Randomized Double-blind Trial of Midazolam and Loxapine in Agitated Patients

NCT ID: NCT00290082

Last Updated: 2015-03-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

120 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-12-31

Study Completion Date

2007-10-31

Brief Summary

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Neuroleptics are used since a long time in the management of severely agitated patients. Loxapine is routinely used in our country, with, to our knowledge no severe adverse event reported, in this indication.

However, recently, benzodiazepines have appeared interesting in agitated patients, with the use of midazolam.

The aim of this study is to compare midazolam to loxapine in the treatment of severe agitated patients admitted in the emergency department.

Detailed Description

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Prospective, Randomized, Double-blind, Multicenter study (20 french emergency departments)

Conditions

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Acute Agitated Patients

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors

Study Groups

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loxapine

agitated patients were randomly assigned either to loxapine, either to midazolam group

Group Type ACTIVE_COMPARATOR

loxapine, midazolam

Intervention Type DRUG

agitated patients received loxapine 1 ml/ kg body weight ( loxapine 25mg/ml) or midazolam 1 ml/ kg body weight ( midazolam 1mg/ml) if patients were still agitated 20 min after the first treatment, they received loxapine 0.5 ml/ kg body weight ( loxapine 25mg/ml) or midazolam 0.5 ml/ kg body weight ( midazolam 1mg/ml)

blood sample

Intervention Type BIOLOGICAL

was evaluated in patients sedated, alcohol level, blood sugar

patient monitoring

Intervention Type OTHER

Till his coming out the emergency service, patient had an hemodynamic, respiratory and neurologic monitoring as well as an agitated score monitoring The occurence of a complication during the 15 days after leaving the emergency department was prospected.

Loxapine

Intervention Type DRUG

Loxapine 1 mL / 10 kg

midazolam

midazolam is compared to loxapine in terms of efficacy and tolerance

Group Type ACTIVE_COMPARATOR

loxapine, midazolam

Intervention Type DRUG

agitated patients received loxapine 1 ml/ kg body weight ( loxapine 25mg/ml) or midazolam 1 ml/ kg body weight ( midazolam 1mg/ml) if patients were still agitated 20 min after the first treatment, they received loxapine 0.5 ml/ kg body weight ( loxapine 25mg/ml) or midazolam 0.5 ml/ kg body weight ( midazolam 1mg/ml)

blood sample

Intervention Type BIOLOGICAL

was evaluated in patients sedated, alcohol level, blood sugar

patient monitoring

Intervention Type OTHER

Till his coming out the emergency service, patient had an hemodynamic, respiratory and neurologic monitoring as well as an agitated score monitoring The occurence of a complication during the 15 days after leaving the emergency department was prospected.

Midazolam

Intervention Type DRUG

Midazolam 1 mL / 10 Kg

Interventions

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loxapine, midazolam

agitated patients received loxapine 1 ml/ kg body weight ( loxapine 25mg/ml) or midazolam 1 ml/ kg body weight ( midazolam 1mg/ml) if patients were still agitated 20 min after the first treatment, they received loxapine 0.5 ml/ kg body weight ( loxapine 25mg/ml) or midazolam 0.5 ml/ kg body weight ( midazolam 1mg/ml)

Intervention Type DRUG

blood sample

was evaluated in patients sedated, alcohol level, blood sugar

Intervention Type BIOLOGICAL

patient monitoring

Till his coming out the emergency service, patient had an hemodynamic, respiratory and neurologic monitoring as well as an agitated score monitoring The occurence of a complication during the 15 days after leaving the emergency department was prospected.

Intervention Type OTHER

Loxapine

Loxapine 1 mL / 10 kg

Intervention Type DRUG

Midazolam

Midazolam 1 mL / 10 Kg

Intervention Type DRUG

Other Intervention Names

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Loxapac Hypnovel Loxapac Hypnovel

Eligibility Criteria

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Inclusion Criteria

Severely agitated patients (Richard Scale over or equal to 5) between 18 and 65 years old

Exclusion Criteria

Hypoglycemia hypoxemia patients with known dementia blood pressure \<90 mmHg known cocaine or amphetamine intoxication pregnancy respiratory or liver insufficiency myasthenia sedation before arrival to hospital
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Rouen

OTHER

Sponsor Role lead

Responsible Party

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Delegation de la recherche clinique

Principal Investigators

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Fabienne FM Moritz, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Rouen

Locations

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Emergency Department

Créteil, Paris, France

Site Status

Emergency Department

Ghps, Paris, France

Site Status

Emergency Department

Agen, , France

Site Status

Emergecy department

Argenteuil, , France

Site Status

Emergency Department

Bayeux, , France

Site Status

Emergency Department

Bondy, , France

Site Status

Emergency Department

Carcassonne, , France

Site Status

Emergency Department

Clermont-Ferrand, , France

Site Status

Emergency Department

Dijon, , France

Site Status

Emergency Department

Elbeuf, , France

Site Status

Emergency Department

Grenoble, , France

Site Status

Emergency Department

Le Havre, , France

Site Status

Emergency Department

Le Kremlin-BicĂȘtre, , France

Site Status

Emergency Department

Le Mans, , France

Site Status

Emergency Department

Lisieux, , France

Site Status

Emergency Department

Montauban, , France

Site Status

Emergency Department

Nantes, , France

Site Status

Emergency Department

Pontoise, , France

Site Status

Emergency Department

Raincy-Montfermeil, , France

Site Status

Emergency Department

Roanne, , France

Site Status

Emergency Department

Saint-Etienne, , France

Site Status

Countries

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France

Other Identifiers

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French state grant

Identifier Type: -

Identifier Source: secondary_id

2004/055/HP

Identifier Type: -

Identifier Source: org_study_id

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