Can a wrist sensor cut the dose of ICU muscle relaxants?
NCT ID NCT07807046
First seen Sep 08, 2026 · Last updated Sep 09, 2026 · Updated 1 time
Summary
This trial tests whether a monitor that measures muscle response can guide the dose of the muscle relaxant atracurium in intensive care unit patients who need a continuous drip for more than 48 hours. Researchers will compare a group whose dose is adjusted using the monitor to a group receiving usual bedside checks. The goal is to see if the monitor lowers the total amount of medicine needed and reduces related complications. Participants receive atracurium as part of their standard ICU care, and those in the monitor group have a small sensor placed on the wrist and hand.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- atracurium infusion guided by an electromyography-based muscle response monitor
- What this could lead to
- If it works, this approach could lower the amount of muscle relaxant ICU patients need, potentially reducing side effects while keeping the same level of care.
- What could go wrong
- The trial is early and small, and results may not apply to all ICU patients. The monitor might not reliably reduce complications, and dosing errors could still occur.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2026
- Expected to finish
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Jul 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult ICU patients (≥ 20 years of age) requiring continuous atracurium infusion for more than 48 hours due to any of the following conditions: * Moderate-to-severe ARDS (PaO₂/FiO₂ ratio ≤ 150) * Post-cardiac arrest care with device-controlled TTM (intravascular or surface cooling system) * Veno-venous (VV) or veno-arterial (VA) ECMO support Exclusion Criteria: * Patients aged under 20 years * Pregnant patients * Patients with known allergy to atracurium * Patients with a do-not-intervention order due to terminal disease * Patients with severe asthma, owing to the potential for atracurium-induced histamine release * Patients or their families who refuse to participate in the trial
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Fu-Jen Catholic University Hospital
RECRUITINGNew Taipei City, 243, Taiwan
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