Network Pharmacology Was Applied to Explore the Mechanism of Remimazolam Applied in General Anesthesia for Gynecological Surgeries
Clinical and Molecular Mechanism Study of Remimazolam Regulating the N/OFQ-inflammation-immune Axis to Optimize the Effect of General Anesthesia in Gynecological Surgery
1 other identifier
interventional
40
0 countries
N/A
Brief Summary
To explore the related mechanisms by which remimazolam regulates hemodynamic stability, inflammatory factors and the immune system in patients undergoing general anesthesia for gynecological surgeries.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Jun 2025
Shorter than P25 for not_applicable
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
April 20, 2025
CompletedFirst Posted
Study publicly available on registry
May 25, 2025
CompletedStudy Start
First participant enrolled
June 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
January 1, 2026
CompletedMay 25, 2025
May 1, 2025
6 months
April 20, 2025
May 17, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Levels of serum N/OFQ, IL-6, STAT3
perioperatively/periprocedurally
Secondary Outcomes (2)
Heart rate
during the surgery
mean arterial pressure
during the surgery
Study Arms (2)
Remimazolam group
EXPERIMENTALRemimazolam was used for anesthesia induction and maintenance
Propofol group
ACTIVE COMPARATORAnesthesia induction and maintenance were carried out using propofol
Interventions
Remimazolam, sufentanil and rocuronium were used during induction, and remimazolam and refentanil were used during maintenance
Propofol, sufentanil and rocuronium were used during induction, and propofol and remifentanil were used during maintenance
Eligibility Criteria
You may qualify if:
- The patient or their family members sign the informed consent form
- Age: 18-64 years old, BMI: 18-30kg/m2
- ASA Grade Ⅰ or Ⅱ
- Patients undergoing gynecological surgeries (laparoscopic total hysterectomy, adnexectomy and myomectomy)
You may not qualify if:
- People who are allergic to remimazolam or benzodiazepinesThyroid disease
- Long-term use of benzodiazepines
- Pregnancy or lactation
- Have a history of drug abuse or alcoholism
- Patients with contraindications for surgery
- Patients with hypertension (clinically diagnosed with hypertension) and patients with coronary heart disease (with typical angina pectoris symptoms and excluding aortic valve lesions, with a clear history of old myocardial infarction, with a clear history of acute myocardial infarction, and CAG finding coronary artery stenosis greater than or equal to 70%)
- Patients with arrhythmia, heart failure, renal failure, and those who have recently taken cardiovascular active drugs
- Endocrine disorders such as hyperthyroidism and pheochromocytoma that may affect the hemodynamic level of the body
- Patients with ketoacidosis and lactic acidosis
- Abnormal liver function, ALT\> three times the upper limit of the normal value;
- Renal failure (serum creatinine \>3mg/dl or creatinine clearance rate \<30ml/min)
- Patients who have been using sedatives or antidepressants for a long time, or have a history of alcohol abuse or drug dependence
- Asthma or reactive airway diseases
- Combined with underlying cognitive function abnormalities
- Those who experienced adverse events such as shock, severe hypotension and severe arrhythmia during the operation
Contact the study team to confirm eligibility.
Sponsors & Collaborators
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
yi Han
Second Hospital of Shanxi Medical University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- professor
Study Record Dates
First Submitted
April 20, 2025
First Posted
May 25, 2025
Study Start
June 1, 2025
Primary Completion
December 1, 2025
Study Completion
January 1, 2026
Last Updated
May 25, 2025
Record last verified: 2025-05
Data Sharing
- IPD Sharing
- Will not share