Rectal Dexmedetomidine Niosomes for Postoperative Analgesia in Pediatric Cancer Patients.

NCT ID: NCT05340725

Last Updated: 2023-01-23

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

PHASE2/PHASE3

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-01

Study Completion Date

2023-12-01

Brief Summary

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Applying nanotechnology in drug delivery systems improved the bioavailability and kinetic profile of drugs in biological systems

Detailed Description

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Nanotechnology which is focused on studying the properties and the applications of materials with structure size in the range of 1-100 nm has been widely used in various fields. In biomedical research fields, nanotechnology has been used to design and development of drug delivery systems (DDSs). Nanotechnology-based drug delivery systems (NDDSs) offer many potential advantages in cancer treatment, such as improving targeting of the therapeutic drugs, protecting drugs from degradation during in vivo transport, controlled drug release at specific sites or cells in response to specific signals, and thus improving the therapeutic efficacy while minimizing side effects.

Applying nanotechnology in drug delivery systems improved the bioavailability and kinetic profile of drugs in biological systems. Advances in nanotechnology aid in targeting drugs to specific molecular targets and safely delivering drugs to specific sites of action. The sustained release of nano-drug delivery systems enhances the controlled release profile of loaded drugs, thereby minimizing the dosage-regimen.

The aim of this study will be to investigate the population pharmacokinetics and pharmacodynamics of rectal dexmedetomidine Niosomes for Postoperative Analgesia in Pediatric Cancer Patients undergoing bone marrow biopsy and aspiration in comparison with the intravenous and rectal plain formulation.

Conditions

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Postoperative Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study will investigate the population pharmacokinetics and pharmacodynamics of rectal dexmedetomidine Niosomes for Postoperative Analgesia in Pediatric Cancer Patients undergoing bone marrow biopsy and aspiration in comparison with the intravenous and rectal plain formulation.
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors
An independent investigator not involved in the study will open the envelopes 1 h before induction of anesthesia and will prepare the study drug solutions in identical syringes and formulations with matching random codes.

Study Groups

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DEX-IV

Patients will receive iv DEX 1µ/kg diluted in 100 ml saline and given slowly iv infusion over 10 min. and rectal placebo 30 min. before induction of anesthesia.

Group Type ACTIVE_COMPARATOR

DEX-IV

Intervention Type DRUG

patients will receive iv DEX 1µ/kg diluted in 100 ml saline and given slowly iv infusion over 10 min. 30 min. before induction of anesthesia.

DEX-Rectal

Patients will receive rectal DEX suppository formulation at approximately 1µ/kg an iv. saline placebo. at 30 min. before induction of anesthesia.

Group Type ACTIVE_COMPARATOR

DEX-Rectal

Intervention Type DRUG

Patients will receive rectal DEX suppository formulation at approximately 1µ/kg at 30 min. before induction of anesthesia

DEX Nano-Rectal

Patients will receive rectal DEX suppository in the Niosomes formulation at approximately 1µ/kg an iv. saline placebo at 30 min. before induction of anesthesia

Group Type ACTIVE_COMPARATOR

DEX-Nano-Rectal

Intervention Type DRUG

Patients will receive rectal DEX suppository in the Niosomes formulation at approximately 1µ/kg at 30 min. before induction of anesthesia

Interventions

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DEX-IV

patients will receive iv DEX 1µ/kg diluted in 100 ml saline and given slowly iv infusion over 10 min. 30 min. before induction of anesthesia.

Intervention Type DRUG

DEX-Rectal

Patients will receive rectal DEX suppository formulation at approximately 1µ/kg at 30 min. before induction of anesthesia

Intervention Type DRUG

DEX-Nano-Rectal

Patients will receive rectal DEX suppository in the Niosomes formulation at approximately 1µ/kg at 30 min. before induction of anesthesia

Intervention Type DRUG

Other Intervention Names

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Precedex Precedex Precedex

Eligibility Criteria

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Inclusion Criteria

* ASA physical status I and II.
* Aged 3-7 yrs.
* Undergoing bone marrow aspiration and biopsy.

Exclusion Criteria

* Allergy to the study drugs.
* Significant organ dysfunction.
* Cardiac dysrhythmia.
* Congenital heart disease.
* Use of psychotropic medication.
* Mental retardation.
Minimum Eligible Age

3 Years

Maximum Eligible Age

7 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Hala Saad Abdel-Ghaffar

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hala Abdel-Ghaffar, MD

Role: PRINCIPAL_INVESTIGATOR

Professor of anesthesia and intensive care, faculty of medicine, Assiut university, Assiut, Egypt.

Locations

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South Egypt cancer institute, Assiut university

Asyut, Assiut Governorate, Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Hala S Abdel-Ghaffar, MD

Role: CONTACT

01003812011 ext. +20

Sahar A Mohamed, MD

Role: CONTACT

01289386665

Facility Contacts

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Hala S Abdel-Ghaffar, MD

Role: primary

+2 01003812011

Saher A Mohamed, MD

Role: backup

+2 01003611410

Other Identifiers

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SECI-IRB-IORG0006563

Identifier Type: -

Identifier Source: org_study_id

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