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Table 3 Summary of efficacy (FAS)

From: Efficacy, safety, and pharmacokinetics of MR13A11A, a generic of remifentanil, for pain management of Japanese patients in the intensive care unit: a double-blinded, fentanyl-controlled, randomized, non-inferiority phase 3 study

 

Remifentanil

N = 92

Fentanyl

N = 90

Difference

[95% confidence interval]

p-Value

Primary endpoint

    

Proportion of the patients who did not require rescue analgesics (%)*

100.0 [96.1, 100.0]

97.8 [92.2, 99.7]

2.2 [ − 0.8, 5.3]

 < 0.0001

No. of patients who did not require rescue analgesics

92

88

–

–

Secondary endpoints

    

No. of rescue analgesics doses†

0.00 ± 0.00 [–, –]

0.03 ± 0.23 [− 0.02, 0.08]

–

0.1516

Total dose of rescue analgesics† (µg/kg)

0.00 ± 0.00 [–, –]

0.02 ± 0.12 [− 0.01, 0.04]

− 0.02 [− 0.04, 0.01]

0.1853

Concomitant use of sedatives

    

Yes, n (%)

78 (84.8%)

78 (86.7%)

  

 Propofol (mg)†

435.66 ± 744.62

[281.45, 589.86]

693.22 ± 1613.79

[355.22, 1031.22]

− 257.56

[-623.89, 108.77]

0.1670

 Dexmedetomidine (µg)†

158.51 ± 186.92

[119.80, 197.22]

236.47 ± 494.56

[132.89, 340.06]

− 77.96

[− 186.87, 30.95]

0.1595

Proportion of duration maintained BPS ≤ 5 or NRS ≤ 3 (%)†

99.16 ± 2.60

[98.62, 99.70]

98.50 ± 3.44

[97.78, 99.22]

0.66

[− 0.24, 1.55]

0.1486

Proportion of duration maintained RASS ≤ 0 (%)†

99.54 ± 1.53

[99.22, 99.85]

99.07 ± 3.69

[98.30, 99.84]

0.47

[− 0.36, 1.29]

0.2640

Proportion of duration maintained RASS = − 2 to 0 (%)†

89.66 ± 24.24

[84.64, 94.68]

83.86 ± 28.92

[77.81, 89.92]

5.80

[− 2.00, 13.60]

0.1439

Duration from the end of dosing to weaning from the ventilator (h)†

1.68 ± 4.31

[0.79, 2.57]

1.17 ± 2.68

[0.61,1.74] ‡

0.51

[− 0.55, 1.57]

0.3481

Duration from the start of dose-reduction toward the ventilator weaning (h)†

1.89 ± 4.29

[1.00, 2.78]

1.45 ± 2.78

[0.86, 2.04] ‡

0.44

[− 0.63, 1.51]

0.4157

  1. The difference between the mean values was analyzed by the t-test. Number of doses between the groups was compared by the Wilcoxon rank sum test
  2. BPS behavioral pain scale, FAS full analysis set, Max maximum, Med median, Min minimum, NRS numerical rating scale, RASS Richmond agitation-sedation scale, SD standard deviation
  3. *Data are shown as percentages [95% confidence interval]
  4. †Data are shown as Mean ± SD [95% confidence interval]
  5. ‡n = 88