Ideal Dosage for Sedation of Obese Patients Undergoing Knee or Hip Arthroplasty Under Spinal Anesthesia
1 other identifier
interventional
110
1 country
1
Brief Summary
This study aims to compare ideal body weight- and total body weight-based dosage for remimazolam sedation of obese patients undergoing knee or hip arthroplasty under spinal anesthesia.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Mar 2023
Typical duration for phase_4
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
First Submitted
Initial submission to the registry
February 26, 2023
CompletedStudy Start
First participant enrolled
March 6, 2023
CompletedFirst Posted
Study publicly available on registry
March 8, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 25, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
November 25, 2025
CompletedDecember 29, 2025
December 1, 2025
2.7 years
February 26, 2023
December 21, 2025
Conditions
Outcome Measures
Primary Outcomes (1)
Incidence of intraoperative respiratory depression
Incidence of intraoperative respiratory depression
From entrance to exit from the operating room
Secondary Outcomes (20)
Total remimazolam infusion dose
From start to end of remimazolam infusion
Incidence of intraoperative hypotension
From entrance to exit from the operating room
Incidence of intraoperative hypertension
From entrance to exit from the operating room
Incidence of intraoperative bradycardia
From entrance to exit from the operating room
Incidence of intraoperative tachycardia
From entrance to exit from the operating room
- +15 more secondary outcomes
Study Arms (2)
Ideal body weight group
EXPERIMENTALTotal body weight group
ACTIVE COMPARATORInterventions
0.075 mg/kg Remimazolam will be loaded over 1 min, then continuously infused at 0.2-1.0 mg/kg/h based on ideal or total body weight
Eligibility Criteria
You may qualify if:
- Patients scheduled for elective knee or hip arthroplasty under spinal anesthesia
- BMI\>25
- American Society of Anesthesiologists (ASA) classification I, II, III
You may not qualify if:
- Patient refusal
- Contraindication for spinal anesthesia
- Contraindication for remimazolam infusion
- History of hypersensitivity to remimazolam
- History of chronic use of benzodiazepine or opioid
- Baseline MOAA/S score of 4 or lower
- Pregnancy
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Jin-Tae Kim
Seoul, South Korea
MeSH Terms
Interventions
Study Officials
- PRINCIPAL INVESTIGATOR
Jin-Tae Kim, M.D., Ph.D.
Seoul National University Hospital
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
February 26, 2023
First Posted
March 8, 2023
Study Start
March 6, 2023
Primary Completion
November 25, 2025
Study Completion
November 25, 2025
Last Updated
December 29, 2025
Record last verified: 2025-12
Data Sharing
- IPD Sharing
- Will not share