Dexmed/Buspirone Synergism on Shivering

NCT ID: NCT00334360

Last Updated: 2016-06-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

8 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-09-30

Study Completion Date

2007-08-31

Brief Summary

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The purpose of this research is to determine if the combination of buspirone and dexmedetomidine are effective as a treatment to induce therapeutic hypothermia.

The design of the study includes four study days done in random order. The days are as follows: 1) Control (no drug); 2) Buspirone 60 mg orally; 3) Dexmedetomidine (delivered by a computer-controlled IV infusion to a target plasma concentration of 0.6 ng/ml); and, 3) the combination of buspirone 60 mg and dexmedetomidine (target plasma concentration of 0.6 ng/ml). a 20 cm-long catheter will be inserted into a cubital vein using standard aseptic technique In addition to the PIC line catheter, a simple peripheral catheter will be inserted into the other arm for drug administration.

Throughout the study period, mean-skin temperature will be maintained at 31°C by adjusting the temperature of circulating water (Cincinnati Sub-Zero, Cincinnati, OH) and forced-air warmers (Augustine Medical, Inc., Eden Prairie, MN). Furthermore, the back, upper-body, and lower-body will individually be maintained at the designated skin temperature. Lactated Ringer's solution cooled to ≈3°C will be infused via the PIC-line at rates sufficient to decrease tympanic membrane temperature ≈1.5°C/h. Fluid will be administered as long as oxygen consumption or electromyographic intensity (see below) continues to increase or a total of 5 liters of fluid is given. Heart rate will be measured continuously using an electrocardiogram; blood pressure will be determined oscillometrically at 5 min intervals at the ankle. In case heart rate and/or blood pressure changes unexpectedly (by more than 30% of the baseline), the study will stop and the volunteer will be re-warmed immediately.

Detailed Description

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Conditions

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Hypothermia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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1

dexmedetomidine

Group Type EXPERIMENTAL

dexmedetomidine

Intervention Type DRUG

Dexmedetomidine (delivered by a computer-controlled IV infusion to target a plasma concentration of 0.6 ng/mL) will be given during controlled hypothermia

2

Buspirone

Group Type EXPERIMENTAL

buspirone

Intervention Type DRUG

Buspirone, 60 mg orally, will be given during controlled hypothermia.

3

Buspirone and dexmedetomidine

Group Type EXPERIMENTAL

Bus and Dex

Intervention Type DRUG

the combination of 60 mg buspirone and dexmedetomidine (target plasma concentration of 0.6 ng/mL) will be given during controlled hypothermia

Control

No drug

Group Type PLACEBO_COMPARATOR

Control

Intervention Type DRUG

No drugs given during controlled hypothermia

Interventions

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dexmedetomidine

Dexmedetomidine (delivered by a computer-controlled IV infusion to target a plasma concentration of 0.6 ng/mL) will be given during controlled hypothermia

Intervention Type DRUG

buspirone

Buspirone, 60 mg orally, will be given during controlled hypothermia.

Intervention Type DRUG

Bus and Dex

the combination of 60 mg buspirone and dexmedetomidine (target plasma concentration of 0.6 ng/mL) will be given during controlled hypothermia

Intervention Type DRUG

Control

No drugs given during controlled hypothermia

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* 18-40 years
* normal weight (BMI \<35)
* healthy

Exclusion Criteria

* obese (BMI \>35)
* taking any drugs
* thyroid disease, dysautonomia, or Raynaud's syndrome
* severe claustrophobia
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

Yes

Sponsors

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The Cleveland Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rainer Lenhardt, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Louisville School of Medicine

Locations

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Outcomes Research Institute, University of Louisville

Louisville, Kentucky, United States

Site Status

Countries

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United States

Other Identifiers

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Dexmed/Buspirone

Identifier Type: -

Identifier Source: org_study_id

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