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Remifentanil

  • Prescription medicine
  • Prescription only
  • Identity checked
  • Sources last checked 2026-09-04

This page shows what was measured, who it was measured in, and what that does not settle.

What Remifentanil does in the body

Intravenous (IV) administration

From the FDA-approved label: Remifentanil Hydrochloride for injection is a μ-opioid agonist with rapid onset and peak effect, and short duration of action. The μ- opioid activity of Remifentanil Hydrochloride for injection is antagonized by opioid antagonists such as naloxone. Unlike other opioids, Remifentanil Hydrochloride for injection is rapidly metabolized by hydrolysis of the propanoic acid-methyl ester linkage by nonspecific blood and tissue esterases. Remifentanil Hydrochloride for injection is not a substrate for plasma cholinesterase (pseudocholinesterase) and, therefore, patients with atypical cholinesterase are expected to have a normal duration of action.

What happened in people

RNAWiki has not yet published a reviewed conclusion for this use.

A fixed RNAWiki sentence

Where this came from

Wording RNAWiki always uses, not a finding about this substance.

No reviewed claim names a result for any goal on this record.

No source is stored against this line.

The limit that matters most

Not recorded.

Where it acts
Not recorded.
Kind of result
No result is published, so no kind of result applies yet
Supervision
Professional supervision is normally required. A regulator classifies this substance in a way that restricts how it is supplied.

What the registries record it as

  • The substance registry classes this as chemical.

    FDA substance registry · P10582JYYK · read 2026-08-29

  • Its recorded molecular formula is C20H28N2O5•HCl, weighing 412.91.

    US prescribing information · d2374b84-81c9-44f9-a4a9-1071281b2531 · read 2026-08-30

Where each sentence above came from

No recorded sentence describes the change this makes in a way that stands on its own. The page opens with what it is taken for instead, and the recorded explanation follows below.

Shown as the opening line on this page.

No statement of the main limit is recorded.

The four opening statements run to 107 words.

Words this page uses

Four words worth knowing first

Chosen from what this page shows, with each one explained before the word it depends on.

Biomarker

A biomarker is a number from a test that stands in for something about health.

A picture of it, and where the picture fails

A biomarker is like a fuel gauge.

Where that stops being true. A gauge is wired to the tank. Many biomarkers are only loosely tied to health.

What people get wrong. A better number is read as a better life. Several medicines improved a number and helped nobody.

A measurable indicator used as a substitute for a clinical outcome of interest.

Placebo

A placebo is a dummy treatment given so the real one can be compared with it.

A picture of it, and where the picture fails

A placebo is like a blank control in an experiment.

Where that stops being true. A blank does nothing. People given a placebo often do get better.

What people get wrong. A placebo effect is read as imaginary. The improvement is measured and real.

An inactive intervention matched in appearance to the test intervention, used to control for non-specific effects.

Comparator

A comparator is whatever the treatment was measured against.

A picture of it, and where the picture fails

It is like the other runner in a race.

Where that stops being true. A race has one winner. A study can show both arms improved.

What people get wrong. Results are read without asking what the other group got. Beating nothing is not beating a treatment.

The control condition against which the experimental intervention is assessed.

What happened in peopleRead from sources, not yet reviewed

What happened in people

Each card is one study: the exact question it asked, who was in it, and whether it showed what it set out to show.

Adherence to PONV Guidelines

The study did not show it

Who was studied
NCT02625181
How many people
27034
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Mortality

The study did not show it

Who was studied
NCT01728558
How many people
4000
Study design
Phase 3
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

The number of operative interventions during labor

The study did not show it

Who was studied
NCT06135961
How many people
3471
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

The dose of propofol required to maintain BIS (bispectral index) between 40 and 60 during maintenance of anesthesia

The study did not show it

Who was studied
NCT00896714
How many people
3278
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Proportion of participants with one or more intubation or anaesthesia related adverse events

The study did not show it

Who was studied
NCT06564857
How many people
2648
Study design
Phase 4
Compared against
Not recorded for this study
Kind of result
A number that stands in for health
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot

Mortality rate during the first year following anesthesia

The study did not show it

Who was studied
NCT01198639
How many people
2044
Study design
Not applicable
Compared against
Not recorded for this study
Kind of result
Living longer, or avoiding a major event
What was found
Result not recorded on this page
Repeated elsewhere
Unreplicated

What this does not prove. A study that did not show an effect does not show that no effect exists anywhere.

The limits of this study, and where it came from

Main limit. No limitation is recorded for this study.

How far it carries. This study is recorded from the curated record, not from the registry match.

Form and route. Injection

Interval reported. Not recorded in this summary

Written into the record, not signed off as a reviewed claim.

  • openFDA Drugs@FDA · a recorded source, not a stored snapshot
  • openFDA NDC Directory · a recorded source, not a stored snapshot
  • openFDA SPL label · a recorded source, not a stored snapshot
  • PubChem PUG-REST · a recorded source, not a stored snapshot
What we know
RNAWiki holds 6 written-up human studies for this substance, each with the question it asked.
How we know it
Each card names the study, the number of people and what the study set out to measure.
What this does not prove
These summaries were written by a person and have not been signed off as reviewed claims.
Why it matters
A study that failed is as informative as one that worked, and both are here.
What we still do not know
No reviewed claim exists, so no exact population, effect size or interval is published yet.

What is missing or unclearRead from sources, not yet reviewed

Were people like you studied?

RNAWiki cannot tell whether a study fits you. It can show who was in it, and where the result stops carrying.

Who was studied

People similar to this profile were included.

  • Remifentanil hydrochloride (HCl) for injection is indicated for intravenous (IV) administration: • As an analgesic agent for use during the induction and maintenance of general anesthesia for inpatient and outpatient procedures.

Who is missing from the studies

  • Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What the label states about particular groups

  • On pediatric, the label states: “The efficacy and safety of remifentanil HCl as an analgesic agent for use in the maintenance of general anesthesia in outpatient and inpatient pediatric surgery have been established in controlled clinical studies in pediatric patients from birth to 12 years [see Clinical Studies ( 14.4 )] .”

    US prescribing information · d2374b84-81c9-44f9-a4a9-1071281b2531 · read 2026-08-30

  • On older people, the label states: “Of the total number of subjects in clinical studies of remifentanil HCl, 486 were 65 and over (age range 66 to 90 years).”

    US prescribing information · d2374b84-81c9-44f9-a4a9-1071281b2531 · read 2026-08-30

  • On people who are pregnant, the label states: “Risk Summary Prolonged use of opioid analgesics during pregnancy may cause neonatal opioid withdrawal syndrome.”

    US prescribing information · d2374b84-81c9-44f9-a4a9-1071281b2531 · read 2026-08-30

  • On people who are breastfeeding, the label states: “Risk Summary It is not known whether remifentanil is excreted in human milk.”

    US prescribing information · d2374b84-81c9-44f9-a4a9-1071281b2531 · read 2026-08-30

Where the result stopped carrying

  • This is a scope explorer, not a diagnosis engine.
  • It shows who was studied so you can see whether people similar to you were included.

RNAWiki cannot tell whether a study fits you. It can show who was in it.

What it would be like to takeRead from sources, not yet reviewed

Why it might seem to do nothing

A real effect and a noticed effect are different things. These are the recorded reasons the two come apart.

It was studied in different people

The people in the studies were not much like the reader.

On this record: Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

The evidence may simply be wrong

Small early studies often do not hold up.

On this record: RNAWiki has not yet published a reviewed conclusion for this use.

Other reasons RNAWiki checked and found nothing for (11)
It was studied for a different goal
The studies measured something else entirely. Nothing in this record points to this reason.
A different form was studied
The studied form is not the form on the shelf. Nothing in this record points to this reason.
There was nothing to correct
Where a level is already normal, topping it up may change nothing. Nothing in this record points to this reason.
Something else had to happen too
In the studies it was paired with training, a diet or another treatment. Nothing in this record points to this reason.
The change is too small to feel
A real change can still sit below what a person notices. Nothing in this record points to this reason.
Day-to-day swing hides it
Sleep, food, stress and time of day move most numbers more than this would. Nothing in this record points to this reason.
Not enough time yet
The studies ran longer than the person has waited. Nothing in this record points to this reason.
It was not taken as studied
Missed days change the result, and studies count them. Nothing in this record points to this reason.
Something else changed at the same time
Two changes at once cannot be told apart afterwards. Nothing in this record points to this reason.
The product may not be what it says
Contents of a sold product are not always what the label states. Nothing in this record points to this reason.
No recorded reason
RNAWiki has nothing stored that would explain it. Nothing in this record points to this reason.

None of these is a reason to take more. Taking more is not a step this page ever suggests.

What it would be like to takeRead from sources, not yet reviewed

What taking it involves

The recorded facts about getting hold of it and using it. Nothing here is a suggestion about what you should do.

How it is supplied

Prescription only

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Read from the recorded approval status.

No source is stored against this line.

Form and route

Injection

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form and route recorded on this substance.

No source is stored against this line.

Who oversees it

Professional supervision is normally required. A regulator classifies this substance in a way that restricts how it is supplied.

Quoted from a source

Where this came from

Copied from a source RNAWiki stored, with the source named.

Suppression classes recorded: S1, S2, S6.

No source is stored against this line.

What is in the pack

Sold as injectable, injection, powder, lyophilized, for solution, given by the injection, intravenous route.

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

Recorded notes on how this is sold and what that means for what is in the pack.

No source is stored against this line.

Where it is registered

Regulatory records are listed in the technical disclosure at the foot of this page.

Counted from records

Where this came from

A count of rows RNAWiki holds. It describes our records, not your body.

Register entries are stored per jurisdiction and shown with their dates.

No source is stored against this line.

Why people stop

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

No record of why people stopped taking it is stored for this substance.

No source is stored against this line.

What it would be like to takeNothing found in the sources checked

What can go wrong

Sorted by where each line came from. A regulator's label and a report somebody sent in are not the same kind of fact.

Nothing found in the sources checked

No harm is recorded against this substance in the sources RNAWiki checked. Finding nothing is not the same as showing there is nothing.

The sources listed were searched and held nothing. That is not the same as nothing existing.

Over a long time. No completed tested study window is recorded, so long-term effects are not established by the registry record.

Groups the studies covered thinly. Which groups were under-represented in the studies has not been recorded for this substance. Pregnancy, breastfeeding, children, older adults, and people with liver or kidney conditions are commonly excluded from trials; nothing here says whether they were.

What is missing or unclearRead from sources, not yet reviewed

Does the exact form matter?

Evidence belongs to the exact thing that was tested. A different salt, a different mixture or a different preparation is a different question.

The form that was studied

Injection

Source-linked record

Where this came from

A person wrote this into the record with the study named beside it. No reviewer has signed it off.

The form used in the studies cited on this page.

No source is stored against this line.

What is sold

Not recorded.

Nothing recorded

Where this came from

RNAWiki holds nothing here and says so rather than guessing.

Nothing further is recorded about which forms are sold.

No source is stored against this line.

What is recorded as being sold

  • 19 products list this as an active ingredient in the United States drug directory. 19 of them contain it and nothing else.

    FDA National Drug Code directory · 72078-035 · read 2026-08-29

  • They are sold as injection, powder, lyophilized, for solution and powder, taken intravenous.

    FDA National Drug Code directory · 72078-035 · read 2026-08-29

  • The regulator's established pharmacologic class for it is full opioid agonists [moa] and opioid agonist [epc].

    FDA National Drug Code directory · 72078-035 · read 2026-08-29

  • 5 published labels name it as an active ingredient. 5 of them describe this substance alone, which is where its own label text on this page comes from.

    US prescribing information · d2374b84-81c9-44f9-a4a9-1071281b2531 · read 2026-08-29

  • Those labels are classed as human prescription drug.

    US prescribing information · d2374b84-81c9-44f9-a4a9-1071281b2531 · read 2026-08-29

  • Remifentanil Hydrochloride is intravenous at 3 DOSAGE FORMS AND STRENGTHS For injection: 1 mg, 2 mg, and 5 mg: 3 mL Vial 1 mg lyophilized powder 5 mL Vial 2 mg lyophilized powder 10 mL Vial 5 mg lyophilized powder For injection: 1 mg, 2 mg, and 5 mg for intravenou…, recorded as fda label in effect 2024-09-15 in the United States.

    US prescribing information · d2374b84-81c9-44f9-a4a9-1071281b2531 · read 2026-08-30

Evidence carries across two names for one substance. It does not carry across a salt, a mirror form or a mixture.

What it would be like to takeRead from sources, not yet reviewed

What you could measure

This one is decided with a clinician, so this section holds questions to ask rather than a plan to run.

Self-experiment planning is not offered for a prescription or clinician-supervised medicine. The questions below are for a clinician or pharmacist.

Questions worth asking

  • Which of the trials of Remifentanil studied people like me?
  • What was measured, and for how long?
  • Was the result a laboratory value or a health outcome?
  • What would we watch for, and when would we stop?

Tracking can show whether something changed for you. It cannot show what caused it.

RNAWiki records evidence. It does not say whether this substance is right for you.

What is missing or unclearRead from sources, not yet reviewed

What nobody knows yet

Open questions, each with why it is open and what would close it.

Missing populations

Which groups were under-represented in the studies has not been recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing long-term data

No completed tested study window is recorded.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

No reviewed conclusion

RNAWiki has not yet published a reviewed conclusion for this use.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Missing interaction studies

No interaction was found in the registers checked. Not finding one is not the same as showing there is none.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Formulation uncertainty

Several salts, forms or products of Remifentanil are recorded. Results from one form may not transfer to another.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

Mechanism not reviewed

No reviewed mechanism story exists for this substance.

Why it matters. Recorded by the evidence model as a gap on this record.

What would answer it

A study that measures it, and a reviewer to sign it off.

Last checked 2026-09-04. Searched: The sources listed in the receipts at the foot of this page.

What happened in peopleRead from sources, not yet reviewed

Check any of this yourself

Every line above traced back to the study it came from. This is the technical layer, and the vocabulary changes here.

How many documents were read

  • 5 documents were read for this substance.

    RNAWiki source record

  • 5 of them state the same halfLife, and they agree.

    RNAWiki source record

Where else this substance is registered

FDA substance identifier (UNII)
P10582JYYK
CAS registry number
132875-61-7
PubChem compound
60815
ChEMBL
CHEMBL1005
ChEBI
8802
WHO international nonproprietary name list entry
6924
RxNorm concept
73032
EMA substance identifier
100000089165
DrugBank
DB00899

Checks this page had to pass

  • Passed

    Identity resolved

    no open identity hold

  • Passed

    No unresolved merge across substance families

    no quarantine open

  • Passed

    Every public sentence names a source

    The opening statement carries the origin: Written into the record, not signed off.

  • Not passed

    Trial roles classified for highlighted evidence

    No registered study is classified as testing this substance.

  • Passed

    No internal keys in reader text

    enforced by the copy-contract test over the rendered page

  • Passed

    Safety mode resolved

    Suppression classes recorded: S1, S2, S6.

  • Passed

    Canonical metadata present

    slug and display name present

What is missing or unclearRead from sources, not yet reviewed

How this medicine reached us

Kept near the foot of the page. A historical event moves up only when it changes something about this substance today.

What the approval register records

  • 4 approved applications cover products containing this substance. The earliest was NDA020630, approved 19960712 to MYLAN INSTITUTIONAL.

    Drugs@FDA application register · NDA020630 · read 2026-08-29

  • Marketing status on the register: prescription.

    Drugs@FDA application register · NDA020630 · read 2026-08-29

  • The earliest marketing start date recorded for a listed product is 20071201.

    FDA National Drug Code directory · 72078-035 · read 2026-08-29

What is missing or unclearRead from sources, not yet reviewed

What to learn next

Ordered by what would most change how you read this page, starting with what is easiest to misunderstand.

This order is fixed in code and does not count clicks or time on the page.

What is not here

9 questions this page could not answer

These sections were prepared and left out because there was nothing to put in them. They are listed rather than hidden, so the gaps in this record are visible.

  • What was measured, goal by goal — found nothing in the sources checked.
  • How close this is to real life — found nothing in the sources checked.
  • The path through the body — found nothing in the sources checked.
  • Felt, measured, or meaningful — found nothing in the sources checked.
  • How long anything takes — found nothing in the sources checked.
  • What it may clash with — found nothing in the sources checked.
  • Other ways to the same goal — found nothing in the sources checked.
  • Claims that go past the evidence — found nothing in the sources checked.
  • What changed on this page — found nothing in the sources checked.

The record as stored

The full record, for auditing

Everything above is built from what is below. This layer keeps the technical vocabulary, record identifiers and every stored row, so a reader who wants to check the page can.

Recorded evidence blocks (10)

On the Remifentanil label: indicated for what?


"ULTIVA is indicated for intravenous (IV) administration: • As an analgesic agent for use during the induction and maintenance of general anesthesia for inpatient and outpatient procedures. • For continuation as an analgesic into the immediate postoperative period in adult patients under the direct supervision of an…": indications and usage on Remifentanil's label. DailyMed label · 4dbcb8f9-1987-4b66-bd2f-d251fda0be10 · 2025-12-15

354 registered trials of Remifentanil — at which phases?


Registered studies posting no result
311 of 354

354 registered studies of Remifentanil: 146 na, 140 phase4, 20 na or unstated, 20 phase3, 19 phase2, 9 phase1, 6 early phase1. CLINICALTRIALS_SNAPSHOT · 2026-09-01

2434 with a PubMed record

Show the evidence
  • na
    146
  • phase4
    140
  • na or unstated
    20
  • phase3
    20
  • phase2
    19
  • phase1
    9
8 more recorded rows
  • early phase1
    6
  • completed
    230
  • unknown
    73
  • terminated
    27
  • not yet recruiting
    8
  • recruiting
    7
  • withdrawn
    5
  • active not recruiting
    4

recorded 2026-09-01 · last checked 2026-09-04

30 of Remifentanil's trials stopped: futility/efficacy, accrual/recruitment, funding/business, sponsor decision unspecified, other?


futility/efficacy (1), accrual/recruitment (10), funding/business (3), sponsor decision unspecified (2) and other (14): Remifentanil's stop wording, clustered. CLINICALTRIALS_SNAPSHOT · 2026-09-01

"Closed due to lack of enrollment"; 30 of 354 registered studies

Show the evidence

Trial

  • NCT00335972
    terminated; "Closed due to lack of enrollment"
  • NCT00436345
    terminated; "recruitment issues"
  • NCT00615472
    terminated; "Lack of funding"
  • NCT00681174
    terminated; "Failure to enroll sufficient patients by expected deadline."
  • NCT00693160
    terminated; "the manufacturing of preservative free ketorolac (Acular-PF) was discontinued"
  • NCT00778505
    terminated; "difficulty in recruiting"
14 further recorded trials
  • NCT01043952
    terminated; "Poor enrollment."
  • NCT01563939
    terminated; "Difficult recruitment."
  • NCT01746641
    terminated; "Occurrence of severe respiratory depression in the remifentanil group."
  • NCT02164734
    terminated; "Slow to impossible recruitment during COVID-19 pandemic"
  • NCT02430389
    terminated; "A priori hypothesis confirmed with interim analysis."
  • NCT02488486
    terminated; "Intermediate analysis"
  • NCT02664922
    terminated; "Poor study design and too many study groups."
  • NCT02683837
    withdrawn; "Principal investigator left the institution"
  • NCT02799589
    withdrawn; "Difficulty in recruitment"
  • NCT02989597
    terminated; "Due to personnel loss and logistical issues the study was unable to be completed as planned."
  • NCT03066739
    terminated; "Study terminated early due to low enrollment. Only 8 participants enrolled out of the target 105."
  • NCT03283150
    terminated; "Due to a decrease in scheduled study-eligible patients, we terminated the study prematurely"
  • NCT03316339
    terminated; "Sponsor's decision"
  • NCT03401606
    terminated; "a respiratory depression in remifentanyl group"

recorded 2026-09-01 · last checked 2026-09-04

Human studies of Remifentanil used Remifentanil 2 MG — over how long?


studies of Remifentanil used the recorded amount. ClinicalTrials.gov · 2026-09-01

4 recorded entries; human; also "Remifentanil 2 MG", "Remifentanil Injection plus 30%", "Remifentanil 1 MG Injection [Ultiva]"

Show the evidence

human

  • NCT04117009
    Remifentanil 2 MG
  • NCT05026125
    Remifentanil Injection plus 30%
  • NCT05115578
    Remifentanil 1 MG Injection [Ultiva]
  • NCT06564857
    Remifentanil 5 mg diluted in 100 ml saline, which corresponds to Remifentanil 50 micrograms/ml

recorded 2026-09-01 · last checked 2026-09-04

Remifentanil's half-life is 6 minutes — which schedules were studied?


6 minutes, the half-life Remifentanil's label states: "After IV doses administered over 60 seconds, the pharmacokinetics of remifentanil fit a three-compartment model with a rapid distribution half-life of one minute, a slower distribution half-life of 6 minutes, and a terminal elimination half-life of 10 to 20 minutes." DailyMed label · 4dbcb8f9-1987-4b66-bd2f-d251fda0be10 · 2025-12-15

Show the evidence
  • half life pharmacokinetics
    6 minutes; After IV doses administered over 60 seconds, the pharmacokinetics of remifentanil fit a three-compartment model with a rapid distribution half-life of one minute, a slower distribution half-life of 6 minutes, and a terminal elimination half-life of 10 to 20 minutes.
  • metabolism pharmacokinetics
    Metabolism Remifentanil is an esterase-metabolized opioid.

recorded 2025-12-15 · last checked 2026-09-04

Which running trial of Remifentanil could settle inflammatory markers?


NCT07571473 measures Change in interleukin-6 (IL-6) levels, reading out 2026-05-30.

1 open trial; n 30; "CoreSys Monitoring for Intraoperative Stress Management in Abdominal Hysterectomy"

Show the evidence
  • Trial NCT07571473
    "CoreSys Monitoring for Intraoperative Stress Management in Abdominal Hysterectomy"; n 30; "Change in interleukin-6 (IL-6) levels"; 2026-05-30

Which 185 trials of Remifentanil posted no result?


Posted no result
185 of 185 completed trials
Registrations
NCT00391105, NCT01947114, NCT02637726, NCT00534586, NCT00349245 and NCT00455026, and 179 more
Completion dates
oldest 2005-11; newest 2024-08-28
Show the evidence

Trial

  • NCT00391105
    2005-11
  • NCT01947114
    2006-08
  • NCT02637726
    2007-03
  • NCT00534586
    2007-05
  • NCT00349245
    2007-08
  • NCT00455026
    2007-10
14 further recorded trials
  • NCT01013558
    2007-12
  • NCT00474071
    2008-04
  • NCT02602002
    2008-06
  • NCT00665119
    2008-10
  • NCT00706277
    2008-12
  • NCT00785863
    2009-04
  • NCT01079312
    2009-04
  • NCT00710086
    2009-09
  • NCT01350037
    2009-09
  • NCT02619032
    2009-09
  • NCT01015651
    2009-10
  • NCT01056224
    2010-01
  • NCT01604382
    2010-06
  • NCT01026129
    2010-07

At the median, Remifentanil's trials enrolled 62 people — anything larger?


Median enrolment
62
Largest enrolment
27034
Registered trials counted
353

What do 583 spontaneous reports say about Remifentanil — and not say?


These are reports people sent to a regulator. They do not show the medicine caused the reaction. Nobody counted how many people took the medicine and reported nothing. The same event can be reported more than once, and many reports are incomplete. News coverage, lawsuits and new warnings change how often people report. A count is not a rate and not a risk.

Remifentanil appears in spontaneous reports to regulators. Across the 10 most-reported reaction terms, 583 reaction mentions were counted: hypotension 85; low birth weight baby 80; anaphylactic shock 72; anaphylactic reaction 66. FAERS via Open Targets · CHEMBL1005 · 2026-06-24

Show the evidence
  • hypotension
    85
  • low birth weight baby
    80
  • anaphylactic shock
    72
  • anaphylactic reaction
    66
  • bradycardia
    62
  • cardiac arrest
    57
4 more recorded rows
  • premature baby
    47
  • drug interaction
    46
  • respiratory depression
    37
  • unwanted awareness during anaesthesia
    31

recorded 2026-06-24 · last checked 2026-09-04

Which 10 reactions does Remifentanil's label not list?


anaphylactic reaction, anaphylactic shock and bradycardia and 7 more reported for Remifentanil, absent from its label. FAERS via Open Targets · CHEMBL1005 · 2026-06-24

2 label terms; 10 reported and unlisted; 4dbcb8f9-1987-4b66-bd2f-d251fda0be10

Show the evidence
  • anaphylactic reaction
    count not stated
  • anaphylactic shock
    count not stated
  • bradycardia
    count not stated
  • cardiac arrest
    count not stated
  • drug interaction
    count not stated
  • hypotension
    count not stated
4 more recorded rows
  • low birth weight baby
    count not stated
  • premature baby
    count not stated
  • respiratory depression
    count not stated
  • unwanted awareness during anaesthesia
    count not stated

recorded 2026-06-24 · last checked 2026-09-04

Where it is registered
Identifiers, relations and other names

The exact record

ChEMBL id
CHEMBL1005
PubChem CID
60815
CAS number
132875-61-7
RxCUI
73032
InChIKey
ZTVQQQVZCWLTDF-UHFFFAOYSA-N
Development code
GI 87084X, IDS-NR-005, GI 87084B
Also called
Ramifentanyl, Remifentanilo, Remifentanyl, Ultiva-, remi, REMIFENTANIL HYDROCHLORIDE, 1-PIPERIDINEPROPANOIC ACID, 4-(METHOXYCARBONYL)-4-((1-OXOPROPYL)PHENYLAMINO)-, METHYL ESTER, MONOHYDROCHLORIDE, 4-Carboxy-4-(N-phenylpropionamido)-1-piperidine propionic acid, dimethyl ester, monohydrochloride, REMIFENTANIL HYDROCHLORIDE [EP MONOGRAPH], REMIFENTANIL HYDROCHLORIDE [JAN], REMIFENTANIL HYDROCHLORIDE [MART.], REMIFENTANIL HYDROCHLORIDE [MI]
Salt form
Remifentanil hcl, Remifentanil Hydrochloride / Ultiva
Sources (6)

Sources

ChEMBL 37 — CC BY-SA 3.0 Unported · ChEMBL ATC CC BY-SA · ClinicalTrials.gov — US Government work · Open Targets 26.06 — CC0 · mixed register set; per-register licences in docs/specs/corpus-20k-sources.md · openFDA / DailyMed — US Government work

How these records are assembled · Which registers were checked

Index-quality checks
  • identity passed: no open identity hold
  • required summary fields resolved: 4 required field(s) not terminal: Why people use it, Best-supported result, Biggest unanswered question, Human evidence
  • public claims reviewed: 0 reviewed claim(s); drafts are never rendered
  • source coverage passed: 6 source rows
  • no critical contamination: no quarantine open
  • canonical metadata passed: slug and display name present
  • no raw internal fields: enforced by the copy-contract test over the rendered page

This is a record of evidence. It is not medical advice, and it does not say this substance suits you. Nothing here says any substance on RNAWiki is appropriate for a child.