Evidence map›Paper›PMID 38589912›Full record

ReviewJournal of anesthesia, analgesia and critical care2024

Ciprofol as compared to propofol for sedation and general anesthesia: a systematic review of randomized controlled trials.

Jessica M Currò, Cristina Santonocito, Federica Merola, Simone Messina, Marco Sanfilippo, Serena Brancati, Filippo Drago, Filippo Sanfilippo

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Journal of anesthesia, analgesia and critical care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07294989 (Median Effective Concentration of Ciprofol and Its Correlation With Bispectral Index), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
11.5field-weighted citation impact, top 1% 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.

NCT07294989 recruitingnot on this mapstarted 2025, after this paper: background citation

Median Effective Concentration of Ciprofol and Its Correlation With Bispectral Index: A Prospective Observational Study

Typeobservational_patient_registrySponsorPeking University Shenzhen HospitalRan2025 to 2026Enrolled101ConditionsThyroid DiseaseArmsCiprofol
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  4. Trial
  5. Trial
  6. Trial
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  8. From propofol to cipepofol (Cypsedo®), a new intravenous general anesthetic approved for adults undergoing surgery.Medicinal chemistry research : an international journal for rapid communications on design and mechanisms of action of biologically active agents · 2026
    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

8 authors at 3 institutions in 1 country.

Jessica M Currò *School of Anesthesia and Intensive Care, University Magna Graecia, Catanzaro, Italy.
Cristina Santonocito *Policlinico G. Rodolico - San Marco University Hospital, Catania, Italy. cristina.santonocito@gmail.com.
Federica MerolaPoliclinico G. Rodolico - San Marco University Hospital, Catania, Italy.
Simone MessinaSchool of Anesthesia and Intensive Care, University Magna Graecia, Catanzaro, Italy.
Marco SanfilippoPoliclinico G. Rodolico - San Marco University Hospital, Catania, Italy.
Serena BrancatiClinical Pharmacology Unit, Regional Pharmacovigilance Centre, Azienda Ospedaliero Universitaria Policlinico "G. Rodolico-S. Marco", Catania, Italy.
Filippo DragoClinical Pharmacology Unit, Regional Pharmacovigilance Centre, Azienda Ospedaliero Universitaria Policlinico "G. Rodolico-S. Marco", Catania, Italy.
Filippo SanfilippoPoliclinico G. Rodolico - San Marco University Hospital, Catania, Italy. filipposanfi@yahoo.it.
Policlinico Universitario di Catania · ITMarconi University · ITMagna Graecia University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPropofol is the most commonly used hypnotic agent used during sedation and general anesthesia (GA) practice, offering faster recovery compared to benzodiazepines. However, cardiovascular impact of propofol and pain at injection are commonly encountered side effects. Ciprofol is a novel disubstituted phenol derivative, and there is growing evidence regarding its clinical use.

methodsWe conducted a systematic literature search (updated on 23 July 2023) to evaluate safety and efficacy of ciprofol in comparison to propofol in patients undergoing procedures under sedation or GA. We focused on randomized controlled trials (RCTs) only, extrapolating data on onset and offset, and on the side effects and the pain at injection.

resultsThe search revealed 14 RCTs, all conducted in China. Eight RCTs studied patients undergoing sedation, and six focused on GA. Bolus of ciprofol for sedation or induction of GA varied from 0.2 to 0.5 mg/kg. In four studies using ciprofol for maintenance of GA, it was 0.8-2.4 mg/kg/h. Ciprofol pharmacokinetics seemed characterized by slower onset and offset as compared to propofol. Pain during injection was less frequent in the ciprofol group in all the 13 studies reporting it. Eight studies reported "adverse events" as a pooled outcome, and in five cases, the incidence was higher in the propofol group, not different in the remaining ones. Occurrence of hypotension was the most commonly investigated side effects, and it seemed less frequent with ciprofol.

conclusionCiprofol for sedation or GA may be safer than propofol, though its pharmacokinetics may be less advantageous.

Indexed as

BenzodiazepinesHypnosisNonoperating room anesthesiaOperating roomPropofol

Identifiers

PMID38589912
PMCPMC11000282
OpenAlexW4394576892

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.