Evidence map›Paper›PMID 33639839›Full record

Trial reportBMC anesthesiology2021

Actual versus ideal body weight dosing of sugammadex in morbidly obese patients offers faster reversal of rocuronium- or vecuronium-induced deep or moderate neuromuscular block: a randomized clinical trial.

Jay C Horrow, Wen Li, Manfred Blobner, John Lombard, Marcel Speek, Matthew DeAngelis, W Joseph Herring

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC anesthesiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03346070 (A Phase 4 Randomized, Active-Comparator Controlled Trial to Study the Efficacy and Safety of Sugammadex), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03346070 phase4completednot on this map

A Phase 4 Randomized, Active-Comparator Controlled Trial to Study the Efficacy and Safety of Sugammadex (MK-8616) for the Reversal of Neuromuscular Blockade Induced by Either Rocuronium Bromide or Vecuronium Bromide in Morbidly Obese Subjects

TypeinterventionalSponsorMerck Sharp & Dohme LLCRan2018 to 2019Enrolled207ConditionsNeuromuscular BlockadeArmsSugammadex 2 mg/kg ABW, Sugammadex 2 mg/kg IBW, Sugammadex 4 mg/kg ABW, Sugammadex 4 mg/kg IBW, Neostigmine + Glycopyrrolate
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Review
  5. Article
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  12. Sugammadex in Emergency Situations.Journal of personalized medicine · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Jay C Horrow *Department of Clinical Research, Merck & Co., Inc., 2000 Galloping Hill Rd, UG-4C-13, Kenilworth, NJ, 07033, USA.
Wen LiDepartment of Clinical Research, Merck & Co., Inc., 2000 Galloping Hill Rd, UG-4C-13, Kenilworth, NJ, 07033, USA.
Manfred Blobner *Department of Anaesthesiology and Intensive Care Medicine, School of Medicine, Technical University of Munich, Munich, Germany.
John LombardDepartment of Clinical Research, Merck & Co., Inc., 2000 Galloping Hill Rd, UG-4C-13, Kenilworth, NJ, 07033, USA.
Marcel SpeekDepartment of Clinical Research, Merck & Co., Inc., 2000 Galloping Hill Rd, UG-4C-13, Kenilworth, NJ, 07033, USA.
Matthew DeAngelisDepartment of Clinical Research, Merck & Co., Inc., 2000 Galloping Hill Rd, UG-4C-13, Kenilworth, NJ, 07033, USA.
W Joseph HerringDepartment of Clinical Research, Merck & Co., Inc., 2000 Galloping Hill Rd, UG-4C-13, Kenilworth, NJ, 07033, USA. william_herring@merck.com.ORCID 0000-0001-9133-031X
Merck & Co., Inc., Rahway, NJ, USA (United States) · USUniversität Ulm · DE

Funding

Merck N/A
6 · The paper itself

Abstract

backgroundThis randomized, double-blind trial evaluated sugammadex-mediated recovery time from rocuronium- or vecuronium-induced moderate (M-) or deep (D-) neuromuscular block in morbidly obese adults dosed by actual (ABW) or ideal body weight (IBW).

methodsAdults with BMI ≥40 kg/m

resultsOf 207 patients randomized, 188 received treatment (28% male, BMI 47 ± 5.1 kg/m

conclusionsABW-based sugammadex dosing yields faster reversal without re-curarization, supporting ABW-based sugammadex dosing in the morbidly obese, irrespective of the depth of neuromuscular block or NMBA used.

trial registrationRegistered on November 17, 2017, at ClinicalTrials.gov under number NCT03346070 .

Indexed as

Anesthesia Recovery PeriodBody WeightDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansIdeal Body WeightMaleMiddle AgedNeuromuscular BlockadeNeuromuscular Nondepolarizing AgentsObesity, MorbidRocuroniumSugammadexTime FactorsVecuronium BromideNeuromuscular Nondepolarizing AgentsRocuroniumSugammadexVecuronium BromideBradycardiaMulticenter trialNeostigmineRecurarization

Identifiers

PMID33639839
PMCPMC7913453
OpenAlexW3135219235

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.