Which anesthesia is safer for Kids' brains? new trial to find out
NCT ID NCT07194109
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study will compare two anesthesia drugs—remimazolam and propofol—in 558 children aged 3 to 6 who are having their tonsils or adenoids removed. The main goal is to see which drug leads to better brain development 1 to 3 years after surgery. Children will be randomly assigned to receive one of the two drugs during their operation, and their thinking and memory skills will be tested later.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- remimazolam
- What this could lead to
- If remimazolam proves better for children's brain development after surgery, it could become a preferred anesthesia option for young kids.
- What could go wrong
- This is a Phase 4 study comparing two known drugs, so no major breakthrough is expected. Results may show no difference or be limited to this specific surgery and age group.
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
-
Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
-
About 558 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Oct 2025
An estimate. Start dates often move.
- Expected to finish
-
Oct 2030
An estimate. End dates often move.
- 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
-
3 to 6 years
- Sex
-
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: 1. Age: 3-6 years old; 2. Planned to undergo elective non-neurological, non-cardiac, and non-liver surgery under general anesthesia (abdominal surgery, orthopedic surgery, urological surgery, otolaryngological surgery, etc.); 3. Expected anesthesia duration to be more than 30 minutes; 4. ASA classification I-II; 5. BMI 14-25 kg/m2; 6. Postoperative plan not to be admitted to ICU; 7. Parents or legal guardians of the child have given informed consent; 8. Capable of communicating in Chinese. Exclusion Criteria: 1. Those who were exposed to general anesthetic drugs during infancy or in the late pregnancy of the mother; 2. Known chromosomal abnormalities or other known acquired or congenital diseases that may affect neural development, such as cerebral palsy, autism spectrum disorder or attention deficit hyperactivity disorder (ADHD), etc.; 3. Patients with severe liver dysfunction (Child-Pugh C grade); 4. Patients with severe kidney dysfunction (requiring dialysis before surgery); 5. Patients with a history of congenital heart disease requiring surgery or drug treatment; 6. Those allergic to the study drugs remimazolam or propofol; 7. Any known neural damage, such as cystic periventricular leukomalacia or grade 3 or 4 intraventricular hemorrhage; 8. Social or geographical factors that may lead to postoperative loss of follow-up; 9. Planned to undergo two surgeries within 7 days after the surgery; 10. Those currently participating in other clinical trials; 11. Those receiving special care or living in social welfare institutions or any other factors that may affect their ability to participate in the study.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Adenotonsillar hypertrophy are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
-
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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Heartbeat clues may flag surgery risks in children
- Brain wave monitor may cut opioid use in Kids' tonsil surgery
- Nose spray sedation for kids before surgery shows promise
- Asthma drug tested as painkiller for kids after tonsillectomy
- Zap instead of snip: electric pulses may treat Kids' blocked airways
- Which anesthesia drug calms kids best after tonsil surgery?