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NCT04219735

Effect of Minocycline on Delirium Incidence in Critically Ill Patients

Completed Phase 2 Last updated 31 May 2022
What this trial tests

Phase 2 trial testing Minocycline in Delirium in 160 participants. Completed in 30 November 2021.

Timeline
30 January 2020
Primary endpoint
30 November 2021
30 November 2021

Quick facts

Lead sponsorUniversidade do Extremo Sul Catarinense - Unidade Academica de Ciecias da Saude
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingquadruple
Primary purposeprevention
Enrollment160
Start date30 January 2020
Primary completion30 November 2021
Estimated completion30 November 2021
Sites1 location across Brazil

Drugs / interventions tested

Conditions studied

Sponsor

Universidade do Extremo Sul Catarinense - Unidade Academica de Ciecias da Saude — full company profile →

Who can join

18 and older, any sex, with Delirium or Coma. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Delirium is a disorder of consciousness characterized by an acute onset and fluctuating course of impaired cognitive functioning. It is associated with unfavorable outcomes in hospitalized patients, including longer hospital length of stay, need for subsequent institutionalization and higher mortality rates. Patients in the intensive care unit (ICU) under mechanical ventilation and older age are at higher risk for the development of delirium. Several studies suggest that minocycline, through its anti-inflammatory effect, was able to prevent neuronal dysfunction in different models of ICU-related diseases. Thus, the present study aimed to evaluate the effect of minocycline on delirium development in critically ill patients. Patients will be randomized into one of two groups: the intervention group that will receive 100mg of minocycline 2 times a day and the placebo group. Medication or placebo will be continued for 28 days or until ICU discharge (whichever occurs first). Delirium will be diagnosed by the CAM-ICU. Coma will be defined by the Richmond Agitation-Sedation Scale (RASS) score of -4 or -5 and biomarkers will be used as alternative outcomes related to the pathophysiology of the disease (IL-1, IL-6, IL-10, and BDNF).

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Prophylactic Minocycline for Delirium in Critically Ill Patients: A Randomized Controlled Trial.
    Dal-Pizzol F, Coelho A, Simon CS, Michels M, et al · · 2024 · cited 14× · PMID 38043911 · DOI 10.1016/j.chest.2023.11.041

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