Reversing muscle paralysis in critically ill patients
Official title: Effect of Neuromuscular Reversal Agents on Time for Neurological Assessment After Endotracheal Intubation in Critically Ill Patients
Run by Seoul National University Hospital · NCT05993390 · Data updated 2026-11-12
This study is testing whether different medications can help critically ill patients recover faster from muscle paralysis after being intubated.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 19 Years to 90 Years |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Seoul National University Hospital Academic / other |
| Locations | 1 site (Seoul, Jongno-gu) |
| Status | Recruiting |
| Started | January 11, 2024 |
| Main results expected | August 31, 2027 |
| Study ends | April 30, 2028 |
| Registry record updated | June 2, 2026 |
| Trial ID | NCT05993390 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adult patients aged 19 years or older who have been intubated in the intensive care unit.
✕Probably not a fit
Patients with pre-existing neurological dysfunction or neuromuscular disorders may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial aims to evaluate the effectiveness of different reversal agents for neuromuscular blockade in critically ill patients who have undergone endotracheal intubation. Participants will be randomly assigned to receive either sugammadex, neostigmine, or no medication, and the time taken for neurological assessment will be measured. The study will monitor the Glasgow Coma Scale (GCS) and other neurological indicators to determine the impact of these agents on recovery time. The goal is to identify which agent, if any, facilitates quicker neurological recovery.
Why it matters
Potential benefit: If successful, this study could lead to faster neurological assessments and improved outcomes for critically ill patients after intubation.
How similar studies have gone: Other studies have shown varying success with reversal agents for neuromuscular blockade, making this approach both relevant and potentially impactful.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adult patients 19 years of age or older who were intubated after admission to the intensive care unit. Exclusion Criteria: * Patients younger than 19 years of age * Patients who are not neurologically evaluable or have concomitant neurologic dysfunction * Patients with neuromuscular disorder * Patients with a history of drug allergic reactions to sugammadex or neostigmine * Patients taking or planning to take toremifene, fusidic acid, or hormonal contraceptives
Where it's running
-
Seoul National University Hospital
Seoul, Jongno-gu, South Korea Recruiting
Study contacts
- Study coordinator: Leerang Lim, MD
- Email: erange@snu.ac.kr
- Phone: +82-10-5063-1742
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
NMTCuff vs standard TOF monitoring during gynecologic oncology surgery
This study tests whether NMTCuff monitoring can better detect neuromuscular recovery than standard TOF monitoring in women undergoing laparoscopic gynecologic cancer surgery.
-
Predicting Extubation Problems With Machine Learning
This study tests whether computer models can predict extubation failure in adults on ventilators in the ICU.
-
Levetiracetam Dosing in Critically Ill on CRRT
This study tests how levetiracetam behaves in the bodies of adults on continuous renal replacement therapy to help figure out the best dosing.
-
Respiratory Physiotherapy in Critically Ill Pneumonia Patients
This study tests whether a structured breathing and chest therapy program can change inflammatory biomarkers in adults with pneumonia in the ICU compared to usual care.
-
Immersive VR for improving upper limb function in critically ill ICU patients
This trial tests whether fully immersive virtual reality training added to standard ICU rehabilitation can help improve upper limb strength and coordination in adults with ICU-acquired weakness.
-
Cycling with immersive VR for ICU patients recovering from critical illness
In this crossover study, critically ill adults in the ICU will try three 10-minute cycling sessions to see if an immersive VR environment motivates them more than cycling with no visuals or cycling while watching a route on a TV.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.