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CompletedNCT06178835Updated Dec 21, 2023

EPO for Postop Delirium in Elderly Patients

A Phase 4 interventional study of Erythropoietin and normal saline in Postoperative Delirium, sponsored by Yonsei University. Completed at 1 site in Korea, Republic of. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2023-12-21.

Sponsored by Yonsei University · Phase 4, Interventional, and Prevention

From the registry’s dates

  • Registered 6 years 3 months after the study started (first participant enrolled Sep 2017, registered Dec 2023).
Phase
Phase 4
Study type
Interventional
Enrollment
76
Allocation
Randomized
Ages
65 Years and older
Sex
All
01

Study summary

Postoperative delirium is a common complication after surgery. The underlying pathophysiology of this complication is unclear, however neuroinflammation and oxidative stress secondary to surgery had shown to be the cause of postoperative cognitive dysfunction and delirium. Erythropoietin represents non-erythropoietic effects of anti-inflammatory properties. The aims of this study were to determine the role of erythropoietin toward the development of postoperative delirium, in terms of changes in inflammatory reaction by affecting the innate immunity in elderly patients undergoing total joint arthroplasty surgery.

02

Conditions studied

  • Postoperative Delirium
03

In context

Delirium

1,058 studies on the registry are indexed under Delirium; 238 are open to participants now.

This study's enrollment of 76 is below the median of 120 across 599 interventional studies indexed under Delirium.

Browse Delirium studies →

Lead sponsor

Yonsei University is the lead sponsor of 1,387 studies on the registry; 231 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Age 65 years and older
  • Patients scheduled for elective total knee arthroplasty, total hip arthroplasty

Exclusion criteria

Exclusion Criteria:

  • Unable to communicate
  • Cognitive impairment
  • Unable to pre-screen delirium due to underlying central nervous system disease
  • History of hypersensitivity related to erythropoietin and other anesthesia-related drugs
  • History of myocardial infarction, pulmonary infarction, cerebral infarction, ischemic vascular disease, epilpesy, chronic liver disease, chronic kidney disease
  • Uncontrolled high blood pressure
  • Within one month of starting anti-hypertensive medication
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Study design

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

Study arms

  • Experimental
    Erythropoietin

    500 IU/kg of EPO given intramuscularly 3 times for each patient

    Drug: Erythropoietin

  • Placebo comparator
    Control

    Same amount of normal saline given intramuscularly 3 times for each patient

    Drug: normal saline

Interventions

  • DrugErythropoietin

    500 IU/kg of erythropoietin is given 3 times for each patient: the day before surgery, start of surgery and on postoperative day 1.

  • Drugnormal saline

    The same amount of normal saline is given 3 times for each patient: the day before surgery, start of surgery and on postoperative day 1.

06

What researchers measure

Primary outcomes

  1. Incidence of delirium

    Development of postoperative delirium determined by validated evaluation tests.

    Time frame: 2 days post surgery, 5 days post surgery

Secondary outcomes

  1. Inflammatory biomarker

    Preoperative and postoperative comparison of inflammatory biomarkers (IL-1, IL-6, TNF-a)

    Time frame: before surgery, after surgery, 3 days post surgery day 3

07

Study locations

1 site
  • Department of Anesthesiology and Pain medicine, Severance Hospital, Seoul, South Korea
    Seoul, Korea, Republic of
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 Dec 21, 2023, 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
NCT06178835
Lead sponsor
Yonsei University
Responsible party
Sponsor
First posted
Dec 21, 2023
Start date
Sep 12, 2017
Primary completion
Jul 28, 2019
Completion
Aug 28, 2019
Last update
Dec 21, 2023

Study contacts

Bon-Nyeo Koo
principal investigator · Department of Anesthesiology and Pain medicine, Severance Hospital, Seoul, South Korea

Oversight

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

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This study is completed, as verified in Dec 2023. You cannot join it, but the record below documents what was studied.

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