Status:

COMPLETED

Safety, Tolerability and Efficacy of DEXDOR in Pediatric Patients in ICU

Lead Sponsor:

Orion Corporation, Orion Pharma

Conditions:

ICU Sedation

Eligibility:

All Genders

12-17 years

Phase:

PHASE4

Brief Summary

Open clinical trial to evaluate safety, tolerability, and efficacy of Dexdor for sedation in paediatric patients in intensive care settings. Multi-centre trial in Russia for marketing registration of ...

Detailed Description

Dexmedetomidine is in Russian currently approved for sedation only in adults; paediatric experiences in the literature are in the form of small studies and case reports. Dexmedetomidine may be useful...

Eligibility Criteria

Inclusion

  • Age from 12 to 17 years;
  • Clinical need for prolonged (\>24h) light to moderate sedation in patients with spontaneous or artificial ventilation
  • Negative urine pregnancy test (for female patients);
  • Written informed consent

Exclusion

  • Acute severe intracranial or spinal neurological disorder due to vascular causes, infection, intracranial expansion or injury; any other disorder where sedation assessment is not reliable due to any neurological conditions;
  • Uncompensated acute circulatory failure;
  • Severe hypotension or hypertension
  • Severe bradycardia or tachycardia
  • A/V-conduction block II-III;
  • Severe hepatic impairment
  • Loss of hearing or vision, or any other condition which would significantly interfere with the collection of study data;
  • Use of centrally acting alfa-2 agonists or antagonists in the period less than 5x halflife between drug discontinuation and the time of randomisation;
  • Patients who have or are expected to have treatment withdrawn or withheld due to poor prognosis
  • Patients receiving sedatives for therapeutic indications (e.g. epilepsy);
  • Patients allergic to dexmedetomidine and rescue medications
  • Hemodialysis and peritoneal dialysis;
  • Those requiring deep sedation or neuromuscular blocking agents;
  • Burn injuries and other injuries requiring regular anaesthesia or surgery;
  • History / family history of malignant hyperthermia;
  • Patients unlikely to be weaned from the ventilator during the study;
  • Patients with early-onset ventilator-associated pneumonia;
  • Any investigational drug within the preceding 30 days;
  • Any other reason which in the investigator's opinion would make it detrimental for the subject to participate in the study.

Key Trial Info

Start Date :

March 21 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 21 2018

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT03813277

Start Date

March 21 2017

End Date

May 21 2018

Last Update

January 23 2019

Active Locations (1)

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1

State Federal-Funded Educational Institution of

Moscow, Russia, 117997