Can a simple puff before surgery keep kids breathing safely?
NCT ID NCT06624696
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether inhaling a drug called penehyclidine hydrochloride before surgery can prevent breathing complications in children aged 3 to 7 who are at higher risk. The trial involves 204 kids undergoing minor eye surgery with sevoflurane anesthesia. Researchers will compare the rate of breathing problems like coughing, airway blockage, or spasms between those who get the drug and those who get a placebo.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 204 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2024
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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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
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3 to 7 years
- Sex
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Anyone
- Healthy volunteers
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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: 1. Pediatric patients aged 3 to 7 years. 2. Scheduled to undergo ophthalmic surgery. 3. Judged to be at risk of PRAEs (with at least one parentally reported risk factor for the PRAEs, including history of a recent cold, wheezing during exercise, wheezing more than three times in the past 12 months, nocturnal dry cough, eczema, or a family history of asthma, rhinitis, eczema, or exposure to passive smoke). Exclusion Criteria: 1. American Society of Anesthesiologists (ASA) physical classification ≥ IV. 2. Known cardiopulmonary diseases (eg. uncorrected congenital heart disease, primary or secondary pulmonary hypertension, tumors, or structural lung diseases). 3. Severe renal dysfunction (requirement of renal replacement therapy) or severe hepatic dysfunction (Child-Pugh grade C); 4. Neurological disorders. 5. Neuromuscular diseases. 6. Contraindication for PHC. 7. Inhalation of β2-receptor activator, M-receptor blockers and/or glucocorticoids within 1 month before surgery. 8. Allergy to anticholinergic drugs. 9. Use of endotracheal tube (ETT) for ventilation. 10. Known difficult airway. 11. Severe upper respiratory tract infections (URTIs) and the anesthesiologist recommended delaying surgery. 12. Participation in other clinical trial during the last month or within the six half-life periods of the study drug used in the last trial. 13. Parents refusing to allow their children to participate. 14. Obesity, with a body mass index (BMI) over 95th percentile according to the WHO guideline.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
2 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Shenzhen Eye Hospital
RECRUITINGShenzhen, Guangdong, 518040, China
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Zhongshan Ophthalmic Center, Sun Yat-sen University
RECRUITINGGuangzhou, Guangdong, 510060, China
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