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CompletedNCT00654511DexT&AUpdated Mar 23, 2021Results posted

Dexmedetomidine for Immediate Perioperative Analgesia in Pediatric Patients Undergoing Tonsillectomy

A Phase 4 interventional study of Fentanyl and Fentanyl in Tonsillitis, sponsored by Children's National Research Institute. Completed at 1 site in United States. Open to participants aged 2 Years to 12 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-03-23.

Sponsored by Children's National Research Institute · Phase 4, Interventional, and Treatment

Phase
Phase 4
Study type
Interventional
Enrollment
101
Allocation
Randomized
Ages
2 Years to 12 Years
Sex
All
01

Study summary

The primary purpose of this study is:

  1. To compare dexmedetomidine with fentanyl in terms of intra-operative hemodynamics and post-operative analgesia.
  2. To determine an analgesic dose response relationship for dexmedetomidine.
  3. Compare recovery characteristics of dexmedetomidine to fentanyl.
02

Conditions studied

  • Tonsillitis

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Keywords

  • Dexmedetomidine,
  • fentanyl,
  • tonsillectomy
  • and adenoidectomy,
03

In context

Tonsillitis

103 studies on the registry are indexed under Tonsillitis; 12 are open to participants now.

This study's enrollment of 101 is close to the median of 100 across 87 interventional studies indexed under Tonsillitis.

Browse Tonsillitis studies →

Lead sponsor

Children's National Research Institute is the lead sponsor of 127 studies on the registry; 47 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
2 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • All of the following criteria must be met for the potential subject to be eligible for participation:

    1. The subject is 2 to 12 years of age
    2. The subject's physical status is ASA I or II (see appendix 1).
    3. The subject is scheduled for elective tonsillectomy with or without adenoidectomy surgery (procedures with myringotomy tube placement are allowed).
    4. The subject will be hospitalized overnight after surgery
    5. The subject's parent/legally authorized guardian has given written to participate; and where applicable, the subject has given appropriate assent to participate.

Exclusion criteria

Exclusion Criteria:

  • The potential subject is NOT eligible for participation if any of the following exclusion criteria apply:

    1. The subject has a history or a family (parent or sibling) history of malignant hyperthermia
    2. The subject has known significant renal or hepatic disorders determined by medical history, physical examination or laboratory tests.
    3. The subject has a known or suspected allergy to opioid analgesics
    4. The subject is a pregnant or lactating female (if post-menarcheal, a negative pregnancy test must be confirmed prior to the planned surgery time (in AMSAC) consistent with current standard of care.
    5. The subject has history of. cardiovascular issues which would preclude the use of dexmedetomidine, (e.g. Down's Syndrome, dysrhthymias, conditions where hypotension is to be avoided).
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
101 participants (actual)

Study arms

  • Active comparator
    Fentanyl 1

    Fentanyl 1 micrograms (mcg)/kilogram (kg)

    Drug: Fentanyl

  • Active comparator
    Fentanyl 2

    Fentanyl 2 micrograms (mcg)/kilogram (kg)

    Drug: Fentanyl

  • Experimental
    Dex 3

    Dexmedetomidine 2 micrograms (mcg)/kilogram (kg)

    Drug: Dexmedetomidine

  • Experimental
    Dex 4

    Dexmedetomidine 4 micrograms (mcg)/kilogram (kg)

    Drug: Dexmedetomidine

Interventions

  • Fentanyl 1mcg/kg, Intravenous (IV)

    Also known as: Actiq

  • Fentanyl 2mcg/kg, Intravenous (IV)

    Also known as: Actiq

  • Dexmedetomidine, 2mcg/kg, Intravenous (IV)

    Also known as: Precedex

  • Dexmedetomidine, 4mcg/kg Intravenous (IV)

    Also known as: Precedex

06

What researchers measure

Primary outcomes

  1. Time to First Morphine Dose

    Total minutes from study medication administration to time of first morphine dose.

    Time frame: up to 24 hours

  2. Morphine Rescue

    Total morphine administered in the Post Anesthesia Care Unit (PACU)

    Time frame: up to 24 hours

07

Results

Posted Apr 26, 2011

Participant flow

Participant flow — Overall Study
MilestoneFentanyl 1 Microgram/Kilogram Intravenous (IV)Fentanyl 2 Micrograms/Kilogram Intravenous (IV)Dexmedetomidine 2 Microgram/Kilogram Intravenous (IV)Dexmedetomidine 4 Micrograms/Kilogram Intravenous (IV)
Started26252525
Completed26252525
Not completed0000

Outcome measures

PrimaryTime to First Morphine Dose

Total minutes from study medication administration to time of first morphine dose.

Time frame:
up to 24 hours
Reported as:
Mean · minutes
Time to First Morphine Dose
minutesFentanyl 1 Microgram/Kilogram IVFentanyl 2 Micrograms/Kilogram IVDexmedetomidine 2 Microgram/Kilogram IVDexmedetomidine 4 Micrograms/Kilogram IV
Time to First Morphine Dose19 ± 24.843.7 ± 61.461.1 ± 89.5137.6 ± 123.2
PrimaryMorphine Rescue

Total morphine administered in the Post Anesthesia Care Unit (PACU)

Time frame:
up to 24 hours
Reported as:
Mean · micrograms/kilogram
Morphine Rescue
micrograms/kilogramFentanyl 1 Microgram/Kilogram Intravenous (IV)Fentanyl 2 Micrograms/Kilogram Intravenous (IV)Dexmedetomidine 2 Microgram/Kilogram Intravenous (IV)Dexmedetomidine 4 Micrograms/Kilogram Intravenous (IV)
Morphine Rescue84 ± 3795 ± 4485 ± 3759 ± 44

Adverse events

Non-serious events are listed at a 3% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Fentanyl 1 Microgram/Kilogram Intravenous (IV)—0/26 (0%)0/26 (0%)
Fentanyl 2 Micrograms/Kilogram Intravenous (IV)—0/25 (0%)0/25 (0%)
Dexmedetomidine 2 Microgram/Kilogram Intravenous (IV)—0/25 (0%)0/25 (0%)
Dexmedetomidine 4 Micrograms/Kilogram Intravenous (IV)—0/25 (0%)0/25 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Fentanyl 1 Microgram/Kilogram Intravenous (IV)Fentanyl 2 Micrograms/Kilogram Intravenous (IV)Dexmedetomidine 2 Microgram/Kilogram Intravenous (IV)Dexmedetomidine 4 Micrograms/Kilogram Intravenous (IV)Total
<=18 years26252525101
Between 18 and 65 years00000
>=65 years00000
Age, Continuous
Age, Continuous(years)Fentanyl 1 Microgram/Kilogram Intravenous (IV)Fentanyl 2 Micrograms/Kilogram Intravenous (IV)Dexmedetomidine 2 Microgram/Kilogram Intravenous (IV)Dexmedetomidine 4 Micrograms/Kilogram Intravenous (IV)Total
Mean4.17 ± 2.334.83 ± 2.455.17 ± 2.334.92 ± 2.274.77 ± 2.34
Sex: Female, Male
Sex: Female, Male(Participants)Fentanyl 1 Microgram/Kilogram Intravenous (IV)Fentanyl 2 Micrograms/Kilogram Intravenous (IV)Dexmedetomidine 2 Microgram/Kilogram Intravenous (IV)Dexmedetomidine 4 Micrograms/Kilogram Intravenous (IV)Total
Female911121143
Male1714131458
Region of Enrollment
Region of Enrollment(participants)Fentanyl 1 Microgram/Kilogram Intravenous (IV)Fentanyl 2 Micrograms/Kilogram Intravenous (IV)Dexmedetomidine 2 Microgram/Kilogram Intravenous (IV)Dexmedetomidine 4 Micrograms/Kilogram Intravenous (IV)Total
United States26252525101
08

Study locations

1 site
  • Children's National Medical Center
    Washington, District of Columbia 20010, United States
09

References and documents

Publications

  • Pestieau SR, Quezado ZM, Johnson YJ, Anderson JL, Cheng YI, McCarter RJ, Choi S, Finkel JC. High-dose dexmedetomidine increases the opioid-free interval and decreases opioid requirement after tonsillectomy in children. Can J Anaesth. 2011 Jun;58(6):540-50. doi: 10.1007/s12630-011-9493-7. Epub 2011 Apr 2. PubMed 21461792 ↗
10

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2005, a primary completion of Oct 2008 and a completion of Oct 2008. It does not say whether these dates are actual or estimated.

Results were first posted in Apr 2011, 2 years 6 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 3, 2008
First posted
Apr 8, 2008
Start
Jan 2005
Primary completionActual
Oct 2008
CompletionActual
Oct 2008
Results first posted
Apr 26, 2011
Last update
Mar 23, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 23, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT00654511
Responsible party
Julia Finkel (MD, Children's National Research Institute) — Principal investigator
First posted
Apr 8, 2008
Start date
Jan 2005
Primary completion
Oct 2008
Completion
Oct 2008
Results posted
Apr 26, 2011
Last update
Mar 23, 2021

Study contacts

Julia C Finkel, MD
principal investigator · Children's National Research Institute

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Dexmedetomidine

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