Status:

NOT_YET_RECRUITING

REMIMID-ICU: Remimazolam vs Midazolam for Deep Sedation in Hemodynamically Unstable, Mechanically Ventilated Adults

Lead Sponsor:

Yancheng First People's Hospital

Conditions:

Critical Illness; Mechanical Ventilation; Shock

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This trial evaluates whether remimazolam provides superior sedation quality compared with midazolam in adults receiving invasive mechanical ventilation with ongoing vasopressor support. The primary ou...

Eligibility Criteria

Inclusion

  • Inclusion
  • Age ≥18 years.
  • Invasive mechanical ventilation at randomization; anticipated continuous sedation ≥24 hours.
  • Hemodynamic instability requiring vasopressor support despite adequate resuscitation: NEE ≥0.10 μg/kg/min for ≥1 hour within 6 hours prior to randomization, or equivalent.
  • At least one sign of hypoperfusion (e.g., lactate \>2 mmol/L, oliguria, mottled skin, or altered mentation) unless solely due to sedation.
  • Exclusion
  • • Known pregnancy; status epilepticus; severe hepatic failure (Child-Pugh C) or on ECMO; refractory hypoxemia requiring prone position at randomization; benzodiazepine hypersensitivity; need for continuous neuromuscular blockade \>24h at baseline; moribund not expected to survive 24h; investigator judgement.
  • Sexes Eligible: All Accepts Healthy Volunteers: No Ages: 18 Years and older

Exclusion

    Key Trial Info

    Start Date :

    October 1 2025

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    September 30 2027

    Estimated Enrollment :

    180 Patients enrolled

    Trial Details

    Trial ID

    NCT07155265

    Start Date

    October 1 2025

    End Date

    September 30 2027

    Last Update

    September 4 2025

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