Sedation in normal animals (rodents, monkeys), reversed by flumazenil; GABA-A benzodiazepine-site binding in vitro
“Flumazenil prevents or inhibits the sedative effects of remimazolam. Onset of sedation and recovery from sedation was rapid in all species tested compared to midazolam.”
✓ VerifiedFDA pharmacology/toxicology review, p. 56Source ↗
Why that model
Not stated in public reviews
Not reported in the public reviews. Reviewers summarise selectively, so this usually means it wasn't discussed publicly, not that it wasn't studied.
Reviewer's view of the efficacy data
FDA: high selectivity and specificity for GABA-A receptors; low risk of off-target pharmacological effects
“Multiple radioligand binding assays demonstrate the high electivity and specificity for remimazolam to bind GABAA receptors, suggesting a low risk of off-target pharmacological effects.”
✓ VerifiedFDA pharmacology/toxicology review, p. 179Source ↗