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Intranasal Dexmedetomidine-esketamine Combination and Postoperative Cognitive Recovery in Older Patients

NCT07914803, Phase 4, Not yet recruiting, Peking University First Hospital

Trial 10

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

FieldValueSource
TitleIntranasal Dexmedetomidine-esketamine Combination and Postoperative Cognitive Recovery in Older PatientsClinicalTrials.gov
NCT numberNCT07914803ClinicalTrials.gov
StatusNot yet recruitingClinicalTrials.gov
PhasesPhase 4ClinicalTrials.gov
Enrollment732 participants, estimatedClinicalTrials.gov
Lead sponsorPeking University First HospitalClinicalTrials.gov
ConditionsOlder Patients, Noncardiac Surgery, Dexmedetomidine, Esketamine, Intranasal Administration, Perioperative Neurocognitive DisordersClinicalTrials.gov
InterventionsIntranasal dexmedetomidine-esketamine combination, Intranasal placebo (0.9% saline)ClinicalTrials.gov
First posted2026-11-04ClinicalTrials.gov
Last updated2026-11-04ClinicalTrials.gov

Registered outcomes 3

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

ListOutcomeTime frameDescriptionSource
PrimaryIncidence of delayed neurocognitive recovery (dNCR) on postoperative day 4.Up to 4 days after surgery.
Cognitive function will be assessed with the Montreal Cognitive Assessment (MoCA; scores range from 0 to 30, with higher scores indicating better function) before surgery and on postoperative day 4 or at hospital discharge, whichever occurs first. Delayed neurocognitive recovery (dNCR) is defined as a decline from baseline of \>1 SD in MoCA score.
ClinicalTrials.gov
SecondaryIncidence of postoperative delirium within 3 days after surgery.Up to 3 days after surgery.
Delirium will be assessed twice daily during the first 3 postoperative days using the 3-minute Diagnostic Interview for Confusion Assessment Method (3D-CAM) in non-intubated patients and the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) in intubated patients.
ClinicalTrials.gov
SecondaryIncidence of delayed neurocognitive recovery (dNCR) on postoperative day 30.At 30 days after surgery.
Cognitive function will be assessed with the Telephone Montreal Cognitive Assessment (T-MoCA; scores range from 0 to 22, with higher scores indicating better function) before surgery and on postoperative day 30. Delayed neurocognitive recovery (dNCR) is defined as a decline from baseline of \>1 SD in T-MoCA score.
ClinicalTrials.gov

Outcomes 0

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

TypeOutcomeTime framePopulationUnitsMeasured asSource

Results by group 0

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

OutcomeGroupCategoryValueSpreadUnitsSource

Participant flow 0

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

PeriodMilestoneGroupParticipantsUnits countedSource

Adverse events 0

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

TypeEventOrgan systemGroupAffectedAt riskEventsSource

Adverse event totals 0

The totals the trial posted for each group.

TotalGroupAffectedAt riskSource

Papers 42

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
16529526BACKGROUNDPubMed
25700290BACKGROUNDPubMed
26352694BACKGROUNDPubMed
27344279BACKGROUNDPubMed
27374833BACKGROUNDPubMed
27542303BACKGROUNDPubMed
27544872BACKGROUNDPubMed
28263192BACKGROUNDPubMed
28639236BACKGROUNDPubMed
29661413BACKGROUNDPubMed
29736744BACKGROUNDPubMed
29801992BACKGROUNDPubMed
29870457BACKGROUNDPubMed
30032877BACKGROUNDPubMed
30115258BACKGROUNDPubMed
30336844BACKGROUNDPubMed
31335550BACKGROUNDPubMed
31765741BACKGROUNDPubMed
32658246BACKGROUNDPubMed
32826629BACKGROUNDPubMed

Grants 0

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.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal yearsSource

Trial comparisons 0

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

ComparisonSource

Tests 0

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

TestNamed asSource

Source 5

FieldValueSource
Releasetrials-2026-11-12-0.4.0ClinicalTrials.gov
Release manifest SHA-2560f4a8d8c48aee2a7573ae0fa94ecbeab70c1adbe449bbc95c424bc7d3e97b9d4ClinicalTrials.gov
Registry capture2026-11-12ClinicalTrials.gov
Results copy, AACT2026-03-23ClinicalTrials.gov
NIH clinical studies file2026-11-13ClinicalTrials.gov

The same record as JSON

Release trials-2026-11-12-0.4.0

ClinicalTrials.gov's posted results, through CTTI's AACT: ClinicalTrials.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.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

ClinicalTrials.gov: none stated ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

NIH RePORTER's clinical studies and project files: Public domain (NIH RePORTER)