Simple sedative may shield seniors from Post-Surgery confusion
NCT ID NCT06963112
First seen Jun 27, 2026 · Last updated Sep 03, 2026 · Updated 4 times
Summary
This study tests whether giving a small amount of the sedative midazolam during anesthesia can lower the risk of delirium (sudden confusion) and anxiety in older adults after surgery. About 612 patients aged 65-85 having non-heart, non-brain surgery will be randomly assigned to receive either midazolam or a placebo. The goal is to see if this common drug can help prevent mental side effects after an operation.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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612 people
The number who actually took part.
- Started
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Sep 2025
- Finished
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Jun 2026
- 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 to 85 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. 65 ≤ Age ≤ 85 years old; 2. Elective surgery under general anesthesia, with an estimated surgery time of ≥ 2 hours; 3. Non cardiac surgery, non neurosurgical surgery; 4. ASA grades I-III; 5. Agree to participate and sign the informed consent form; Exclusion Criteria: 1. Preoperative history of comorbidities such as depression and schizophrenia; 2. History of neurological disorders, moderate stroke; 3. Long term use of benzodiazepines before surgery; 4. BMI≤18.5/BMI≥30 kg/m2 5. There is cognitive impairment, which is determined based on Mini Mental State Examination (MMSE) scores below the standard threshold; 6. There are communication barriers, such as severe dementia, language barriers, and severe hearing or visual impairments; 7. There are any contraindications for the use of midazolam (contraindications for patients with severe respiratory dysfunction, patients with severe liver and kidney damage, patients with sleep apnea syndrome, and patients known to be allergic to benzodiazepines); 8. Preoperative severe liver and kidney dysfunction; 9. Patients expected to enter the ICU after surgery;
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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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Changhai Hostpital of Navy Medical University
Shanghai, China
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China-Japan Union Hospital of Jilin University
Jilin City, China
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Chinese PLA General Hospital
Beijing, 100853, China
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The First Affiliate Hospital of Guangxi Medical University
Guangxi, Guangxi, China
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The Second Norman Bethune Hospital of Jilin University
Jilin City, China
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