Can a common sedative calm ICU delirium without a breathing tube?
NCT ID NCT03317067
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether the sedative dexmedetomidine can reduce how long non-intubated ICU patients experience agitated delirium. Researchers randomly gave 168 patients either dexmedetomidine or a placebo. The goal was to see if the drug shortens agitation and delirium, and reduces the need for breathing tubes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- dexmedetomidine
- What this could lead to
- If it works, this could offer a way to calm agitated ICU patients without needing a breathing tube, potentially shortening their hospital stay.
- What could go wrong
- This is a relatively small, early-phase trial, so results may not apply to all ICU patients. Dexmedetomidine can cause low blood pressure or 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
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
168 people
The number who actually took part.
- Started
-
Dec 2017
- Finished
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Feb 2023
- 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
-
18 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: * • Age \> 18 years * Patient hospitalized in an ICU * Presenting a productive delirium according to the following criteria: * acute onset (\<2h) and fluctuating course during the same day * alteration of cognitive functions: disorganization of thought (delirium of persecution, inability to reason logically), abnormal perceptions (hallucinations), memory impairments, temporal disorientation, non- or misrecognitions, difficulties in naming objects or writing) * in whom a simple cropping and non-medicated therapeutics are not sufficient to allow symptoms' resolution for few hours * CAM-ICU positive AND a RASS \> +1 * Non-intubated or extubated (\> 24h) * No contraindication of dexmedetomidine or haloperidol uses Exclusion Criteria: * • Age \<18 years * Administration of dexmedetomidine and/or clonidine during the 72 hours before inclusion * Contraindication to the use of Dexmedetomidine, clonidine or haloperidol (history of allergy, Parkinson's disease, oro-pharyngeal dysfunction, arterial hypotension or bradycardia, QTc interval prolongation, and hepatic or renal dysfunction), as mentioned in the Summaries of Product Characteristics * Neuropsychiatric pathology judged by the investigator as a potential source of bias (in particular: active drug addiction, psychosis...) * Parturient or breast-feeding woman * Protected major (guardianship) * Patient's or relative's refusal to participate
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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
-
CHU Clermont-Ferrand
Clermont-Ferrand, 63003, France
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Other studies related to the condition(s) this trial covers.
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