Could a sleep drug shield older hearts from post-surgery delirium?
NCT ID NCT02856594
First seen Sep 01, 2026 · Last updated Sep 02, 2026 · Updated 1 time
Summary
This trial tests whether giving dexmedetomidine, a sedative, at night can help older adults sleep and reduce the risk of delirium after cardiac surgery. Participants are 60 or older and scheduled for heart surgery with a planned ICU stay. Half receive the drug, half receive a placebo, and researchers track delirium, coma-free days, and survival over time.
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 given by IV at night to promote sleep
- What this could lead to
- If effective, this could offer a simple way to reduce delirium and improve recovery in older adults after heart surgery.
- What could go wrong
- The trial is in Phase 2/3, so results are not yet confirmed. Dexmedetomidine may cause side effects like low blood pressure or slow heart rate, and its benefit over placebo is uncertain.
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
-
Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
-
469 people
The number who actually took part.
- Started
-
Mar 2017
- Finished
-
Feb 2022
- 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
-
60 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Accepted
You do not need to have the condition being studied to take part.
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: * Age ≥ 60 * Scheduled for a cardiac surgical procedure with planned post-operative admission to the CSICU for ≥ 24 hours * Scheduled same day surgical admission Exclusion Criteria: * Blind, deafness or the inability to speak English * Greater than 2 days of ICU admission in the month preceding the current surgical procedure * Renal and liver failure requiring dialysis or Child-Pugh score \> 5 * Follow-up difficulties (i.e. active substance abuse, psychotic disorder, homelessness) * Previous cardiac surgery within 1 year of surgical procedure * Allergy to dexmedetomidine * Chronic therapy with benzodiazepines and/or antipsychotics * Severe deficit due to structural or anoxic brain damage * Surgical procedure requiring total circulatory arrest Objective Drop Criteria * Scheduled for a second surgical procedure during hospital stay * Post-operative intubation \> 12 hours
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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
-
Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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