Managing Agitated Delirium With Neuroleptics and Anti-Epileptics as a Neuroleptic Sparing Strategy
M.D. Anderson Cancer Center · with Cancer Prevention Research Institute of Texas · NCT05431595
Opens the official ClinicalTrials.gov record, with the study team’s contacts. Bored Studies doesn’t enroll anyone.
Key facts
- Compensation
- Not posted. Ask the study team before screening.
- Who can join
- Ages 18+ · All sexes
- Healthy volunteers
- Accepted
- Study type
- Interventional · Phase 2, Phase 3
- Target enrollment
- 42
- US sites recruiting
- 1
- Study start
- July 19, 2022
- Record last updated
- November 18, 2025
Status re-checked against ClinicalTrials.gov within the last 12 hours.
What the study is about
To examine the effects of haloperidol, chlorpromazine, valproic acid and placebo, in conjunction with standardized non-pharmacologic interventions, in the first line treatment of agitated delirium in hospitalized patients with cancer. This double-blind, randomized clinical trial aims to provide evidence on various therapeutic options for palliating delirium, thereby reducing delirium-related distress and ultimately alleviating suffering.
Being studied: Haloperidol; Chlorpromazine; Valproate; Placebo
Conditions: Delirium; Epileptics; Neuroleptics
Eligibility criteria
Copied from the official record. The study team makes the final decision at screening.
Show full criteria
Inclusion Criteria
- [Patients] Diagnosis of advanced cancer (defined as locally advanced, metastatic recurrent, or incurable disease)
- [Patients] Seen by palliative care inpatient consultation team
- [Patients] Delirium as per DSM-5 criteria
- [Patients] Hyperactive or mixed delirium with either a rescue medication order or any non-pharmacologic measures (e.g. sitter, restraints) for agitation, restlessness, or delirium
- [Patients] Age 18 years or older
- [Patients] Permission from clinician from primary team to enroll
- [Family Caregivers] Patient's spouse, adult child, sibling, parent, other relative, or significant other (defined by the patient as a partner)
- [Family Caregivers] Age 18 years or older
Exclusion Criteria
- [Patients] On scheduled haloperidol >4 mg/d, chlorpromazine >100 mg/d, or valproate >750 mg/d
- [Patients] History of myasthenia gravis, acute narrow-angle glaucoma, or hepatic encephalopathy as documented in chart
- [Patients] Hepatic dysfunction (unresolved AST or ALT >2.5x ULN, bilirubin >1.5x ULN or INR >1.5 within past month)
- [Patients] History of neuroleptic malignant syndrome as documented in chart
- [Patients] Active seizure disorder within past month as documented in chart
- [Patients] History of Parkinson's disease or dementia as documented in chart
- [Patients] History of prolonged QTc interval (>500 ms) if documented by most recent ECG within the past month
- [Patients] Hypersensitivity to haloperidol, chlorpromazine, or valproate as documented in chart
- [Patients] Pancreatitis within past month as documented in chart
- [Patients] Currently on lamotrigine, phenobarbital, or carbamazepine
- [Patients] Physical signs of impending death such as respiration with mandibular movement and death rattle
- [Patients] Pregnancy as documented in chart
- [Patients] Active COVID-19 infection as documented in chart
Recruiting US locations
MD Anderson Cancer Center
Houston, TX 77030
Site contact: David Hui, MD · 713-792-6258 · dhui@mdanderson.org
Study contacts (from the official record)
- David Hui, MD · (713) 792-6258 · dhui@mdanderson.org
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