A prospective, open-label, randomized clinical trial to evaluate the efficacy and safety of remimazolam in patients undergoing EBUS-TBNA: REST trial design.
BMC Pulm Med
; 24(1): 243, 2024 May 17.
Article
in En
| MEDLINE
| ID: mdl-38760702
ABSTRACT
BACKGROUND:
Remimazolam is safe and effective for moderate sedation during flexible bronchoscopy, but its safety and efficacy during endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) remains undetermined. The REST trial (NCT06275594) will be a prospective randomized study of remimazolam in patients undergoing EBUS-TBNA with conscious sedation. The primary aim is to evaluate whether remimazolam is safe and effective for moderate sedation during EBUS-TBNA compared to real-world midazolam and on-label midazolam.METHODS:
The REST trial will recruit 330 patients from four university hospitals with mediastinal lesions suspected of being lung cancer who are eligible for EBUS-TBNA under moderate sedation. The participants will be randomized into groups using remimazolam, real-world midazolam, and on-label midazolam (US prescribing information dosage) to perform EBUS-TBNA for procedural sedation. The primary endpoint will be procedural success using composite measures.DISCUSSION:
The REST trial will prospectively evaluate the efficacy and safety of remimazolam during EBUS-TBNA under moderate sedation. It will provide information for optimizing sedation modalities and contribute to practical benefits in patients undergoing EBUS-TBNA. TRIAL REGISTRATION ClinicalTrials.gov (NCT06275594). Prospectively registered on 15 February 2024.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Midazolam
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Conscious Sedation
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Endoscopic Ultrasound-Guided Fine Needle Aspiration
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Hypnotics and Sedatives
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Lung Neoplasms
Limits:
Adult
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Female
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Humans
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Male
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Middle aged
Language:
En
Journal:
BMC Pulm Med
Year:
2024
Document type:
Article