Study to Evaluate Hemodynamic Effect of Different Loading Doses of Precedex in Post-surgical Intensive Care Unit (ICU) Patients

NCT ID: NCT01169571

Last Updated: 2015-07-24

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

Total Enrollment

373 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-09-30

Study Completion Date

2011-06-30

Brief Summary

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The objective of this study is to characterize the hemodynamic effects of Precedex (dexmedetomidine (DEX)) during 3 loading-dose paradigms in mechanically ventilated post-surgical subjects in an intensive care setting.

Detailed Description

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Conditions

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Intensive Care Unit

Study Design

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Study Time Perspective

PROSPECTIVE

Study Groups

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Group I - No loading dose

No loading dose to be administered during the loading-dose paradigms

Dexmedetomidine

Intervention Type DRUG

Group II - Loading dose over 10 minutes

Loading dose dexmedetomidine 1 mcg/kg administered over 10 minutes during the loading-dose paradigms

Dexmedetomidine

Intervention Type DRUG

Group III - Loading dose over 20 minutes

Loading dose dexmedetomidine 1 mcg/kg administered over 20 minutes during the loading-dose paradigms

Dexmedetomidine

Intervention Type DRUG

Interventions

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Dexmedetomidine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Subject or the subject's legally authorized representative has voluntarily signed and dated the informed consent document approved by the Research Ethics Board (REB).
2. Initially intubated and mechanically ventilated adult post-operative subjects in an intensive care setting (e.g., post operative care unit, post anesthesia care unit, etc.) that are expected to require sedation for at least 2 hours.
3. Has an American Society of Anesthesiologist (ASA) classification of 1, 2, 3 or 4.

ASA Physical Status Classification System
* P1 A normal healthy subject
* P2 A subject with mild systemic disease
* P3 A subject with severe systemic disease
* P4 A subject with severe systemic disease that is a constant threat to life
* P5 A moribund subject who is not expected to survive without the operation
* P6 A declared brain-dead subject whose organs are being removed for donor purposes.
4. If female, subject must be postmenopausal, surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy), or practicing at least one of the following methods of birth control:

* hormonal contraceptives (oral, parenteral or transdermal) for at least 3 months prior to study drug administration
* intrauterine device (IUD)
* double-barrier method (condoms, contraceptive sponge, diaphragm or vaginal ring with spermicidal jellies or cream).

Exclusion Criteria

1. Subjects \<18 years of age.
2. Subjects with a 2nd degree Mobitz Type II or 3rd degree heart block, unless the subject has a permanent pacemaker or pacing wires are in situ.
3. Subjects with a known allergy to dexmedetomidine.
4. Hypotension based on repeat assessments prior to (within 15 minutes) starting study drug defined as Systolic BP \<90 mmHg or Diastolic BP \<60 mmHg.
5. Pre-existing bradycardia prior (within 15 minutes) to starting study drug defined as HR \<50 bpm.
6. Subjects who, in the opinion of the Investigator, have any other condition where the risks of dexmedetomidine would be expected to outweigh its benefits (e.g., cardiogenic shock on \>2 vasopressors, death anticipated within 48 hours).
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospira, now a wholly owned subsidiary of Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Foothills Medical Centre, University of Calgary

Calgary, Alberta, Canada

Site Status

University of Alberta Hospital, Department of Anesthesiology and Pain Medicine

Edmonton, Alberta, Canada

Site Status

Red Deer Regional Hospital Centre, Alberta Health Services

Red Deer, Alberta, Canada

Site Status

Vancouver, British Columbia, Canada

Site Status

St. Paul's Hospital

Vancouver, British Columbia, Canada

Site Status

Capital Health-Queen Elizabeth II Health Sciences Center

Halifax, Nova Scotia, Canada

Site Status

Kingston General Hospital

Kingston, Ontario, Canada

Site Status

St. Mary's General Hospital

Kitchener, Ontario, Canada

Site Status

University Hospital

London, Ontario, Canada

Site Status

Thunder Bay, Ontario, Canada

Site Status

Department of Anesthesia, St. Michael's Hospital

Toronto, Ontario, Canada

Site Status

Toronto General Hospital, University Health Network, Department of Anesthesia and Pain Management

Toronto, Ontario, Canada

Site Status

McGill University Health Centre (MUHC) Royal Victoria Hospital (RVH)

Montreal, Quebec, Canada

Site Status

McGill University Health Centre, Montreal General Hospital (MGH)

Montreal, Quebec, Canada

Site Status

Sir Mortimer B. Davis Jewish General Hospital

Montreal, Quebec, Canada

Site Status

Universite de Sherbrooke

Sherbrooke, Quebec, Canada

Site Status

Département d'anesthésiologie, Institut universitaire de cardiologie et de pneumologie de Québec

Québec, , Canada

Site Status

Countries

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Canada

Other Identifiers

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DEX-10-03

Identifier Type: -

Identifier Source: org_study_id

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