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SedationPhase 3NCT01438957

Clinical Study to Investigate the Efficacy and the Safety of DA-9501 in Sedation During the Surgery With Epidural Anesthesia or Spinal Anesthesia Without Intubation

A Phase 3 study testing Dexmedetomidine hydrochloride in people with Sedation, run by Pfizer at 12 sites in Japan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to examine the efficacy and safety of DA-9501 (Dexmedetomidine) in patients who require sedation during the surgery that requires epidural or spinal anesthesia without intubation under monitored sedation care. Read more about this study

Who is it for?
Ages 20 years and older
Conditions the study is for
Sedation
What is being tested?
Dexmedetomidine hydrochloride
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
119 participants
Where
12 sitesJapan
Study dates
3 Jun 2011to 18 Nov 2011
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 20 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient has signed and dated the Informed Consent after the study had been fully explained.
  • Patient is male or female, at least 20 years of age when the Informed Consent is obtained.
  • American Society for Anesthesiologists (ASA) I to III Class.
  • Patient who requires sedation during the elective surgery which requires ≥30mins (expected time) without intubation under monitored sedation care.
  • Patient undergoing a surgery requiring epidural or spinal anesthesia

Who cannot join

  • Patient who underwent general anesthesia within 7 days, or who received other study drugs within 30 days from the date of consent.
  • Patient with <92% SpO2, at the physical examination prior to the study drug administration, or ventilatory failure which requires intubation or Laryngeal Mask.
  • Patient with central nervous system pathology which may lead to increased intracranial pressure, uncontrolled seizures, psychiatric disorder which may be confused with the response to sedation treatment.
  • Patient who require general anesthesia.
  • Patient who receives treatment by alpha-2 agonists or alpha-2 antagonists within seven days of scheduled surgery or procedure.
  • Patient in whom opioids, DA-9501 or other alpha-2 agonists, or drugs which may be used in the study are contraindicated.
Show all 12Show fewer
  • Patient diagnosed with unstable angina or acute myocardiac infarction within 6 weeks from the date of consent.
  • Patient whose heart rate is <60 bpm, systolic blood pressure is <90 mmHg by the physical examination prior to the study drug administration.
  • Patient has third degree heart block, unless the patient has a pacemaker or transverse pacing wires are in place.
  • Patient who has experienced an increase in alanine transaminase (ALT) and / or aspartate aminotransferase (AST) more than double the upper normal limit within 2 months of the date of consent, or who has a history of liver insufficiency.
  • Pregnant or lactating woman.
  • In the Investigator's or subinvestigator's opinion, the patient has any symptom or condition which might increase risk to the patient by conducting the study or preclude obtaining satisfactory study data

Trial locations and contacts

12 sites in 1 country.

12 sites in 1 country

Japan12 sites
  • Asahikawa Medical University Hospital

    Asahikawa, Hokkaido

  • Shimane University Hospital

    Izumo, Shimane

  • Japanese Red Cross Kyoto Daini Hospital

    Kyoto

  • Shinshul University Hospital

    Matsumoto, Nagano

  • University of Miyazaki Hospital

    Miyazaki

  • Nagoya University Hospital

    Nagoya, Aichi-ken

  • Kochi Medical School Hospital

    Nangoku, Kochi

  • Okayama University Hospital

    Okayama

  • Kitano Hospital, The Tazuke Kofukai Medical Research Institute

    Osaka

  • Sapporo Medical University Hospital

    Sapporo, Hokkaido

  • Nippon Medical University Hospital

    Tokyo

  • Tottori University Hospital

    Yonago, Tottori

Other trials in Japan

About this study

Official title: Phase III Randomized Placebo-controlled Double Blind Comparative Study to Investigate the Efficacy and Safety of DA-9501 in Sedation During the Surgery With Epidural Anesthesia or Spinal Anesthesia Without Intubation Under Monitored Sedation Care

The purpose of this study is to examine the efficacy and safety of DA-9501 (Dexmedetomidine) in patients who require sedation during the surgery that requires epidural or spinal anesthesia without intubation under monitored sedation care.

Read the detailed description

Phase III, randomized, placebo controlled, double blind, parallel comparative study (Therapeutic confirmatory trial), to evaluate the efficacy and the safety of Dexmedetomidine in non-intubated patients who require sedation during surgery with spinal or epidural anesthesia under monitored sedation care

Conditions
Sedation
Being tested
Dexmedetomidine hydrochloride, Placebo
Keywords
Dexmedetomidine, Sedation, Non-intubation, epidural anesthesia, spinal anesthesia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dexmedetomidine hydrochlorideDrug

    Dexmedetomidine 0.2 to 0.7 mcg/kg/hr

  • PlaceboDrug

Study groups in NCT01438957
Study groupRoleWhat they receive
PlaceboPlacebo comparatorDexmedetomidine 0 mcg/kg/hr 10 min Initial dose + Dexmedetomidine 0 mcg/kg/hr Maintenance dose
Receives: Drug: Placebo
Dexmedetomidine 0.067 mcg/kgExperimentalDexmedetomidine 0.4 mcg/kg/hr 10 min Initial dose + Dexmedetomidine 0.2 - 0.7 mcg/kg/hr Maintenance dose
Receives: Drug: Dexmedetomidine hydrochloride
Dexmedetomidine 0.25 mcg/kgExperimentalDexmedetomidine 1.5 mcg/kg/hr 10 min Initial dose + Dexmedetomidine 0.2 - 0.7 mcg/kg/hr Maintenance dose
Receives: Drug: Dexmedetomidine hydrochloride
Dexmedetomidine 0.5 mcg/kgExperimentalDexmedetomidine 3 mcg/kg/hr 10 min Initial dose + Dexmedetomidine 0.2 - 0.7 mcg/kg/hr Maintenance dose
Receives: Drug: Dexmedetomidine hydrochloride
Dexmedetomidine 1.0 mcg/kgExperimentalDexmedetomidine 6 mcg/kg/hr 10 min Initial dose + Dexmedetomidine 0.2 - 0.7 mcg/kg/hr Maintenance dose
Receives: Drug: Dexmedetomidine hydrochloride

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Percentage of Patients Who Did Not Require Rescue Administration of Propofol to Achieve and Maintain Observer's Assessment of Alertness/Sedation (OAA/S) Score ≤4 During the Study Drug Administration.

    Measured: Pre-dose, every 5 ± 2 minutes after start of study drug infusion and every 15 ± 2 minutes until 1 hour after study drug infusion. Before additional administration of sedative.

Secondary outcomes (19)
  1. Number of Propofol Dosing Required to Achieve and Maintain OAA/S Score ≤4 During the Study Drug Administration

    Measured: 15 minutes after the start of study drug, if the OAA/S score is 5.

  2. Dosage of Propofol Dosing Required to Achieve and Maintain OAA/S Score ≤4 During the Study Drug Administration

    Measured: 15 minutes after the start of study drug, if the OAA/S score is 5.

  3. Time to First Rescue Administration of Propofol

    Measured: During the study drug infusion period (≥15 minutes [Approximate])

  4. Percentage of Patients Who Did Not Require Rescue Administration of Fentanyl During the Study Drug Administration

    Measured: After the surgery start, the administration of fentanyl is permissible as required to treat pain. In case of repeated dose, the dosing interval should be ≥15 minutes.

  5. Number of Fentanyl Dosing Required During the Study Drug Administration.

    Measured: During the study drug administration

  6. Dosage of Fentanyl Dosing Required During the Study Drug Administration.

    Measured: During the study drug administration

  7. Percentage of Time Spent OAA/S Score ≤4 During the Study Drug Infusion

    Measured: Pre-dose, every 5 ± 2 minutes after start of study drug infusion and every 15 ± 2 minutes until 1 hour after study drug infusion. Before additional administration of sedative.

  8. Percentage of Time Spent OAA/S Score 3 to 4 During the Study Drug Infusion

    Measured: Pre-dose, every 5 ± 2 minutes after start of study drug infusion and every 15 ± 2 minutes until 1 hour after study drug infusion. Before additional administration of sedative.

  9. Time to Attain the Point Where Patient is Recovered Assessed by Aldrete Score Following Discontinuation of the Study Drug Infusion

    Measured: Every 15 ± 2 minutes until the score of each item becomes ≥1 and the total value becomes ≥8.

  10. Visual Analogue Scale (VAS) Score Evaluation by Investigator or Sub-investigator (Easiness of Maintenance of Sedation Level)

    VAS score ranges from 0 to 10, with 0 being the better/preferred outcome. Low values indicated more ease of maintenance of sedation level.

    Measured: Within 24 hours after completion of the study drug administration

  11. Visual Analogue Scale (VAS) Score Evaluation by Investigator or Sub-investigator (Stability of Hemodynamic State)

    VAS score ranges from 0 to 10, with 0 being the better/preferred outcome. Low values indicated more ease of maintenance of sedation level.

    Measured: Within 24 hours after completion of the study drug administration

  12. Visual Analogue Scale (VAS) Score Evaluation by Investigator or Sub-investigator (Stability of Respiratory State)

    VAS score ranges from 0 to 10, with 0 being the better/preferred outcome. Low values indicated more ease of maintenance of sedation level.

    Measured: Within 24 hours after completion of the study drug administration

  13. Visual Analogue Scale (VAS) Score Evaluation by Investigator or Sub-investigator (Subject's Cooperation)

    VAS score ranges from 0 to 10, with 0 being the better/preferred outcome. Low values indicated more ease of maintenance of sedation level.

    Measured: Within 24 hours after completion of the study drug administration

  14. Score Evaluation of Satisfaction and Anxiety of the Subject ("I Was Satisfied With This Anesthesia Procedure")

    Rating: 1 is the better/preferred value for scores from 1 to 4. Low values indicated more ease of maintenance of sedation level.

    Measured: Within 24 hours after completion of the study drug administration (as much as possible)

  15. Score Evaluation of Satisfaction and Anxiety of the Subject ("I Did Not Feel Pain During the Surgery")

    Rating: 1 is the better/preferred value for scores from 1 to 4. Low values indicated more ease of maintenance of sedation level.

    Measured: Within 24 hours after completion of the study drug administration (as much as possible)

  16. Score Evaluation of Satisfaction and Anxiety of the Subject ("If You May Undergo a Similar Surgery, the Same Anesthesia Procedure Will be Requested for the Next Time")

    Rating: 1 is the better/preferred value for scores from 1 to 4. Low values indicated more ease of maintenance of sedation level.

    Measured: Within 24 hours after completion of the study drug administration (as much as possible)

  17. Score Evaluation of Satisfaction and Anxiety of the Subject ("Assess the Anxiety Level Before Surgery")

    Rating: 1 is the better/preferred value for scores from 1 to 5. Low values indicated more ease of maintenance of sedation level.

    Measured: Within 24 hours after completion of the study drug administration (as much as possible)

  18. Score Evaluation of Satisfaction and Anxiety of the Subject ("Assess the Anxiety Level During Surgery")

    Rating: 1 is the better/preferred value for scores from 1 to 5. Low values indicated more ease of maintenance of sedation level.

    Measured: Within 24 hours after completion of the study drug administration (as much as possible)

  19. Score Evaluation of Satisfaction and Anxiety of the Subject ("Assess the Anxiety Level After Surgery")

    Rating: 1 is the better/preferred value for scores from 1 to 5. Low values indicated more ease of maintenance of sedation level.

    Measured: Within 24 hours after completion of the study drug administration (as much as possible)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Sep 2011 (estimated)
  2. Study start3 Jun 2011
  3. Primary completion18 Nov 2011
  4. Study completion18 Nov 2011

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
119 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01438957
Sponsor's protocol ID
DEX-303
Status last verified
Mar 2021
First submitted
21 Sep 2011
Last updated
22 Mar 2021
Data monitoring committee
No
FDA-regulated drug
Yes

Publications

  • Inagaki Y, Yamakage M, Sakamoto A, Okayama A, Oya N, Hiraoka T, Morita K. The Efficacy and Safety of Dexmedetomidine for Sedation During Surgery Under Epidural or Spinal Anesthesia: A Randomized, Double-Blind, Placebo-Controlled Study. Yonago Acta Med. 2022 Jan 4;65(1):14-25. doi: 10.33160/yam.2022.02.002. eCollection 2022 Feb.

    PubMed 35221757

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Dexmedetomidine hydrochloride in people with Sedation, run by Pfizer at 12 sites in Japan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in Japan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Mar 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Percentage of Patients Who Did Not Require Rescue Administration of Propofol to Achieve and Maintain Observer's Assessment of Alertness/Sedation (OAA/S) Score ≤4 During the Study Drug Administration. (time frame: Pre-dose, every 5 ± 2 minutes after start of study drug infusion and every 15 ± 2 minutes until 1 hour after study drug infusion. Before additional administration of sedative.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01438957, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Mar 2021.

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