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NCT05661409 · ClinicalTrials.gov registry record · Phase 4

Sugammadex as Rescue Therapy

A Phase 4 study, sponsored by Emory University.

Completed
Registry status
Phase 4
Development phase
46
Enrollment target

NCT05661409: Completed Phase 4 study, sponsored by Emory University.

NCT05661409 is a Phase 4 study that has completed, run by Emory University. The registered enrollment target is 46 participants, below the 518-participant average among 9,235 other Phase 4 trials with a reported enrollment target (91% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT05661409, a Phase 4 study, has completed, sponsored by Emory University.

COMPLETED
Registry status
Phase 4
Development phase
46 participants
Enrollment target

Study Summary

Neuromuscular blocking agents (NMBAs) are commonly used in the practice of anesthesiology for skeletal muscle relaxation to facilitate tracheal intubation, mechanical ventilation, and to provide optimal surgical conditions. In order to prevent residual NMB, it is vital to adequately reverse any use of a non-depolarizing NMBA. This was historically done using an anticholinesterase such as neostigmine, which would increase the concentration of acetylcholine at the neuromuscular junction leading to the return of neuromuscular transmission. Unfortunately, there are disadvantages to the use of an anticholinesterase. It was in this context that sugammadex was found to be a valuable addition to the anesthesiologist's armamentarium. It is a modified γ-cyclodextrin that encapsulates the aminosteroid NMBAs rocuronium and vecuronium. This project is a double-blind randomized placebo-controlled dose-response trial that aims to determine the time taken to achieve adequate reversal comparing five doses of sugammadex as rescue therapy following inadequate reversal with neostigmine. The study team will recruit patients aged 18 years and above from the main operating room and outpatient surgery center at Grady Memorial Hospital who are undergoing elective surgery under general anesthesia, who has received NMB, received neostigmine for NMB reversal, and achieved a TOF count ≥ 3 twitches but not a TOF ratio of 0.9 fifteen minutes after neostigmine was given. Those with a TOF count \< 3 twitches will drop out of the study as there are already specified doses of sugammadex for that level of NMB

Primary Outcome

The time taken to achieve a time of train (TOF) ratio of 0.9 after the use of the intervention drug versus placebo in a patient population that has already received neostigmine for NMB reversal. Quantitative neuromuscular monitoring will be carried out using electromyography, which measures the TOF ratio every 20 seconds. The TOF count (between 0 to 4) and the TOF ratio (0 to 1) would be measured and recorded at baseline and after administration of the study drug. If the TOF ratio remains \< 0.

Interventions

  • DRUG Placebo
  • DRUG Sugammadex

Trial Details

FieldValue
Enrollment Target 46 participants
Start Date 2023-07-21
Est. Completion 2024-08-02
Phase Phase 4
Emory University

1,208 total trials

What the finished NCT05661409 record still lists

NCT05661409 is an interventional study that assigns participants to a tested intervention. The registry caps enrollment at 46 participants, a relatively small participant target, below the 518-participant average among 9,235 other Phase 4 trials with a reported enrollment target (91% lower).

The record links to 0 conditions, and to 2 interventions - of which Placebo is the first listed.

NCT05661409 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT05661409 about?

NCT05661409 is a clinical study titled "Sugammadex as Rescue Therapy". Neuromuscular blocking agents (NMBAs) are commonly used in the practice of anesthesiology for skeletal muscle relaxation to facilitate tracheal intubation, mechanical ventilation, and to provide optimal surgical conditions. In order to prevent residual NMB, it is vital to adequately reverse any use ...

What is the current status of trial NCT05661409?

This trial is currently completed. It is a Phase 4 study. The enrollment target is 46 participants. The study started on 2023-07-21. Estimated completion is 2024-08-02.

What interventions are being tested in trial NCT05661409?

The interventions under investigation include: Placebo (DRUG), Sugammadex (DRUG).

Who is sponsoring clinical trial NCT05661409?

This trial is sponsored by Emory University, which has 1,208 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT05661409's enrollment target sits among peer trials

46 1348th of 2000 higher than 647 of 2,000 other Phase 4 trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other Phase 4 trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT05661409, the US trial registry maintained by the National Library of Medicine. NCT05661409 (small enrollment · none site footprint · completed) retrieved and formatted by PlainTrial, see methodology.