The Effect of Dexmedetomidine on Agitation During Weaning From Mechanical Ventilation

NCT ID: NCT07066605

Last Updated: 2025-07-15

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

RECRUITING

Clinical Phase

NA

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-13

Study Completion Date

2025-12-30

Brief Summary

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This study aims to evaluate the effect of dexmedetomidine on the level of agitation during the weaning process from mechanical ventilation in critically ill patients.

Detailed Description

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Conditions

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Dexmedetomidine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Group A (Dexmedetomidine Group)

patients will receive dexmedetomidine infusion starting at 0.2 mcg/kg/hr.

Group Type ACTIVE_COMPARATOR

Group A (Dexmedetomidine Group)

Intervention Type DRUG

patients will receive dexmedetomidine infusion starting at 0.2 mcg/kg/hr.

Group B (Control Group)

patients will receive standard ICU sedation protocol without dexmedetomidine (e.g., fentanyl)

Group Type PLACEBO_COMPARATOR

Group B (Control Group)

Intervention Type DRUG

patients will receive standard ICU sedation protocol without dexmedetomidine (e.g., fentanyl)

Interventions

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Group A (Dexmedetomidine Group)

patients will receive dexmedetomidine infusion starting at 0.2 mcg/kg/hr.

Intervention Type DRUG

Group B (Control Group)

patients will receive standard ICU sedation protocol without dexmedetomidine (e.g., fentanyl)

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Adult ICU patients (≥18 years).
* On mechanical ventilation ≥24 hours.
* Clinically ready for weaning.
* Agitation score RASS ≥ +1 during spontaneous breathing trial.
* Intubation for at least 4 days: 2 weeks.

Exclusion Criteria

* Known hypersensitivity to dexmedetomidine.
* Hemodynamic instability (HR \< 50 bpm or MAP \< 60 mmHg).
* Neurological impairment affecting level of consciousness.
* Pregnancy or lactation.
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sohag University

OTHER

Sponsor Role lead

Responsible Party

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Dalia Ayman Hussien

Resident, Department of Anesthesia, Intensive Care and Pain management, Faculty of Medicine, Sohag University

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Sohag University Hospital

Sohag, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Dalia A Hussein, Resident

Role: CONTACT

01017666214

Al-haddad A Mousa, Professor

Role: CONTACT

01019816967

Facility Contacts

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Magdy M Amin, Professor

Role: primary

01090801900

References

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Riker RR, Shehabi Y, Bokesch PM, Ceraso D, Wisemandle W, Koura F, Whitten P, Margolis BD, Byrne DW, Ely EW, Rocha MG; SEDCOM (Safety and Efficacy of Dexmedetomidine Compared With Midazolam) Study Group. Dexmedetomidine vs midazolam for sedation of critically ill patients: a randomized trial. JAMA. 2009 Feb 4;301(5):489-99. doi: 10.1001/jama.2009.56. Epub 2009 Feb 2.

Reference Type BACKGROUND
PMID: 19188334 (View on PubMed)

Devlin JW, Skrobik Y, Gelinas C, Needham DM, Slooter AJC, Pandharipande PP, Watson PL, Weinhouse GL, Nunnally ME, Rochwerg B, Balas MC, van den Boogaard M, Bosma KJ, Brummel NE, Chanques G, Denehy L, Drouot X, Fraser GL, Harris JE, Joffe AM, Kho ME, Kress JP, Lanphere JA, McKinley S, Neufeld KJ, Pisani MA, Payen JF, Pun BT, Puntillo KA, Riker RR, Robinson BRH, Shehabi Y, Szumita PM, Winkelman C, Centofanti JE, Price C, Nikayin S, Misak CJ, Flood PD, Kiedrowski K, Alhazzani W. Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Crit Care Med. 2018 Sep;46(9):e825-e873. doi: 10.1097/CCM.0000000000003299.

Reference Type BACKGROUND
PMID: 30113379 (View on PubMed)

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146.

Reference Type BACKGROUND
PMID: 17695343 (View on PubMed)

Other Identifiers

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Soh-Med-25-6---17MS

Identifier Type: -

Identifier Source: org_study_id

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