Baldwin Park, California, United States

Center for Advanced Gastroenterology

🇺🇸

Maitland, Florida, United States

Charlottesville Medical Research

🇺🇸

Charlottesville, Virginia, United States

Sheridan Clinical Research

🇺🇸

Sunrise, Florida, United States

Digestive Health Associates

🇺🇸

Plano, Texas, United States

Utah Digestive Health Institute

🇺🇸

Clinton, Utah, United States

Desta Digestive Disease Medical Center

🇺🇸

San Diego, California, United States

Creighton University Medical Center

🇺🇸

Omaha, Nebraska, United States

Gastroenterology Associates of Northern Virginia

🇺🇸

Fairfax, Virginia, United States

Gastrointestinal Specialists of Georgia, PC

🇺🇸

Marietta, Georgia, United States

Ohio State University Medical Center Department of Anesthesiology

🇺🇸

Columbus, Ohio, United States

Utah Clinical Trials, LLC

🇺🇸

Salt Lake City, Utah, United States

University of Miami School of Medicine

🇺🇸

Miami, Florida, United States

Duke University

🇺🇸

Durham, North Carolina, United States

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