Use Dexmedetomidine To Protect Myocardial Injury Evaluation
NCT07549282 · Status: NOT_YET_RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 1800
Last updated 2026-04-24
Summary
The goal of this clinical trial is to learn if preoperative intranasal dexmedetomidine works to reduce perioperative myocardial injury and myocardial infarction in patients undergoing elective percutaneous coronary intervention (PCI). It will also learn about the safety of intranasal dexmedetomidine. The main questions it aims to answer are:
Does preoperative intranasal dexmedetomidine lower the incidence of perioperative myocardial injury and myocardial infarction after PCI? Does intranasal dexmedetomidine cause safety concerns in patients undergoing PCI? Researchers will compare intranasal dexmedetomidine to a placebo (a look-alike substance that contains no drug) to see if intranasal dexmedetomidine works to protect the heart during PCI.
Participants will:
Receive either intranasal dexmedetomidine (100 μg) or a placebo (normal saline) 15 minutes before the PCI procedure Undergo blood tests to measure cardiac troponin levels before and after the procedure Be followed for up to 30 days after the procedure to record any heart-related events or side effects
Conditions
- Coronary Heart Disease
- Myocardial Injury
- Myocardial Infarction
- Dexmedetomidine
Interventions
- DRUG
-
Intranasal Dexmedetomidine
The subjects received intranasal dexmedetomidine (100 μg, sprayed equally into both nostrils, two sprays per nostril) 15 minutes before surgery in the preoperative preparation area.
- DRUG
-
Normal saline
The subjects were given an equal volume of normal saline intranasally, which contained no active ingredient.
Sponsors & Collaborators
-
Second Affiliated Hospital, School of Medicine, Zhejiang University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-30
- Primary Completion
- 2028-01-31
- Completion
- 2028-04-30
Countries
- China
Study Locations
More Related Trials
-
Dexmedetomidine's Cardiac and Cognitive Influence on Patients Undergoing Off-pump Coronary Artery Bypass Graft Surgery
NCT01704092 ·Status: UNKNOWN
-
Effect of Dexmedetomidine on Central Nervous System Complications in Patients Undergoing Cardiac Surgery
NCT06551259 ·Status: COMPLETED ·Phase: PHASE4
-
The Effects of Dexmedetomidine on Microcirculation and Surgical Outcomes After Cardiac Surgeries
NCT02786212 ·Status: COMPLETED ·Phase: NA
-
Safety Exploration and Evaluation of Dexmedetomidine Hydrochloride Nasal Spray for Pre-anesthesia Sedation in Low-Monitoring Settings
NCT07298525 ·Status: NOT_YET_RECRUITING ·Phase: PHASE4
-
Effect of Dexmedetomidine Preconditioning on Myocardial Ischemia-reperfusion Injury in Patients Undergoing Open Heart Surgery With Cardiopulmonary Bypass
NCT05598177 ·Status: COMPLETED ·Phase: PHASE4
-
Dexamethasone for Cardiac Surgery Trial
NCT00293592 ·Status: COMPLETED ·Phase: NA
-
Effect of Dexmedetomidine on Hemodynamics in Cardiac Surgery
NCT06958913 ·Status: COMPLETED ·Phase: NA
-
Dexmedetomidine and Myocardial Protection
NCT04871308 ·Status: COMPLETED ·Phase: NA
-
Dexmedetomidine in Off Pump Coronary Artery Bypass Grafting
NCT05577871 ·Status: UNKNOWN ·Phase: NA
-
Perioperative Dexmedetomidine and 30-Day Outcomes After Adult Cardiac Surgery
NCT07249164 ·Status: COMPLETED
-
Dexmedetomidine for Attenuation of Pressor Response
NCT06592027 ·Status: COMPLETED ·Phase: PHASE4
-
Transesophageal Echocardiographic Evaluation of the Effect of Dexmedetomidine Infusion as an Adjuvant to General Anesthesia on the Cardiac Function
NCT02300649 ·Status: COMPLETED ·Phase: NA
-
Dexmedetomidine Influence on the Level of Perioperative Blood Glucose and Insulin of Elderly Diabetes Patients
NCT02154074 ·Status: UNKNOWN ·Phase: PHASE4
-
Role of Nebulized Dexmedetomidine in Blunting the Effects of Direct Laryngoscopy and Endotracheal Tube on Heart Rate and Blood Pressure.
NCT06103721 ·Status: RECRUITING ·Phase: PHASE4
-
Protective Effects of Dexmedetomidine on Myocardial Injury During Liver Transplantation
NCT03013634 ·Status: UNKNOWN ·Phase: NA
-
Efficacy and Safety of Dexmedetomidine in the Analgesic Prophylaxis , in Patients Undergoing Cardiovascular Surgery
NCT05079672 ·Status: UNKNOWN ·Phase: PHASE4
-
Small-dose Dexmedetomidine Effects on Recovery Profiles of Supratentorial Tumors Patients From General Anesthesia
NCT02007798 ·Status: UNKNOWN ·Phase: NA
-
Medical Records Investigation of Whether Perioperative Dexmedetomidine Will Reduce the Duration of Mechanical Ventilation or Hospital Length of Stay in Patients Undergoing Minimally Invasive Cardiac Surgery
NCT05038111 ·Status: COMPLETED
-
Role of Dexmedatomidine Drug in Prevention of Atrial Fibrillations Post Mitral Valve Surgery
NCT07482540 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Remifentanil Versus Dexmedetomidine for Post-Cardiac Surgery Patients With Noninvasive Ventilation Intolerance
NCT03395886 ·Status: COMPLETED
-
Dexmedetomidine for the Control of Post-Operative Pain in Thoracotomy Patients
NCT00345384 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Observation of the Effect of Preoperative Use of Dexmedetomidine Hydrochloride Nasal Spray on Optimizing Awake Sedation During Breast-Conserving Surgery for Breast Cancer and Postoperative Awake Status
NCT07350928 ·Status: RECRUITING ·Phase: PHASE3
-
Effect of Intraoperative Dexmedetomidine on Lung Protection Following Thoracic Aorta Surgery With Hypothermic Circulatory Arrest: a Randomized Clinical Trial
NCT02678728 ·Status: COMPLETED ·Phase: PHASE4
-
Do Increasing Preoperative Timing of Single Dexmedetomidine Dose Have an Effect on Stress Response of Laryngoscopy and Intubation?
NCT07165483 ·Status: RECRUITING ·Phase: NA
-
Effect of Perioperative Dexmedetomidine on Chronic Post-Surgical Pain
NCT06849466 ·Status: ENROLLING_BY_INVITATION ·Phase: PHASE4