Sleep drug may shield Seniors' brains after heart surgery
NCT ID NCT06192615
First seen Jun 25, 2026 · Last updated Sep 15, 2026 · Updated 5 times
Summary
This study tests whether a drug called dexmedetomidine, which promotes sleep, can prevent delirium (sudden confusion) in patients aged 60 and older after heart surgery. Delirium is common in the ICU and can lead to longer hospital stays and worse recovery. The trial will compare the drug to a placebo in 1800 participants to see if it helps protect brain function.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Dexmedetomidine (Precedex)
- What this could lead to
- If it works, this could provide a way to prevent delirium and improve recovery in older adults after heart surgery.
- What could go wrong
- This is a large phase 3 trial, but delirium is complex and the drug may not work for everyone. Side effects like low blood pressure or slow heart rate are possible.
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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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 1,800 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2025
- Expected to finish
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Mar 2029
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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60 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.
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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: * Aged 60 years or older * Scheduled to undergo a cardiac surgical procedure with cardiopulmonary bypass * Planned postoperative admission to the intensive care unit (ICU) Exclusion Criteria: * Allergy or hypersensitivity to dexmedetomidine or the placebo study medication * Preexisting diagnosis of Alzheimer's Disease or Related Dementia, severe cognitive impairment or delirium at baseline * Severe liver failure (Child-Pugh score \> 5) * Severe deficit(s) due to structural or anoxic brain damage * Undergoing a surgical procedure requiring total circulatory arrest * SARS-CoV-2 positive or symptomatic (e.g., fever, cough, loss of taste/smell) * Blind, deaf, or unable to communicate in English * Patients experiencing circumstances for which long-term follow-up might be difficult (e.g., homelessness, active psychotic disorder, or substance abuse) * Co-enrollment in other interventional studies that, in the opinion of the site investigator and/or PI, might interfere with study participation, collection, or interpretation of the study data
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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
14 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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Beth Israel Deaconess Medical Center
RECRUITINGBoston, Massachusetts, 02215, United States
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Brigham and Women's Hospital
RECRUITINGBoston, Massachusetts, 02215, United States
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Cedars-Sinai Medical Center
NOT_YET_RECRUITINGLos Angeles, California, 90048, United States
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Columbia University Medical Center
RECRUITINGNew York, New York, 10032, United States
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Duke University Hospital
RECRUITINGDurham, North Carolina, 27710, United States
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Montefiore Medical Center
RECRUITINGThe Bronx, New York, 10467, United States
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Northwestern University Feinberg School of Medicine
RECRUITINGChicago, Illinois, 60611, United States
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University of California San Francisco
RECRUITINGSan Francisco, California, 94117, United States
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University of Iowa Carver College of Medicine
RECRUITINGIowa City, Iowa, 522421320, United States
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University of Maryland School of Medicine
RECRUITINGBaltimore, Maryland, 21201, United States
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University of Nebraska Medical Center
RECRUITINGOmaha, Nebraska, 68198, United States
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Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232, United States
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Washington University School of Medicine
RECRUITINGSt Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could a quieter, dimmer ICU protect Patients' brains?
- Can a daily supplement shield the brain after delirium?
- Brain surgery delirium: can real-time monitoring protect older patients?
- Could daylight hold the key to preventing delirium?
- Can sensory therapy calm Dementia-Related agitation in hospitals?
- A new care routine aims to shield aging hearts and minds in the ICU