ClinicalTrials.gg
TerminatedNCT03739476Updated May 22, 2025

Clinical Trial With Quetiapine Prophylaxis Postoperative Delirium in High Risk Surgical Patients

A Phase 3 interventional study of Quetiapine 25 milligrams capsule and Placebo oral capsule in Postoperative Delirium, sponsored by Fundación Instituto de Estudios de Ciencias de la Salud de Castilla y León. Terminated at 1 site in Spain. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2025-05-22.

Sponsored by Fundación Instituto de Estudios de Ciencias de la Salud de Castilla y León · Phase 3, Interventional, and Treatment

Why this study was terminated
Due to the crisis SARS-COV-2 pandemic: recruitment of patients for the trial is stopped, healthcare pressure generated, suspend the non-essential scheduled surgical activity and on June 30, 2020 medication expired, funding has been exhausted.
Phase
Phase 3
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study summary

Double blinded Clinical trial to test efficacy of Quetiapine versus placebo in reducing postoperative delirium in high risk surgical patients after three days of treatment.

Read the detailed description

This study evaluates postoperative delirium in high risk surgical patients to know the incidence of postoperative delirium in patients at risk, over 65 years, treated early with prophylactic quetiapine versus placebo.

02

Conditions studied

  • Postoperative Delirium

Keywords

  • Postoperative
  • Delirium
  • Quetiapine
  • Prophylaxis
03

In context

Emergence Delirium

751 studies on the registry are indexed under Emergence Delirium; 262 are open to participants now.

This study's enrollment of 54 is below the median of 120 across 464 interventional studies indexed under Emergence Delirium.

Browse Emergence Delirium studies →

Lead sponsor

Fundación Instituto de Estudios de Ciencias de la Salud de Castilla y León is the lead sponsor of 15 studies on the registry; 3 are open to participants now.

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

04

Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Greater than or equal to 65 years-old patients who will be undergoing major surgery (noncardiac) and having an equal or greater score of 5 on the scale Delphi.
  • Age: 70-79 years: 1 point; ≥80 years: 2 points.
  • Physical activity: need for assistance, not self-sufficient: 2 point.
  • Alcoholism: 1 point.
  • Hearing Impaired: 1 point.
  • History of delirium: 2 points.
  • Emergency surgery: 1 point.
  • No laparoscopic surgery: 2 points.
  • Admission critical Units: 3 points.
  • Value of C-reactive protein (CRP) ≥ 10 milligrams (mg) / decilitre (dL): 1 point

Exclusion criteria

Exclusion Criteria:

  • Allergy to quetiapine.
  • Patients with a score less than 5 on the Delphi scale.
  • Diagnosis of delirium at admission.
  • Cardiological diseases: interval (QTc) ≥ 460 millisecond (msec) in men, ≥ 470 msec in women, recent myocardial infarction or cardiac decompensation, 2-3° degree atrioventricular block or history of torsades de pointes arrhythmias or ventricular arrhythmias, bradycardia...
  • Hypokalemia ≤ 3 milliequivalent (mEq) / Potassium chloride (KCl).
  • History of drug use.
  • Patients on Antipsychotic or antidopaminergic treatment (chlorpromazine, clozapine, olanzapine, risperidone, haloperidol, quetiapine, paliperidone, amisulpride).
  • Parkinson's disease.
  • Test MINIMENTAL ≤ 24.
  • Corps or vascular dementia Levi.
  • Hypokinetic movement disorder.
  • History of neuroleptic malignant syndrome.
  • Central Anticholinergic Syndrome.
  • Epilepsy.
  • Patients with a wight less than 50 or greater than 200 kg (kilograms).
Terms in these criteria, in plain language(1)

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    Interventional

    Quetiapine 25 milligrams 1 hour after surgery and each 12 hours for 3 days

    Drug: Quetiapine 25 milligrams capsule

  • Placebo comparator
    control

    Placebo 1 hour after surgery and each 12 hours for 3 days

    Drug: Placebo oral capsule

Interventions

  • DrugQuetiapine 25 milligrams capsule

    Compare the incidence of postoperative delirium.

    Also known as: Experimental arm

  • DrugPlacebo oral capsule

    Compare the incidence of postoperative delirium.

    Also known as: Control arm

06

What researchers measure

Primary outcomes

  1. To Know the incidence of postoperative delirium in patients at risk, over 65 years, treated early with prophylactic quetiapine versus placebo.

    Proportion of patients diagnosed with delirium (number of cases of delirium / total number of patients) within the first four days in both arms. 65 years, treated early with prophylactic quetiapine versus placebo.

    Time frame: 28 (± 2) days from the start of treatment in each patient.

Secondary outcomes

  1. Days without delirium, if it appears.

    Number of days from the start of treatment until delirium.

    Time frame: 28 ± 2 days from the start (first dose) of treatment with quetiapine.

  2. Duration of delirium, if it appears.

    Number of days with delirium, if it appears. Perceived quality of life. Mortality (all causes).

    Time frame: 28 ± 2 days from the start (first dose) of treatment with quetiapine.

  3. Severity of delirium measured with a validated scale. time of appearance the duration and severity. use of another antipsychotics.

    Severity of delirium measured with a the Delirium Rating Scale-Revised-98 (DRS-R-98).

    Time frame: 28 ± 2 days from the start (first dose) of treatment with quetiapine.

  4. Dose of other antipsychotic (haloperidol).

    Total dose (mg) of other antipsychotic to control symptoms of delirium.

    Time frame: 28 ± 2 days from the start (first dose) of treatment with quetiapine.

  5. Degree of sedation.

    Degree of sedation measured with a validated scale Richmond Agitation-Sedation Scale (RASS).

    Time frame: 28 ± 2 days from the start (first dose) of treatment with quetiapine.

  6. Measurement of corrected QT interval (QTc) prolongation.

    Increased (msec) ECG control.

    Time frame: 28 ± 2 days from the start (first dose) of treatment with quetiapine.

  7. Evaluation of extrapyramidal symptoms.

    Presence o absence of extrapyramidal symptoms (tremor, involuntary movements, rigidity).

    Time frame: 28 ± 2 days from the start (first dose) of treatment with quetiapine.

  8. Days in hospital from surgery.

    Number of days from surgery until discharge.

    Time frame: 28 ± 2 days from the start (first dose) of treatment with quetiapine.

  9. Perceived general well-being.

    Evaluation of quality of life using Short Form-36 Health Survey questionnaire (SF36).

    Time frame: 28 ± 2 days from the start (first dose) of treatment with quetiapine.

  10. Mortality (all causes)

    Mortality at discharge and at 28 (± 2) days before the start of treatment.

    Time frame: 28 ± 2 days from the start (first dose) of treatment with quetiapine.

07

Study locations

1 site
  • Complejo Asistencial Universitario de Salamanca
    Salamanca, 37007, Spain
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03739476
Lead sponsor
Fundación Instituto de Estudios de Ciencias de la Salud de Castilla y León
Collaborators
Instituto de Investigación Biomédica de Salamanca, Grupo Español de Rehabilitación Multimodal
Responsible party
Sponsor
First posted
Nov 13, 2018
Start date
Feb 13, 2019
Primary completion
Apr 2, 2020
Completion
Jun 30, 2020
Last update
May 22, 2025

Study contacts

Elisa Sanchez-Barrado, MD
principal investigator · Investigator

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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