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Trial · NCT04578886

The Effect of Guanfacine on Delirium in Critically Ill Patients

NCT04578886, Phase 3, Completed, University of Alabama at Birmingham; results first posted 2024-04-17

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. The Effect of Guanfacine on Delirium in Critically Ill Patients. Trials, record NCT04578886. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04578886

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
The Effect of Guanfacine on Delirium in Critically Ill Patients
NCT number
NCT04578886
Status
Completed
Phases
Phase 3
Enrollment
100 participants, actual
Lead sponsor
University of Alabama at Birmingham
Conditions
Delirium
Interventions
Guanfacine, Placebo
First posted
2020-10-08
Last updated
2025-04-15
Results first posted
2024-04-17
Limitations and caveats
This study is limited by the nature of being a single center design with a small sample size. The study population is in the critically ill surgical patient and this acuity and demographic may limit the external validity.

Source ClinicalTrials.gov

Registered outcomes1

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryDays Without DeliriumFrom the time of ICU admission up to 14 days
The primary outcome will be the number of days alive without delirium during the 14-day treatment period after randomization. Delirium assessments are measured by the Confusion Assessment Method- Intensive Care Unit (CAM-ICU). CAM-ICU measures a patient's fluctuations in mental status, inattention, disorganized thinking, and consciousness.The CAM-ICU will be used twice daily with all patients while admitted until ICU discharge. Patients will be diagnosed as delirious when they have at least one positive CAM-ICU on the day of assessment up to ICU discharge or day 14 after enrollment if remaining in ICU. Patients will be diagnosed as delirium free when they have four (4) negative consecutive CAM-ICU assessments.

Outcomes1

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYDays Without DeliriumFrom the time of ICU admission up to 14 daysPatients admitted to surgical intensive care unit at University of Alabama at Birmingham that received the study medication Guanfacine or Placebo.delirium free daysMEAN

Results by group2

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Days Without DeliriumPlacebo2.54Standard Deviation 3.14delirium free days
Days Without DeliriumGuanfacine3.38Standard Deviation 3.70delirium free days

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDPlacebo50
Overall StudySTARTEDGuanfacine50
Overall StudyCOMPLETEDPlacebo50
Overall StudyCOMPLETEDGuanfacine50
Overall StudyNOT COMPLETEDPlacebo0
Overall StudyNOT COMPLETEDGuanfacine0

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityPlacebo1050
Total, all-cause mortalityGuanfacine950
Total, other adverse eventsPlacebo050
Total, other adverse eventsGuanfacine050
Total, serious adverse eventsPlacebo050
Total, serious adverse eventsGuanfacine050

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
37029295DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Guanfacine vs Placebo: deaths from any causeTrial comparisons
Guanfacine vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04578886

GET https://conductscience.org/api/trials/v1/NCT04578886/registered