Evidence map›Paper›PMID 29884231›Full record

Trial reportBMC pharmacology & toxicology2018

The use of clonidine in elderly patients with delirium; pharmacokinetics and hemodynamic responses.

Karen Roksund Hov, Bjørn Erik Neerland, Anders Mikal Andersen, Øystein Undseth, Vegard Bruun Wyller, Alasdair M J MacLullich, Eva Skovlund, Eirik Qvigstad, Torgeir Bruun Wyller

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC pharmacology & toxicology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01956604 (The Oslo Study of Clonidine in Elderly Patients With Delirium), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01956604 phase2terminatednot on this map

The Oslo Study of Clonidine in Elderly Patients With Delirium

TypeinterventionalSponsorOslo University HospitalRan2014 to 2017Enrolled20ConditionsDeliriumArmsClonidine, Placebo
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Karen Roksund HovOslo Delirium Research Group, Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway. karenroksundhov@gmail.com.
Bjørn Erik NeerlandOslo Delirium Research Group, Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.
Anders Mikal AndersenDepartment of Pharmacology, Oslo University Hospital, Oslo, Norway.
Øystein UndsethDepartment of Acute Medicine, Oslo University Hospital, Oslo, Norway.
Vegard Bruun WyllerInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Alasdair M J MacLullichEdinburgh Delirium Research Group, Geriatric Medicine, University of Edinburgh, Edinburgh, UK.
Eva SkovlundDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
Eirik QvigstadDepartment of Cardiology, Oslo University Hospital, Oslo, Norway.
Torgeir Bruun WyllerOslo Delirium Research Group, Department of Geriatric Medicine, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOUniversity of Oslo · NONorwegian University of Science and Technology · NOUniversity of Edinburgh · GB

Funding

Department of Health 11/143/01Medical Research Council G108/646Medical Research Council MR/L023210/1
6 · The paper itself

Abstract

backgroundThe Oslo Study of Clonidine in Elderly Patients with Delirium (LUCID) is an RCT investigating the effect of clonidine in medical patients > 65 years with delirium. To assess the dosage regimen and safety measures of this study protocol, we measured the plasma concentrations and hemodynamic effects of clonidine in the first 20 patients.

methodsPatients were randomised to clonidine (n = 10) or placebo (n = 10). The treatment group was given a loading dose (75μg every 3rd hour up to a maximum of 4 doses) to reach steady state, and further 75μg twice daily until delirium free for 2 days, discharge or a maximum of 7 days. Blood pressure (BP) and heart rate (HR) were measured just before every dose. If the systolic BP was < 100 mmHg or HR < 50 beats per minute the next dose was omitted. Plasma concentrations of clonidine were measured 3 h after each drug intake on day 1, just before intake (day 2 and at steady state day 4-6) and 3 h after intake at steady state (C

results3 h after the first dose of 75μg clonidine, plasma concentration levels rose to median 0.35 (range 0.24-0.40)μg/L. Median trough concentration (C

conclusionsThe plasma concentration of clonidine was at the higher end of the estimated therapeutic range. Hemodynamic changes during clonidine treatment were as expected, with trends towards lower blood pressure and heart rate in patients treated with clonidine, but with dose adjustments based on SBP this protocol appears safe.

trial registrationClinicalTrials.gov NCT01956604 , 09.25.2013. EudraCT Number: 2013-000815-26, 03.18.2013. Enrolment of first participant: 04.24.2014.

Indexed as

Adrenergic alpha-2 Receptor AgonistsAgedAged, 80 and overAntihypertensive AgentsBlood PressureClonidineDeliriumFemaleHeart RateHumansMaleAdrenergic alpha-2 Receptor AgonistsAntihypertensive AgentsClonidineClonidineDeliriumPharmacokineticRCT

Identifiers

PMID29884231
PMCPMC5994030
OpenAlexW2806642378

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.