E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Reversal of rocuronium-induced neuromuscular blockade |
Reversal del blocco neuromuscolare indotto da rocuronio |
|
E.1.1.1 | Medical condition in easily understood language |
reversal od neuromuscular blockade induced by administration of neuromuscular blocking agents |
Antagonismo farmacologico con recupero del blocco neuromuscolare |
|
E.1.1.2 | Therapeutic area | Health Care [N] - Health Services Administration [N04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 18.0 |
E.1.2 | Level | PT |
E.1.2 | Classification code | 10057286 |
E.1.2 | Term | Neuromuscular blockade reversal |
E.1.2 | System Organ Class | 10042613 - Surgical and medical procedures |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Comparison of the recovery time from neuromuscular blockade after administration of sugammadex dosed on the basis of total body weight or corrected body weight in morbidly obese patients |
onfronto tra il tempo di recupero dal blocco neuromuscolare dopo somministrazione di sugammadex dosato sulla base del peso totale del corpo o del peso corporeo corretto in pazienti morboso obesi |
|
E.2.2 | Secondary objectives of the trial |
Comparison of complete recovery of TOF ratio ≧1 between morbidly obese patients receiving sugammadex dosed on the basis of total body weight or corrected body weight. |
Confronto del recupero completo del TOF ratio≧ 1 tra i pazienti con obesità patologica trattati con sugammadex somministrato sulla base del peso corporeo totale o peso corporeo corretto. |
|
E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
age over 18 years; • morbid obesity class II (with comorbidities), and class III; • patients undergoing surgery for laparoscopic bariatric surgery • presence of neuromuscular monitoring (TOF Watch SX®) • presence of moderate NMB (T1-T2 TOF) or deep NMB (absence of T1 TOF) at reversal • preoperative coagulation parameters within normal limits |
età superiore ai 18 anni; • obesità patologica di classe II (con comorbidità) e classe III; • pazienti candidati a intervento di chirurgia bariatica per via laparoscopica • presenza di monitoraggio neuromuscolare (TOF Watch SX®) • presenza di NMB moderato (T1-T2 al TOF) o profondo (assenza di T1 al TOF) al momento del reversal • parametri emocoagulativi preoperatori nei limiti di norma |
|
E.4 | Principal exclusion criteria |
• obesity class I and II (in the absence of co-morbidities); • muscle dysfunction (eg. Myasthenia gravis, muscular dystrophy) • cardiac disease (eg. prolong QTc syndrome) and / or cardiac ischemia • renal failure • liver failure • allergic reaction to the drugs used in the study • treatment with oral contraceptives, toremifene, flucloxacillin and fusidic acid • known or suspected pregnancy • anticoagulants treatment • hereditary deficiencies of vitamin K dependent coagulation factors • patients with pre-existing coagulopathy |
• obesità di classe I e II (in assenza di comorbidità); • disfunzioni muscolari (es. miastenia gravis, distrofia muscolare) • patologia cardiaca (es. sindrome del QTc lungo) e/o ischemia cardiaca recente • insufficienza renale • insufficienza epatica • reazione allergica ai farmaci utilizzati nello studio • trattamento con contraccettivi orali, toremifene, flucloxacillina e acido fusidico • gravidanza nota o presunta • trattamenti anticoagulativi • carenze ereditarie di fattori della coagulazione vitamina K dipendenti • pazienti con pre-esistenti coagulopatie |
|
E.5 End points |
E.5.1 | Primary end point(s) |
Difference in the time required for complete recovery (TOF ratio ≥1) from moderate or profound neuromuscular block after administration of sugammadex (TBW group vs. group CBW) during recovery from general anesthesia at the end of the surgical procedure. |
Viene considerata la differenza nel tempo necessario per il completo recupero (TOF ratio ≥1) dal blocco neuromuscolare moderato o profondo dopo somministrazione di sugammadex (gruppo TBW vs. gruppo CBW) nella fase di risveglio dall'anestesia generale alla fine della procedura chirurgica. |
|
E.5.1.1 | Timepoint(s) of evaluation of this end point |
At the end of the surgical procedure |
Alla fine dell'intervento chirurgico |
|
E.5.2 | Secondary end point(s) |
Difference in the time required to obtain a normalized TOF ratio (TOF ratio post-reversal / TOF ratio baseline) ≥1 after administration of sugammadex (TBW group vs. group CBW). Adverse effects |
Vengono considerate eventuali differenze nei tempi necessari per ottenere un TOFR normalizzato (TOFR post-reversal/TOFR baseline) ≥1 dopo somministrazione di sugammadex (gruppo TBW vs. gruppo CBW). Si considerano eventuali effetti indesiderati |
|
E.5.2.1 | Timepoint(s) of evaluation of this end point |
Until hospital discharge |
Fino a dimissione dall'ospedale |
|
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 | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
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 | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
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.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | No |
E.8.5.1 | Number of sites anticipated in the EEA | 0 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.7 | Trial has a data monitoring committee | No |
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
|
After completion of enrollment of total subjects |
Dopo completamento dell'arruolamento di tutti i pazienti |
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 2 |
E.8.9.1 | In the Member State concerned months | 24 |
E.8.9.1 | In the Member State concerned days | 73 |
E.8.9.2 | In all countries concerned by the trial years | 2 |
E.8.9.2 | In all countries concerned by the trial months | 24 |
E.8.9.2 | In all countries concerned by the trial days | 73 |