Clinical trial

A Randomised Active-controlled Study to Compare Efficacy & Safety of Inhaled Isoflurane Delivered by the AnaConDa-S (Anaesthetic Conserving Device) vs IV Midazolam for Sedation in Mechanically Ventilated Paediatric Patients 3-17 Years Old

Name
SED002
Description
This is a study to compare safety and efficacy of inhaled isoflurane delivered by the AnaConDa-S versus intravenous midazolam for sedation in mechanically ventilated children admitted to an intensive care unit.
Trial arms
Trial start
2021-01-14
Estimated PCD
2023-01-19
Trial end
2023-01-19
Status
Completed
Phase
Early phase I
Treatment
Midazolam
Solution for Injection/Infusion
Arms:
Drug: Midazolam
Isoflurane
Inhalation vapour, liquid. Isoflurane delivered by the AnaConDa-S (Anaesthetic Conserving Device)
Arms:
Drug: Isoflurane
Size
97
Primary endpoint
Percentage of time adequate sedation depth
Minimum of 12 hours up to 48 hours (± 6 hours).
Eligibility criteria
Inclusion Criteria: * Patients at least 3 years to 17 (less than 18) years at the time of randomization, admitted to an ICU/with planned ICU admission. * Expected mechanical (invasive) ventilation and sedation for at least 12 hours. * Informed consent obtained from the patient, patient's legal guardian(s) Exclusion Criteria: * Ongoing seizures requiring acute treatment. * Continuous sedation for more than 72 hours at time of randomization. * Less than 24 hours post cardiopulmonary resuscitation. * Uncompensated circulatory shock. * Known or suspected genetic susceptibility to malignant hyperthermia. * Patients with acute asthma or obstructive lung disease symptoms requiring treatment at inclusion. * Patient with tidal volume below 30 mL or above 800 mL. * Inability to perform reliable COMFORT-B assessment in the opinion of the Investigator * Patients with intracranial pressure (ICP) monitoring or with suspected increase in ICP * Patients with treatment-induced whole-body hypothermia. * Patients with pheochromocytoma. * Patients with prolonged QT interval or with significant risk for prolonged QT interval. * Patient not expected to survive next 48 hours or not committed to full medical care.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'SINGLE', 'whoMasked': ['OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 97, 'type': 'ACTUAL'}}
Updated at
2023-04-12

1 organization

2 products

1 indication

Organization
Sedana Medical
Product
Isoflurane
Indication
Sedation
Product
Midazolam