Fluvoxamine for Preventing Delirium After Non-Cardiac Surgery

This study is looking at whether fluvoxamine (an existing medication) can help prevent delirium (a sudden change in thinking and awareness) in older patients having non-heart related surgery. You might be able to join if you are 60 or older, speak English, and are having a planned non-cardiac or non-brain surgery that requires at least a two-day hospital stay. Participants will receive either fluvoxamine or a placebo (an inactive pill) on the day of surgery and the day after. The researchers want to see if fluvoxamine can reduce inflammation and the severity of delirium. This study is laying the groundwork for a larger trial to improve public health and quality of life for those at risk of delirium after surgery. The current recruitment status is unclear.

Study design
This is an interventional study with a planned enrollment of 46 participants. It compares fluvoxamine to a placebo.
What's involved
You would take either fluvoxamine or a placebo capsule on the morning and evening of your surgery day, and again on the morning and evening of the first day after surgery.
Compensation
Not stated in the trial record.
Follow-up
The study measures average monthly participant enrollment rate at 12 months, which is the duration of the study.

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NCT06969287

Mitigating Delirium With Fluvoxamine Treatment for Non-Cardiac Surgery

Recruiting
PHASE3Ages 60+InterventionalPrevention
Washington University School of Medicine
~46 participants
Updated 2026-04-29 on ClinicalTrials.gov
What's tested:FluvoxaminePlacebo

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Average Monthly participant enrollment rate
Measured over 12- months, duration of the study
Delirium
Surgery-Complications
1 sites across 1 states
Missouri1
  • Ben Palanca, MD · PRINCIPAL_INVESTIGATOR · Washington University School of Medicine

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Eligibility criteria

Inclusion

English-speaking
elective non-cardiac or non-intracranial surgery requiring at least a 2-day hospital length of stay

Exclusion

Received investigational drug within the last 7 weeks
lack of capacity to provide informed consent
prior known intolerance or allergy to SSRIs or fluvoxamine
planned postoperative ventilation
drug or alcohol dependence
preoperative use of non-NSAID medications with drug-drug interactions of Class X (Avoid Combination) or D (Consider Therapy Modification)
risk of serotonin syndrome (St John's Wort, SSRIs, or TCA)
  • Average Monthly participant enrollment rate12- months, duration of the study

    Feasibility assessed as number of eligible participants enrolled per month by an audit of the study screening and recruitment logs.