Status:

COMPLETED

Sedation and Physiological Effects of Intranasal Dexmedetomidine in Severe COPD

Lead Sponsor:

Dayton VA Medical Center

Conditions:

COPD

Sedation

Eligibility:

All Genders

45-70 years

Phase:

PHASE4

Brief Summary

A variety of medications have been used to treat the anxiety, discomfort, and fear associated with continuous and sudden episodic breathlessness in patients with advanced respiratory disease. Opioids ...

Eligibility Criteria

Inclusion

  • Severe COPD (FEV1 30-50% predicted)
  • Age 45-70
  • American Society of Anesthesiologists (ASA) Class 3
  • Body Mass Index \<35 kg/meter squared
  • No prior history of adverse reactions to alpha 2 agonists (dexmedetomidine, clonidine)
  • Women of non-child bearing age

Exclusion

  • known adverse reaction, allergy or hypersensitivity, to alpha 2 agonists
  • not nothing by mouth (NPO)
  • ASA class \>3
  • Home oxygen therapy \>2LPM by nasal cannula continuous use
  • Any evidence of nasal mucosal inflammation, irritation, bleeding or ulceration
  • Pregnancy, or possibility of pregnancy
  • Coronary heart disease with stable or unstable angina
  • Baseline heart rate \<55 beats per minute
  • Bradyarrhythmia, heart block, presence of pacemaker
  • Congestive Heart Failure or known Cardiomyopathy (Ejection Fraction \<40% by ECHO, MUGA, or myocardial perfusion imaging)
  • Cor pulmonale
  • Liver disease (hepatic transaminases above the upper limit of normal, cirrhosis, end stage liver disease)
  • diagnosis of moderate to severe Obstructive Sleep Apnea
  • currently enrolled in any other research study involving drugs or devices

Key Trial Info

Start Date :

October 1 2014

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

April 1 2016

Estimated Enrollment :

30 Patients enrolled

Trial Details

Trial ID

NCT02211118

Start Date

October 1 2014

End Date

April 1 2016

Last Update

July 18 2019

Active Locations (1)

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Dayton VA Medical Center

Dayton, Ohio, United States, 45428