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Remifentanil

Phase 3

Anesthesia | Small molecule | Pain |Johnson & Johnson|Last Updated: Nov 16, 2015

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
UNCONTROLLED
Total Trials1
Total Enrollment80
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT01998165A Study to Evaluate the Safety and Efficacy of Ultiva (Remifentanil Hydrochloride) in Pediatric Participants General AnesthetisedPHASE3 COMPLETED 80Nov 1, 2013Nov 1, 2014Nov 16, 20159 Japan
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Study Endpoints
Primary Endpoints
Number of participants with positive response to skin incision
5-minute assessment period after skin incision

Positive response is defined by the presence of at least one of below listed conditions: Heart rate increased \>20% above baseline (that is measured under stable hemodynamics after intubation, and 1-5 minutes before the planned start of skin incision) for \>1 minute); Systolic blood pressure increased \>20% above baseline (that is measured under stable hemodynamics after intubation, and 1-5 minutes before the planned start of skin incision) for \>1 minute; Gross movement, swallowing, eye opening (if there are patches on the eyes, this assessment might be not evaluated) or grimacing and sweating, lachrymation or mydriasis.

Secondary Endpoints
Hemodynamics stability
5-60 minutes before the start of intubation, 1-5 minutes before the planned start of the first skin incision. and 240 minutes after completion of anesthesia or skin closure
Drugs used to deal with insufficient anesthesia (inadequate anesthesia) or excessive anesthesia
Time interval between completion of anesthesia and extubation
Assessment on analgesic effect
240 minutes after completion of anesthesia
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Remifentanil (0.25 µg/kg/min)EXPERIMENTAL -
Interventions
NameTypeDescription
RemifentanilDRUGAfter intubation, continuous intravenous infusion of remifentanil (0.25 µg/kg/min) is started, while anesthesia is maintained with inhaled or intravenous anesthetics. In cases where sedation by general anesthetics and analgesia by lidocaine does not seem to provide a sufficient means of analgesia at the time of intubation, remifentanil may be used, beginning before intubation. The rate of infusion may be adjusted while monitoring the subject's general condition in 25% to 100% increments or in 25% to 50% decrements every 2 to 5 minutes, but should not exceed 1.3 µg/kg/min.
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Eligibility Criteria
Age Range1 Year — 15 Years
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Participants scheduled to receive surgery under general anesthesia, necessitating airway securing with tracheal intubation and analgesia with opioid analgesics * American Society of Anesthesiologists (ASA) Physical Status Classification is I or II at the time of operation plan...

Countries:Japan
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Competitive Landscape -Anesthesia and Sedation 4 trials
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