Full Text View
Tabular View
No Study Results Posted
Related Studies
Precedex Versus Propofol-Awakening for Reducing Brain Injury Expansion (PrePARE)
This study is currently recruiting participants.
Verified by Duke University, August 2008
First Received: September 28, 2007   Last Updated: August 13, 2008   History of Changes
Sponsored by: Duke University
Information provided by: Duke University
ClinicalTrials.gov Identifier: NCT00538616
  Purpose

The purpose of this study is to evaluate brain injury when two different drugs (propofol and precedex) are used to sedate patients who need a neurologic exam.


Condition Intervention Phase
Brain Injury
Intracranial Pressure
Drug: precedex
Phase I
Phase II

MedlinePlus related topics: Traumatic Brain Injury
Drug Information available for: Dexmedetomidine Dexmedetomidine hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Single Blind (Subject), Dose Comparison, Crossover Assignment, Pharmacokinetics Study
Official Title: A Phase IV Single Center Cross Over Clinical Study Comparing Two Different Sedations Strategies for Mechanically Ventilated Patients With Neurological Critical Illness

Further study details as provided by Duke University:

Primary Outcome Measures:
  • Lactate Pyruvate Ratio [ Time Frame: 12 Hours ] [ Designated as safety issue: No ]

Estimated Enrollment: 20
Study Start Date: January 2008
Estimated Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
precedex: Experimental
subjects will receive precedex infusion for 6-hours
Drug: precedex
in this crossover study, subjects will receive 6 hours of propofol and 6 hours of precedex (randomized crossover)
propofol: Active Comparator
Subjects will receive propofol infusion for 6-hours
Drug: precedex
in this crossover study, subjects will receive 6 hours of propofol and 6 hours of precedex (randomized crossover)

Detailed Description:

The hypothesis is that a neurologic exam performed when the subject has continuous infusion of precedex will result in less brain injury (where the lactate/pyruvate ratio indicates injury) then when a neurologic exam is performed on subjects receiving propofol, because that exam requires that the propofol infusion be stopped.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • primary diagnosis of TBI, SAH, ICH, stroke
  • Must require (be on) mechanical ventilation
  • must require (have in place) ICP monitoring
  • must require (be receiving) continuous IV sedation

Exclusion Criteria:

  • Bleeding diathesis
  • GCS < 5 with fixed pupils
  • Pregnant
  • elevated ICP that requires deep sedation
  • pulmonary instability
  • Hx of ETOH abuse that requires current benzodiazepine treatment for delirium tremens
  • allergy to propofol or precedex
  • status epilepticus
  • current neuromuscular blockade
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00538616

Locations
United States, North Carolina
Duke University Recruiting
Durham, North Carolina, United States, 27710
Contact: Carmelo Graffagnino, MD     919-668-5546     Graff002@mc.duke.edu    
Sponsors and Collaborators
Duke University
Investigators
Principal Investigator: Carmelo Graffagnino, MD Duke University
Principal Investigator: DaiWai M Olson, PhD RN Duke University
  More Information

No publications provided

Responsible Party: Duke ( Carmelo Graffagnino )
Study ID Numbers: hospira
Study First Received: September 28, 2007
Last Updated: August 13, 2008
ClinicalTrials.gov Identifier: NCT00538616     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Duke University:
Brain Injury

Study placed in the following topic categories:
Craniocerebral Trauma
Neurotransmitter Agents
Adrenergic alpha-Agonists
Adrenergic Agents
Wounds and Injuries
Central Nervous System Diseases
Disorders of Environmental Origin
Central Nervous System Depressants
Trauma, Nervous System
Brain Diseases
Adrenergic Agonists
Analgesics, Non-Narcotic
Critical Illness
Hypnotics and Sedatives
Peripheral Nervous System Agents
Dexmedetomidine
Analgesics
Brain Injuries
Propofol

Additional relevant MeSH terms:
Craniocerebral Trauma
Neurotransmitter Agents
Adrenergic alpha-Agonists
Molecular Mechanisms of Pharmacological Action
Adrenergic Agents
Nervous System Diseases
Physiological Effects of Drugs
Wounds and Injuries
Central Nervous System Diseases
Disorders of Environmental Origin
Central Nervous System Depressants
Trauma, Nervous System
Brain Diseases
Adrenergic Agonists
Pharmacologic Actions
Sensory System Agents
Analgesics, Non-Narcotic
Therapeutic Uses
Hypnotics and Sedatives
Peripheral Nervous System Agents
Analgesics
Dexmedetomidine
Brain Injuries
Central Nervous System Agents

ClinicalTrials.gov processed this record on May 07, 2009