The use of intranasal dexmedetomidine for pediatric sedation in non-invasive radiological procedures

2025-522778-34-00 Therapeutic exploratory (Phase II) Authorised, recruitment pending

Status Authorised, recruitment pending · 1 EU/EEA countries · 1 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Authorised, recruitment pending
Participants planned 100
Countries 1
Sites 1

Sedation in healthy children

Success rate of intranasal dexmedetomidine

Key facts

Sponsor
Universitair Ziekenhuis Antwerpen
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03]
Decision date (initial)
2025-11-07
Transition trial
No
Low-intervention
Yes
Rare-disease indication
No
Vulnerable population
No
Funding sources
University Hospital Antwerp

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Safety

Success rate of intranasal dexmedetomidine

Secondary objectives 6

  1. Success rate after one dose of intranasal dexmedetomidine
  2. Success rate after an additional dose of 1 µg/kg of intranasal dexmedetomidine
  3. Success rate of intranasal dexmedetomidine per procedure
  4. Influencing factor for success rate
  5. Prevalence of side effects after one dose of intranasal dexmedetomidine
  6. Prevalence of side effects after an additional dose of dexmedetomidine

Conditions and MedDRA coding

Sedation in healthy children

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 4

  1. Age 6 months - 12 years
  2. Weight < 30 kg
  3. Indication for non-invasive radiological procedure
  4. ASA I or II

Exclusion criteria 19

  1. Age < 6 months
  2. Age > 12 years
  3. Hypersensitivity to any of the substances of the product
  4. Drug allergy
  5. Grade 2 or 3 heart block (unless paced)
  6. Taking medicine with rate slowing action on AV-node? For example: digoxin, beta-adrenergic blockers, calcium channel blockers, monoamine oxidase inhibitor or other agents that predispose to bradycardia or hypotension
  7. Uncontrolled chronic hypertension/hypotension
  8. Congenital cardiac problems
  9. Decreased cardiac output
  10. Acute cerebrovascular conditions
  11. ASA III or IV status
  12. Hepatic abnormalities
  13. Central nervous system dysfunction
  14. Spinal cord injuries
  15. Respiratory dysfunction
  16. Increased pulmonary artery pressure
  17. Renal dysfunction
  18. Septic shock
  19. Risk of difficult intubation

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. Success rate after one dose of intranasal dexmedetomidine

Secondary endpoints 7

  1. Success rate after an additional dose of intranasal dexmedetomidine (when adequate sedation is not reached after the first dose)
  2. Time to the onset of sedation after the first administration of intranasal dexmedetomidine (minutes)
  3. Duration of the sedation (minutes)
  4. Duration of the procedure (minutes)
  5. Waiting time until procedure (minutes)
  6. Total length of hospital stay (minutes)
  7. Prevalence of side effects

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Dexmedetomidine 100 micrograms/ml concentrate for solution for infusion

PRD10126121 · Product

Active substance
Dexmedetomidine
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRANASAL USE
Max daily dose
200 µg microgram(s)
Max total dose
200 µg microgram(s)
Max treatment duration
1 Day(s)
Authorisation status
Authorised
ATC code
N05CM18 — -
Marketing authorisation
PL 03551/0161
MA holder
B.BRAUN MELSUNGEN AG
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Universitair Ziekenhuis Antwerpen

4 Total trials 1 Recruiting
Academic / Non-commercial
Sponsor organisation
Universitair Ziekenhuis Antwerpen
Address
Drie Eikenstraat 655
City
Edegem
Postcode
2650
Country
Belgium

Scientific contact point

Organisation
Universitair Ziekenhuis Antwerpen
Contact name
Sophie Rutten

Public contact point

Organisation
Universitair Ziekenhuis Antwerpen
Contact name
Sophie Rutten

Locations

1 EU/EEA country · 1 investigational sites

By country

CountryMS statusPlanned subjectsSites
Belgium Authorised, recruitment pending 100 1
Rest of world 0

Investigational sites

Belgium

1 site · Authorised, recruitment pending
Universitair Ziekenhuis Antwerpen
Pediatrics, Drie Eikenstraat 655, 2650, Edegem

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 11 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol EU CT number 2025-522778-34-00 2.1.
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) L1_SIS and ICF adults Dutch 2.0.
Subject information and informed consent form (for publication) L1_SIS and ICF adults English 2.0.
Subject information and informed consent form (for publication) L1_SIS and ICF children 4-6 yr Dutch 2.0.
Subject information and informed consent form (for publication) L1_SIS and ICF children 6-12 yr Dutch 2.0.
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC dexmedetomidine 1
Synopsis of the protocol (for publication) D1_Protocol synopsis Dutch EU CT number 2025-522778-34-00 1
Synopsis of the protocol (for publication) D1_Protocol synopsis English EU CT number 2025-522778-34-00 1
Synopsis of the protocol (for publication) D1_Protocol synopsis French EU CT number 2025-522778-34-00 1
Synopsis of the protocol (for publication) D1_Protocol synopsis German EU CT number 2025-522778-34-00 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-08-19 Belgium Acceptable with conditions
2025-11-07
2025-11-07