ICU sedation, delirium & recovery

Early sedation using ciprofol for intensive care unit patients requiring mechanical ventilation: a pooled post-hoc analysis of data from phase 2 and phase 3 trials

Ann Intensive CarePublished Pooled post-hoc analysis of phase 2 and phase 3 randomised trials

Authors' conclusion

ICU patients undergoing mechanical ventilation and sedated with ciprofol had significantly lower rate of hypotension during the early phase of achieving light sedation during a 6-24 h period, leading to a more favorable short-term prognosis (within 24 h).

Study context

Population
Intensive care unit (ICU) patients requiring mechanical ventilation and expected to require sedation for 6–24 h, target light sedation (RASS −2 to +1)
Participants
174 patients
Comparison
Ciprofol vs Propofol
  • Ciprofoln = 116
  • Propofoln = 58reference
Primary endpoint
Hypotension-free rate in patients who achieved the target sedation goal after 30-min administration
Methodological details2:1 randomisation
  • 2:1 randomisation

Primary result

As reported in the abstract

Hypotension-free rate among patients reaching target sedation after 30 min

P = 0.018

Further findings

Hypotension-free rate in subgroups (males; age < 65 years)

Higher hypotension-free rate with ciprofol especially in males and patients aged < 65 years

Independent predictors of hypotension-free rate (multivariable analysis)

Ciprofol treatment, younger age and lower baseline BMI were independent favorable predictors

Short-term prognosis of hypotension-free vs other patients reaching target sedation after 30 min

Hypotension-free patients had fewer drug-related treatment-emergent adverse events, shorter time to extubation and fewer dose adjustments (all P < 0.05)

Original publication

Early sedation using ciprofol for intensive care unit patients requiring mechanical ventilation: a pooled post-hoc analysis of data from phase 2 and phase 3 trials. Ann Intensive Care. Published 26 October 2024. doi:10.1186/s13613-024-01390-3

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