A Study of Huperzine A Injection in Reducing Postoperative Delirium in Elderly Patients Undergoing Non-cardiac Surgery
A Multi-center, Randomized, Double-blinded, Placebo-controlled Study of Huperzine A Injection in Reducing Postoperative Delirium in Elderly Patients Undergoing Non-cardiac Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Ting Li, MD. PhD
- Phone Number: 13587876896
- Email: liting1021@aliyun.com
Study Locations
-
-
Zhejiang
-
Wenzhou, Zhejiang, China, 325000
- Recruiting
- The 2nd Second Affiliated Hospital of WMU Phase I Clinical Trial Unit /Center Of Bioequivalence Study
-
Contact:
- TING LI
- Phone Number: 057785676822
- Email: feclinicalresearch@163.com
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- ≥ 75 years old.
- Comply with the indication of non-cardiac surgery under general anesthesia.
- Anesthesia grade of American Society of Anesthesiologist (ASA) as III~IV grade.
- The estimated operation time ≥ 2 hours.
- Voluntarily sign the informed consent form.
Exclusion Criteria:
- Patients with impaired renal function (Cr is 1.5 times higher than the upper limit of the normal value of the central laboratory) or abnormal liver function (Alanine aminotransferase(ALT) and Aspartate aminotransferase(AST) are 2 times higher than the upper limit of the normal value of the central laboratory).
- Patients who are positive for infectious diseases.
- Patients accompanied with central nervous system injury.
- Patients with previous history of delirium and epilepsy, long-term use of psychoactive drugs or preoperative assessment of delirium.
- Patients who involved diseases with drug taboos, bronchial asthma, mechanical intestinal obstruction and urinary tract obstruction, or serious systemic diseases, especially circulatory diseases: such as myocardial infarction, heart failure, angina pectoris, history of sinus bradycardia.
- Patients who are known to be allergic to narcotic drugs or Huperzine A Injection, or must use drugs that are not compatible with Huperzine An Injection.
- patients who participated in other clinical trials within 3 months before this study, for any reason, who could not tolerate the test or cooperate with the examination, or who has any aphasia, audio-visual dysfunction, etc.
- the investigators think that the patients is not suitable to participate in this study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Control group
0.9% Sodium Chloride Injection
|
0.9% Sodium Chloride Injection
|
|
Experimental: Treatment group
Huperzine A Injection
|
Huperzine A Injection
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of delirium within 7 days after operation
Time Frame: 7 days after operation
|
Delirium will be evaluated by The 3-dimensional Confusion Assessment Method(3D-CAM) and delirium rating scale-revised-98(DRS-R-98) scale form.
|
7 days after operation
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
type of delirium
Time Frame: evaluated at screening, 24 hours, 48 hours, 72 hours after operation
|
diagnosed by delirium rating scale-revised-98(DRS-R-98) scale form
|
evaluated at screening, 24 hours, 48 hours, 72 hours after operation
|
|
severity of delirium
Time Frame: evaluated at screening, 24 hours, 48 hours, 72 hours after operation
|
diagnosed by delirium rating scale-revised-98(DRS-R-98) scale form
|
evaluated at screening, 24 hours, 48 hours, 72 hours after operation
|
|
duration of delirium
Time Frame: evaluated at screening, 24 hours, 48 hours, 72 hours after operation
|
diagnosed by delirium rating scale-revised-98(DRS-R-98) scale form
|
evaluated at screening, 24 hours, 48 hours, 72 hours after operation
|
|
length of hospital stay
Time Frame: from the day of operation to the day of discharge, around 7 to 14 days
|
total number of days of hospital stay
|
from the day of operation to the day of discharge, around 7 to 14 days
|
|
Economic indicators (total hospitalization cost, anesthesia cost, operation cost).
Time Frame: through study completion, up to 2 months
|
costs at hospital
|
through study completion, up to 2 months
|
|
Occurrence of complications
Time Frame: through study completion, up to 2 months
|
pulmonary infection, myocardial infarction, renal failure, gastrointestinal bleeding, etc.
|
through study completion, up to 2 months
|
|
Incidence of Mortality
Time Frame: the day of hospital discharge, and the day of follow-up, around 30 days after discharge
|
rate of Mortality during the hospital stay and follow-up within 30 days after discharge
|
the day of hospital discharge, and the day of follow-up, around 30 days after discharge
|
|
the total score of Mini-mental State Examination scale
Time Frame: evaluated at screening, 72 hours after operation, and the day of follow-up, around 30 days after discharge
|
Mini-mental State Examination scale
|
evaluated at screening, 72 hours after operation, and the day of follow-up, around 30 days after discharge
|
|
the score of EuroQol (EQ-5D) scale
Time Frame: 96 hours after operation, the day of hospital discharge, and the day of follow-up, around 30 days after discharge
|
EQ-5D scale
|
96 hours after operation, the day of hospital discharge, and the day of follow-up, around 30 days after discharge
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Ting Li, MD. PhD, Second Affiliated Hospital of Wenzhou Medical University
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neurologic Manifestations
- Nervous System Diseases
- Mental Disorders
- Postoperative Complications
- Pathologic Processes
- Confusion
- Neurobehavioral Manifestations
- Neurocognitive Disorders
- Emergence Delirium
- Delirium
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Neurotransmitter Agents
- Protective Agents
- Neuroprotective Agents
- Cholinergic Agents
- Cholinesterase Inhibitors
- Huperzine A
Other Study ID Numbers
Other Study ID Numbers
- SSJJZ-WW-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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