Esketamine and Propofol for Children With Autism Spectrum Disorder Undergoing Colonoscopy

Last updated: October 7, 2023
Sponsor: The Second Hospital of Nanjing Medical University
Overall Status: Completed

Phase

N/A

Condition

Autism

Asperger's Disorder

Autism Spectrum Disorder (Asd)

Treatment

Esketamine

Propofol

Clinical Study ID

NCT05951465
esketamine 2023 N002
  • Ages 3-14
  • All Genders

Study Summary

The purpose of this study is to examine the dose-response relationship of esketamine in combination with propofol for children with Autism Spectrum Disorder undering colonoscopy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • (1) aged 2-12 years;
  • (2) diagnosed with ASD by pediatric psychiatrists in accordance with the criteria inthe Fifth Edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-V);
  • (3) evaluated as American Society of Anesthesiologists (ASA) physical status I-II;
  • (4) scheduled for colonic procedure.

Exclusion

Exclusion Criteria:

  • (1) oral sedation (premedication) before intravenous catheter placement;
  • (2) any contraindication to study medications;
  • (3) other circumstances in which the investigator determined that a patient was notsuitable for participation in the clinical trial.

Study Design

Total Participants: 46
Treatment Group(s): 2
Primary Treatment: Esketamine
Phase:
Study Start date:
July 20, 2023
Estimated Completion Date:
September 20, 2023

Study Description

Autistic children appear with significant frequency for medical services, lots of which requiring procedural sedation or anaesthesia. They have often been described as difficult to sedate or anesthetize due to a variety of ASD symptoms. It is a challenging task to provide safe and effective sedation during the colonoscopic procedure in autism children. Propofol sedation for endoscopic procedures is safe and acceptable for children, especially those who express significant anxiety. Propofol-based sedation turned out to be the most effective dosage regimens, with effectiveness comparable to general anesthesia. The addition of certain dose ketamine to propofol may increase the effectiveness without creating more adverse events.

Connect with a study center

  • Sir Run Run Hospital

    Nanjing, Jiangsu 210000
    China

    Site Not Available

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