MedPath

Remimazolam

Generic Name
Remimazolam
Brand Names
Byfavo
Drug Type
Small Molecule
Chemical Formula
C21H19BrN4O2
CAS Number
308242-62-8
Unique Ingredient Identifier
7V4A8U16MB
Background

Remimazolam is an ultra short-acting benzodiazepine used in the induction and maintenance of sedation during short (<30 minute) procedures. Recent trends in anesthesia-related drug development have touted the benefits of so-called "soft drugs" - these agents, such as remifentanil, are designed to be metabolically fragile and thus susceptible to rapid biotransformation and elimination as inactive metabolites. These "soft drugs" are useful in the context of surgical procedures, wherein a rapid onset/offset is desirable, enabling anesthesiologists to manipulate drug concentrations as needed. Remimazolam was the first "soft" benzodiazepine analog to be developed and was approved for use by the FDA in July 2020 under the brand name Byfavo.

Indication

Remimazolam is indicated for the induction and maintenance of procedural sedation in adults undergoing procedures lasting 30 minutes or less.

Associated Conditions
Procedural Sedation

Effect of Propofol Versus Remimazolam Intravenous Anesthesia on Respiratory Depression

Phase 4
Not yet recruiting
Conditions
Respiratory Depression
Interventions
First Posted Date
2025-02-10
Last Posted Date
2025-02-10
Lead Sponsor
Second Affiliated Hospital of Wenzhou Medical University
Target Recruit Count
96
Registration Number
NCT06816173
Locations
🇨🇳

The second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China

Comparison of Remimazolam and Propofol in Endoscopic Examinations and Treatments

Phase 4
Recruiting
Conditions
Postoperative Complications
Respiratory Depression
Postoperative Nausea
Vomiting
Constipation
Interventions
First Posted Date
2025-01-16
Last Posted Date
2025-05-08
Lead Sponsor
Kaohsiung Veterans General Hospital.
Target Recruit Count
90
Registration Number
NCT06777758
Locations
🇨🇳

Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

The Effect of General Anesthesia with Remimazolam and Propofol on Rhythmic State and Cognitive Function

Not Applicable
Not yet recruiting
Conditions
Cognitive Functioning
Propofol
Remimazolam
Circadian Rhythm
Interventions
First Posted Date
2025-01-15
Last Posted Date
2025-02-14
Lead Sponsor
The Second Affiliated Hospital of Chongqing Medical University
Target Recruit Count
174
Registration Number
NCT06775366
Locations
🇨🇳

The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China

Dexmedetomidine Nasal Spray and Pediatric Bronchoscopy

Not Applicable
Recruiting
Conditions
Fiberoptic Bronchoscopy
Interventions
First Posted Date
2025-01-01
Last Posted Date
2025-05-07
Lead Sponsor
Tongji Hospital
Target Recruit Count
200
Registration Number
NCT06755996
Locations
🇨🇳

Tongji hospital, Wuhan, Hubei, China

Effect of Remimazolam Versus Dexmedetomidine on the Incidence of Delirium After Elective Cardiac Surgery with Cardiopulmonary Bypass: a Prospective Randomized Controlled Trial

Early Phase 1
Not yet recruiting
Conditions
Delirium - Postoperative
Interventions
First Posted Date
2025-01-01
Last Posted Date
2025-01-01
Lead Sponsor
Assiut University
Target Recruit Count
111
Registration Number
NCT06756178
Locations
🇪🇬

Assiut University, Assiut, Egypt

Study on the Feelings of Euphoria Caused by Remimazolam During Gastroscopy and Colonoscopy and Their Related Factors

Recruiting
Conditions
Euphoria
Remimazolam Besylate
Gastrointestinal Endoscopy
Interventions
First Posted Date
2024-12-06
Last Posted Date
2024-12-06
Lead Sponsor
Zhangjie Yu
Target Recruit Count
305
Registration Number
NCT06721195
Locations
🇨🇳

Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, Shanghai, China

The Efficacy and Safety of Remimazolam Besylate for Cardiac Anesthesia

Early Phase 1
Not yet recruiting
Conditions
Anesthesia
Interventions
First Posted Date
2024-12-05
Last Posted Date
2024-12-05
Lead Sponsor
Chinese Academy of Medical Sciences, Fuwai Hospital
Target Recruit Count
320
Registration Number
NCT06717945

Remimazolam Besylate in Sedation of Postcardioperative Patients

Not Applicable
Recruiting
Conditions
Remimazolam
Propofol
Sedation
Mechanical Ventilation
Intensive Care
Cardiac Surgery
Interventions
First Posted Date
2024-12-04
Last Posted Date
2025-02-18
Lead Sponsor
First Affiliated Hospital of Zhejiang University
Target Recruit Count
120
Registration Number
NCT06716840
Locations
🇨🇳

First afflilated hospital of zhejiang university school of medicine, Hangzhou, Zhejiang, China

Comparison of General Anesthesia Hemodynamics Between R and P in Patients Undergoing Laparoscopic Hepatectomy

Phase 3
Completed
Conditions
Hypotension During Surgery
Interventions
First Posted Date
2024-12-03
Last Posted Date
2024-12-03
Lead Sponsor
Sun Yat-sen University
Target Recruit Count
88
Registration Number
NCT06714669
Locations
🇨🇳

Sun Yat-san University Cancer Center, Guangzhou, Guangdong, China

RCT Comparing Remimazolam With Propofol Under EEG DSA Guidance During Cardiac Electrophysiology Studies and Ablation

Not Applicable
Conditions
Hemodynamic
Remimazolam
Propofol
Cardiac Electrophysiology
Interventions
Device: With intubation and controlled ventilation to maintain airway
Device: Maintain spontaneous ventilation without intubation
First Posted Date
2024-11-22
Last Posted Date
2024-11-22
Lead Sponsor
Taipei Veterans General Hospital, Taiwan
Target Recruit Count
200
Registration Number
NCT06700681
Locations
🇨🇳

Taipei Veterans General Hospital, Taipei, Taiwan

© Copyright 2025. All Rights Reserved by MedPath