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Invasive VentilationPhase 2/3NCT07493785

Dexmedetomidine for Invasive Ventilation In the NEOnate

A Phase 2/3 study testing Dexmedetomidine Injectable Solution and Glucose 5% Injectable Solution in people with Invasive Ventilation and Infant Pain, run by Centre Hospitalier Intercommunal Creteil at 12 sites in France.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
Search all trials

Trial summary

Despite the increasing use of non-invasive ventilation, a large majority of premature neonates still receive invasive ventilation during their NICU (neonatal intensive care unit) stay. Invasive ventilation is a unanimous source of discomfort and pain. Read more about this study

Who is it for?
Ages Up to 10 weeks
What is being tested?
Dexmedetomidine Injectable Solution and Glucose 5% Injectable Solution
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
246 participants
Where
12 sitesFrance
Study dates
1 Jan 2027to 1 Feb 2034
Phase
Phase 2/3
Are there results?
Not yet: the study is under way

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 Up to 10 weeks
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Neonates with a gestational age at birth < 32 weeks of gestation and corrected gestational age < 32 weeks postmenstrual age
  • Invasively ventilated with an expected or effective duration of ventilation > 24 hours at inclusion
  • Under mechanical ventilation since less than 72 hours at inclusion
  • With parental consent
  • Affiliated to or benefiting from a social security system

Who cannot join

  • Previous inclusion in this trial
  • Participation in another trial including analgesics or sedatives
  • Ongoing palliative care
  • Administration of dexmedetomidine or another alpha-2 agonist in the 96 previous hours
  • Hemodynamic compromise defined as any of: poor perfusion (increased capillary refill time, oliguria); hypotension defined as a mean blood pressure in mm Hg < postmenstrual age in weeks; ongoing inotropic treatment with dopamine or dobutamine ≥ 5 µg/kg/min, or any other inotropic drug at any dose, or need for more than one volume expansion (20 ml/kg) in the 6 previous hours
  • Pulmonary hypertension requiring pharmacological treatment
Show all 10Show fewer
  • Heart rate <100 bpm
  • Hepatic impairment defined as alanine aminotransferase level > 2 x normal upper limit
  • Known contra-indications to dexmedetomidine: hypersensitivity, atrioventricular block, acute cerebrovascular event
  • Hypersensitivity to the active substance or to any of the excipients contained in the medicine

Trial locations and contacts

12 sites in 1 country. Contact the study team or a site near you to ask about taking part.

12 sites in 1 country

France12 sites
  • CHU Brest - Hôpital Morvan

    Brest, 29609

    Jean Michel ROUE, PhD, jean-michel.roue@chu-brest.fr

  • Centre Hospitalier Intercommunal de Créteil

    Créteil, 94000

    Manon TAUZIN, MD, 0157022000 ext. 8407, manon.tauzin@chicreteil.fr

  • CHU Grenoble Alpes

    Grenoble, 38700

    Marie CHEVALLIER, PhD, mchevallier3@chu-grenoble.fr

  • CHRU Lille

    Lille, 59000

    Riadh BOUKHRIS, MD, riadh.BOUKHRIS@chu-lille.fr

  • CHU Limoges

    Limoges, 87042

    Laure PONTHIER, PhD, laure.ponthier@chu-limoges.fr

  • CHU de Nantes

    Nantes, 44000

    Noura ZAYAT, MD, noura.zayat@chu-nantes.fr

  • CHU de Nice

    Nice, 6200

    Isabelle GUELLEC, PhD, guellec-renne.i@chu-nice.fr

  • AP-HP Hôpital Necker Enfants Malades

    Paris, 75015

    Elsa KERMORVANT, PhD, elsa.kermorvant@aphp.fr

  • Hôpital NOVO - Site de Pontoise

    Pontoise, 95300

    Suzanne BORRHOMEE, MD, suzanne.borrhomee@ght-novo.fr

  • Centre Hospitalier de Saint -Denis

    Saint-Denis, 93200

    Saba SALIBA, MD, saliba.saba@ch-stdenis.fr

  • CHU Félix Guyon (Saint Denis)

    Saint-Denis, 97400

    Anthony GRONDIN, MD, anthony.grondin@chu-reunion.fr

  • CHU de La Réunion - Site Sud Saint-Pierre

    Saint-Pierre, 97400

    Silvia IACOBELLI, PhD, silvia.iacobelli@chu-reunion.fr

Other trials in France

About this study

Official title: Double Blind, Multicenter, Randomized, Controlled Trial of Dexmedetomidine vs Placebo in Premature Neonates Receiving Invasive Ventilation

Despite the increasing use of non-invasive ventilation, a large majority of premature neonates still receive invasive ventilation during their NICU (neonatal intensive care unit) stay. Invasive ventilation is a unanimous source of discomfort and pain.

As opposed to the adult and pediatric population, routine use of opioids or midazolam is not recommended in ventilated neonates.

Read more

Although opioids are the most frequently prescribed analgosedative drugs in ventilated premature neonates, their use is controversial because of the risk of respiratory depression - which can prolong invasive ventilation- and concerns on long-term neurodevelopment.

Dexmedetomidine, a selective alpha-2- adrenergic agonist routinely used in the adult ICU (intensive care unit), provides light sedation and some analgesia with no or little respiratory-depression effect. It also has neuroprotective properties after pediatric cardiac surgery and in neonatal animal models. Dexmedetomidine is thus a promising candidate drug in ventilated premature neonates that might reduce the duration of mechanical ventilation and preserve neurodevelopment in this vulnerable population.

The investigators hypothesize that the use of dexmedetomidine in ventilated premature neonates could decrease the need for opioids, facilitate extubation and thereby preserve long-term neurodevelopmental outcome.

Being tested
Dexmedetomidine Injectable Solution, Glucose 5% Injectable Solution
Keywords
Neonatology, Invasive mechanical ventilation, Analgesia, Dexmedetomidine, Neurodevelopment, Opioids, Pain, Withdrawal syndrome
Medical subject headings
Agnosia, Pain, Substance Withdrawal Syndrome

What participants receive

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

  • Dexmedetomidine Injectable SolutionDrug

    Intravenous administration for maximum 20 days

  • Glucose 5% Injectable SolutionDrug

    Intravenous administration for maximum 20 days

Study groups in NCT07493785
Study groupRoleWhat they receive
DexmedetomidineExperimentalNot described
Receives: Drug: Dexmedetomidine Injectable Solution
Glucose 5%Placebo comparatorNot described
Receives: Drug: Glucose 5% Injectable Solution

What is being measured

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

  1. Dose of Opioids used

    Cumulative dose of opioids (morphine, sufentanil, fentanyl) converted to equivalent morphine dose in µg/kg using fixed equipotency ratios based on national prescriptions habits, administered during the studied period defined as the time between the start of the investigational drug and the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last.

    Measured: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last

Secondary outcomes (30)
  1. Percentage of time (hours) spent within an excessive/appropriate/ insufficient comfort/analgesia state based on the COMFORTneo scale

    Scores of COMFORTneo scale :

    • excessive: score <11
    • appropriate: score between 11 to 13
    • insufficient : score >13

    Measured: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last

  2. Duration of invasive ventilation in hours

    Measured: From inclusion to first planned extubation or unplanned extubation lasting at least 24 hours

  3. Number of days with opioids and/or benzodiazepines

    Measured: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last

  4. Cumulative dose of midazolam or other benzodiazepines

    Measured: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last

  5. Number of days with paracetamol use

    Measured: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last

  6. Frequency of muscle blocker use to improve ventilation

    Number of patients receiving muscle bocker

    Measured: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last

  7. Rate of extubation failure

    Number of reintubation within 7 days after the first planned extubation

    Measured: Within 7 days after the first planned extubation

  8. Rate of unplanned extubation

    Measured: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last

  9. Age at full enteral feeding in postmenstrual age (weeks)

    To respond to the secondary objective : frequency of opioid-related adverse effects

    Measured: From inclusion to hospital discharge, assessed up to 24 weeks

  10. Frequency of urinary retention episodes

    To respond to the secondary objective : frequency of opioid-related adverse effects

    Measured: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last

  11. Finnegan neonatal withdrawal scale or any other validated withdrawal scale

    To respond to the secondary objective : frequency of opioid-related adverse effects

    Measured: Within 7 days of the first planned extubation or unplanned extubation lasting at least 24 hours

  12. Number of Bradycardia episodes

    Heart rate < 100/min for 5 consecutive minutes

    Measured: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last

  13. Number of hypotension episodes

    Mean arterial blood pressure in mmHg < postmenstrual age in weeks.

    Measured: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last

  14. Frequency of anti-hypotensive treatments use

    Volume expansion (at least 10 ml/kg), dopamine, dobutamine, epinephrine, norepinephrine, milrinone or hydrocortisone for hemodynamic support.

    Measured: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last

  15. Number of In-hospital deaths

    Measured: At 36 weeks postmenstrual age

  16. Number of In-hospital deaths

    Measured: From the inclusion to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  17. Total duration of invasive ventilation

    Number of days

    Measured: From the start of the investigational drug to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  18. Total duration of non-invasive ventilation

    Number of days

    Measured: From the start of the investigational drug to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  19. Total duration of NICU stays

    Number of days

    Measured: From the start of the investigational drug to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  20. Total duration Hospital stay

    Number of days

    Measured: From the start of investigational drug to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  21. Number of patients presenting high-grade intraventricular hemorrhage Grade 3 and 4

    To respond secondary objective of neonatal morbidities

    Measured: From the start of investigational drug to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  22. Number of patients presenting periventricular leukomalacia

    To respond secondary objective of severe neonatal morbidities

    Measured: From the start of investigational drug to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  23. Number of patients presenting secondary sepsis

    To respond secondary objective of severe neonatal morbidities

    Measured: From the start of investigational drug to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  24. Number of patientsTreated for patent ductus arteriosus

    To respond secondary objective of severe neonatal morbidities

    Measured: From the start of investigational drug to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  25. Number of patients presenting bronchopulmonary dysplasia

    To respond secondary objective of severe neonatal morbidities

    Measured: At 36 weeks postmenstrual age

  26. Number of patients presenting necrotizing enterocolitis

    To respond secondary objective of severe neonatal morbidities

    Measured: From the start of investigational drug to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  27. Number of patients presenting isolated intestinal perforation

    To respond secondary objective of severe neonatal morbidities

    Measured: From the start of investigational drug to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  28. Number of patients presenting treated retinopathy of prematurity

    To respond secondary objective of severe neonatal morbidities

    Measured: From the start of investigational drug to hospital discharge or death, whichever comes first, assessed up to 24 weeks

  29. Long-term neurodevelopment using tests validated in French : Parent Report of Children's Abilities-Revised (PARCA-R)

    Higher scores indicate improved neurodevelopment

    Measured: At 2 years corrected age +/- 2 months

  30. Long-term neurodevelopment using tests validated in French : BMT-i (Batterie Modulable de Tests informatisée, or "computerized Adaptable Test Battery")

    Higher scores indicate improved neurodevelopment

    Measured: At age 6 years +/- 2 months

Timeline

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

  1. First posted25 Mar 2026
  2. Study start1 Jan 2027 (estimated)
  3. Primary completion1 Jan 2033 (estimated)
  4. Study completion1 Feb 2034 (estimated)

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 2/3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Double blind, multicenter, randomized, placebo-controlled trial
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
246 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07493785
Sponsor's protocol ID
DIVINEO
Status last verified
Aug 2026
First submitted
23 Feb 2026
Last updated
26 Aug 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2/3 study testing Dexmedetomidine Injectable Solution and Glucose 5% Injectable Solution in people with Invasive Ventilation and Infant Pain, run by Centre Hospitalier Intercommunal Creteil at 12 sites in France.

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 10 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: opening soon, as of the sponsor's last update on 26 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in France. 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.

What does this combined phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Xavier DURRMEYER, MD, PhD (0157023468, Durrmeyer.Xavier@chicreteil.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose of Opioids used (time frame: From the start of the investigational drug to the cessation of any opioid or of the investigational drug for at least 24 hours, whichever comes last). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 26 Aug 2026.

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