- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02080169
Safety and Efficacy of Combined Sedation With Midazolam and Dexmedetomidine in ICU Patients
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Shandong
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Jinan, Shandong, China
- Recruiting
- Department ICU, Shandong university affiliated Qilu Hospital.
-
Contact:
- Da W Wu, Doctor
- Phone Number: 13791122767
- Email: wdw.55@163.com
-
Principal Investigator:
- Qian Zhai, Doctor
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- ICU patients needing sedation
- 18 years or older
- mechanically ventilated for less than 96 hours prior to start of study drug.
Exclusion Criteria:
- Trauma and burn patients as admitting diagnosis.
- Dialysis of all types.
- Pregnant or lactation.
- Neuromuscular blockade other than for intubation.
- Epidural or spinal analgesia.
- General anesthesia prior to or planned after the start of study drug infusion
- Serious central nervous system pathology(acute stroke, uncontrolled seizures,severe dementia).
- Acute hepatitis or severe liver disease (Child-Pugh class C).
- Unstable angina or acute myocardial infarction.
- Left ventricular ejection fraction less than 30%,heart rate less than 50/min. 11.Second or third degree heart block.
12.Allergy to the study drug. 13.Systolic blood pressure less than 90 mm Hg despite continuous infusions of 2 vasopressors before the start of study drug infusion.
14. Patients with renal insufficiency were randomized and treated; however, patients were discontinued if they required dialysis.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: midazolam
Initiative dosage of midazolam is 0.05 mg/kg given intravenously, the maintenance dosage is 0.01-0.05
mg/kg/h, drug dosage is adjusted by target sedation level.
|
If the target sedation level is not obtained using the above recommended dosage, midazolam 0.01-0.05 mg/kg is added every 10-15min, until the target sedation level is obtained. If it is over sedation (RASS -3 to -5), and reduction of the dosage of the sedation drug could not ease the situation, and then stop the sedation until the target sedation level is obtained.
Other Names:
Fentanyl is used as analgesic drug in order to obtain the VAS <3.
|
Experimental: Dexmedetomidine
The loading dose of dexmedetomidine is 0.5-0.8
μg/kg given intravenously more than 10 min, the maintenance dosage is 0.2-0.7 μg/kg/h,the drug dosage is adjusted by target sedation level.
|
Fentanyl is used as analgesic drug in order to obtain the VAS <3.
If the target sedation level is not obtained using the above recommended dosage, midazolam 0.01-0.05 mg/kg is added every 10-15min, until the target sedation level is obtained. If it is over sedation (RASS -3 to -5), and reduction of the dosage of the sedation drug could not ease the situation, and then stop the sedation until the target sedation level is obtained.
Other Names:
|
Experimental: midazolam & dexmedetomidine
Initiative dosage of midazolam is 0.05 mg/kg given intravenously, The loading dose of dexmedetomidine is 0.5-0.8 μg/kg given intravenously more than 10 min(given or not according to patients' condition),. The maintenance dosage of midazolam is 0.01-0.05 mg/kg/h, the maintenance dosage of dexmedetomidine is 0.2-0.7 μg/kg/h,the drug dosage is adjusted by target sedation level. |
If the target sedation level is not obtained using the above recommended dosage, midazolam 0.01-0.05 mg/kg is added every 10-15min, until the target sedation level is obtained. If it is over sedation (RASS -3 to -5), and reduction of the dosage of the sedation drug could not ease the situation, and then stop the sedation until the target sedation level is obtained.
Other Names:
Fentanyl is used as analgesic drug in order to obtain the VAS <3.
If the target sedation level is not obtained using the above recommended dosage, midazolam 0.01-0.05 mg/kg is added every 10-15min, until the target sedation level is obtained. If it is over sedation (RASS -3 to -5), and reduction of the dosage of the sedation drug could not ease the situation, and then stop the sedation until the target sedation level is obtained.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The total time within target sedation level
Time Frame: From sedation drug is used to weaning from sedation up to 28 days.
|
|
From sedation drug is used to weaning from sedation up to 28 days.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The dosage of sedation/analgesic drug
Time Frame: From sedation/analgesic drug is used to weaning from sedation/analgesic up to 28 days.
|
Record the induced and maintained dosage of sedation/opioid analgesic drug.
The total dosage of sedation/opioid analgesic drug.
The added dosage of midazolam.
|
From sedation/analgesic drug is used to weaning from sedation/analgesic up to 28 days.
|
Duration of mechanical ventilation
Time Frame: From beginning to weaning from ventilation up to 28 days..
|
The duration of mechanical ventilation is recorded.
|
From beginning to weaning from ventilation up to 28 days..
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Economic outcome
Time Frame: From admitted to ICU until ventilation and sedation stopped and participants discharged from ICU up to 28 days.
|
The cost of sedation drug used is recorded.
The cost of mechanical ventilation is recorded.
The cost of ICU residency is recorded.
|
From admitted to ICU until ventilation and sedation stopped and participants discharged from ICU up to 28 days.
|
Satisfactory of patients to ICU stay from admitted until discharged from ICU
Time Frame: Assessed at time of 1 week participants discharged from ICU.
|
Evaluated the satisfactory of patients to ICU.
Using scores including 0 to 10. 0 presents extremely dissatisfied and 10 presents extremely satisfied.
|
Assessed at time of 1 week participants discharged from ICU.
|
Delirium
Time Frame: From sedation drug is used to weaning from sedation, up to 28 days.
|
Delirium is evaluated when daily sedation interruption is done during sedation.
Delirium incidence is recorded using CAM-ICU.
Treatment of delirium is recorded including drug,dosage and method of administration.
|
From sedation drug is used to weaning from sedation, up to 28 days.
|
Vital signs
Time Frame: From sedation drug is used to weaning from sedation, up to 28 days.
|
Heart rate(HR),main arterial pressure(MAP),respiratory rate(RR),pulse saturate of oxygen(SPO2) are recorded every 4 hours. When sedation drug dosage changed and adverse events treated,the vital signs is also recorded. Gas blood analysis index is recorded when the daily interruption is done and when the SPO2 is less 90% or 10% decrease than normal. |
From sedation drug is used to weaning from sedation, up to 28 days.
|
Duration of ICU stay
Time Frame: From date of admission until participants discharged from ICU up to 28 days.
|
Record when participants discharged form ICU.
|
From date of admission until participants discharged from ICU up to 28 days.
|
Collaborators and Investigators
Collaborators
Investigators
- Study Director: Da W Wu, Doctor., Qilu Hospital of Shandong University
Study record dates
Study Major Dates
Study Start
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Mental Disorders
- Nervous System Diseases
- Neurologic Manifestations
- Confusion
- Neurobehavioral Manifestations
- Neurocognitive Disorders
- Delirium
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Central Nervous System Depressants
- Peripheral Nervous System Agents
- Analgesics
- Sensory System Agents
- Anesthetics, Intravenous
- Anesthetics, General
- Anesthetics
- Analgesics, Non-Narcotic
- Adrenergic alpha-2 Receptor Agonists
- Adrenergic alpha-Agonists
- Adrenergic Agonists
- Analgesics, Opioid
- Narcotics
- Tranquilizing Agents
- Psychotropic Drugs
- Hypnotics and Sedatives
- Adjuvants, Anesthesia
- Anti-Anxiety Agents
- GABA Modulators
- GABA Agents
- Fentanyl
- Midazolam
- Dexmedetomidine
Other Study ID Numbers
- CMAqiluICU
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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