Intra-nasal Dexmedetomidine for Children Undergoing MRI Imaging
DexmedMRI
1 other identifier
interventional
180
0 countries
N/A
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Feb 2019
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
January 14, 2019
CompletedFirst Posted
Study publicly available on registry
January 16, 2019
CompletedStudy Start
First participant enrolled
February 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2020
CompletedJanuary 25, 2019
January 1, 2019
1.1 years
January 14, 2019
January 23, 2019
Conditions
Keywords
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
EXPERIMENTALA 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.
Interventions
Highly selective alpha-2 adrenergic agonist with sedative properties.
Eligibility Criteria
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
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mark Ansermino, FRCA
BC Children's Hospital, Department of Anesthesia
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- SINGLE GROUP
- 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