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

Dose of Remimazolam in Children for Intubation

Not Applicable
Not yet recruiting
Conditions
Anesthesia
Interventions
First Posted Date
2023-12-14
Last Posted Date
2023-12-14
Lead Sponsor
Zhihong LU
Target Recruit Count
40
Registration Number
NCT06170918

A Study of Remimazolam Tosilate for Sedation in the Upper Gastrointestinal Endoscopy

Phase 4
Completed
Conditions
Sedation in the Upper Gastrointestinal Endoscopy
Interventions
First Posted Date
2023-12-14
Last Posted Date
2023-12-29
Lead Sponsor
Jiangsu HengRui Medicine Co., Ltd.
Target Recruit Count
31
Registration Number
NCT06169995
Locations
🇨🇳

The Affiliated Hospital Of Guizhou Medical University, Guiyang, Guizhou, China

🇨🇳

Sichuan Provincial People's Hospital, Chengdu, Sichuan, China

PK/PD Properties and Safety of Remazolam Besylate for Injection in ICU Patients With Impaired Renal Function

Phase 2
Recruiting
Conditions
Mechanically Ventilated Patients
Interventions
First Posted Date
2023-12-01
Last Posted Date
2023-12-13
Lead Sponsor
Wuhan Union Hospital, China
Target Recruit Count
36
Registration Number
NCT06153498
Locations
🇨🇳

Wuhan Union Hospital, Wuhan, Hubei, China

The Effects of Anesthetics on Brain Network Connectivity in Patients With Supratentorial Glioma

Recruiting
Conditions
Brain Network Connectivity
Dexmedetomidine
Propofol
Postoperative Delirium
Interventions
First Posted Date
2023-11-18
Last Posted Date
2025-02-14
Lead Sponsor
Beijing Tiantan Hospital
Target Recruit Count
120
Registration Number
NCT06138340
Locations
🇨🇳

Beijing Tian Tan Hospital, Capital Medical University, Beijing, Beijing, China

Comparison of Procedural Sedation in TEE

Phase 1
Recruiting
Conditions
Anesthesia
Interventions
First Posted Date
2023-11-13
Last Posted Date
2025-03-11
Lead Sponsor
University of Alabama at Birmingham
Target Recruit Count
120
Registration Number
NCT06129188
Locations
🇺🇸

University of Alabama at Birmingham Hospital, Birmingham, Alabama, United States

Step 1 of A Two-step Trial to Evaluate the Effectiveness and Safety of Remimazolam Besylate for Sedation in ICU Patients

Phase 2
Completed
Conditions
Mechanically Ventilated Patients
Interventions
First Posted Date
2023-11-09
Last Posted Date
2024-02-05
Lead Sponsor
Wuhan Union Hospital, China
Target Recruit Count
36
Registration Number
NCT06124404
Locations
🇨🇳

Wuhan Union Hospital, Wuhan, Hubei, China

ED90 of Remimazolam Anesthesia Induction in Painless Bidirectional Endoscopy in Children

Not Applicable
Completed
Conditions
Bidirectional Endoscopy
Interventions
First Posted Date
2023-11-08
Last Posted Date
2024-10-26
Lead Sponsor
Tongji Hospital
Target Recruit Count
114
Registration Number
NCT06121609
Locations
🇨🇳

Tongji Hospital, Wuhan, Hubei, China

Remimazolam vs. Propofol: Impact on Postoperative Delirium in Neurosurgical Patients

Not Applicable
Recruiting
Conditions
Postoperative Delirium
Interventions
First Posted Date
2023-11-02
Last Posted Date
2024-04-17
Lead Sponsor
Samsung Medical Center
Target Recruit Count
696
Registration Number
NCT06115031
Locations
🇰🇷

Samsung Medical Center, Seoul, Korea, Republic of

Esketamine Combined With Remimazolam on Postoperative Sleep Disturbance and Anxiety in Patients

Not Applicable
Recruiting
Conditions
Sleep Disturbance
Interventions
First Posted Date
2023-10-31
Last Posted Date
2024-04-16
Lead Sponsor
Tianjin Medical University General Hospital
Target Recruit Count
400
Registration Number
NCT06108830
Locations
🇨🇳

Tianjin Medical University General Hospital, Tianjin, China

Remimazolam Versus Propofol for General Anesthesia Induction in Patients on Renin-angiotensin System Blockers Undergoing Robot-assisted Laparoscopic Prostatectomy

Not Applicable
Completed
Conditions
Prostate Tumor
Interventions
First Posted Date
2023-10-23
Last Posted Date
2024-12-12
Lead Sponsor
Yonsei University
Target Recruit Count
112
Registration Number
NCT06093971
Locations
🇰🇷

Yonsei University College of Medicine, Seoul, Korea, Republic of

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