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

The 90% Effective Dose of Remimazolam for Duodenoscopy Insertion During ERCP With Alfentanil 10µg/kg

Not Applicable
Conditions
Anesthesia
Interventions
First Posted Date
2021-09-22
Last Posted Date
2021-12-20
Lead Sponsor
Jianbo Yu
Target Recruit Count
120
Registration Number
NCT05053763
Locations
🇨🇳

Tianjin Nankai Hospital, Tianjin, Tianjin, China

The Impact of Remimazolam for Postoperative Sedation on the Left Ventricular Systolic Performance in Cardiac Surgery

Phase 4
Conditions
Coronary Artery Disease
Interventions
First Posted Date
2021-09-13
Last Posted Date
2021-09-13
Lead Sponsor
Konkuk University Medical Center
Target Recruit Count
15
Registration Number
NCT05041725

Remimazolam and Remifentanil Without Neuromuscular Blocking Agent

Completed
Conditions
Myoma;Uterus
Unspecified Condition Associated With Female Genital Organs and Menstrual Cycle
Polyp Endometrium
Interventions
First Posted Date
2021-08-27
Last Posted Date
2022-04-25
Lead Sponsor
Seoul National University Bundang Hospital
Target Recruit Count
38
Registration Number
NCT05025410
Locations
🇰🇷

Seoul National University Bundang Hospital, Seongnam, Korea, Republic of

Comparison of Postoperative QoR-15 Scores Between Sevoflurane and Remimazolam

Not Applicable
Completed
Conditions
Anterior Cervical Discectomy and Fusion (ACDF) Surgery
Interventions
First Posted Date
2021-08-24
Last Posted Date
2023-04-25
Lead Sponsor
Gangnam Severance Hospital
Target Recruit Count
72
Registration Number
NCT05019222
Locations
🇰🇷

Myung Hwa Kim, Seoul, Korea, Republic of

A Trial of Efficacy and Safety of Remimazolam Tosilate for Injection in Local Anesthesia Assisted Sedation

Phase 2
Completed
Conditions
Local Anesthesia Assisted Sedation
Interventions
First Posted Date
2021-08-20
Last Posted Date
2021-08-20
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Target Recruit Count
108
Registration Number
NCT05015361
Locations
🇨🇳

West China Hospital, Chengdu, Sichuan, China

Comparison of Postoperative QoR-15 Scores Between Propofol and Remimazolam

Not Applicable
Completed
Conditions
Patients Undergoing Spine Surgery
Interventions
Drug: Propfol group
First Posted Date
2021-08-06
Last Posted Date
2023-07-20
Lead Sponsor
Gangnam Severance Hospital
Target Recruit Count
73
Registration Number
NCT04994704
Locations
🇰🇷

GangnamSeverance Hospital, Seoul, Korea, Republic of

Comparison of Postoperative QoR-15 Scores Between Desflurane and Remimazolam in Lumbar Fusion Surgery

Not Applicable
Completed
Conditions
Lumbar Fusion Surgery
Interventions
Drug: Desflurane
First Posted Date
2021-07-30
Last Posted Date
2024-04-30
Lead Sponsor
Gangnam Severance Hospital
Target Recruit Count
76
Registration Number
NCT04983966
Locations
🇰🇷

GangnamSeverance Hospital, Seoul, Korea, Republic of

The Median Effective Dose of Remimazolam for Duodenoscopy Insertion During ERCP With Alfentanil 10µg/kg

Phase 4
Conditions
Anesthesia
Interventions
First Posted Date
2021-07-20
Last Posted Date
2022-01-10
Lead Sponsor
Tianjin Nankai Hospital
Target Recruit Count
50
Registration Number
NCT04969068
Locations
🇨🇳

Tianjin Nankai Hospital, Tianjin, Tianjin, China

Remimazolam and Endovascular Procedures of Cerebrovascular Diseases

Not Applicable
Completed
Conditions
Cerebrovascular Disorders
Anesthesia
Interventions
First Posted Date
2021-07-06
Last Posted Date
2022-10-20
Lead Sponsor
Air Force Military Medical University, China
Target Recruit Count
142
Registration Number
NCT04950621
Locations
🇨🇳

Xijing hospital, Xi'an, Shaanxi, China

The Availability and Safety Study of Remimazolam Besylate for Injection on Sedation of ERAS Patients

Phase 3
Conditions
Analgesia
Postoperative Pain
Interventions
First Posted Date
2021-07-01
Last Posted Date
2021-07-01
Lead Sponsor
Peking Union Medical College Hospital
Target Recruit Count
84
Registration Number
NCT04947345
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