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The PREVENT AGITATION Trial II - Children โ‰ค1 Year

RecruitingPhase 2, Phase 3Ages 3 Months - 12 MonthsAllCopenhagen University Hospital, Rigshospitalet
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In plain words

What the trial is, and whether it could suit you

Emergence agitation is a clinical condition in which the child experiences a variety of behavioural disturbances including crying, thrashing, and disorientation during early awakening from anaesthesia. Emergence agitation is a common challenge in children with a reported incidence of approximately 25% ranging from 10 to 80 %. Clonidine is often used off-label in paediatric anaesthesia e.g. sedation in the intensive care unit, prevention of withdrawal symptoms after long-term sedation, as premedication before induction of anaesthesia or as treatment/prevention of emergence agitation. The study is designed as a randomised, placebo-controlled clinical trial evaluating efficacy and safety of a single dose of intraoperative clonidine in children 3-12 months, including pharmacokinetics.

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: * Paediatric patients (male and female), aged 3- โ‰ค 12 months * Scheduled general anaesthesia with sevoflurane and opioid. Induction with propofol is optional * The legally acceptable representative for the study participant provides written informed consent/assent for the trial Exclusion Criteria: * ASA \>2 * Cardiac, neuro and trauma surgery * Ex-premature (\<37 weeks) โ€ข Premedication with clonidine * Intubated prior to scheduled anaesthesia or is expected to require intubation after the procedure * Critical illness incl. hemodynamic instability (inotropic drugs needed) * Bleeding requiring transfusion prior to scheduled anaesthesia * Planned for a postoperative nurse-controlled analgesia pump including a continuous infusion of opioid * Malignant disease * Cardiac disease incl. arrhythmia * Chronic lung disease that may influence study results or study participation in the opinion of the Investigator or may comprise safety and well-being of the patient * Mental retardation * Neurological disease including symptoms similar to emergence agitation * Has or is suspected of having a family or personal history of malignant hyperthermia * Has or is suspected of having an allergy to study treatment or its excipients * Any condition that can in opinion of the Investigator, deteriorate safety and well-being of the patients or interfere with pharmacokinetic data * Positive Covid-19 test or clinical suspicion of Covid-19 (according to current local guidelines)
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What it tests

  • Clonidine
  • Sodium chloride
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Where

2 sites
Perth Children's Hospital, Department of Anaesthesia and Pain Medicine
Perth, Australia
Copenhagen University Hospital, Rigshospitalet
Copenhagen, Denmark
๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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