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NCT04134052: ketaminvsMDZ

Ketamine vs Midazolam on Cognitive Function in Elderly in Elective Surgery Three-Months Postoperatively (ketaminvsMDZ)

Status unknown Phase 3 Last updated 26 January 2021
What this trial tests

Phase 3 trial testing ketamine sedation versus midazolam sedation in Cognitive Dysfunction in 68 participants. Status unknown.

Timeline
24 January 2021
Primary endpoint
15 May 2021
20 June 2021

Quick facts

Lead sponsorUniversidad de Colima
PhasePhase 3
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment68
Start date24 January 2021
Primary completion15 May 2021
Estimated completion20 June 2021
Sites1 location across Mexico

Drugs / interventions tested

Conditions studied

Sponsor

Universidad de Colima — full company profile →

Who can join

Adults 60 to 85, any sex, with Cognitive Dysfunction. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Deterioration of posoperative cognitive function (DCPO) is an intermediate state between normal cognitive aging and dementia, defined as a cognitive alteration greater than expected for the patient's age and educational level, but which doesn't interfere with the activities of daily life, in its evolution it can lead to dementia or it can present reversal of the deterioration with return to a normal cognitive state, or a stabilization with permanence in a state of moderate alteration. In general, higher cognitive function can be affected by organic or functional problems, anesthetic-surgical, diseases associated with the elderly and / or chronic-degenerative comorbidities. Older patients who undergo regional anesthesia have special interest, the adverse cardiovascular effects, or prolonged sedation due to a pharmacokinetics that is altered by age, call special attention to reduce complications in the postoperative period. In 2010 at the Siglo XXI Hospital in Mexico City, the 68-year-old population attended was 30% of those with postoperative cognitive dysfunction 26% a week, and 10% persistence at 3 months. The DSM V recommends a neuropsychiatric, psychological and cognitive evaluation of the patient in the postoperative period, through tests such as the Mini Mental State Examination. sub-anesthetic doses of ketamine have been recently proposed to reduce the postoperative markers of inflammation, pain and opioids, in addition to having an antidepressant effect. There is a pharmacological rationale for using ketamine as a preventative measure against postoperative delirium based on its N-methyl-D-aspartate (NMDA) antagonism, It has the potential to protect against such neurological injury.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other recruiting trials for Cognitive Dysfunction

Currently open trials in the same condition.

Other Universidad de Colima trials

Trials by the same sponsor.

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Data sources for this page

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