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RecruitingNCT07669012Updated Jun 25, 2026

a Comparive Study of Ketamine-Propofol Versus Dexmedetomidine-Propofol Sedation in Pediatric Patients Undergoing Cardiac Catheterization for Device Closure of Simple Left-to-right Shunts

A Phase 1 interventional study of Ketamine + propofol and Dexmedetomidine + propofol in Sedation and Analgesia, sponsored by Ain Shams University. Recruiting at 1 site in Egypt. Open to participants aged 2 Years to 12 Years. Per ClinicalTrials.gov, last updated 2026-06-25.

Sponsored by Ain Shams University · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 6 months after the study started (first participant enrolled Oct 2025, registered May 2026).
  • Started Oct 2025; still recruiting 11 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
124
Allocation
Randomized
Ages
2 Years to 12 Years
Sex
All
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Study summary

This study aims To compare the safety and efficacy of ketamine-propofol versus dexmedetomidine-propofol sedation in pediatric patients undergoing cardiac catheterization for device closure of simple left-to-right shunts

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Conditions studied

  • Sedation and Analgesia

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03

In context

Agnosia

1,189 studies on the registry are indexed under Agnosia; 507 are open to participants now.

This study's planned enrollment of 124 is above the median of 77 across 1,023 interventional studies indexed under Agnosia.

Browse Agnosia studies →

Lead sponsor

Ain Shams University is the lead sponsor of 1,876 studies on the registry; 423 are open to participants now.

Of its 32 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

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

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Who can participate

Ages eligible
2 Years to 12 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 2-12 years, male or female
  • Weight ≥ 10 kg
  • Scheduled for elective transcatheter device closure of a simple left-to-right shunt, including:
  • Secundum atrial septal defect (ASD) suitable for device closure
  • Small muscular ventricular septal defect (VSD) eligible for percutaneous device closure
  • Patent ductus arteriosus (PDA) closure
  • Procedure performed with transthoracic or transesophageal echocardiographic guidance according to the cardiology team's practice
  • ASA physical status II-III
  • Written informed consent obtained from a parent or legal guardian

Exclusion criteria

Exclusion Criteria:

  • Cyanotic congenital heart disease
  • Complex congenital cardiac lesions
  • Risk of pulmonary hypertensive crisis
  • Requirement for general anesthesia and cuffed endotracheal tube at the discretion of the cardiology or anesthesia team
  • Baseline oxygen requirement > 2 L/min
  • Use of noninvasive ventilation
  • Known allergy or intolerance to ketamine, dexmedetomidine, or propofol
  • Significant hepatic impairment
  • Significant renal impairment
  • Advanced atrioventricular block
  • Clinically significant bradyarrhythmia
  • Uncontrolled epilepsy
  • Raised intracranial pressure
  • Severe obstructive sleep apnea
  • Craniofacial anomalies associated with anticipated difficult airway management
  • BMI > 97th percentile when judged to confer high risk of sedation-related airway obstruction
  • Current beta-blocker use
  • Current clonidine use
  • Acute upper respiratory tract infection within 2 weeks before the procedure
  • Emergency or add-on procedures
  • Anticipated procedure duration \< 20 minutes
  • Anticipated procedure duration > 3 hours
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Outcomes assessor)
Enrollment
124 participants (estimated)

Study arms

  • Active comparator
    Group KP: Ketamine + Propofol.

    Group that will receive Propofol and ketamine

    Drug: Ketamine + propofol

  • Active comparator
    Group DP: Dexmedetomidine + Propofol

    Group that will receive Dexmedetomidine and Propofol

    Drug: Dexmedetomidine + propofol

Interventions

  • DrugKetamine + propofol

    Ketamine IV bolus 1 mg/kg (range commonly 0.5-1.5 mg/kg) administered as an initial bolus to provide analgesia and hemodynamic support; followed by a propofol infusion 100-150 µg/kg/min (titrated to clinical effect). Rescue propofol boluses 0.5 mg/kg IV may be given for inadequate sedation

    Also known as: Sedation

  • DrugDexmedetomidine + propofol

    Dexmedetomidine loading dose 1 µg/kg over 10 minutes (range 0.5-1 µg/kg reported) followed by maintenance infusion per clinical need; co-administration of propofol infusion 100-150 µg/kg/min, titrated to the sedation target. Rescue propofol boluses 0.5 mg/kg IV may be used for breakthrough movement or inadequate sedation

    Also known as: Sedation

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What researchers measure

Primary outcomes

  1. Incidence of respiratory complications

    Percentage of participants experiencing one or more respiratory complications (apnea, hypoxemia, atelectasis, hypercapnia, or need for advanced airway management) during the study period.

    Time frame: 2 hours

Secondary outcomes

  1. Mean Heart Rate

    Heart rate (bpm) measured during the procedure and recovery period.

    Time frame: 2 hours

  2. Mean Arterial Pressure

    Mean arterial pressure ( mmHg) measured during the procedure and recovery period.

    Time frame: 2 hours

  3. Recovery time

    Time from discontinuation of sedative administration to achievement of discharge readiness based on the institution's recovery criteria.

    Time frame: 2 hours

  4. Adequate Sedation rate

    Percentage of participants achieving the target level of sedation throughout the procedure without requiring a change in the assigned sedation regimen.

    Time frame: 2 hours

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Study locations

1 of 1 sites recruiting
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 25, 2026, 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
NCT07669012
Lead sponsor
Ain Shams University
Responsible party
Sponsor
First posted
Jun 25, 2026
Start date
Oct 22, 2025
Primary completion
Oct 22, 2026 (estimated)
Completion
Feb 15, 2027 (estimated)
Last update
Jun 25, 2026

Oversight

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

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