A tiny dose of an old drug might stop Post-Surgery brain fog in seniors
NCT ID NCT05401058
First seen Aug 12, 2026 · Last updated Aug 13, 2026 · Updated 1 time
Summary
This trial tests whether a single low dose of droperidol, given just before the end of surgery, can prevent postoperative delirium—a state of confusion and disorientation—in adults aged 65 and older undergoing non-cardiac surgery. About 800 participants will receive either droperidol or a placebo injection, and researchers will track delirium rates, severity, hospital stay, and cognitive function over six months. If it works, this could offer a simple preventive strategy to protect older patients' mental clarity after major operations.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- droperidol (a low-dose antipsychotic medication given by injection before the end of surgery)
- What this could lead to
- If effective, this could offer a simple, low-cost way to prevent postoperative delirium in older adults, potentially improving recovery and quality of life after surgery.
- What could go wrong
- The trial is still in progress, and results may not confirm a benefit. Droperidol can have side effects, including heart rhythm changes, and its use in this setting needs careful evaluation.
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
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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
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797 people
The number who actually took part.
- Started
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Nov 2022
- Finished
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Jul 2025
- 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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65 years and older
- 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: * Age≥65 years * American Society of Anesthesiologists (ASA): I-III * Planning to undergo elective non-cardiac surgery under general anesthesia with endotracheal intubation, including digestive, orthopedic, urologic and gynecological surgery * Estimated operation time more than 2 hours * Not expected to be admitted to ICU postoperatively * Proficient in Chinese * Informed consent Exclusion Criteria: * Morbid obesity with BMI \>35 kg/m2; * History of psychological and neurological diseases, such as depression, schizophrenia, epilepsy, severe central nervous system depression, Parkinson's disease, Alzheimer's disease, myasthenia gravis, basal ganglia disease, etc; * Corrected QT (QTc) of electrocardiogram\> 500ms; * Preoperative liver insufficiency (Child Pugh grade C); * End-stage renal disease requiring dialysis; * Severe heart failure \[Metablic equivalent (METs)\<4\]; * Allergic to droperidol; * Inability to communicate due to coma or dementia in preoperative period; * Preoperative delirium, assessed by 3D-CAM; * More than three standard alcoholic drinks per day (≈10 g alcohol , equivalent to 50 g of strong Chinese spirits); * Participating in conflicting clinical trials; * Expected to have an additional operation within 7 days after the index operation.
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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
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Cancer Hospital Chinese Academy of Medical Sciences
Beijing, China
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ChangHai Hospital
Shanghai, China
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Henan Provincial People Hospital
Zhengzhou, Henan, China
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Peking University International Hospital
Beijing, China
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Renji Hospital, Shanghai Jiaotong University School of Medicine
Pudong, Shanghai Municipality, 200127, China
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Second hospital of Shanxi Medical University
Taiyuan, Shanxi, China
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Sichuan Academy of Medical Sciences - Sichuan Provincial People's Hospital (SAMSPH)
Chengdu, Sichuan, China
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The First Affiliated Hospital of Chongqing Medical University
Chongqing, China
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The first Affiliated Hospital of Anhui Medical University
Hefei, Anhui, China
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