Can a new Opioid-Like drug prevent dangerous blood pressure spikes during anesthesia?
NCT ID NCT07749131
First seen Aug 06, 2026 · Last updated Aug 21, 2026 · Updated 2 times
Summary
This trial tests an experimental drug called tegileridine to find the dose that best prevents sudden rises in blood pressure and heart rate when a breathing tube is placed during general anesthesia. The study includes adults aged 18 to 90 having elective surgery, with separate groups for younger and older patients. Researchers will adjust doses using a special sequential method to pinpoint the effective dose for 90% of people, aiming to make anesthesia safer, particularly for older adults.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Tegileridine fumarate (SHR8554), an experimental opioid-like drug given intravenously before anesthesia induction to blunt the body's stress response to breathing tube placement.
- What this could lead to
- If successful, this could establish a precise dosing guide for tegileridine to make anesthesia induction safer, especially for older adults at higher cardiovascular risk.
- What could go wrong
- This is an early-phase dose-finding study, so the optimal dose may not be confirmed, and the drug could still cause side effects like sedation or breathing issues.
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 108 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2026
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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18 to 90 years
- 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: * American Society of Anesthesiologists (ASA) physical status I-III * Aged ≥18 ears old * Scheduled for elective surgery requiring general anesthesia with tracheal intubation Exclusion Criteria: * Resting Systolic Blood Pressure ≥ 160 mmHg, Diastolic Blood Pressure ≥ 110 mmHg, or heart rate ≥ 110 beats/min on admission to operation room * Continuous opioid medication use for more than 2 weeks within 6 months before the procedure * Known hypersensitivity or allergic reaction to tegileridine, propofol or any excipients of the two drugs * Diagnosed psychiatric disorders or inability to communicate and cooperate with study assessment * Anticipated difficult airway
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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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Shaoyang University Affiliated First Hospital
Shaoyang, Hunan, 422000, China
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