Evidence map›Paper›PMID 41545823›Full record

Trial reportBMC pediatrics2026

Efficacy and safety of HR020602 in combination with propofol in children receiving general anesthesia: a multicenter, phase 2 study.

Nan Zou, Xiaoling Wang, Fang Wang, Xiaohua Zou, Sai-Ying Wang, Wangning Shangguan, Xuemei Lin, Qian Lei, Yonghao Yu, Zhiping Wang and 3 more

Registry-linked trialAbstract readMulticenter StudyClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04867343 (Pharmacokinetics, Safety and Efficacy of HR020602 Injection in Children Undergoing General Anesthesia), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT04867343 phase2completednot on this map

Pharmacokinetics, Safety and Efficacy of HR020602 Injection in Children Undergoing General Anesthesia

TypeinterventionalSponsorJiangsu HengRui Medicine Co., Ltd.Ran2021 to 2023Enrolled70ConditionsUsed to Induce and Implement General Anesthesia in Combination With Sedative Anesthetics (Such as Propofol)ArmsHR020602 injection, fentanyl injection ; remifentanil injection
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Nan Zou *Department of Anesthesiology, Beijing Children's Hospital, Capital Medical University, National Centre for Children's Health, No. 56 South Lishi Road, Xicheng District, Beijing, China.
Xiaoling Wang *Department of Pharmacy, Beijing Children's Hospital, Capital Medical University, National Centre for Children's Health, Beijing, China.
Fang Wang *Department of Anesthesiology, Beijing Children's Hospital, Capital Medical University, National Centre for Children's Health, No. 56 South Lishi Road, Xicheng District, Beijing, China.
Xiaohua ZouDepartment of Anesthesiology, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Sai-Ying WangDepartment of Anesthesiology, The Third Xiangya Hospital of Central South University, Changsha, China.
Wangning ShangguanDepartment of Anesthesiology and Perioperative Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Key Laboratory of Pediatric Anesthesiology of Ministry of Education, Wenzhou, China.
Xuemei LinDepartment of Anesthesiology, Sichuan University West China Second University Hospital, Chengdu, China.
Qian LeiDepartment of Anesthesiology, Sichuan Provincial People's Hospital, Chengdu, China.
Yonghao YuDepartment of Anesthesiology, Tianjin Institute of Anesthesiology, Tianjin Medical University General Hospital, Tianjin, China.
Zhiping WangDepartment of Anesthesiology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Lei TangJiangsu Hengrui Pharmaceuticals Co., Ltd, Shanghai, China.
Yan DingJiangsu Hengrui Pharmaceuticals Co., Ltd, Shanghai, China.
Jianmin ZhangDepartment of Anesthesiology, Beijing Children's Hospital, Capital Medical University, National Centre for Children's Health, No. 56 South Lishi Road, Xicheng District, Beijing, China. zhangjianmin@bch.com.cn.

Funding

National key R&D Program of China 2023YFC2706100
6 · The paper itself

Abstract

backgroundThe objective of this study was to evaluate the efficacy and safety of esketamine hydrochloride injection (HR020602) in combination with propofol for the induction and maintenance of general anesthesia in children, providing additional support for the use of esketamine in pediatric patients.

methodsThis phase 2 study (NCT04867343) was conducted in two stages. Stage 1 involved the evaluation of the optimal dosing, and stage 2 was a multicenter, randomized, double-blind, positive control study to evaluate the efficacy and safety of HR020602, on the basis of the dose recommended in stage 1. The primary endpoint was the success rate of anesthesia induction in stage 2.

resultsIn total, 70 children were enrolled (20 children in stage 1 and 50 children in stage 2). The recommended dose was 1.0 mg/kg in stage 1. In stage 2, 50 children were randomized (1:1) to the HR020602 group (n = 24) or the fentanyl group (n = 26). Demographics and baseline characteristics were balanced between groups. In stage 2, the primary endpoint, the induction success rate, was 100.0% in both the HR020602 group and the fentanyl group, whereas the maintenance success rate was lower in the HR020602 group (62.5% vs. 92.3%). In stage 2, treatment-related adverse events (TRAEs) occurred in 91.7% of the children in the HR020602 group and 61.5% in the fentanyl group. No serious TRAEs or deaths were reported.

conclusionCompared with fentanyl-based anesthesia, HR020602 at a dosage of 1.0 mg/kg, when coadministered with propofol, achieved reliable induction but was associated with a lower maintenance success rate. Further studies on dose optimization and alternative strategies are warranted.

trial registrationThe study was registered at ClinicalTrials.gov (NCT04867343) on April 30, 2021.

Indexed as

Anesthesia, GeneralAnesthetics, IntravenousKetaminePropofolChildChild, PreschoolDose-Response Relationship, DrugDouble-Blind MethodFemaleHumansInfantMalePediatric AnesthesiaTreatment OutcomeAnesthetics, IntravenousKetaminePropofolEsketamineHR020602PediatricsPropofolSedation

Identifiers

PMID41545823
PMCPMC12952107

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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.