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Active, not recruitingNCT04364945Updated Nov 19, 2024

Association Between Anesthetic Drugs for General Anesthesia and Postoperative Intelligence/behavioral Assessment Results in Children

An interventional study of dexmedetomidine and remifentanil in Anesthesia and Neurotoxicity, sponsored by Seoul National University Hospital. Active, not recruiting at 1 site in Korea, Republic of. Open to participants aged 1 Month to 23 Months. Per ClinicalTrials.gov, last updated 2024-11-19.

Sponsored by Seoul National University Hospital · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
400
Allocation
Randomized
Ages
1 Month to 23 Months
Sex
All
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Study summary

In this study, we compared the results of the intelligence and behavioral test performed after surgery between the group using sevoflurane and the group receiving dexmedetomidine and remifentanil, in Korean children under 2 years of age who underwent surgery under general anesthesia.

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Conditions studied

  • Anesthesia and Neurotoxicity
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In context

Neurotoxicity Syndromes

137 studies on the registry are indexed under Neurotoxicity Syndromes; 16 are open to participants now.

This study's planned enrollment of 400 is above the median of 92 across 92 interventional studies indexed under Neurotoxicity Syndromes.

Browse Neurotoxicity Syndromes studies →

Lead sponsor

Seoul National University Hospital is the lead sponsor of 1,860 studies on the registry; 275 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 2 (17%) have results posted.

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

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Who can participate

Ages eligible
1 Month to 23 Months
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Children under 2 years of age who underwent general anesthesia for elective surgeries inlcuding urology, surgery, plastic surgery, orthopedics, and otolaryngology, etc, which were non-staged and non-repetitive procedures
  • American Society of Anesthesiology Physical Status I, II

Exclusion criteria

Exclusion Criteria:

  • Allergies to narcotic analgesics
  • With massive bleeding or shock
  • Heart, lung, kidney or liver disease
  • Central / peripheral nervous system disease and disorder
  • Any physical deformity and disorder, genetic disease, chromosomal disease
  • Previous history of general anesthesia or sedation
  • Developmental delay identified through K-DST results
  • Additional exposure to general anesthetics or sedative drugs during follow-up
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Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Outcomes assessor)
Enrollment
400 participants (estimated)

Study arms

  • Placebo comparator
    Control group

    General anesthesia is maintained using sevoflurane only. Sevoflurane concentration is adjusted to maintain bispectral index value between 40 and 60.

    Drug: Sevoflurane

  • Experimental
    Dexmedetomidine-remifentanil(DEX-R) group

    General anesthesia is maintained using sevoflurane, dexmedetomidine (1 mcg/kg loading, and 1 mcg/kg/hr continuous infusion) and remifentanil (0.1-0.2 mcg/kg/min). Sevoflurane concentration is adjusted to maintain bispectral index value between 40 and 60.

    Drug: dexmedetomidine · Drug: remifentanil · Drug: Sevoflurane

Interventions

  • Drugdexmedetomidine

    administration of dexmedetomidine 1 mcg/kg/hr

  • Drugremifentanil

    administration of remifentanil 0.1-0.2 mcg/kg/min

  • DrugSevoflurane

    Anesthesia is maintained using sevoflurane.

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What researchers measure

Primary outcomes

  1. Wechsler Preschool and Primary Scale of Intelligence-IV at age of 5

    categorization: 130 and above: Very Superior 120-129: Superior 110-119: High Average 90-109: Average 80-89: Low Average 70-79: Borderline

    Time frame: When the patient's age is 5 years after surgery

Secondary outcomes

  1. Leiter International Performance Scale at age of 30 months

    Korean version of the Leiter International Performance Scale-Revised (Leiter-R), categorization: 130 and above: Very Superior 120-129: Superior 110-119: High Average 90-109: Average 80-89: Low Average 70-79: Borderline

    Time frame: When the patient's age is 30 months old after surgery

  2. Wechsler Preschool and Primary Scale of Intelligence-IV at age of 7

    categorization: 130 and above: Very Superior 120-129: Superior 110-119: High Average 90-109: Average 80-89: Low Average 70-79: Borderline

    Time frame: When the patient's age is 7 years old after surgery

  3. Child Behavior Checklist results

    Child Behavior Checklist results at age of 30 months, 5 years and 7 years

    Time frame: When the patient's age become 30 months, 5 years and 7 years old after surgery

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Study locations

1 site
  • Seoul National University Hospital
    Seoul, Other 03080, Korea, Republic of
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04364945
Lead sponsor
Seoul National University Hospital
Responsible party
Ji-Hyun Lee (Clinical Professor, Seoul National University Hospital) — Principal investigator
First posted
Apr 28, 2020
Start date
Jun 17, 2020
Primary completion
May 30, 2028 (estimated)
Completion
Dec 30, 2028 (estimated)
Last update
Nov 19, 2024

Study contacts

Ji-Hyun Lee, MD, PhD
principal investigator · Seoul National University Hospital

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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