Clinical trial

Prospective, Randomized, Open Label Controlled Trial To Evaluate The Safety And Efficacy Of Dexmedetomidine Use Beyond 24 Hours Compared With Midazolam In Children Admitted To Pediatric Intensive Care Unit (PICU) at KASCH-MNGHA.

Name
RC20/160/R
Description
Study will be conducted in Pediatric Intensive Care Unit (PICU) in King Abdullah Specialist Children Hospital (KASCH), National Guard Health Affairs, Riyadh, Saudi Arabia. Total of 430 patients will participate to assess the safety and efficacy of prolonged Dexmedetomidine use beyond 24 hours in pediatric Intensive Care Unite.
Trial arms
Trial start
2022-04-21
Estimated PCD
2024-05-01
Trial end
2024-05-01
Status
Recruiting
Phase
Early phase I
Treatment
Dexmedetomidine
Infusion start at 0.5 mcg/kg/hour. Titrate to effect (up to1.5 mcg/kg/hour)
Arms:
Dexmedetomidine (D)
Midazolam
(1 mcg/kg/minute. up to a maximum of 5 mcg/kg/minute.
Arms:
Midazolam (M)
Size
430
Primary endpoint
Mean time taken from end of sedation to extubation with no or minimal withdrawal symptoms
from end of sedation to extubation assessed up to 24 hrs
Eligibility criteria
Inclusion Criteria: 1. Age 1-14 years both male and female who require mechanical ventilation 2. Informed consent from signed by patient's legal representatives, and for patients aged 12- 14 who has an age-appropriate understanding additional assent form signed by patient is required. 3. Intubated within 6 hours and anticipated to require mechanical ventilation for more than 48 hours Exclusion Criteria: 1. Septic shock and/or multi-organ failure. 2. Hemodynamically instability and requires inotropes. 3. Severe intracranial or spinal trauma with high intracranial pressure 4. Liver failure 5. Acute or chronic renal failure. 6. Glasgow Coma Scale (GCS) ≤8 7. Known to have allergy to the study drugs 8. Airway surgery
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 430, 'type': 'ESTIMATED'}}
Updated at
2023-04-27

1 organization

2 products

4 indications

Indication
Dexmedetomidine
Indication
Midazolam
Product
Midazolam