The Off Label Use of Glycopyrrolate in the Adults Intensive Care Unit.

NCT ID: NCT04554589

Last Updated: 2020-09-23

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

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-09-14

Study Completion Date

2021-04-10

Brief Summary

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Tracheostomized patients in the ICU can have excessive tracheal secretions due to various causes as hyperactive airway, irritation of the mucus producing cells and inhibition of the ciliary functions. Excessive secretions will necessitate frequent suctions which carries the risk of tracheostomy tube obstruction if not managed properly. Excessive tracheal secretions may prolong the ICU stay, increase the nurses workload and increase patients morbidity and mortality.

This clinical trial hypothesizes that the use of glycopyrrolate may decrease the tracheal secretions and hence avoid such complications.

Detailed Description

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Patients fulfilling the inclusion criteria will be randomly assigned into one of 2 groups:

Group G (Intervention group): Patients will receive Glycopyrrolate 0.2 mg IV every 8 hours.

Group C (Control group): Patients will receive 2 mL Normal saline every 8 hours.

Both injections will be labelled as drug A and drug B in the satellite pharmacy .

Both the attending physician, nurse and data collector will be blinded to the injection given.

Measurements data will be collected and recorded daily in the pre-prepared CRF during the study period.

Conditions

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Effect of Drugs

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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intervention group

receive Glycopyrrolate at dose of 0.2 mg IV every 8 hours daily .

Group Type ACTIVE_COMPARATOR

Glycopyrrolate 0.2 MG

Intervention Type DRUG

injections

placebo group

receive normal saline 2 ml IV every 8 hours daily .

Group Type PLACEBO_COMPARATOR

normal saline

Intervention Type DRUG

normal saline

Interventions

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Glycopyrrolate 0.2 MG

injections

Intervention Type DRUG

normal saline

normal saline

Intervention Type DRUG

Other Intervention Names

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Glycopyrronium Injection

Eligibility Criteria

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Inclusion Criteria

1. Patients above 18 years old.
2. Patients who are admitted to ICU for more than 72 hours.
3. Patients who have tracheostomy tubes with reported frequent need for suction of the tracheostomy tube secretions more than once every 4 hours.

Exclusion Criteria

1. Patients who have evidence of lower respiratory tract infections and have positive cultures from the tracheal aspirate.
2. Patients who have known sensitivity to Glycopyrrolate.
3. Patients who have tachycardia (heart rate above 120 Beats/minute) or known to have tachyarrhythmiase.g atrial fibrillation.
4. Patients with mitral stenosis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tanta University

OTHER

Sponsor Role lead

Responsible Party

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MOHAMMED FAWZI ALI ABOSAMAK

ICU consultant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mohammed Abosamak, MD

Role: PRINCIPAL_INVESTIGATOR

health care provider

Locations

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Security Forces Hospital

Riyadh, , Saudi Arabia

Site Status

Countries

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Saudi Arabia

Central Contacts

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Mohammed Abosamak, MD

Role: CONTACT

00966599056616

Mahmoud Fawzi, MD

Role: CONTACT

00966561339935

Facility Contacts

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Mohammed Abosamak

Role: primary

Other Identifiers

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0000-0002-141

Identifier Type: -

Identifier Source: org_study_id

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