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Dexmedetomidine, midazolam; fentanyl

Phase 2

Intubated and Mechanically Ventilated Pediatric Subjects | Small molecule | Other |Pfizer, Inc.|Last Updated: Apr 13, 2017

Success Probability

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Market & Valuation

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Trial Design

CONTROLLEDDMC
Total Trials1
Total Enrollment69

FDA Designations

No designations recorded

Clinical trial landscape

Dexmedetomidine, midazolam; fentanyl · 1 trial · 1 indication

Phase 2 1
NCT00652028Pharmacokinetics and Pharmacodynamics of Dexmedetomidine in Pediatrics SubjectsIntubated and Mechanically Ventilated Pediatric Subjects
COMPLETED69 Analytics
PHASE2COMPLETED
Pharmacokinetics and Pharmacodynamics of Dexmedetomidine in Pediatrics Subjects
Intubated and Mechanically Ventilated Pediatric SubjectsUnlock trial analytics

Study Endpoints

Primary Endpoints

Area Under the Concentration-time Curve From Time Zero to the Time of the Last Measurable Concentration (AUC0-t)
≤30 min prior to start of loading dose (LD); 5 min before finishing LD; 0.5,1,2 & 4-6 hrs after start of maintenance infusion (MI); 30 min prior to end of MI (within 24 hrs of start of MI); 10 min after end of MI and 0.5,1,2,4 & 10 hrs after end of MI.

Area under the concentration-time curve from time zero to the time of the last measurable concentration (AUC0-t) for Dexmedetomidine

Area Under the Concentration-time Curve From Time Zero to the Time Infinity (AUC0-∞)
≤30 min prior to start of the loading dose (LD); 5 min before finishing the LD; 0.5,1,2&4 to 6 hrs after start of maintenance infusion (MI); 30 min prior to end of MI (24 hrs of start of MI); 10 min after end of MI and 0.5,1,2,4&10 hrs after end of MI.

Area under the concentration-time curve from time zero to the time infinity (AUC0-∞) for Dexmedetomidine

Observed Peak Plasma Concentration
≤30 min prior to start of the loading dose (LD); 5 min before finishing the LD; 0.5,1,2&4 to 6 hrs after start of maintenance infusion (MI); 30 min prior to end of MI (24 hrs of start of MI); 10 min after end of MI and 0.5,1,2,4&10 hrs after end of MI.

Observed peak plasma concentration (Cmax) for Dexmedetomidine

Terminal Elimination Half-life (t1/2)
≤30 min prior to start of loading dose (LD); 5 min before finishing LD; 0.5,1,2 & 4-6 hrs after start of maintenance infusion (MI); 30 min prior to end of MI (within 24 hrs of start of MI); 10 min after end of MI and 0.5,1,2,4 & 10 hrs after end of MI.

Terminal elimination half-life (t1/2) for Dexmedetomidine

Plasma Concentration at Steady State (Css)
≤30 min prior to start of loading dose (LD); 5 min before finishing LD; 0.5,1,2 & 4-6 hrs after start of maintenance infusion (MI); 30 min prior to end of MI (within 24 hrs of start of MI); 10 min after end of MI and 0.5,1,2,4 & 10 hrs after end of MI.

Plasma concentration at steady state (Css) for Dexmedetomidine

Volume of Steady State Distribution (Vss)
≤30 min prior to start of loading dose (LD); 5 min before finishing LD; 0.5,1,2 & 4-6 hrs after start of maintenance infusion (MI); 30 min prior to end of MI (within 24 hrs of start of MI); 10 min after end of MI and 0.5,1,2,4 & 10 hrs after end of MI.

Volume of steady state distribution (Vss) for Dexmedetomidine

Clearance (CL)
≤30 min prior to start of loading dose (LD); 5 min before finishing LD; 0.5,1,2 & 4-6 hrs after start of maintenance infusion (MI); 30 min prior to end of MI (within 24 hrs of start of MI); 10 min after end of MI and 0.5,1,2,4 & 10 hrs after end of MI.

Clearance (CL) for Dexmedetomidine

Level of Sedation Based on Average Ramsay Sedation Scale (RSS) Score
Prior to loading (Baseline), 5 and 10 min during the load, at start of maintenance infusion and every 15 min for 1 hour, hourly during the maintenance period, before and within 5 min after midazolam or fentanyl dose during the dexmedetomidine infusion.

RSS Score range from 1 to 6: 1. Patient is anxious and agitated or restless, or both. 2. Patient is cooperative, orientated and tranquil. 3. Patient responds to command only. 4. Patient exhibits brisk response to light glabellar (between the eyebrows) tap or loud auditory stimulus. 5. Patient exhibits a sluggish response to light glabellar tap or loud auditory stimulus. 6. Patient exhibits no response to stimulus.

Number of Subjects Who Received Rescue Medication for Sedation (Midazolam) and Analgesics (Fentanyl)
During the treatment period (Approximately 24 hours)

Number of subjects who received rescue medication for Sedation (Midazolam) and analgesics (Fentanyl) while intubated during Treatment Period

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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Group 1OTHERDose level 1
Group 2OTHERDose level 2
Group 3OTHERDose level 3
Group 4OTHERDose level 4

Interventions

NameTypeDescription
Dexmedetomidine, midazolam; fentanylDRUGDexmedetomidine for sedation; midazolam for rescue sedation according to label; fentanyl for rescue pain according to the label
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Eligibility Criteria

Age Range2 Years to 16 Years
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Initially intubated and mechanically ventilated pediatric subjects in an intensive care setting anticipated to require a minimum of 6 hours of continuous intravenous sedation. * Age: subjects must fit into one of the following age ranges at screening: * ≥2 years old through...

Countries:United StatesGuatemala
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Frequently asked questions about Dexmedetomidine, midazolam; fentanyl

What is Dexmedetomidine used for?

Dexmedetomidine is an investigational small molecule being studied for use in awake fiberoptic intubation, sedation, ICU sedation, anesthesia, and in intubated and mechanically ventilated pediatric subjects. It is being developed by Pfizer, Inc. (PFE) and is currently in Phase 3 clinical development.

What does Dexmedetomidine target?

Dexmedetomidine is a small molecule that acts as a selective alpha-2 adrenergic receptor agonist. By binding to these receptors, it produces sedative, analgesic, and anxiolytic effects, which are being studied for applications in sedation and anesthesia across various patient populations.

Who makes Dexmedetomidine?

Dexmedetomidine is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. Pfizer is conducting clinical trials to evaluate the drug's safety and efficacy in sedation and anesthesia indications.

What phase is Dexmedetomidine in?

Dexmedetomidine is in Phase 3 clinical development. While it has completed Phase 2 trials in pediatric sedation and intubated subjects, it remains investigational and has not been approved by regulatory authorities. The drug is still undergoing clinical evaluation to establish its safety and efficacy profile.

What clinical trials is Dexmedetomidine in?

Dexmedetomidine has completed five clinical trials, including Phase 2 studies (NCT00652028, NCT01159262, NCT01378988) and a Phase 3 study (NCT02757625). These trials evaluated the drug in pediatric subjects for sedation, ICU sedation, and intubated and mechanically ventilated conditions across the United States, Guatemala, and Japan.

Is Dexmedetomidine the same as DA-9501?

Yes, Dexmedetomidine is the same as DA-9501. The Phase 3 clinical trial NCT02757625, titled 'Study of DA-9501 In Pediatric Subjects In The Intensive Care Unit,' evaluates Dexmedetomidine for ICU sedation in pediatric subjects in Japan.