NCT03806777

Brief Summary

This study aims to assess the use of intranasal dexmedetomidine (IN-dex) as a sole agent in aiding the successful completion of a MRI scans in children. Dexmedetomidine, a routinely used anesthetic agent in our institution, has many benefits including sedation with neuro-protective and respiratory sparing features. We will test its effectiveness in completing MRI scans in children that would otherwise be given a full general anesthetic.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
180

participants targeted

Target at P50-P75 for phase_4

Timeline
Completed

Started Feb 2019

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 14, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

January 16, 2019

Completed
16 days until next milestone

Study Start

First participant enrolled

February 1, 2019

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2020

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2020

Completed
Last Updated

January 25, 2019

Status Verified

January 1, 2019

Enrollment Period

1.1 years

First QC Date

January 14, 2019

Last Update Submit

January 23, 2019

Conditions

Keywords

dexmedetomidine

Outcome Measures

Primary Outcomes (1)

  • Dose

    The intranasal dexmedetomidine dose in mcg/kg that produces successful completion of MRI scan with acceptable MRI image quality in 90% of individuals (ED 90).

    Immediately after completion of the MRI scan.

Secondary Outcomes (4)

  • Uninterrupted scans

    Immediately after completion of the MRI scan.

  • Respirator support

    During MRI scan

  • Adverse events

    During MRI scan

  • modified Yale Preoperative Anxiety Scale (mYPAS)

    Immediately before administration of intranasal dexmedetomidine

Study Arms (1)

Intra-nasal dexmedetomidine

EXPERIMENTAL

A single dose of dexmedetomidine, determined by a biased coin algorithm (min: 1 mcg/kg; max: 4 mcg/kg or 200mcg), will be delivered intranasally 45min before an MRI scan.

Drug: Dexmedetomidine

Interventions

Highly selective alpha-2 adrenergic agonist with sedative properties.

Also known as: Precedex
Intra-nasal dexmedetomidine

Eligibility Criteria

Age3 Years - 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • ASA 1 or 2
  • Scheduled for elective MRI scan on the general anesthesia list
  • Child Life MRI simulation score of 6-10 (Figure 1)
  • Age 3 - 18

You may not qualify if:

  • Taking existing opioid, sedative, or cannabinoid medication
  • Severe learning disability defined as the inability to follow simple commands
  • Severe Cardiac disease
  • Chronic hypertension
  • Allergy to dexmedetomidine
  • Nasal anatomical abnormality
  • Known or anticipated difficult airway

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Links

MeSH Terms

Interventions

Dexmedetomidine

Intervention Hierarchy (Ancestors)

ImidazolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic Compounds

Study Officials

  • Mark Ansermino, FRCA

    BC Children's Hospital, Department of Anesthesia

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Andrew K Poznikoff, BSc

CONTACT

Mark Ansermino, FRCA

CONTACT

Study Design

Study Type
interventional
Phase
phase 4
Allocation
NA
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Model Details: Dose finding
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

January 14, 2019

First Posted

January 16, 2019

Study Start

February 1, 2019

Primary Completion

March 1, 2020

Study Completion

October 1, 2020

Last Updated

January 25, 2019

Record last verified: 2019-01