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

Comparison of Quality of Recovery Between Remimazolam and Propofol Anesthesia in Patients Undergoing Arthroscopic Meniscectomy

Not Applicable
Completed
Conditions
Adult Patients 19 or Older Scheduled for Elective Arthroscopic Meniscectomy
Interventions
First Posted Date
2022-03-15
Last Posted Date
2024-07-08
Lead Sponsor
Yonsei University
Target Recruit Count
80
Registration Number
NCT05280236
Locations
🇰🇷

Yonsei University Health System, Severance Hospital, Seoul, Korea, Republic of

A Non-interventional Study of Remazolam Methyl Benzene Sulfonic Acid for Injection in Real-world Clinical Practice

Conditions
Gastroscopic and Colonoscopic Sedation
Interventions
First Posted Date
2022-02-24
Last Posted Date
2022-02-24
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Target Recruit Count
2000
Registration Number
NCT05254366

Effect on Early Cognition Under Sedation by Rimazole Toluenesulfonate in Old Patient Undergoing Colonoscopy

Phase 4
Recruiting
Conditions
Cognition
Interventions
First Posted Date
2022-02-24
Last Posted Date
2024-03-18
Lead Sponsor
RenJi Hospital
Target Recruit Count
90
Registration Number
NCT05255211
Locations
🇨🇳

Yongming Chen, Shanghai, Shanghai, China

Remimazolam vs Midazolam Cognitive and Motor Recovery After Intravenous Conscious Sedation for Dental Extractions.

Phase 3
Recruiting
Conditions
Tooth Extraction
Interventions
First Posted Date
2022-02-02
Last Posted Date
2023-12-05
Lead Sponsor
Guy's and St Thomas' NHS Foundation Trust
Target Recruit Count
128
Registration Number
NCT05220462
Locations
🇬🇧

Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom

Remimazolam and Propofol Anesthesia in Elderly Patients

First Posted Date
2022-01-21
Last Posted Date
2023-07-25
Lead Sponsor
Ajou University School of Medicine
Target Recruit Count
69
Registration Number
NCT05201300
Locations
🇰🇷

Ajou University Hospital, Suwon, Gyeonggi-do, Korea, Republic of

The Comparison of Hemodynamic Effects Between Remimazolam-remifentanil and Propofol-remifentanil in Patients Undergoing Laparoscopic Cholecystectomy

Not Applicable
Completed
Conditions
Acute Cholecystitis
Interventions
First Posted Date
2021-12-20
Last Posted Date
2022-11-07
Lead Sponsor
Yonsei University
Target Recruit Count
274
Registration Number
NCT05164159
Locations
🇰🇷

Yonsei University Health System, Severance Hospital, Seoul, Korea, Republic of

The Comparison of Hypotension Incidence Between Remimazolam and Propofol in Hypertensive Patients Undergoing Neurosurgery

Not Applicable
Completed
Conditions
Patients Undergoing Neurosurgery
Interventions
First Posted Date
2021-12-20
Last Posted Date
2022-11-07
Lead Sponsor
Yonsei University
Target Recruit Count
100
Registration Number
NCT05164146
Locations
🇰🇷

Yonsei University Health System, Severance Hospital, Seoul, Korea, Republic of

Effect of Remimazolam With Protocolized Sedation on Critical Ill, Mechanical Ventilated Patients Compared With Midazolam

Not Applicable
Recruiting
Conditions
Sedation and Analgesia
Interventions
First Posted Date
2021-12-16
Last Posted Date
2023-07-14
Lead Sponsor
Zhujiang Hospital
Target Recruit Count
440
Registration Number
NCT05160987
Locations
🇨🇳

Department of Critical Care Medicine of Zhujiang Hospital,Southern Medical University, Guangzhou, Guangdong, China

A Study of Remimazolam Tosilate for Sedation in the ICU

Phase 2
Completed
Conditions
Sedation in the ICU
Interventions
First Posted Date
2021-12-09
Last Posted Date
2023-05-23
Lead Sponsor
Fujian Shengdi Pharmaceutical Co., Ltd.
Target Recruit Count
60
Registration Number
NCT05152303
Locations
🇨🇳

The First Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong, China

A Comparative Study of Rimazolam and Propofol Combined With Etomidate in Gastroenteroscopy in Elderly Patients

Not Applicable
Completed
Conditions
Remimazolam Besylate
Etomidate Combined With Propofol
Elderly Patients
Gastrointestinal Endoscopy
Interventions
First Posted Date
2021-11-02
Last Posted Date
2023-07-14
Lead Sponsor
Peking University People's Hospital
Target Recruit Count
120
Registration Number
NCT05103696
Locations
🇨🇳

Peking University People's Hospital, Beijing, Beijing, China

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