E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | Information not present in EudraCT |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To evaluate the time interval between the end of administration of the Zemuron® intubating dose and the reappearance of T3 following one of three intubating doses of Zemuron® (0.45 mg/kg, 0.6 mg/kg, or 1.0 mg/kg) in term neonates (birth to < 28 days old), infants (28 days to ≤ 3 months), toddlers (> 3 months to ≤ 2 years old), children (> 2 to ≤ 11 years of age), and adolescents (> 11 to ≤ 17 years of age).
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E.2.2 | Secondary objectives of the trial |
1. To evaluate the time course of action (onset time, maximum block, reappearance of T1, and recovery to 70%, 80% and 90% T4/T1) following one of three intubating doses of Zemuron® (0.45 mg/kg, 0.6 mg/kg, or 1.0 mg/kg) in term neonates, infants, toddlers, children, and adolescent subjects. 2. To evaluate the intubating conditions following one of three intubating doses of Zemuron® (0.45 mg/kg, 0.6 mg/kg, or 1.0 mg/kg) in term neonates, infants, toddlers, children, and adolescent subjects. 3. To collect sparse samples for population pharmacokinetic analysis. 4. To evaluate safety data of three different intubating doses of Zemuron® (0.45 mg/kg, 0.6 mg/kg, or 1.0 mg/kg).
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
• Males or non-pregnant (determined by urine or serum HCG test), non-nursing females from birth to ≤ 17 years of age; • Subjects of ASA Class 1, 2, or 3 scheduled for surgery under general anesthesia.
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E.4 | Principal exclusion criteria |
• Subjects > 17 years of age or preterm neonates (< 37 weeks gestational age at birth); • Subjects with congenital anomalies or airway obstructions that would preclude visualization or intubation of the trachea; • Subjects with known significant renal or hepatic disorders determined by medical history, physical examination, or laboratory tests; • Subjects known or suspected of having neuromuscular disorders; • Subjects known or suspected of having personal or family history of malignant hyperthermia; • Subjects known or suspected of having allergy to narcotic analgesics, hypnotics, neuromuscular blocking agents, or other medications used during general anesthesia; • Subjects who are receiving medications (anticonvulsants, aminoglycosides, macrolides or polypeptide antibiotic) during the pre-trial period or who will be receiving medications (anticonvulsants, aminoglycosides, macrolides or polypeptide antibiotic) during the in-trial period in a dose regimen known to modify the action of neuromuscular blocking agents; • Subjects who would require the use of pneumatic tourniquet during the surgical procedure; • Subjects participating as research subjects in another clinical trial not pre-approved by Organon within 30 days before this trial; • Subjects who have already participated in this trial; or • Subjects whose parent(s) or legal guardian(s) are not willing to give written consent and where applicable, the subject has not given appropriate assent to participate in accordance with the ethical principles that have their origin in the Declaration of Helsinki, the ICH Guideline for Good Clinical Practice, and applicable regulatory requirements. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Time to reappearance of T3 (time from end-administration of Zemuron® to reappearance of the third twitch of a TOF stimulation). |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | Yes |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 1 |
E.8.9.2 | In all countries concerned by the trial months | 4 |