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Status unknownNCT04006054Updated Jul 2, 2019

Study on Cerebral Protection of Dexmedetomidine for Patients With Traumatic Brain Injury

A Phase 4 interventional study of Dexmedetomidine and Midazolam in Traumatic Brain Injury, sponsored by Xiangya Hospital of Central South University. Status unknown at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2019-07-02.

Sponsored by Xiangya Hospital of Central South University · Phase 4, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Apr 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 4
Study type
Interventional
Enrollment
82
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

The aim of the study is to investigate whether dexmedetomidine could suppress catecholamine release into peripheral blood to prevent PSH attacks and to achieve neuroprotection.

Read the detailed description

Paroxysmal sympathetic hyperactivity (PSH) is a syndrome typically recognized in patients suffering from traumatic brain injury, characterized by paroxysmal increases in sympathetic activity such as elevated heart rate, increased blood pressure and respiratory rate, high temperature, excessive sweating and abnormal motor (posturing) activity.

This prospective study will include patients with traumatic brain injury,who will be divided into two groups, evaluated by the Paroxysmal Sympathetic Hyperactivity-Assessment Measure (PSH-AM). Patients will also be evaluated with head CT.

The aim of the study is to investigate whether dexmedetomidine could suppress catecholamine release into peripheral blood to prevent PSH attacks and to achieve neuroprotection.

02

Conditions studied

03

In context

Brain Injuries

2,113 studies on the registry are indexed under Brain Injuries; 385 are open to participants now.

This study's planned enrollment of 82 is above the median of 48 across 1,331 interventional studies indexed under Brain Injuries.

Browse Brain Injuries studies →

Lead sponsor

Xiangya Hospital of Central South University is the lead sponsor of 170 studies on the registry; 76 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age: 18-70 years
  2. Moderate or severe traumatic brain injury
  3. GCS≤12
  4. Diagnosed by CT
  5. No catecholamines (such as dopamine, adrenaline, norepinephrine) have been used before admission
  6. Have a clear history of head trauma
  7. Non-open traumatic brain injury

Exclusion criteria

Exclusion Criteria:

  1. Severe liver dysfunction (Child-Pugh B or C)
  2. Severe renal dysfunction (serum creatinine > 445 mmol / L or blood urea nitrogen > 20 mmol / L)
  3. Hemodynamic instability when entering the ICU (heart rate \<50 beats / min or hypotension, SBP \<90mmHg or MAP \<65mmHg)
  4. Deaths within 72 hours after entering the ICU
  5. Severe multiple injuries (ISS≥25 points)
  6. Have central nervous system diseases (such as hypoxic ischemic encephalopathy, stroke, brain tumors, etc.)
  7. Allergic to dexmedetomidine or midazolam
  8. Observed with the results of disease interference test (such as pheochromocytoma, etc.)
  9. In pregnancy or lactation
  10. Receiving hypothermia treatment
  11. Are participating in other drug research or clinical trials
05

Study design

Phase
Phase 4
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
82 participants (estimated)

Study arms

  • Experimental
    Dexmedetomidine treatment group

    Dexmedetomidine will be administrated at a dose of 0.25-0.75 µg/(kg\*h) for 5 days

    Drug: Dexmedetomidine

  • Active comparator
    Midazolam treatment group

    Midazolam will be administrated at a dose of 0.25-0.75 µg/(kg\*h) for 5 days

    Drug: Midazolam

Interventions

  • DrugDexmedetomidine

    When the patients who suffered traumatic brain injury are in NICU,Dexmedetomidine is given for sedation about 5 days .

    Also known as: DG

  • DrugMidazolam

    When the patients who suffered traumatic brain injury are in NICU,Midazolam is given for sedation about 5 days .

    Also known as: MG

06

What researchers measure

Primary outcomes

  1. Epinephrine

    Epinephrine is a hormone secreted by the body.When the patient suffers brain injury, the concentration of Epinephrine will increase significantly.

    Time frame: At admission (baseline)

  2. Epinephrine

    Epinephrine is a hormone secreted by the body.When the patient suffers brain injury, the concentration of Epinephrine will increase significantly.

    Time frame: 24 hours after injury

  3. Epinephrine

    Epinephrine is a hormone secreted by the body.When the patient suffers brain injury, the concentration of Epinephrine will increase significantly.

    Time frame: 48 hours after injury

  4. Epinephrine

    Epinephrine is a hormone secreted by the body.When the patient suffers brain injury, the concentration of Epinephrine will increase significantly.

    Time frame: 72 hours after injury

  5. Norepinephrine

    Norepinephrine is a hormone secreted by the body.When the patient suffers brain injury, the concentration of Epinephrine will increase significantly.

    Time frame: At admission (baseline)

  6. Norepinephrine

    Norepinephrine is a hormone secreted by the body.When the patient suffers brain injury, the concentration of Epinephrine will increase significantly.

    Time frame: 24 hours after injury

  7. Norepinephrine

    Norepinephrine is a hormone secreted by the body.When the patient suffers brain injury, the concentration of Epinephrine will increase significantly.

    Time frame: 48 hours after injury

  8. Norepinephrine

    Norepinephrine is a hormone secreted by the body.When the patient suffers brain injury, the concentration of Epinephrine will increase significantly.

    Time frame: 72 hours after injury

07

Study locations

1 of 1 sites recruiting
  • Xiangya Hospital Central South University
    Changsha, Hunan 410000, China
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 2, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04006054
Lead sponsor
Xiangya Hospital of Central South University
Responsible party
Sponsor
First posted
Jul 2, 2019
Start date
Jun 6, 2019
Primary completion
Jun 30, 2021 (estimated)
Completion
Dec 30, 2021 (estimated)
Last update
Jul 2, 2019

Study contacts

Xin Chen, Doctor
Contact
21806497@qq.com
13517315332

Oversight

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

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This study is status unknown, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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