Could a common sedative shield aging brains from Post-Surgery delirium?
NCT ID NCT05168280
First seen Aug 28, 2026 · Last updated Aug 28, 2026
Summary
This trial tests whether giving the sedative dexmedetomidine during brain surgery can prevent postoperative delirium in patients aged 65 and older. Delirium, a state of sudden confusion and altered awareness, affects up to 22% of people after neurological procedures. Researchers will compare patients who receive the drug with those who get a placebo, and they will check for delirium using standard assessment tools in the days after surgery.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dexmedetomidine, a sedative drug given through an IV during surgery
- What this could lead to
- If it works, this could offer a simple way to protect older patients from confusion and memory problems after brain surgery.
- What could go wrong
- This is an early-stage trial, and the drug may not reduce delirium in this specific group. Dexmedetomidine can also cause low blood pressure or a slow heart rate.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
420 people
The number who actually took part.
- Started
-
Jul 2022
- Finished
-
Jun 2026
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
65 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients undergoing selective craniotomy. * Age ≥65 years. * Obtain written informed consent. Exclusion Criteria: * Operation time less than 2 hours. * Refusal to provide written informed consent. * Cognitive impairment before surgery(mini-mental state examination, MMSE ≤ 26 or Montreal Cognitive Assessment, MoCA≤22). * Allergic to the study drug. * Body mass index ≤18 or ≥ 30 kg/m2. * History of psychotropic drugs, anticholinergic drugs, antihistamine drug and dopaminergic drugs. * History of traumatic brain injury or neurosurgery. * Severe bradycardia (heart rate less than 40 beats per minute), sick sinus syndrome or second-to-third degree atrioventricular block. * Severe liver dysfunction (Child-Pugh grade C) or renal failure (requiring kidney replacement therapy). * The functional neurosurgery.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Beijing Tian Tan Hospital, Capital Medical University
Beijing, Beijing Municipality, 100070, China
-
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a Mini-Dose drug combo rescue Post-Surgery sleep for sleep apnea patients?
- Can a nasal spray calm nerves before brain surgery?
- Could a sleep drug shield older hearts from post-surgery delirium?
- Brain surgery for Parkinson's: can we foresee the confusion that follows?
- A simple care plan may shield older brains after surgery