Recent Updates
Recently added Catalysts

Remifentanil

Phase 4FDA approved

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

Remifentanil development status

FDA approval on record Oct 15, 1999 as Ultiva
Approval holderMylan Institutional
ApplicationNDA020630
Highest phase Phase 4 run by The Cooper Health System (NCT03996148)
Phase scored for JNJPhase 3
Registered trials 15 across 10 sponsors since Sep 2005

Label indication ULTIVA is indicated for intravenous (IV) administration: • As an analgesic agent for use during the induction and maintenance of general anesthesia for inpatient and outpatient procedures. • For continuation as an analgesic into the immediate postoperative period in adult patients under the direct supervision of an anesthesia practitioner in a postoperative anesthesia care unit or intensive care setting.

Remifentanil target and mechanism

Molecular targetOPRM1
Target classAgonist
ModalitySmall molecule

Success Probability

Subscribe to view

Market & Valuation

Subscribe to view

Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment80

FDA Designations

No designations recorded

Remifentanil clinical trials

Remifentanil · 1 trial · 1 indication

Phase 3 1
NCT01998165A Study to Evaluate the Safety and Efficacy of Ultiva (Remifentanil Hydrochloride) in Pediatric Participants General AnesthetisedAnesthesia
COMPLETED80 Analytics
PHASE3COMPLETED
A Study to Evaluate the Safety and Efficacy of Ultiva (Remifentanil Hydrochloride) in Pediatric Participants General Anesthetised
AnesthesiaUnlock trial analytics

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
Unlock Study Endpoints

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.
Unlock Study Design Details

Eligibility Criteria

Age Range1 Year to 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
Unlock Eligibility Criteria

Competitive Landscape -Anesthesia and Sedation 5 trials (matched to "Anesthesia")

No competing companies are currently tracked in active development for Anesthesia and Sedation.
Unlock Competitive Intelligence

Frequently asked questions about Remifentanil

What is Remifentanil?

Remifentanil is a small molecule anesthetic agent developed by Johnson & Johnson (ticker JNJ) for use in anesthesia. It is an opioid-based medicine studied for use during general anesthesia, including in pediatric participants. It is given as part of anesthetic care rather than as a take-home treatment.

What does Remifentanil target?

Remifentanil targets OPRM1, the mu opioid receptor, and acts as an agonist at that receptor. By activating OPRM1, it produces opioid-mediated analgesic and anesthetic effects. This receptor target places remifentanil in the opioid agonist class of small molecule agents used in anesthesia.

Who makes Remifentanil?

Remifentanil is developed by Johnson & Johnson, which trades under the ticker JNJ. The company is the sponsor associated with the clinical development of the drug, including the Phase 3 study conducted in Japan in pediatric participants undergoing general anesthesia.

What phase is Remifentanil in?

Remifentanil has been studied in Phase 3 clinical development. It is an investigational agent in the context of the trial record, and the Phase 3 study of remifentanil hydrochloride in pediatric general anesthesia has been completed. The program includes one completed trial with no active trials currently listed.

What clinical trials is Remifentanil in?

Remifentanil has been evaluated in the Phase 3 trial NCT01998165, titled A Study to Evaluate the Safety and Efficacy of Ultiva (Remifentanil Hydrochloride) in Pediatric Participants General Anesthetised. That trial enrolled 80 participants in Japan, included ages one year and older, and has been completed.

Is Remifentanil the same as Ultiva?

Yes, Ultiva is another name for remifentanil hydrochloride. The Phase 3 trial NCT01998165 refers to the drug as Ultiva (Remifentanil Hydrochloride), so searches for either name point to the same Johnson & Johnson anesthetic agent studied in pediatric general anesthesia.