Can a common blood pressure drug make anesthesia safer for the very old?
NCT ID NCT06681662
First seen Sep 11, 2026 · Last updated Sep 11, 2026
Summary
Researchers are testing whether giving ephedrine before the muscle relaxant rocuronium helps the drug work faster in patients aged 80 and older who are having surgery with general anesthesia and a breathing tube. The trial compares ephedrine to a saline placebo in 80 patients. The goal is to see if ephedrine shortens the time until muscles are fully relaxed, which could make intubation quicker and easier.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ephedrine, a drug that raises blood pressure and heart rate, given before the muscle relaxant rocuronium
- What this could lead to
- If it works, this could give anesthesiologists a simple way to speed up muscle relaxation for older patients, potentially making intubation faster and safer.
- What could go wrong
- The trial is small and only in people aged 80 and older, so results may not apply to other groups. Ephedrine can raise heart rate and blood pressure, which may be risky for some patients.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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80 people
The number who actually took part.
- Started
-
Jan 2025
- Finished
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Oct 2025
- Lead sponsor
-
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
-
80 years and older
- Sex
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Anyone
- Healthy volunteers
-
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: * Age ≥ 80 * Scheduled for elective operations under general anesthesia with intubation * American Society of Anesthesiologists physical status classification (ASA) I to III * Informed consent * Read and understand Danish Exclusion Criteria: * Known allergy to rocuronium or ephedrine * Neuromuscular disease that may interfere with neuromuscular data * Indication for rapid sequence induction * Daily use of beta-blocking agents * Known cardiac arrythmia (atrial fibrillation, supraventricular or ventricular)
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Department of Anaesthesiology, Pain and Respiratory Support, Rigshospitalet Glostrup
Copenhagen, 2100, Denmark
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Department of Anesthesia, Centre of Head and Orthopedics, 6013 Rigshospitalet
Copenhagen, 2100, Denmark
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