Effect of Remimazolam on Postoperative Nausea and Vomiting
1 other identifier
interventional
108
1 country
1
Brief Summary
The present trial is to study the effect of low dose remimazolam on postoperative nausea and vomiting (PONV) in patients at risks of PONV (women, postoperative use of opioid, nonsmokers) undergoing laparoscopic cholecystectomy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Apr 2022
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 13, 2022
CompletedFirst Submitted
Initial submission to the registry
June 27, 2022
CompletedFirst Posted
Study publicly available on registry
June 30, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2024
CompletedJune 18, 2025
June 1, 2025
2.6 years
June 27, 2022
June 14, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
postoperative nausea and vomit within 24 hours after the end of operation
Nausea is evaluated using 11-point verbal numeric rating scale (VNRS -none:0, mild: 1-3, moderate:4-6, severe 7-10). Vomiting is checked when the patient has vomited or has retching symptom.
Upto 24 hours after surgery
Secondary Outcomes (2)
quality of recovery (QoR-15) 24 hours after the end of the operation
Upto 24 hours after surgery
pain 24 hours after the end of the operation
Upto 24 hours after surgery
Study Arms (2)
Remimazolam group
EXPERIMENTALRemimazolam is started during induction of anesthesia at the rate of 0.3 mg/kg/hr and stopped 20 minutes before end of operation.
Control group
PLACEBO COMPARATOR0.9% normal saline is started during induction of anesthesia at the rate of 0.3 ml/kg/hr and stopped 20 minutes before end of operation.
Interventions
Remimazolam is infused at a rate of 0.3 mg/kg/hr from induction of anesthesia until 20 minutes before the end of operation.
Normal saline is infused at a rate of 0.3 ml/kg/hr from induction of anesthesia until 20 minutes before the end of operation.
Eligibility Criteria
You may qualify if:
- women undergoing laparoscopic cholecystectomy under general anesthesia.
You may not qualify if:
- moderate to severe liver dysfunction (total bilirubin ≧ 3.0 mg/dL / aspartate aminotransferase(AST) or alanine aminotransferase(ALT) ≧ 2.5 times more than normal range)
- moderate to severe renal dysfunction (serum creatinine ≧ 2.0 mg/dL / end-stage renal disease undergoing hemodialysis)
- tolerance to benzodiazepines
- hypersensitivity to anesthetic drugs (Benzodiazepines, Propofol, Remifentanil, Fentanyl citrate, Rocuronium bromide, Flumazenil)
- acute angle glaucoma
- alcohol dependence
- Galactose intolerance, Lactase deficiency, glucose-galactose malabsorption
- pregnant, breast feeding women
- BMI \>35 kg/m2
- uncontrolled diabetes mellitus
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Inje Universitylead
Study Sites (1)
Sanggye Paik hospital
Seoul, South Korea
Related Publications (1)
Park S, Yon JH, Lee S, Kim KM, Jun IJ. Efficacy of intraoperative low-dose remimazolam as a third antiemetic agent for preventing early postoperative nausea in high-risk patient: A Randomized controlled trial. BMC Anesthesiol. 2025 Sep 2;25(1):442. doi: 10.1186/s12871-025-03332-3.
PMID: 40898019DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
In-Jung Jun, MD.PhD.
Associate professor
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- associate professor
Study Record Dates
First Submitted
June 27, 2022
First Posted
June 30, 2022
Study Start
April 13, 2022
Primary Completion
October 31, 2024
Study Completion
October 31, 2024
Last Updated
June 18, 2025
Record last verified: 2025-06