Status:

ENROLLING_BY_INVITATION

Dexmedetomidine Sublingual Film for the Ambulatory Treatment of Hyperadrenergic Autonomic Crisis in Patients With Familial Dysautonomia

Lead Sponsor:

NYU Langone Health

Collaborating Sponsors:

Food and Drug Administration (FDA)

Conditions:

Familial Dysautonomia

Eligibility:

All Genders

16-80 years

Phase:

PHASE2

Brief Summary

The purpose of this placebo controlled interventional study is to collect preliminary data on administering dexmedetomidine in patients with Familial Dysautonomia (FD) during a rapid cessation of auto...

Eligibility Criteria

Inclusion

  • Genetically confirmed diagnosis of Familial Dysautonomia.
  • One or more autonomic crises during the last year.
  • Our database shows evidence of autonomic crisis, previous treatment with IV dexmedetomidine, and registered medical data within the year preceding the study.
  • Age 16 years or older
  • The patient has a responsible caretaker to communicate with the medical providers.
  • Provision of signed and dated informed consent form from the patient and responsible caregiver
  • Able to state willingness to comply with all study procedures and availability for the duration of the study
  • For males and females of reproductive age: use condoms for contraception if sexually active.

Exclusion

  • At the consideration of the principal investigator, the caregiver cannot fully understand the protocol, or communicate during the crisis with the Center.
  • The patient during the crisis, before taking the medication, has any of the following:
  • Oxygen saturation less than 92% on room air or baseline need for oxygen, change from baseline oxygen dependency.
  • Respiratory rate \>25 breaths per minute.
  • Supine blood pressure ≤ 90/860mmHg
  • Febrile illness with temperature \>100.3 F.
  • Serological signs of infection (WBC count \>10 g/dL, or CRP \>10 mg/L or ESR\>20, or above their steady historical baseline levels) in recent (less than one month) studies.
  • The patient is a female and has a positive pregnancy test.
  • The Montreal Cognitive Exam (MoCA) is below 25 points.

Key Trial Info

Start Date :

July 1 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2027

Estimated Enrollment :

15 Patients enrolled

Trial Details

Trial ID

NCT06148311

Start Date

July 1 2024

End Date

September 1 2027

Last Update

June 4 2025

Active Locations (1)

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1

NYU Langone Health

New York, New York, United States, 10016