UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000009115
Receipt number R000010690
Scientific Title The measurement of dexmedetomidine for sedation in intensive care patients
Date of disclosure of the study information 2012/10/15
Last modified on 2018/06/08 17:46:20

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Basic information

Public title

The measurement of dexmedetomidine for sedation in intensive care patients

Acronym

The measurement of dexmedetomidine in intensive care patients

Scientific Title

The measurement of dexmedetomidine for sedation in intensive care patients

Scientific Title:Acronym

The measurement of dexmedetomidine in intensive care patients

Region

Japan


Condition

Condition

Intensive care patients

Classification by specialty

Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the plasma concentration of dexmedetomidine and its sedative effect of the patients

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

To investigate the relation between the plasma level of dexmedetomidine and the method of administering dexmedetomidine

Key secondary outcomes

To assess the sedative effect with the plasma level of dexmedetomidine


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Dexmedetomidine is administered for sedation in intensive care patients

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Intensive care patients

Key exclusion criteria

BMI>35 or BMI <17

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Yoshihito Fujita

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Department of Anesthesiology and Medical Crisis Management

Zip code


Address

1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya

TEL

052-851-5511

Email

masui@med.nagoya-cu.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Yoshihito Fujita

Organization

Nagoya City University Graduate School of Medical Sciences

Division name

Department of Anesthesiology and Medical Crisis Management

Zip code


Address

1 kawasumi mizuho-cho mizuho-ku, Nagoya City

TEL

052-851-5511

Homepage URL


Email

masui@med.nagoya-cu.ac.jp


Sponsor or person

Institute

Nagoya City University Graduate School of Medical Sciences

Institute

Department

Personal name



Funding Source

Organization

Nagoya City University Graduate School of Medical Sciences

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Laboratory of Analytical and Bio-Analytical Chemistry, School of Pharmaceutical Science, University of Shizuoka

Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

名古屋市立大学病院(愛知県)


Other administrative information

Date of disclosure of the study information

2012 Year 10 Month 15 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

https://www.ekja.org/DOIx.php?id=10.4097/kjae.2017.70.4.426

Number of participants that the trial has enrolled


Results

In adults, Background. There is little information about the relationship between dose and plasma concentration of dexmedetomidine DEX in critically ill patients. Methods. Plasma DEX concentrations of 67 samples from 34 patients in an intensive care unit were measured and the correlation coefficient between dose and plasma concentration was estimated. Results. Among the patients, 20, 58.8 percent, of the 34 received DEX at 0.20 0.83 micro g kg h, and in 40 of the 67 samples for which DEX had been administered, this occurred for a median duration of 18.5 h, range, 3 87 h. The range of the DEX plasma concentration was 0.22 2.50 ng ml. The plasma DEX concentration was moderately correlated with the administered dose, r 0.653, P less than 0.01. The approximate linear equation was Y 0.171X 0.254. The range of Richmond Agitation-Sedation Scale was 0 to minus 5. Conclusions. We concluded that, with a dosage of 0.2 0.83 micro g kg h, the patients in this setting could obtain an effective DEX concentration of 0.22 2.50 ng ml. In addition, the plasma DEX concentration was moderately correlated with the administered dose, r 0.653, P less than 0.01.
In infant, Methods. All patients admitted to our PICU for 5 months were eligible for inclusion in the study. Results. We measured the plasma DEX concentration in 203 samples from 45 patients. Of these, 96 samples collected from 27 patients less than 2 years old were included in this study. All patients received DEX at 0.12 1.40 micro g kg h. The median administration duration was 87.6 hours, range 6 540 hours. Plasma DEX concentration ranged from 0.07 to 3.17 ng m and was not correlated with the administered dose, r 0.273, P 0.007. Conclusions. In infants, plasma DEX concentration did not exhibit any correlation with administered dose, which is not a reliable means of obtaining optimal plasma concentration.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2012 Year 10 Month 01 Day

Date of IRB


Anticipated trial start date

2012 Year 10 Month 16 Day

Last follow-up date

2016 Year 01 Month 20 Day

Date of closure to data entry

2016 Year 01 Month 20 Day

Date trial data considered complete


Date analysis concluded



Other

Other related information

In adults, Journal of Intensive Care, 2013, 1, 15.
In infants, Korean Journal of Anesthesiology, 2017 ; 70: 426-433.

https://jintensivecare.biomedcentral.com/articles/10.1186/2052-0492-1-15


Management information

Registered date

2012 Year 10 Month 15 Day

Last modified on

2018 Year 06 Month 08 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000010690


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name