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

Trial Evaluating the Efficacy of Remimazolam in Endobronchial Ultrasound Guided Transbronchial Needle Aspiration

Phase 2
Not yet recruiting
Conditions
Remimazolam
Midazolam
Interventions
First Posted Date
2024-02-23
Last Posted Date
2024-02-23
Lead Sponsor
Yeungnam University Hospital
Target Recruit Count
330
Registration Number
NCT06275594
Locations
🇰🇷

Yeungnam University Hospital, Daegu, Namgu, Korea, Republic of

Remimazolam in High Risk ERCP Patients

Not Applicable
Not yet recruiting
Conditions
the Severity and Duration of Intraoperative Hypotension
Interventions
Drug: placebo
First Posted Date
2024-02-14
Last Posted Date
2024-02-16
Lead Sponsor
National Taiwan University Hospital
Target Recruit Count
60
Registration Number
NCT06258356

Ketamine for Veterans With Parkinson's Disease

Phase 2
Recruiting
Conditions
Parkinson's Disease
Interventions
First Posted Date
2024-01-30
Last Posted Date
2025-04-15
Lead Sponsor
VA Office of Research and Development
Target Recruit Count
80
Registration Number
NCT06231563
Locations
🇺🇸

San Francisco VA Medical Center, San Francisco, CA, San Francisco, California, United States

A Study of Remimazolam Tosilate for Sedation in the ICU

Phase 3
Completed
Conditions
Sedation in the ICU
Interventions
First Posted Date
2024-01-24
Last Posted Date
2024-11-15
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Target Recruit Count
214
Registration Number
NCT06222294
Locations
🇨🇳

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

Comparison of Remimazolam-based MAC With Inhalation General Anesthesia Under the Guidance of an ANI Monitor During TURB

Not Applicable
Not yet recruiting
Conditions
Patients Undergoing Transurethral Resection of Bladder
Interventions
Drug: general anesthesia with sevoflurane
First Posted Date
2024-01-22
Last Posted Date
2024-01-22
Lead Sponsor
Yonsei University
Target Recruit Count
46
Registration Number
NCT06217055
Locations
🇰🇷

Yonsei university college of medicine, Seoul, Korea, Republic of

A Study of Remimazolam Tosilate for Sedation in Non-intubated Diagnostic and Therapeutic Procedures

Phase 4
Not yet recruiting
Conditions
Sedation in Non-intubated Diagnostic and Therapeutic Procedures
Interventions
First Posted Date
2024-01-22
Last Posted Date
2024-01-22
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Target Recruit Count
240
Registration Number
NCT06216444
Locations
🇨🇳

Zhongshan Hospital, Fudan University, Shanghai, Shanghai, China

Comparison of Emergence Delirium: Remimazolam vs Sevoflurane Anesthesia

Phase 4
Not yet recruiting
Conditions
Emergence Delirium
Interventions
First Posted Date
2024-01-19
Last Posted Date
2024-01-19
Lead Sponsor
Second Affiliated Hospital of Wenzhou Medical University
Target Recruit Count
90
Registration Number
NCT06214117
Locations
🇨🇳

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

The Effects of Remimazolam on the Incidence of Severe Hypoxia During Sedated Hysteroscopy for Assisted Reproduction in Overweight or Obese Patients

Not Applicable
Recruiting
Conditions
Hysteroscopy
Overweight or Obesity
Hypoxia
Interventions
First Posted Date
2024-01-03
Last Posted Date
2024-07-23
Lead Sponsor
RenJi Hospital
Target Recruit Count
600
Registration Number
NCT06187896
Locations
🇨🇳

Diansan Su, Shanghai, Shanghai, China

Effect of Remimazolam on Postoperative Delirium

Not Applicable
Recruiting
Conditions
General Anesthetic Drug Adverse Reaction
Interventions
First Posted Date
2023-12-26
Last Posted Date
2023-12-26
Lead Sponsor
Zhihong LU
Target Recruit Count
190
Registration Number
NCT06180876
Locations
🇨🇳

Xijing hospital, Fourth military medical university, Xi'an, Shaanxi, China

EEG Parameters Between Remimazolam- and Propofol-based Anesthesia

Not Applicable
Completed
Conditions
Acalculous Cholecystitis
Cholecystitis, Acute
Gallbladder Neoplasms
Interventions
First Posted Date
2023-12-21
Last Posted Date
2023-12-21
Lead Sponsor
Yonsei University
Target Recruit Count
60
Registration Number
NCT06178848
Locations
🇰🇷

Department of Anesthesiology and Pain Medicine Yonsei University College of Medicine, Seoul, Korea, Republic of

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