Intranasal Dexmedetomidine Sedation in Children for Non-painful Procedures
Clinical Characteristics of Intranasal Dexmedetomidine for Sedation in Children Undergoing Non-painful Procedures
1 other identifier
observational
578
1 country
8
Brief Summary
Specific Aim 1: To describe the adequacy of sedation associated with different regimens of IN DEX in children undergoing non-painful procedures. This aim will test the working hypothesis that IN DEX regimens are effective for producing sedation adequate for completion of non-painful procedures in children. Specific Aim 2: To describe the temporal characteristics associated with varied regimens of IN DEX in children undergoing non-painful procedures, such as time to onset of adequate sedation; time to procedure start; and time from procedure end to meeting discharge criteria. This aim will test the working hypothesis that IN DEX regimens have temporal characteristics that are favourable for sedating children for non-painful procedures. Specific Aim 3: To describe the adverse events associated with varied regimens of IN DEX in children undergoing non-painful procedures. This aim will test the working hypothesis that IN DEX regimens have a low incidence of adverse events.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Sep 2018
8 active sites
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
First Submitted
Initial submission to the registry
July 14, 2017
CompletedFirst Posted
Study publicly available on registry
July 18, 2017
CompletedStudy Start
First participant enrolled
September 4, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 31, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2020
CompletedSeptember 10, 2021
September 1, 2021
1.4 years
July 14, 2017
September 8, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Adequacy of sedation
Pediatric Sedation State Scale
1 hour
Secondary Outcomes (2)
Time to onset of adequate sedation
1 hour
Time to discharge
2 hours
Other Outcomes (1)
Adverse events
3 hours
Study Arms (1)
Intranasal dexmedetomidine
Intranasal dexmedetomidine (100 mcg/mL), 0.5 to 4 mcg/kg
Interventions
Intranasal dexemedetomidine (100 mcg/mL), 0.5 to 4 mcg/kg
Eligibility Criteria
Children undergoing sedation using intranasal dexmedetomidine for non-painful procedures.
You may qualify if:
- Children 2 months to 17 years (i.e. before their 18th birthday)
- Child will be receiving intranasal dexmedetomidine as part of their usual medical care
- Child will be undergoing a non-painful medical procedure, which includes (but is not limited to): MRI, CT scans, ABR/BAER, echocardiograms, and EEGs.
You may not qualify if:
- Known allergy to dexmedetomidine
- Known abnormal renal or hepatic function
- Known cardiac conduction abnormality or heart block
- Current use of digoxin or beta-blockers
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Columbia Universitylead
- Children's Healthcare of Atlantacollaborator
- University of Pittsburghcollaborator
- Children's Hospital Medical Center, Cincinnaticollaborator
- UNC Children's Hospitalcollaborator
- Santa Clara Valley Medical Centercollaborator
- Baylor College of Medicinecollaborator
- HSHS St. John's Hospitalcollaborator
- Boston Children's Hospitalcollaborator
Study Sites (8)
Santa Clara Valley Medical Center
San Jose, California, 95128, United States
Children's Healthcare of Atlanta
Atlanta, Georgia, 30329, United States
Southern Illinois University Healthcare
Springfield, Illinois, 62794, United States
Boston Children's Hospital
Boston, Massachusetts, 02115, United States
UNC Children's Hospital
Chapel Hill, North Carolina, 27514, United States
Cincinnati Children's Hospital Medical Center
Cincinnati, Ohio, 45229, United States
Children's Hospital of Pittsburgh of UPMC
Pittsburgh, Pennsylvania, 15224, United States
Texas Children's Hospital
Houston, Texas, 77030, United States
Related Publications (1)
Tsze DS, Rogers AP, Baier NM, Paquin JR, Majcina R, Phelps JR, Hollenbeck A, Sulton CD, Cravero JP. Clinical Outcomes Associated With Intranasal Dexmedetomidine Sedation in Children. Hosp Pediatr. 2023 Mar 1;13(3):223-243. doi: 10.1542/hpeds.2022-007007.
PMID: 36810939DERIVED
Study Officials
- PRINCIPAL INVESTIGATOR
Daniel S Tsze, MD, MPH
Columbia University
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Pediatrics in Emergency Medicine at CUMC
Study Record Dates
First Submitted
July 14, 2017
First Posted
July 18, 2017
Study Start
September 4, 2018
Primary Completion
January 31, 2020
Study Completion
January 31, 2020
Last Updated
September 10, 2021
Record last verified: 2021-09
Data Sharing
- IPD Sharing
- Will not share
There is no plan to make individual participant data available to other researchers.