Intranasal Insulin to Prevent Intensive Care Unit Delirium

Trial statusNot yet recruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age65+
SponsorRadboud University Medical Center

About this trial

This study aims to assess the feasibility, tolerability, and exploratory efficacy of intranasal insulin to prevent delirium in ICU patients aged ≥65 years after complex elective cardiac surgery with cardiopulmonary bypass

Eligibility criteria

Qualifiers

Age ≥65 years

Planned surgical admission to the ICU of the Radboudumc following complex cardiac surgery with CPB. Complex cardiac surgery is defined as all cardiac on-pump procedures except for isolated CABG

Able to receive intranasal spray (no obstructive nasal pathology precluding administration)

Informed consent from patient

Disqualifiers

Delirium at hospital admission

Non-complex or off-pump cardiac surgery

Known allergy/hypersensitivity to insulin or formulation excipients

Contra-indication for nasal administration (severe nasal pathology, recent nasal/sinus surgery, active epistaxis, active rhinitis, obstruction of either one or both nostrils)

Trial design

Treatments tested in this trial

  • Intranasal insulin-40U
  • Intranasal sodium chloride 0.9%

Treatment groups

30 Participants
are divided into 2 treatment groups