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Respiratory Function TestsNCT06207331

Effects of Atomized Dexmedetomidine on Lung Function in Patients With Chronic Obstructive Pulmonary Disease

A study testing Dexmedetomidine 0.5 μg/kg, Dexmedetomidine 1 μg/kg and Saline in people with Respiratory Function Tests and Chronic Obstructive Pulmonary Disease, run by The Second Affiliated Hospital of Chongqing Medical University at 1 site in China.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

Studies have shown that intravenous infusion and nebulized dexmedetomidine can improve lung function in mechanically ventilated patients, including those with preoperative COPD, exerting lung protection. Read more about this study

Who is it for?
Ages 40 to 80 years
What is being tested?
Dexmedetomidine 0.5 μg/kg, Dexmedetomidine 1 μg/kg and Saline
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
6 participants
Where
1 siteChina
Study dates
28 Oct 2023to 30 Jun 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients with diagnosed COPD who are scheduled to undergo elective surgery (FEV1/FVC ratio< 0.70)
  • Patients with mild, moderate, and severe COPD (FEV1≥30% predicted)
  • Age ≥ 40 years old, ≤ 80 years old
  • American Society of Anesthesiologists (ASA) Physical Situation Grading I-III
  • Able to cooperate with the experiment, voluntarily participate and be able to understand and sign the informed consent form

Who cannot join

  • Obese patients (BMI>28 kg/m2)
  • Patients with grade 3 hypertension (systolic blood pressure ≥180 mmHg and/or diastolic blood pressure ≥110 mmHg)
  • Patients with myocardial infarction and shock in the past 3 months
  • Patients with unstable angina pectoris with NYHA heart function grade III or IV in the last 4 weeks
  • Tachycardia (heart rate >120 beats/min), bradycardia (heart rate <45 beats/min), and degree II or III atrioventricular block
  • Patients with severe or uncontrolled bronchial asthma, pulmonary infection, bronchiectasis, thoracic malformation, pneumothorax, hemothorax, giant pulmonary bulla, and massive hemoptysis in the last 4 weeks
Show all 15Show fewer
  • Pulmonary artery pressure ≥60 mmHg
  • Patients with Child B or C liver function
  • Patients with stage 4 or 5 chronic kidney disease
  • Patients with hyperthyroidism and pheochromocytoma
  • Patients with seizures requiring medication
  • Pregnant women
  • Patients with tympanic membrane perforation
  • Patients allergic to dexmedetomidine;
  • For any reason, it is not possible to cooperate with the study or the researcher considers it inappropriate to be included in this experiment

Trial locations and contacts

1 site in 1 country.

China1 site
  • The Second Affiliated Hospital of Chongqing Medical University

    Chongqing, Chongqing Municipality, 400000

Other trials in China

About this study

Studies have shown that intravenous infusion and nebulized dexmedetomidine can improve lung function in mechanically ventilated patients, including those with preoperative COPD, exerting lung protection. However, these studies are based on mechanical ventilation patients under general anesthesia, and more intuitive research is needed on whether dexmedetomidine can also exercise pulmonary precaution in awake patients. Pulmonary function monitoring is the most direct way to evaluate changes in lung function in awake patients. Portable pulmonary function machines can assess lung function in a variety of settings. In addition, compared with intravenous administration, nebulized inhalation administration directly acts on the mucosa of the respiratory tract, does not involve invasive operations, and has higher safety and comfort. Therefore, this study intends to use portable pulmonary function instruments and non-invasive ambulatory respiratory monitors to evaluate the effect of nebulized dexmedetomidine on lung function in COPD patients to guide the perioperative management of COPD patients.

Read the detailed description

Chronic obstructive pulmonary disease (COPD) is a common respiratory disease that seriously endangers the physical and mental health of patients. Surgical patients with COPD will increase the risk of postoperative pulmonary complications and the risk of complications of extrapulmonary organs such as heart and kidney, and lead to prolonged hospital stay, increased medical costs, and increased perioperative mortality. Therefore, it is necessary to explore drugs with lung protection effects to improve the perioperative safety of COPD patients.

Dexmedetomidine (Dex) is a new type of highly selective α2-adrenergic receptor agonist, which has the effects of sedative-hypnotic, anti-inflammatory, stress reduction, hemodynamic stabilization, analgesia, and organ protection, and has little inhibitory effect on respiratory function. In recent years, studies have found that dexmedetomidine may have the effect of improving lung function. In addition, human studies have found that intravenous infusion of dexmedetomidine (loading dose 0.5 to 1 μg/kg or 0.5 to 0.7 μg/kg/hour) can reduce inflammation levels, improve oxidative stress, reduce plateau pressure, peak airway pressure, airway resistance, and improve lung compliance, thereby improving oxygenation and postoperative pulmonary complications, and promoting patient recovery. In obese patients undergoing laparoscopic gastric reduction, intraoperative intravenous dexmedetomidine infusion (loading dose of 1 μg/kg, followed by 1 μg/kg/hour) improves lung compliance and oxygenation. One study found that intraoperative intravenous infusion of dexmedetomidine (loading dose of 1 μg/kg, followed by 0.5 μg/kg/hour) increased forced expiratory volume in one second and improved postoperative oxygenation on days 1 and 2 after one-lung ventilation. Another study found that nebulized inhalation of 0.5 μg/kg, 1 μg/kg, and 2 μg/kg dexmedetomidine in one-lung ventilation for thoracic surgery improved lung compliance and oxygenation.

These studies have shown that intravenous infusion and nebulized dexmedetomidine can improve lung function in mechanically ventilated patients, including those with preoperative COPD, exerting lung protection. However, these studies are based on mechanical ventilation patients under general anesthesia, and more intuitive research is needed on whether dexmedetomidine can also exercise pulmonary precaution in awake patients. Pulmonary function monitoring is the most direct way to evaluate changes in lung function in awake patients. Portable pulmonary function machines can assess lung function in a variety of settings. In addition, compared with intravenous administration, nebulized inhalation administration directly acts on the mucosa of the respiratory tract, does not involve invasive operations, has limited effect, high safety, fewer side effects, and higher comfort. Therefore, this study intends to use portable pulmonary function instruments and non-invasive ambulatory respiratory monitors to evaluate the effect of nebulized dexmedetomidine on lung function in COPD patients to guide the perioperative management of COPD patients.

Being tested
Dexmedetomidine 0.5 μg/kg, Dexmedetomidine 1 μg/kg, Saline
Medical subject headings
Pulmonary Disease, Chronic Obstructive

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dexmedetomidine 0.5 μg/kgDrug

    Also called Dexmedetomidine Hydrochloride

    Participants inhale the atomized 0.5 μg/kg dexmedetomidine in 2 ml of 0.9% saline.

  • Dexmedetomidine 1 μg/kgDrug

    Also called Dexmedetomidine Hydrochloride

    Participants inhale the atomized 1 μg/kg dexmedetomidine in 2 ml of 0.9% saline.

  • SalineDrug

    Also called Normal Saline

    Participants inhale atomized 2 ml 0.9% saline.

Study groups in NCT06207331
Study groupRoleWhat they receive
Dexmedetomidine 0.5 μg/kgExperimentalParticipants inhale 0.5 μg/kg dexmedetomidine prepared in 2 ml 0.9% saline.
Dexmedetomidine 1 μg/kgExperimentalParticipants inhale 1 μg/kg dexmedetomidine prepared in 2 ml 0.9% saline.
PlaceboPlacebo comparatorParticipants inhale 2 ml atomized 0.9% saline.
Receives: Drug: Saline

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. FVC

    Forced vital capacity

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

Secondary outcomes (18)
  1. FEV1

    Forced expiratory volume in one second

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  2. FEV1/FVC%

    Forced expiratory volume in one second/Forced vital capacity

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  3. MMEF

    maximal mid-expiratory flow curve

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  4. PEF

    Peak expiratory flow

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  5. BEV

    Back-extrapolation volume

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  6. FET

    Forced expiratory time

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  7. VC

    Vital capacity

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  8. FEV1/VC

    Forced expiratory volume in one second/vital capacity

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  9. FEF25%,FEF50%,FEF75%,

    forced expiratory flow at 25%, 50%, and 75% of FVC exhaled

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  10. PIF

    peak inspiratory flow

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  11. FIVC

    forced inspiratory vital capacity

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  12. FIF25, FIF50, FIF75

    forced inspiratory flow at 25%, 50%, and 75% of FIVC

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  13. FIV1

    forced inspiratory volume in 1 second

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  14. MVV

    maximal ventilatory volume

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  15. Richmond Agitation-Sedation Scale (RASS)

    RASS is a 10-point scale, with four levels of anxiety or agitation (+1 to +4 [combative]), one level to denote a calm and alert state (0), and 5 levels of sedation (-1 to -5) culminating in unarousable (-5).

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  16. heart rate

    heart rate (beat per min)

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  17. Systolic and diastolic blood pressures

    Systolic and diastolic blood pressures (mmHg)

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

  18. SPO2

    Pulse oximetry (SpO2)

    Measured: 10 minutes and 30 minutes after administration of nebulized drugs

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Jan 2024
  2. Study start28 Oct 2023
  3. Primary completion30 Jun 2024
  4. Study completion30 Jun 2024

Why it stopped: no patient enrolled.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Investigator, Outcomes assessor
Enrolment
6 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06207331
Sponsor's protocol ID
2023.134
Status last verified
Mar 2024
First submitted
21 Nov 2023
Last updated
31 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data (IPD) will be available with the corresponding author when required.

Publications

  • Groeben H, Mitzner W, Brown RH. Effects of the alpha2-adrenoceptor agonist dexmedetomidine on bronchoconstriction in dogs. Anesthesiology. 2004 Feb;100(2):359-63. doi: 10.1097/00000542-200402000-00026.

    PubMed 14739811
  • Yamakage M, Iwasaki S, Satoh JI, Namiki A. Inhibitory effects of the alpha-2 adrenergic agonists clonidine and dexmedetomidine on enhanced airway tone in ovalbumin-sensitized guinea pigs. Eur J Anaesthesiol. 2008 Jan;25(1):67-71. doi: 10.1017/S0265021507002591. Epub 2007 Sep 21.

    PubMed 17888193
  • Di Bella C, Skouropoulou D, Stabile M, Muresan C, Grasso S, Lacitignola L, Valentini L, Crovace A, Staffieri F. Respiratory and hemodynamic effects of 2 protocols of low-dose infusion of dexmedetomidine in dogs under isoflurane anesthesia. Can J Vet Res. 2020 Apr;84(2):96-107.

    PubMed 32255904
  • Jiang H, Kang Y, Ge C, Zhang Z, Xie Y. One-lung ventilation patients: Clinical context of administration of different doses of dexmedetomidine. J Med Biochem. 2022 Apr 8;41(2):230-237. doi: 10.5937/jomb0-33870.

    PubMed 35510198
  • Kostroglou A, Kapetanakis EI, Matsota P, Tomos P, Kostopanagiotou K, Tomos I, Siristatidis C, Papapanou M, Sidiropoulou T. Monitored Anesthesia Care with Dexmedetomidine Supplemented by Midazolam/Fentanyl versus Midazolam/Fentanyl Alone in Patients Undergoing Pleuroscopy: Effect on Oxygenation and Respiratory Function. J Clin Med. 2021 Aug 9;10(16):3510. doi: 10.3390/jcm10163510.

    PubMed 34441805
  • Xia R, Xu J, Yin H, Wu H, Xia Z, Zhou D, Xia ZY, Zhang L, Li H, Xiao X. Intravenous Infusion of Dexmedetomidine Combined Isoflurane Inhalation Reduces Oxidative Stress and Potentiates Hypoxia Pulmonary Vasoconstriction during One-Lung Ventilation in Patients. Mediators Inflamm. 2015;2015:238041. doi: 10.1155/2015/238041. Epub 2015 Jul 26.

    PubMed 26273134
  • Hasanin A, Taha K, Abdelhamid B, Abougabal A, Elsayad M, Refaie A, Amin S, Wahba S, Omar H, Kamel MM, Abdelwahab Y, Amin SM. Evaluation of the effects of dexmedetomidine infusion on oxygenation and lung mechanics in morbidly obese patients with restrictive lung disease. BMC Anesthesiol. 2018 Aug 14;18(1):104. doi: 10.1186/s12871-018-0572-y.

    PubMed 30103679
  • Jannu V, Dhorigol MG. Effect of Intraoperative Dexmedetomidine on Postoperative Pain and Pulmonary Function Following Video-assisted Thoracoscopic Surgery. Anesth Essays Res. 2020 Jan-Mar;14(1):68-71. doi: 10.4103/aer.AER_9_20. Epub 2020 Mar 16.

    PubMed 32843795
  • Lee SH, Kim N, Lee CY, Ban MG, Oh YJ. Effects of dexmedetomidine on oxygenation and lung mechanics in patients with moderate chronic obstructive pulmonary disease undergoing lung cancer surgery: A randomised double-blinded trial. Eur J Anaesthesiol. 2016 Apr;33(4):275-82. doi: 10.1097/EJA.0000000000000405.

    PubMed 26716866
  • Xu B, Gao H, Li D, Hu C, Yang J. Nebulized dexmedetomidine improves pulmonary shunt and lung mechanics during one-lung ventilation: a randomized clinical controlled trial. PeerJ. 2020 Jun 5;8:e9247. doi: 10.7717/peerj.9247. eCollection 2020.

    PubMed 32547872
  • Yang L, Cai Y, Dan L, Huang H, Chen B. Effects of dexmedetomidine on pulmonary function in patients receiving one-lung ventilation: a meta-analysis of randomized controlled trial. Korean J Anesthesiol. 2023 Dec;76(6):586-596. doi: 10.4097/kja.22787. Epub 2023 Mar 16.

    PubMed 36924790

Questions about this trial

What is this clinical trial studying?

A study testing Dexmedetomidine 0.5 μg/kg, Dexmedetomidine 1 μg/kg and Saline in people with Respiratory Function Tests and Chronic Obstructive Pulmonary Disease, run by The Second Affiliated Hospital of Chongqing Medical University at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 31 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: no patient enrolled.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

FVC (time frame: 10 minutes and 30 minutes after administration of nebulized drugs). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06207331, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 31 May 2025.

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