Effect of a Bolus of Clonidine Systemically Administered on the Excitability of the Spinal Motoneurons of the Lower Extremity
EXCICLON
Monocentric, Prospective Randomized Controlled Clinical Trial Assessing the Effect on the Lower Limb Spinal Motoneuron Excitability, the Efficacy in Term of Morphinic Sparing and Safety of of Early Clonidine Bolus Intravenous Administration During General Anesthesia in Children and Adolescent 6-18 Years Old Requesting Reconstructive Tympanic Surgery
1 other identifier
interventional
40
1 country
1
Brief Summary
The purpose of this study is to assess the effect of IV clonidine administration on lower limb spinal motoneuron excitability during standardized total intravenous anesthesia (propofol and remifentanil).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_3
Started Oct 2015
Longer than P75 for phase_3
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 1, 2015
CompletedFirst Submitted
Initial submission to the registry
October 20, 2015
CompletedFirst Posted
Study publicly available on registry
October 30, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2022
CompletedJanuary 29, 2020
January 1, 2020
7.2 years
October 20, 2015
January 28, 2020
Conditions
Outcome Measures
Primary Outcomes (2)
Evaluation of the spinal motoneuron excitability through the measurement of the F wave before and after clonidine administration.
continuously during the surgery
Evaluation of the spinal motoneuron excitability through the measurement of H reflex before and after clonidine administration
continuously during the surgery
Secondary Outcomes (4)
Total dose of propofol and remifentanyl in mg/kg administered throughout the perioperative period
perioperative period, up to 5H
Pain score using the Children Hospital of Eastern Ontario Pain Scale (CHEOPS) or EVA scale
Every 30 minutes during the recovey period (up to 2H)
Sedative score using the University of Michigan Sedation Scale (UMSS) scale
Every 30 minutes during the recovery period (up to 2H)
Total dose of step 2 analgesic (tramadol) used for pain management
Total dose given during the recovery period (up to 2H)
Study Arms (2)
Test Group
EXPERIMENTALPatients randomized in the Test Group will receive the clonidine hydrochloride
Control Group
PLACEBO COMPARATORPatients randomized in the Control Group will receive the Placebo
Interventions
Single bolus of clonidine hydrochloride 0.3µg/kg (max 150 µg/kg) administered IV after induction and obtaining a stable anaesthetic level
Eligibility Criteria
You may qualify if:
- Patients aged 6 to 18 years at time of hospital admission
- Planned hospital admission for tympanoplasty
- Informed Consent signed by both parents
You may not qualify if:
- Known hypersensitivity to clonidine or to any component of the Catapressan
- Patient treated with alpha2 agonists
- Surgical emergency
- Patient treated with antipsychotic drugs(butyrophenone, phenothiazine, tricyclic antidepressant)
- Abnormal heart rhythms
- Neuromuscular disease
- Renal impairment
- Patient treated with methylphenidate
- Pregnant or breastfeeding woman
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Queen Fabiola Children's University Hospital
Brussels, 1020, Belgium
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 20, 2015
First Posted
October 30, 2015
Study Start
October 1, 2015
Primary Completion
December 1, 2022
Study Completion
December 1, 2022
Last Updated
January 29, 2020
Record last verified: 2020-01