Anesthetic drugs & techniques

Reversal of Propofol-induced Depression of the Hypoxic Ventilatory Response by BK-channel Blocker ENA-001: A Randomized Controlled Trial

AnesthesiologyPublished Randomised controlled trial

Authors' conclusion

In this pilot study, the authors demonstrated that ENA-001 restored the hypoxic ventilatory response impaired by propofol.

Study context

Population
Healthy male and female volunteers receiving propofol infusion (low and high dose; 0.6 and 2.0 µg/ml)12 completed
Participants
14 participants
Comparison
Low- and high-dose ENA-001 vs placebo during propofol infusion
Primary endpoint
Restoration of the isohypercapnic hypoxic ventilatory response during propofol infusion
Methodological detailsdouble-blind, crossover, pilot study, population pharmacokinetic/pharmacodynamic analysis
  • Double-blind
  • Crossover
  • Pilot study
  • Population pharmacokinetic/pharmacodynamic analysis

Primary result

As reported in the abstract

Propofol concentration reducing the hypoxic ventilatory response by 50% (µg/ml)

1.47 ± 0.20

Steady-state ENA-001 concentration increasing the depressed ventilatory response by 50% (µg/ml)

0.51 ± 0.04

ENA-001 concentration required for full reversal of the propofol effect at the propofol concentration reducing the response by 50% (µg/ml)

1

Safety

No serious adverse events occurred

Original publication

Reversal of Propofol-induced Depression of the Hypoxic Ventilatory Response by BK-channel Blocker ENA-001: A Randomized Controlled Trial. Anesthesiology. Published 19 January 2024. doi:10.1097/aln.0000000000004915

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