- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04665453
Dexmedetomidine and Melatonin for Sleep Induction for EEG in Children (MeloDex)
Comparison of Efficacy of Dexmedetomidine and Melatonin for Sleep Induction for Electroencephalography in Children
Study Overview
Status
Conditions
Detailed Description
At University Medical Centre Ljubljana (UMCL; Slovenia), the investigators use electroencephalography (EEG) in wakefulness and sleep for diagnostic and therapeutic purposes in children with (suspected) epilepsy. Since epileptiform activity can only be detected during sleep in some patients and because children with intellectual disabilities have sometimes problems with cooperation, EEG in induced sleep is required.
In this study, the investigators will enroll 150 children who need EEG recorded in their sleep. The investigators will compare safety and efficacy of the two active substances, one of which will be given in two possible routes. Fifty children will receive melatonin in the form of a syrup orally, 50 children will receive dexmedetomidine intranasally in the form of a nasal spray, and 50 children will receive dexmedetomidine sublingually. The investigators will monitor the following parameters: the time in which the child falls asleep, vital functions during sleep (blood pressure, blood oxygen saturation, respiratory rate frequency and heart rate frequency), the impact on the technical implementation of EEG, the depth of sleep and waking time. All parents will give their written consent for their child to participate in the study.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Ljubljana, Slovenia, 1000
- University Medical Centre Ljubljana
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age between 1 and 20 years
- Referral for EEG in sleep
- Children/young adults whose parents/caregivers were informed about the aims of the study and have signed the Informed consent form
Exclusion Criteria:
- Children that were unable to follow the study protocol were excluded during the study
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Diagnostic
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Melatonin peroral
0,1mg/kg melatonin will be given in the form of a syrup to the participant before EEG and vital functions monitoring
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Recording of the brain electrical activity during sleep; background activity and sleep phases will be evaluated
Other Names:
Measuring of respiratory rate, heart rate, SpO2, every 10 minutes after the medicine is given to the patient for the duration of EEG, and after 120 minutes.
Blood pressure is measured at the time of application of the medicine, at the end of EEG and after 120 minutes.
Melatonine in the form of syrup will be given orally to child.
|
Experimental: Dexmedetomidine intranasally
3 mcg/kg of dexmedetomidine in the form of a nasal spray will be given to the participant before EEG and vital functions monitoring
|
Recording of the brain electrical activity during sleep; background activity and sleep phases will be evaluated
Other Names:
Measuring of respiratory rate, heart rate, SpO2, every 10 minutes after the medicine is given to the patient for the duration of EEG, and after 120 minutes.
Blood pressure is measured at the time of application of the medicine, at the end of EEG and after 120 minutes.
Dexmedetomidine in the form of nasal spray will be given to child intranasally.
|
Experimental: Dexmedetomidine sublingually
3 mcg/kg of dexmedetomidine will be given to the participant sublingually before EEG and vital functions monitoring
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Recording of the brain electrical activity during sleep; background activity and sleep phases will be evaluated
Other Names:
Measuring of respiratory rate, heart rate, SpO2, every 10 minutes after the medicine is given to the patient for the duration of EEG, and after 120 minutes.
Blood pressure is measured at the time of application of the medicine, at the end of EEG and after 120 minutes.
Dexmedetomidine in the form of a solution will be given to child sublingually.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Comparison of the three medical interventions on sleep initiation
Time Frame: During the intervention
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The time-interval between the drug application and time of sleep initiation will be recorded in minutes.
These values will be compared across the three arms of the study
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During the intervention
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Comparison of the three medical interventions on the depth of sleep and the most prominent sleep stage on EEG
Time Frame: During the intervention
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During EEG in sleep, which will be recorderd using a standard 10-20 placement with additional electrodes for breathing and ECG, the EEG background activity will be evaluated for the deepest sleep stage according to the standard EEG classification (Carskadon MA, Dement WC.
Normal Human Sleep: an Overview.
In: Kryger M, Roth T, Dement WC.
Principles and practice of sleep medicine.
St.Louis: Saunders/Elsevier, 2011:16-26.).
Also, the sleep stage in which the patient will spend the most time will be noted.
These values will be compared across the three arms of the study.
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During the intervention
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Comparison of the three medical interventions on respiratory rate
Time Frame: During the intervention
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Measurement of respiratory rate every 10 minutes after the medicine is given to the patient for the duration of EEG recording, and after 120 minutes.
The values will be compared across the three arms of the study.
|
During the intervention
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Comparison of the three medical interventions on heart rate
Time Frame: During the intervention
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Measurement of heart rate every 10 minutes after the medicine is given to the patient for the duration of EEG recording, and after 120 minutes.
The values will be compared across the three arms of the study.
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During the intervention
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Comparison of the three medical interventions on oxygene saturation
Time Frame: During the intervention
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Measurement of oxygene saturation using pulse oximetry every 10 minutes after the medicine is given to the patient for the duration of EEG recording, and after 120 minutes.
The values will be compared across the three arms of the study.
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During the intervention
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Comparison of the three medical interventions on blood pressure
Time Frame: During the intervention
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Measurement of systolic and diastolic blood pressure will be noted at the time of application of the medicine, at the end of EEG and after 120 minutes.
These values will be compared across the three arms of the study.
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During the intervention
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Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Brain Diseases
- Central Nervous System Diseases
- Nervous System Diseases
- Epilepsy
- 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
- Analgesics, Non-Narcotic
- Protective Agents
- Adrenergic alpha-2 Receptor Agonists
- Adrenergic alpha-Agonists
- Adrenergic Agonists
- Hypnotics and Sedatives
- Antioxidants
- Dexmedetomidine
- Melatonin
Other Study ID Numbers
- 0120-597/2019/16
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
product manufactured in and exported from the U.S.
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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